2025-02-22T08:48:56-06:00 2023-12-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2023-01-01 621808817 HEALTH SERVICES MANAGEMENT INC HEAL 6158961191 206 FORTRESS BLVD MURFREESBORO TN 37128 JAMES SHATZ CEO 6158961191 2025-02-22 1 1 HARRY E HARP CPA P00176471 4077405400 2023 2025-03-06 01:10:19Z JAMES SHATZ 206 FORTRESS BLVD MURFREESBORO TN 37128 107158114 0 X N/A X 2000 TN TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES. 5 3 3825 0 0 0 1854690 357322 129025337 104274079 348138 1164448 -79317 1341061 131148848 107136910 0 0 0 0 71789306 58305479 0 0 0 72158119 56919741 143947425 115225220 -12798577 -8088310 180141587 156538498 117870146 105386479 62271441 51152019 TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES. 0 0 106804456 105615140 TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES IN INDIANA, TENNESSEE, TEXAS, AND FLORIDA. 106804456 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 590 0 1 3825 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X SCOTT FISHER 3524170360 206 FORTRESS BLVD MURFREESBORO TN 37128 JIM SHATZ CEO 40.00 X X 640561 0 0 SCOTT FISHER CFO 40.00 X X 625167 0 0 JOSH WHITE COO 40.00 X 433352 0 0 BRIAN JACKSON CHIEF QUALITY & RISK OFFICER 40.00 X 324997 0 0 ANITA MAMONE CHIEF LEGAL & GOVERNANCE OFFICER 40.00 X 244618 0 0 KEVIN BAXTER VP OF OPERATIONS 40.00 X 240648 0 0 CLINT WELLS VP, REVENUE CYCLE MANAGEMENT 40.00 X 237051 0 0 SAMANTHA ALLEN CHIEF NURSING OFFICER 40.00 X 229869 0 0 JERALD ERLANDSON DIRECTOR OF CLIENT SERVICES 40.00 X 223737 0 0 MARK RICHARDSON CORPORATE DIRECTOR OF COMPLIANCE & AUDIT 40.00 X 169379 0 0 SHELBY JACKSON ADMINISTRATOR 40.00 X 161878 0 0 WILLIAM NEELY CHIEF LEGAL OFFICER (END 02/23) 40.00 X 146207 0 0 RICHARD FLINCHUM REGIONAL NURSE 40.00 X 117548 0 0 RANDY SHUCK CHAIRMAN, DIRECTOR 1.00 X 81000 0 0 TIMOTHY PRIDDY DIRECTOR 1.00 X 81000 0 0 ROBERT CONROY DIRECTOR 1.00 X 81000 0 0 4038012 0 0 90 0 1 0 RELIANT REHABILIATATION 5800 GRANITE PARKWAY STE 1000 PLANO TX 75024 THERAPY 8648887 CRESTMARK PHARMACY 1860 HIGHLAND OAKS BLVD LUTZ FL 33559 PHARMACY 3396243 INTELYCARE INC 1250 HANCOCK STREET 501N QUINCY MA 02169 STAFFING SERVICES 1619200 GALE HEALTHCARE SOLUTIONS 3101 W DR MLK JR BLVD STE 200 TAMPA FL 33607 STAFFING SERVICES 1376463 QUALITY CARE REHAB 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY 799950 17 349671 7651 357322 PATIENT SERVICE REVENUE 623000 104050182 104050182 MANAGEMENT FEE REVENUE 623000 183897 183897 CABLE & PHONE REVENUE 812900 20569 20569 CAFETERIA & VENDING REVENUE 722514 19431 19431 104274079 398373 398373 1327689 0 1327689 1327689 1327689 787279 21204 766075 766075 766075 OTHER REVENUE 900099 13372 13372 13372 107136910 105615140 0 1164448 X 4038011 855723 3182288 48138582 47981568 157014 128750 128750 2138682 2102967 35715 3861454 3688005 173449 828280 828280 212158 212158 15127688 14941846 185842 866340 303168 563172 128748 72071 56677 731853 130200 601653 11531747 11292369 239378 136463 68451 68012 246408 136443 109965 928421 875804 52617 4557323 4264578 292745 3315401 3200161 115240 TAXES 5118722 4028434 1090288 SUPPLIES AND EQUIPMENT 4174871 4055640 119231 FOOD 3309143 3309143 PHARMACEUTICAL DRUGS 2812024 2812024 2894151 2557111 337040 115225220 106804456 8420764 0 17817130 6151572 8000168 7829998 18342149 9823534 1712561 1638435 410369 426752 948177 1608546 120543199 58610250 62452688 61932949 331772 563239 62126 70064447 66563473 180141587 156538498 8741902 7032048 656955 425273 35916978 35551009 72554311 62378149 117870146 105386479 X 62271441 51152019 62271441 51152019 180141587 156538498 -8088310 -3031112 0 X X 0 0 0 X 74852 10935145 1724219 1854690 357322 14946228 133495798 130742072 122572362 129025337 104274078 620109647 3419006 6695020 1549854 1495295 1327689 14486864 136989656 148372237 125846435 132375322 105959089 649542739 0 0 0 649542739 530959 296326 221672 451587 398373 1898917 530959 296326 221672 451587 398373 1898917 690418 1368633 704474 609755 13372 3386652 138211033 150037196 126772581 133436664 106370834 654828308 0.99190 0.99070 0.00290 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 6400920 6400920 84810213 36377336 48432877 15585661 10876037 4709624 12293310 10114323 2178987 1453095 1242554 210541 61932949 OPERATING LEASES, RIGHT-OF-USE ASSETS 58889257 RENT RECEIVABLE 1253000 INTEREST RECEIVABLE 362894 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 149707 ESCROW 4179748 RESIDENTS FUNDS HELD IN TRUST 425273 OTHER ASSETS 1303594 66563473 LEASE LIABILITY 60092070 OTHER LIABILITIES 163907 DUE TO RELATED PARTIES 2122172 62378149 X PART IV, LINE 2B: THE ORGANIZATION USES A THIRD PARTY ADMINISTRATOR TO MANAGE THE FUNDS HELD IN TRUST FOR RESIDENTS. PART X, LINE 2: MANAGEMENT PERFORMS AN EVALUATION OF ALL INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COUSE OF PREPARING THE ORGANIATION'S INCOME TAX RETURNS TO DETERMINE WHETHER THE INCOME TAX POSITIONS MEET A "MORE LIKELY THAN NOT" STANDARD OF BEING SUSTAINED UNDER EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL INCOME TAX POSITIONS TAKEN ON ALL OPEN INCOME TAX RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX POSITIONS IN THE ACCOMPANYING FINANCIAL STATEMENTS. X X X X 0 0 0 0 0 1 0 1 0 JIM SHATZ CEO 590061 0 0 0 50500 0 0 0 0 0 640561 0 0 0 SCOTT FISHER CFO 574667 0 0 0 50500 0 0 0 0 0 625167 0 0 0 JOSH WHITE COO 398852 0 0 0 34500 0 0 0 0 0 433352 0 0 0 BRIAN JACKSON CHIEF QUALITY & RISK OFFICER 324997 0 0 0 0 0 0 0 0 0 324997 0 0 0 ANITA MAMONE CHIEF LEGAL & GOVERNANCE OFFICER 244618 0 0 0 0 0 0 0 0 0 244618 0 0 0 KEVIN BAXTER VP OF OPERATIONS 238848 0 0 0 1800 0 0 0 0 0 240648 0 0 0 CLINT WELLS VP, REVENUE CYCLE MANAGEMENT 237051 0 0 0 0 0 0 0 0 0 237051 0 0 0 SAMANTHA ALLEN CHIEF NURSING OFFICER 229869 0 0 0 0 0 0 0 0 0 229869 0 0 0 JERALD ERLANDSON DIRECTOR OF CLIENT SERVICES 223737 0 0 0 0 0 0 0 0 0 223737 0 0 0 MARK RICHARDSON CORPORATE DIRECTOR OF COMPLIANCE & A 169379 0 0 0 0 0 0 0 0 0 169379 0 0 0 SHELBY JACKSON ADMINISTRATOR 160378 0 0 0 1500 0 0 0 0 0 161878 0 0 0 PART I, LINE 6 THE 2023 PLAN INCLUDES AN INCENTIVE PAYMENT TO ADMINISTRATORS, DON, SOCIAL SERVICES, ADMISSIONS DIRECTOR, AND DIETARY FOR CATEGORIES INCLUDING MEDICARE CENSUS, SUPER BONUS, CUSTOMER SATISFACTION SURVEY, TURNOVER, LABOR BUDGET, FOOD BUDGET AND INFECTION CONTROL METRICS. PART I, LINE 7 THE 2023 PLAN INCLUDES AN INCENTIVE PAYMENT TO THE CENTER ADMISSIONS DIRECTOR FOR OVERALL CENSUS PERFORMANCE (BASED ON PERCENTAGE OF AVAILABLE BEDS FROM THE CENTER'S BUDGET) AND FOR MEDICARE PLUS MANAGED CARE CENSUS LEVELS (BASED ON AVERAGE PER PATIENT DAY) FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S GENERAL COUNSEL REVIEWED THE FORM 990 AND PROVIDED COMMENTS AND QUESTIONS TO THE RETURN PREPARER. A COPY OF THE FORM 990 WAS EMAILED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C QUESTIONNAIRES ARE COMPLETED ANNUALLY BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USED THE SERVICES OF AN INDEPENDENT FIRM TO REVIEW THE COMPENSATION OF THE OFFICERS OF THE ORGANIZATION AND RELATED ENTITIES TO DETERMINE IF THEIR COMPENSATION WAS COMPARABLE TO OTHER EXECUTIVES AND ENTITIES IN THE SAME LINE OF BUSINESS. IN ADDITION, INDEPENDENT BOARD MEMBERS REVIEW THE COMPENSATION OF THE INSIDE BOARD MEMBERS, AND THE FULL BOARD THEN APPROVES COMPENSATION PAYABLE TO BOTH THE INSIDE AND INDEPENDENT BOARD MEMBERS. MANAGEMENT DETERMINES THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL DATA, ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 14,101,756. MANAGEMENT AND GENERAL EXPENSES 18,357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,120,113. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 245,816. MANAGEMENT AND GENERAL EXPENSES 66,529. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 312,345. PAYROLL PROCESSING FEE: PROGRAM SERVICE EXPENSES 373,016. MANAGEMENT AND GENERAL EXPENSES 100,956. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 473,972. CASE MANAGEMENT: PROGRAM SERVICE EXPENSES 221,258. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,258. 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