2017-11-15T16:36:57-06:00 2016-12-31 621717910 MATLOCK CLEMENTS PC 270 GLENIS DRIVE - SUITE A MURFREESBORO TN 37129 990 2016-01-01 621808817 HEALTH SERVICES MANAGEMENT INC HEAL 6158961191 206 FORTRESS BLVD MURFREESBORO TN 37128 Eric Bell CEO 6158961191 2017-11-15 1 Eric Clements CPA CITP CGMA CFE P01424113 6159071881 23.31.171.213 2017-11-15 14:57:19 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 22322209DEAE6197819B41F8E80033DDF26A4A9B 2016 2018-03-14 21:41:22Z Eric Bell 206 FORTRESS BLVD MURFREESBORO TN 37128 139043433 0 1 X N/A X 2000 TN TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES IN INDIANA, TENNESSEE, TEXAS AND FLORIDA. 8 1 3477 0 0 0 0 0 139070129 139043433 0 0 0 0 139070129 139043433 0 0 0 0 57266684 61668317 0 0 0 75865404 73388510 133132088 135056827 5938041 3986606 123770135 123311279 62494186 60669825 61275949 62641454 X TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES IN INDIANA, TENNESSEE, TEXAS AND FLORIDA. 0 0 122967953 139043433 TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES IN INDIANA, TENNESSEE, TEXAS AND FLORIDA. TO PROVIDE NURSING HOME CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES IN INDIANA, TEXAS AND FLORIDA. 122967953 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 0 1 X 539 0 3477 1 0 0 0 0 0 0 0 0 X 8 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X William H Neely 6158961191 206 FORTRESS BLVD MURFREESBORO TN 37128 Marshall P Sweeney Chairman of the Board 50.00 X X 28136 0 14910 ERIC BELL CEO 50.00 X X 1233669 0 14747 ERIC P SWEENEY President 50.00 X X 896602 0 10819 WILLIAM NEELY Executive VP 50.00 X X 896602 0 12748 TIM PRIDDY Director 1.00 X 57500 0 0 BRIAN PERINE VP of Operation 50.00 X X 372500 0 10349 Scott Fisher VP of Finance 50.00 X 263585 0 14747 Randy Shuck DIRECTOR 1.00 X 57500 0 14747 Robert McPhee Corporate MEdical Director 50.00 X 231516 0 9573 Jereld Erlandson Director of Patient Affairs 50.00 X 102896 0 14746 TONY DAVIS REGIONAL CONTROLLER 50.00 X 213549 0 9000 PATRICIA EDGELL REGIONAL DIRECTOR 50.00 X 175459 0 3808 JOANNA BUCKLES NURSING CTR ADMIN. 50.00 X 158915 0 10534 WANDA MOAK NURSING CTR ADMIN. 50.00 X 179887 0 7818 4868316 0 148546 11 0 1 0 RELIANT REHABILITATION 6860 DALLAS PARKWAY PLANO TX 75024 REHAB PROFESSIONALS 17546852 NATIONAL HEALTH INVESTORS PO BOX 306041 NASHVILLE TN 37230 RENT 7245163 Agency for Healthcare Administration 2727 Mahan Drive MS14 Tallahassee FL 32308 Membership/Compliance 4720566 RXPERTS 7700 IRVINE CENTER DR STE 800 IRVINE CA 92618 PHARMACY CONSULTANTS 2402178 Health Management Consultants 206 FORTRESS BLVD MURFREESBORO TN 37128 MANAGEMENT SVCS 2263337 5 PATIENT SERVICE REVENUE 623000 136644629 136644629 Other Revenue 623000 2246437 2246437 Interest Revenue 623000 152367 152367 139043433 139043433 139043433 0 0 X 4567766 4248022 319744 51928685 48293680 3635005 881122 819443 61679 4290744 3947484 343260 4761849 4666612 95237 ADMINISTRATIVE EXPENSES 21205409 13571460 7633949 Therapy Services 16101987 16101987 PLANT OPERATIONS & MAIN 10807072 10807072 DIETARY EXPENSES 5150551 5150551 15361642 15361642 135056827 122967953 12088874 0 33268999 34535245 10981750 12940591 281212 271410 811125 915354 104020572 33799631 74368833 70220941 3223509 3076016 834707 1351722 123770135 123311279 8077336 7368480 51271195 49700217 3145655 3601128 62494186 60669825 X 0 0 13924046 13924046 47351903 48717408 61275949 62641454 123770135 123311279 3986606 -2621101 0 X 0 0 0 X 161713930 153288048 138272877 138909137 138891066 731075058 161713930 153288048 138272877 138909137 138891066 731075058 0 0 0 731075058 83956 79582 103073 160992 152367 579970 83956 79582 103073 160992 152367 579970 161797886 153367630 138375950 139070129 139043433 731655028 0.99920 0.99920 0.00080 0.00080 X 5745352 5745352 55446117 11228987 44217130 14589275 5743853 8845422 28239828 16826791 11413037 70220941 OTHER CURRENT ACCRUED LIABILITIES 3601128 3601128 X X 0 1 X X X X 0 0 0 0 0 0 0 0 0 ERIC BELL CEO 1198269 0 0 0 35400 0 0 0 14747 0 1248416 0 0 0 ERIC P SWEENEY President 861202 0 0 0 35400 0 0 0 10819 0 907421 0 0 0 WILLIAM NEELY Executive VP 861202 0 0 0 35400 0 0 0 12748 0 909350 0 0 0 BRIAN PERINE VP of Operation 350000 0 0 0 22500 0 0 0 10349 0 382849 0 0 0 Scott Fisher VP of Finance 247585 0 0 0 16000 0 0 0 14747 0 278332 0 0 0 Robert McPhee Corporate MEdical Director 231516 0 0 0 0 0 0 0 9573 0 241089 0 0 0 TONY DAVIS REGIONAL CONTROLLER 203049 0 0 0 10500 0 0 0 9000 0 222549 0 0 0 PATRICIA EDGELL REGIONAL DIRECTOR 132409 0 32550 0 10500 0 0 0 3808 0 179267 0 0 0 JOANNA BUCKLES NURSING CTR ADMIN. 120965 0 35750 0 2200 0 0 0 10534 0 169449 0 0 0 WANDA MOAK NURSING CTR ADMIN. 137404 0 40833 0 1650 0 0 0 7818 0 187705 0 0 0 Part I, Line 1a DUE TO THE SUBSTANTIAL AMOUNT OF TIME OFFICERS SPEND TRAVELING, THE COMPANY PURCHASED AN AIRPLANE THAT OFFICERS USE TO TRAVEL TO AND BETWEEN FACILITIES AND OFFICES. IN ADDITION, IN 2016 MR. PRESTON SWEENEY AND MR. RICK SWEENEY USED THE AIRPLANE FOR A LIMITED NUMBER OF HOURS FOR PERSONAL PURPOSES (APPROXIMATELY 10.5 AND 4, RESPECTIVELY). THE ORGANIZATION REPORTED THE PERSONAL USE BY MR. PRESTON SWEENEY AS TAXABLE INCOME. MR. RICK SWEENEY REIMBURSED THE ORGANIZATION FOR HIS PERSONAL USE. THE ORGANIZATION PROVIDED TRAVEL FOR THE SPOUSES OF ALL EMPLOYEES ATTENDING THEIR ANNUAL MANAGEMENT CONFERENCE WHICH INCLUDED OFFICERS, DIRECTORS, AND FACILITY ADMINISTRATORS. ALL MARRIED PERSONS LISTED IN PART VII, SECTION A OF FORM 990 RECEIVED THIS BENEFIT UNLESS THEIR SPOUSE WAS UNABLE TO ATTEND. THE SPOUSES WERE ASKED TO ATTEND THIS CONFERENCE TO MAINTAIN THE FAMILY ATMOSPHERE THE ORGANIZATION TRIES TO FOSTER IN ITS STAFF AND OPERATIONS. THE MANAGEMENT OF THE ORGANIZATION BELIEVES THAT THE CONFERENCE WOULD NOT BE AS EFFECTIVE IF THE SPOUSES DID NOT ATTEND. THE EXPENSES PAID FOR THE SPOUSES WAS LIMITED TO MEALS AND AIRFARE AND RANGED FROM $800 TO $1,000 PER PERSON. THE DECISION TO INVITE THE SPOUSES TO ATTEND THE CONFERENCE WAS MADE BY THE CEO OF THE ORGANIZATION. Health Management Consultants LLC See Schedule O 2263337 SEE SCHEDULE O 0 Lora Sweeney See Schedule O 72000 SEE SCHEDULE O 0 Jessica Brock see Schedule O 55323 SEE SCHEDULE O 0 SCH L, PART IV, BSNS TRANS INTERESTED BUSINESS TRANSACTIONS WITH INTERESTED PARTIES (A) NAME OF PERSON: HEALTH MANAGEMENT CONSULTANTS, LLC (B) RELATIONSHIP BETWEEN INTERESTED PERSON & ORGANIZATION: OWNED 100% BY PRESTON SWEENEY, PRESIDENT OF ORGANIZATION (C) DESCRIPTION OF TRANSACTION: CONSULTING FEES PAID BY ORGANIZATION TO HEALTH MANAGEMENT CONSULTANTS, LLC, FOR SERVICES PERFORMED FOR THE ORGANIZATION. SCH L, PART IV, BSNS TRANS INTERESTED BUSINESS TRANSACTIONS WITH INTERESTED PARTIES (A) NAME OF PERSON: LORA SWEENEY (B) RELATIONSHIP BETWEEN INTERESTED PERSON & ORGANIZATION: MRS. SWEENEY IS THE WIFE OF THE PRESIDENT, PRESTON SWEENEY. (C) DESCRIPTION OF TRANSACTION: PAYMENT OF W-2 REPORTED COMPENSATION FOR ADMINISTRATIVE AND MANAGERIAL DUTIES PERFORMED FOR THE ORGANIZATION'S CORPORATE OFFICE. sCH L, PART IV, BsNs TRANs INTEREsTED BUSINESS TRANSACTIONS WITH INTERESTED PARTIES (A) NAME OF PERSON: JESSICA BROCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON & ORGANIZATION: MS. PRIDDY IS THE DAUGHTER OF ONE OF THE DIRECTORS, TIM PRIDDY. (C) DESCRIPTION OF TRANSACTION: PAYMENT OF W-2 REPORTED COMPENSATION FOR MARKETING DUTIES AT THE LODGE AT NATCHEZ TRACE. SCH R, PART V-RELATED EXEMPT ORG TRANSACTIONS WITH RELATED EXEMPT ORGANIZATIONS: THE ORGANIZATION MADE A CASH CONTRIBUTION TO ANOTHER 501(C)(3) ORGANIZATION, ARROWHEAD RANCH, INC., DURING 2016 IN THE AMOUNT OF $788,018. THE MAJORITY OF THE BOARD MEMBERS OF ARROWHEAD RANCH, INC. ARE ALSO BOARD MEMBERS OF THE ORGANIZATION. THE BOARD OF HEALTH SERVICES MANAGEMENT, INC. ALSO HAS THE CONTINUING POWER TO APPOINT, REMOVE, OR REPLACE THE MAJORITY OF THE BOARD OF DIRECTORS OF ARROWHEAD RANCH, INC. Form 990, Part VI, Section A, line 2 Line 2 explanation - OFFICERS PRESTON SWEENEY AND ERIC SWEENEY ARE FATHER AND SON. Form 990, Part VI, Section B, line 11b THE ORGANIZATION'S GENERAL COUNSEL REVIEWED THE 990 AND PROVIDED COMMENTS AND QUESTIONS TO THE RETURN PREPARER. 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 EXECUTIVE OFFICERS. THE INDEPENDENT BOARD MEMBERS AND THE FULL BOARD APPROVED THE COMPENSATION PAID IN 2016. 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 24e MEDICAL SERVICES: Program service expenses 4,188,088. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,188,088. PHARMACY EXPENSES: Program service expenses 4,005,979. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,005,979. NURSING SERVICES: Program service expenses 3,929,883. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,929,883. Interest expense: Program service expenses 1,398,163. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,398,163. Donations: Program service expenses 788,018. Management and general expenses 0. Fundraising expenses 0. Total expenses 788,018. HOUSEKEEPING EXPENSES: Program service expenses 587,937. Management and general expenses 0. Fundraising expenses 0. Total expenses 587,937. ACTIVITIES: Program service expenses 380,554. Management and general expenses 0. Fundraising expenses 0. Total expenses 380,554. LAUNDRY EXPENSES: Program service expenses 288,805. Management and general expenses 0. Fundraising expenses 0. Total expenses 288,805. MEDICAL RECORDS: Program service expenses 120,460. Management and general expenses 0. Fundraising expenses 0. Total expenses 120,460. OTHER RESIDENT SERVICES: Program service expenses 80,091. Management and general expenses 0. Fundraising expenses 0. Total expenses 80,091. Extraordinary Expense: Program service expenses -406,336. Management and general expenses 0. Fundraising expenses 0. Total expenses -406,336. 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