2015-11-12T10:01:00-06:00 2014-12-31 621657946 CANNON WRIGHT BLOUNT PLLC 756 RIDGE LAKE BLVD SUITE 100 MEMPHIS TN 381209420 990 2014-01-01 620589737 THE KING'S DAUGHTERS AND SONS HOME KING 9012727405 3568 APPLING ROAD BARTLETT TN 38133 SHERRY CHANEY PRESIDENT 9012727405 2015-11-03 1 STUART L KAPLAN P00643422 9016857500 2014 2016-02-25 16:41:14Z 3568 APPLING ROAD BARTLETT TN 38133 11311127 0 X N/A X BRANCH OF THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS 1908 TN NURSING CARE 9 9 220 25 0 0 604363 2672682 8135618 8590886 8 -8660 6543 3962 8746532 11258870 0 4538 0 0 5581322 5495331 0 0 0 3587784 3875888 9169106 9375757 -422574 1883113 20958168 18935246 9306897 7466254 11651271 11468992 PROVIDE NURSING CARE TO THE SICK AND ELDERLY. 0 0 8395669 4538 8594848 INTERMEDIATE AND SKILLED HEALTH AND NURSING CARE 108 LICENSED BEDS AVAILABLE 8395669 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 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 1 17 0 1 220 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 0 X NICOLE WILES 9012727405 3568 APPLING ROAD BARTLETT TN 38133 X BARBARA SMITH CORRESPONDING SECRETARY 0.50 X X 0 0 0 CAROLYN SKAGGS TREASURER 0.50 X X 0 0 0 DR ESTHER BRADY DIRECTOR 0.50 X 0 0 0 JANE INGRAM VICE PRESIDENT 0.50 X X 0 0 0 JEAN BEDWELL DIRECTOR 0.50 X 0 0 0 JERI BUCHANAN RECORDING SECRETARY 0.50 X X 0 0 0 FAYE GRAY DIRECTOR 0.50 X 0 0 0 SHERRY CHANEY PRESIDENT 1.00 X X 0 0 0 WENDALL SMITH DIRECTOR 0.50 X 0 0 0 RONALD B ARRISON EXECUTIVE DIRECTOR 40.00 X 182319 0 18788 182319 0 18788 1 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 CONTRACTED DIETARY, LAUNDRY AND HOUSEKEE 1386564 1 6604 2666078 2672682 INTERMEDIATE & SKILLED 623000 8590886 8590886 8590886 552 552 43045 52257 -9212 -9212 -9212 EMPLOYEE & GUEST MEALS 632000 3846 3846 MISCELLANEOUS 632000 116 116 3962 11258870 8594848 0 -8660 X 4538 4538 201107 201107 4515019 4117752 397267 439318 383569 55749 339887 300573 39314 107773 107773 24500 24500 1500877 1500125 752 5190 5190 159957 80886 79071 51408 51408 242610 242610 9392 9392 11086 11086 231137 231137 384595 384595 189404 189404 MEDICAL SUPPLIES 456018 456018 SPECIAL LICENSE FEE 308814 308814 REHAB LEASE 95711 95711 BAD DEBTS 69357 69357 28059 25390 2669 9375757 8395669 980088 0 282369 319658 444769 876837 716380 27312 38208 36251 53348 10615918 3550792 7242505 7065126 12319034 10132840 173860 164917 20958168 18935246 872054 732545 6805000 6606666 899995 0 496880 0 232968 127043 9306897 7466254 X 11549836 11370195 101435 98797 11651271 11468992 20958168 18935246 X 1883113 -2065392 X 0 1 X 0 0 X 714581 619290 623640 604363 2672682 5234556 7701480 7914036 7882764 8135618 8590886 40224784 8416061 8533326 8506404 8739981 11263568 45459340 0 0 0 45459340 931 614 353 8 552 2458 931 614 353 8 552 2458 8416992 8533940 8506757 8739989 11264120 45461798 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 469659 469659 7955852 2101230 5854622 1493545 977038 516507 696862 472524 224338 7065126 BENEFICIAL INTEREST IN KING'S DAUGHTERS AND SONS HOME FOUNDATION,INC. 10132840 F 10132840 DERIVATIVE 60912 CAPITAL LEASES PAYABLE 66131 127043 11258870 0 11258870 0 11258870 9375757 0 9375757 0 9375757 X 0 0 0 0 0 0 0 0 0 RONALD B ARRISON EXECUTIVE DIRECTOR 182319 0 0 0 0 0 0 0 18788 0 201107 0 0 0 A THE HEALTH EDUCATIONAL AND HOUSING FAC BD OF THE COUNTY OF SHELBY TENNESSEE 521283414 821697VH9 2003-06-05 8200000 CONSTRUCTION OF NURSING FACILITY 0 0 0 A 8200000 161000 64554 7974446 2004 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 1 1 REGIONS BANK 10.000000000000 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 THE KING'S DAUGHTERS AND SONS HOME IS UNDER THE AUSPICES OF THE TENNESSEE BRANCH OF THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS. MEMBERSHIP IN THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS IS AVAILABLE TO INDIVIDUALS DESIRING TO COMPLY WITH THE REQUIREMENTS OF THE ORDER AND SERVE ITS MISSION. MEMBERS ARE ORGANIZED IN CIRCLES AT A LOCAL LEVEL TO CARRY ON THE MISSION OF THE ORDER. FORM 990, PART VI, SECTION A, LINE 7A THE KING'S DAUGHTERS AND SONS HOME (THE HOME) IS UNDER THE AUSPICES OF THE TENNESSEE BRANCH OF THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS. MEMBERSHIP IN THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS IS AVAILABLE TO INDIVIDUALS DESIRING TO COMPLY WITH THE REQUIREMENTS OF THE ORDER AND SERVE ITS MISSION. MEMBERS ARE ORGANIZED IN CIRCLES AT A LOCAL LEVEL TO CARRY ON THE MISSION OF THE ORDER. MEMBERS OF THE LOCAL CIRCLES ELECT THE BOARD OF DIRECTORS (THE GOVERNING BODY) OF THE HOME. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE KING'S DAUGHTERS AND SONS HOME, AND ANY CHANGES AND/OR AMENDMENTS MUST BE APPROVED BY THE MEMBERS FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM; AND IS REVIEWED BY THE EXECUTIVE DIRECTOR BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BYLAWS AND ANY CHANGES AND AMENDMENTS WHICH REFERENCE THESE ISSUES ARE PROVIDED TO ALL MEMBERS. WRITTEN CORPORATE COMPLIANCE PROGRAM PLANS WHICH REFERENCE THESE ISSUES ARE PROVIDED TO EMPLOYEES. AN EMPLOYEE ATTESTATION STATEMENT IS SIGNED BY THE EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MEET EVERY MONTH TO REVIEW OPERATIONAL AND FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES : PROGRAM SERVICE EXPENSES 1,500,125. MANAGEMENT AND GENERAL EXPENSES 752. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,500,877. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST IN HOME FOUNDATION -2,186,195. CHANGE IN VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 120,803.