2018-09-27T16:24:22-05:00 2017-12-31 621804252 WATKINS UIBERALL PLLC 1661 AARON BRENNER DR STE 300 MEMPHIS TN 38120 990 2017-01-01 621106224 PSALMS INC PSAL 9013653665 3535 KIRBY ROAD MEMPHIS TN 38115 RUDOLF W HERZKE PRESIDENT 9013653665 2018-09-04 1 BENJAMIN D COLLINS P01307180 9017612720 216.136.84.170 2018-09-04 16:15:29 CD P D42D545523BE40E420F6D14ED97E43045FDFF976 3365A38885231342FCDCBEE5867681CF25E95C43 2017 2018-06-14 16:35:46Z KIRBY PINES RETIREMENT COMMUNITY RUDOLF W HERZKE 3535 KIRBY ROAD MEMPHIS TN 38115 30826921 0 X WWW.KIRBYPINES.COM X 1983 TN PSALMS, INC. D/B/A KIRBY PINES RETIREMENT COMMUNITY IS DEDICATED TO PROVIDING RESIDENTS WITH A QUALITY LIFESTYLE IN A QUALITY ENVIRNMENT, SUPPORTING THE CONCEPT OF CONTINUED INDEPENDENCE AS A PRIOITY IN THE LIFE CARE DECISION. 11 9 594 175 0 0 0 0 28293686 29753473 213502 293632 114531 44041 28621719 30091146 0 0 0 0 9516881 9990404 0 0 0 18671585 18970285 28188466 28960689 433253 1130457 74928076 75614690 92079765 91678390 -17151689 -16063700 PSALMS, INC. D/B/A KIRBY PINES RETIREMENT COMMUNITY IS DEDICATED TO PROVIDING RESIDENTS WITH A QUALITY LIFESTYLE IN A QUALITY ENVIRONMENT, SUPPORTING THE CONCEPT OF CONTINUED INDEPENDENCE AS A PRIOITY IN THE LIFE CARE DECISION. 0 0 10634164 19724927 INDEPENDENT LIVING IN APARTMENTS AND GARDEN HOMES 2164228 1599032 ASSISTED LIVING CARE 10197838 8429514 LONG-TERM CARE 22996230 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 449 0 1 594 1 0 0 0 0 0 0 0 0 0 0 X 11 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 TN X TIM COX 9017942598 6465 N QUAIL HOLLOW SUITE 400 MEMPHIS TN 38120 RUDOLF W HERZKE PRESIDENT 22.00 X X 52811 0 0 DR JAMES LATIMER CHAIRMAN 1.00 X X 0 0 0 BERRY E TERRY SECRETARY/TREASURER 22.00 X X 12000 0 0 JIM ETHERIDGE DIRECTOR 1.00 X 0 0 0 DR FRED GROGAN DIRECTOR 1.00 X 0 0 0 LARRY BRAUGHTON DIRECTOR 1.00 X 0 0 0 BOYD L RHODES JR DIRECTOR 1.00 X 0 0 0 LINDA HARRINGTON DIRECTOR 1.00 X 0 0 0 MARY ANN HODGES DIRECTOR 1.00 X 0 0 0 RUSTY E LINKOUS DIRECTOR 1.00 X 0 0 0 RICHARD COONS DIRECTOR 1.00 X 0 0 0 ANNETTE M MARLAR MEDICAL SERVICES ADMINISTR 40.00 X 156022 0 2872 220833 0 2872 1 0 1 0 REHABCARE SRS DIVISION PO BOX 5035 ST LOUIS MO 63150 CONSTRUCTION 1577375 PROFESSIONAL CONSTRUCTION SOLUTIONS LLC 128 BEVERLY DRIVE ATOKA TN 38004 CONSTRUCTION 1176356 GARNER SPECIALTIES 830 WILLOW TREE CIRCLE CORDOVA TN 38018 CONSTRUCTION 671651 PEIFER SAFE & LOCK CO 3747 CHERRY RD MEMPHIS TN 38118 LOCK COMPANY 454571 DEHONEY BISHOP INTERIORS INC 649 PHILADELPHIA ST MEMPHIS TN 38104 CONSTRUCTION 273330 5 SERVICE FEES 623000 25271659 25271659 EARNED ENTRANCE FEES 623000 4481814 4481814 29753473 368287 368287 608125 52995 608125 127650 0 -74655 -74655 -74655 OTHER INCOME 722210 44041 44041 44041 30091146 29678818 0 412328 9076976 7961208 1115768 96000 84199 11801 129260 109241 20019 688168 603576 84592 1140728 1140728 185620 185620 102601 102601 1074118 584149 489969 1116160 74636 1041524 289628 248363 41265 1864202 1703831 160371 31517 7912 23605 12181 7452 4729 1948501 1813167 135334 3577650 3329163 248487 698510 376945 321565 THERAPY EXPENSES 1802528 1802528 DIETARY SUPPLIES 1512939 1512939 MAINTENANCE EXPENSE 1499560 1371245 128315 MEDICAL SUPPLIES 488876 488876 1624966 916800 708166 28960689 22996230 5964459 0 731501 312690 9101560 7646976 2359161 2705050 110553 140412 125961 99350 90745698 43803559 45035143 46942139 2638044 2597203 573154 527343 14252999 14643527 74928076 75614690 4507942 4220629 28556798 29152410 26934980 25414111 32080045 32891240 92079765 91678390 X -17151689 -16063700 -17151689 -16063700 74928076 75614690 X 1130457 -49618 7150 X X 0 1 X 1 0 X 26763904 27663318 28427092 28293686 29753473 140901473 117349 143803 163142 114531 44041 582866 26881253 27807121 28590234 28408217 29797514 141484339 0 0 0 141484339 359872 288644 284386 308292 368287 1609481 359872 288644 284386 308292 368287 1609481 27241125 28095765 28874620 28716509 30165801 143093820 0.98880 0.98820 0.01120 0.01180 X 892839 892839 56744646 34700139 22044507 19726933 5763017 13963916 4887038 2807385 2079653 8494242 533018 7961224 46942139 ACCRUED INTEREST INCOME 15412 ASSETS WHOSE USE IS LIMITED 3177527 CASH VALUE LIFE INSURANCE 1938205 ACCOUNTS REC. - LUKE INC 1559331 WAIT LIST DEPOSITS 5610361 LAND HELD FOR SALE 16195 NOTE REC - LUKE INC 2326190 BUSINESS DAMAGE CLAIMS 306 14643527 WAIT LIST DEPOSITS 12627020 REFUNDABLE FEES 19188810 REFUNDABLE ENTRANCE FEES 1075410 32891240 30048678 -49618 7150 -42468 30091146 0 30091146 28960689 0 28960689 0 28960689 PART XI, LINE 2D - OTHER ADJUSTMENTS: INCREASE IN CASH SURRENDER VALUE OF LIFE INSURANCE 7,150. X 0 0 0 0 0 0 0 0 0 ANNETTE M MARLAR MEDICAL SERVICES ADMINISTR 156022 0 0 0 0 0 0 0 2872 0 158894 0 0 0 JIMMY LATIMER BOARD MEMBER 14079 DISCOUNT ON ENTRANCE FEE/MAINTENANCE SVC FEE BERRY TERRY BOARD MEMBER 12828 DISCOUNT ON ENTRANCE FEE/MAINTENANCE SVC FEE WATER PRO OWNER IS KURT HERZKE; SON OF PRESIDENT RUDY HERZKE 11005 INSTALLATION/MAINTENANCE OF IRRIGATION SYSTEM 0 CHARLIE S TRAMMELL JR PRESIDENT AND OWNER OF RCA, LLC. MANAGAEMENT CO. 17750 BONUS 0 CHRISTIE'S COIFFURES OWNER ALSO OWNS MANAGEMENT COMPANY 216402 PASSTHROUGH PAYMENTS FOR SALON COLLECTIONS 0 KURT HERZKE SON OF RUDY HERZKE 3633 LABOR & REPAIRS CARS & YD EQUIP 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES ARE PERFORMED BY RETIREMENT COMPANIES OF AMERICA, LLC, AND ITS EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT IS INVOLVED THROUGHOUT THE PREPARATION OF THE 990. MANAGEMENT THEN REVIEWS THE 990 AND PROVIDES A COPY TO THE BOARD OF DIRECTORS VIA EMAIL FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DICLOSURES FROM THE VOTING BOARD MEMBERS, OFFICERS, AND CHARLES S. TRAMMELL JR. ARE REQUIRED ON AN ANNUAL BASIS AND ARE REVIEWED BY OUTSIDE COUNCIL. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT CONSULTANT IS HIRED TO PERFORM A COMPARABILITY ANALYSIS WHICH IS THEN REVIEWED BY OUTSIDE COUNCIL AND APPROVED BY INDEPENDENT BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 ALL APPLICABLE POLICIES ARE AVAILABLE UPON REQUEST TO THE MANAGEMENT COMPANY. FORM 990, PART XI, LINE 9: INCREASE IN CASH SURRENDER VALUE OF LIFE INSURANCE 7,150. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. LUKE INC 2171 JUDICIAL DR SUITE 215 GERMANTOWN TN 38138 203524338 DEVELOPMENT STAGE RETIREMENT COMMUNITY TN 501(C)(3) 509(A)(2) 0 KIRBY PINES FOUNDATION 3535 KIRBY RD MEMPHIS TN 38115 621532380 FUNDRAISING TO ASSIST RETIREMENT COMMUNITY RESIDENTS TN 501(C)(3) 509(A)(2) 0 THE PATMOS GROUP 2171 JUDICIAL DR SUITE 215 GERMANTOWN TN 38138 203817574 INACTIVE HOLDING COMPANY OF LUKE, INC. TN 501(C)(3) 509(A)(2) 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LUKE INC D 3885521 CASH VALUE KIRBY PINES FOUNDATION D 423478 CASH VALUE