2020-11-13T13:43:55-06:00 2019-12-31 752795393 JTAYLOR & ASSOCIATES LLC 4800 OVERTON PLAZA SUITE 360 FORT WORTH TX 761094430 990 2019-01-01 273043118 PROGRESSIVE ELDERCARE SERVICES - SALINE INC PROG 5017788200 19701 INTERSTATE 30 BENTON AR 72015 MICHAEL TINDELL PRESIDENT 5017788200 2020-11-09 1 HAYDEN GRAHM P01774656 8179245900 74.7.112.82 2020-11-09 09:32:08 CS P CD8AC7687606FD2FA2D408CEA4A3D26D640E969E 456763AA9762FC16C55478175DFFF7B177C2EE06 2019 2021-01-29 14:40:06Z HEARTLAND REHABILITATION & CARE CENTER MICHAEL TINDELL 19701 INTERSTATE 30 BENTON AR 72015 7906238 0 X WWW.HEARTLANDREHABCENTER.COM X 2010 AR TO FACILITATE COMPASSIONATE HEALTH CARE WITH CLINICAL QUALITY AND SERVICE EXCELLENCE IN A DIGNIFIED AND RESPECTFUL "HOME" ENVIRONMENT FOR ELDERS WHO REQUIRE LONG-TERM CARE SERVICES. 2 1 0 5 0 0 0 0 7439266 7905799 377 439 0 0 7439643 7906238 0 0 0 0 2962690 2993027 0 0 0 5113554 5115369 8076244 8108396 -636601 -202158 2632319 2633504 2534070 2737413 98249 -103909 THE ORGANIZATION PROVIDES AFFORDABLE SKILLED NURSING AND REHABILITATIVE CARE TO ILL, INFIRM, MEDICALLY DISABLED AND ELDERLY INDIVIDUALS IN A NON-TRADITIONAL LONG-TERM CARE ENVIRONMENT UTILIZING THE "CULTURE CHANGE OR "PERSON CENTERED" CARE MODEL. 0 0 7905847 7905799 THE ORGANIZATION ACTS IN CONCERT WITH PROGRESSIVE ELDERCARE SERVICES, INC. (PES, INC.) TO FORM A NETWORK OF NURSING FACILITIES TO SERVE AS LOCATIONS FOR PROMOTING, DEVELOPING AND ADMINISTERING "CULTURE CHANGE", PERSON-CENTERED, LONG-TERM CARE FOR ILL, INFIRM, MEDICALLY DISABLED AND ELDERLY INDIVIDUALS. THE "CULTURE CHANGE" MODEL OF CARE IS DESIGNED TO EMPOWER ELDERS AND STAFF TO PARTICIPATE IN THE ESTABLISHMENT OF PATHWAYS THAT RESULT IN A HIGH DEGREE OF CHOICE, AUTONOMY, DIGNITY AND SELF-DETERMINATION FOR THE ELDERS SERVED. IT IS ANTICIPATED THAT WITH CONCERTED EFFORTS THE ORGANIZATION WILL INCREASE THE AVAILABILITY AND QUALITY OF HEALTH CARE FOR ITS RESPECTIVE COMMUNITIES, RESULTING IN BETTER HEALTH OUTCOMES AND QUALITY OF LIFE FOR THE ELDERLY. THE ORGANIZATION SERVED 314 RESIDENTS IN 2019. 7905847 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 22 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 1 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DUANE BLACKWELL 3184438167 2230 S MACARTHUR DRIVE SUITE 9 ALEXANDRIA LA 71301 MICHAEL TINDELL PRESIDENT 40.00 X X 68419 0 0 JEFF WESTBROOK DIRECTOR 5.00 X 0 0 0 68419 0 0 0 0 0 0 CAREPLUS STAFFING SERVICES LLC 2230 S MACARTHUR DRIVE ALEXANDRIA LA 71301 EMPLOYEE LEASING SERVICES 2993208 PROCARE THERAPY SERVICES LLC 2230 S MACARTHUR DRIVE ALEXANDRIA LA 71301 REHABILITATION & THERAPY SERVICES 1138040 SOUTHERN ADMINISTRATIVE SERVICES LLC 2230 S MACARTHUR DRIVE ALEXANDRIA LA 71301 ADMINISTRATIVE & GENERAL SERVICES 291876 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE STE 300 BENSALEM PA 19020 HOUSEKEEPING SERVICES 218631 4 PATIENT CARE REVENUE 623000 7905799 7905799 7905799 439 439 7906238 7905799 0 439 X 68419 13684 54735 2536376 2536376 163460 163460 224772 220585 4187 70395 63355 7040 1017 1017 49800 49800 1681697 1681697 13605 13605 48628 48628 173184 155866 17318 1105786 1050497 55289 9766 9766 3779 3779 76704 76704 313432 300269 13163 MEDICAL SUPPLIES 736656 736656 GENERAL AND ADMINISTRAT 293304 293304 BAD DEBTS 122824 122824 OTHER ADMINISTRATIVE FE 54000 54000 360792 360792 8108396 7905847 202549 0 610496 553928 620097 554783 3767 8940 1204795 424240 761402 780555 636557 735298 2632319 2633504 2534070 2737413 2534070 2737413 X 98249 -103909 98249 -103909 2632319 2633504 -202158 0 X 0 0 0 X 7601419 8211208 7955207 7439266 7905799 39112899 7601419 8211208 7955207 7439266 7905799 39112899 0 0 0 39112899 6 -3 377 439 819 6 -3 377 439 819 7601425 8211205 7955207 7439643 7906238 39113718 1.00000 0.99990 0.00000 0.00010 X ADDITIONAL SUPPLEMENTAL INFORMATION THE ENTITY WAS CREATED ON JULY 14, 2010. 43496 23987 19509 579229 63050 516179 530692 286477 244215 51378 50726 652 780555 ESCROW - PROPERTY TAXES 59631 ESCROW - CAPITAL EXPENDITURES 675667 735298 FORM 990, PART VI, SECTION A, LINE 3 ADMINISTRATIVE DUTIES ARE DELEGATED TO A MANAGEMENT COMPANY, SOUTHERN ADMINISTRATIVE SERVICES, LLC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S PARENT ENTITY, PROGRESSIVE ELDERCARE SERVICES, INC., IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ELECT THE DIRECTORS OF THE ENTITY. FORM 990, PART VI, SECTION A, LINE 7B (I) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO HIRE AND FIRE THE PRESIDENT OF THE ENTITY. (II) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ESTABLISH AND IMPLEMENT THE ADMISSIONS POLICY OF THE ENTITY; AND (III) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ESTABLISH AND IMPLEMENT THE "CULTURE CHANGE" POLICY OF THE ENTITY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH DIRECTOR DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (A)HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B)HAS READ AND UNDERSTANDS THE POLICY; (C)HAS AGREED TO COMPLY WITH THE POLICY; AND (D)UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT EMPLOY ANY EMPLOYEES, BUT HAS AN AGREEMENT FOR THE ADMINISTRATOR AND ADDITONAL SERVICES WITH ITS MEMBER, PROGRESSIVE ELDERCARE SERVICES, INC. PROGRESSIVE ELDERCARE SERVICES, INC. SETS COMPENSATION, AND THE ORGANIZATION'S INDEPENDENT DIRECTORS ACCEPT OR RATIFY THE SUBJECT EMPLOYMENT AGREEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,242,091. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,242,091. MEDICAID QUALITY ASSURANCE: PROGRAM SERVICE EXPENSES 439,606. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 439,606. PROGRESSIVE ELDERCARE SERVICES INC (PARENT) 38 WARNOCK SPRINGS ROAD MAGNOLIA AR 71753 273040964 FACILITATE THE OPERATION OF LONG-TERM CARE FACILITIES. AR 501(C)(3) LINE 12C, III-FI N/A 0 BENTON - PROGRESSIVE ELDERCARE SERVICES INC 1149 W NEW HOPE ROAD ROGERS AR 72758 823443270 OPERATION OF LONG-TERM CARE FACILITY. 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AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 GRANT - PROGRESSIVE ELDERCARE SERVICES INC 113 SOUTH BRIARWOOD DR SHERIDAN AR 72150 474341949 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 LAWRENCE - PROGRESSIVE ELDERCARE SERVICES INC 1500 WEST MAIN ST WALNUT RIDGE AR 72476 474342057 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 MALVERN - PROGRESSIVE ELDERCARE SERVICES INC 105 RESSELL VILLE ROAD MALVERN AR 72104 474340191 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 MONTICELLO - PROGRESSIVE ELDERCARE SERVICES INC 1194 N CHESTER STREET MONTICELLO AR 71655 823447385 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PINES - PROGRESSIVE ELDERCARE SERVICES INC 524 CARPENTER DAM ROAD HOT SPRINGS AR 71901 474341429 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 POLK - PROGRESSIVE ELDERCARE SERVICES INC 306 HORNBECK AVE MENA AR 71953 474341779 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PRAIRIE - PROGRESSIVE ELDERCARE SERVICES INC 2216 WEST MAIN ST DES ARC AR 72040 474340873 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - BRYANT INC 22515 INTERSTATE 30 BRYANT AR 72022 273043003 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - CHICOT INC 903 BORGOGNONI DRIVE LAKE VILLAGE AR 71653 273042957 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - CLEVELAND INC 701 S MAIN ST RISON AR 71665 273685963 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - COLUMBIA INC 38 WARNOCK SPRINGS ROAD MAGNOLIA AR 71753 452768181 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - CONWAY INC 12 HOSPITAL DRIVE MORRILTON AR 72110 273042331 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - CROSS INC 1100 EAST MARTIN DRIVE WYNNE AR 72396 273041062 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - DREW INC 1052 OLD WARREN ROAD MONTICELLO AR 71655 273042765 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - GREEN INC 2200 CHATEAU BLVD PARAGOULD AR 72450 452768282 OPERATION OF LONG-TERM CARE FACILITY. 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