2017-08-07T11:35:52-07:00 2016-12-31 Bradley & Associates Inc 201 S Capitol Ave Ste 700 Indianapolis IN 46225 990 2016-01-01 311644803 HICKORY CREEK HEALTHCARE FOUNDATION INC HICK 6789907262 5555 GLENRIDGE CONNECTER ATLANTA GA 30342 Keith Yoder CEO 2017-08-07 true SKANDER NASSER III P00236505 3172375500 2016 2021-01-29 14:40:06Z 23385287 false false X hickorycreekhealthcare.org X 1999 GA TO PROVIDE CARE TO THE ELDERLY RESIDENTS INCLUDING NURSING CARE, THERAPIES, OTHER ANCILLARY SERVICES, FOOD SERVICES, SOCIAL SERVICES AND OTHER SERVICES AS REQUIRED. 4 2 1114 464 0 22345 26412 22476164 22795488 45572 -150667 1535920 460927 24080001 23132160 0 0 18865672 19424122 0 0 3199531 3111578 22065203 22535700 2014798 596460 21736692 21227154 7019922 5889750 14716770 15337404 TO PROVIDE CARE TO THE ELDERLY RESIDENTS INCLUDING NURSING CARE, THERAPIES, OTHER ANCILLARY SERVICES, FOOD SERVICES, SOCIAL SERVICES AND OTHER SERVICES AS REQUIRED. false false 12993879 15963872 THE COMPANY LEASES FIFTEEN OF ITS INDIANA NURSING FACILITIES TO HENRY COUNTY MEMORIAL HOSPITAL (HOSPITAL), A NOT FOR PROFIT ORGANIZATION, UNDER A LEASE AGREEMENT. THE COMPANY ALSO HAS VARIOUS AGREEMENTS WITH THE HOSPITAL TO MANAGE THE NURSING FACILITIES AND LEASE EMPLOYEES TO STAFF THE NURSING FACILITIES. AT ALL TIMES, THE COMPANY HAS REMAINED THE EMPLOYER OF ALL THE EMPLOYEES IN THE FIFTEEN NURSING HOMES LEASED TO THE HOSPITAL. THIS IS THE REVENUE AND EXPENSE IN RELATION TO LEASING THE EMPLOYEES TO THE HOSPITAL. 4365139 3154655 PROGRAM EXPENSES INCLUDE SERVICES TO PROVIDE CARE TO THE ELDERLY RESIDENTS INCLUDING NURSING CARE, THERAPIES, OTHER ANCILLARY SERVICES, FOOD SERVICES, SOCIAL SERVICES AND OTHER SERVICES AS REQUIRED.PLEASE NOTE THAT EFFECTIVE APRIL 30, 2014, THE COMPANY CLOSED AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) IN GASTON, INDIANA. THE EXPENSES REPORTED IN 2015 INCLUDE ALL FINAL EXPENSES RELATED TO THIS DISCONTINUED OPERATION. 976044 3676961 THE COMPANY LEASES FIFTEEN OF ITS INDIANA NURSING FACILITIES TO HENRY COUNTY MEMORIAL HOSPITAL (HOSPITAL), A NOT FOR PROFIT ORGANIZATION, UNDER A LEASE AGREEMENT. THE COMPANY ALSO HAS VARIOUS AGREEMENTS WITH THE HOSPITAL TO MANAGE THE NURSING FACILITIES AND LEASE EMPLOYEES TO STAFF THE NURSING FACILITIES. AT ALL TIMES, THE COMPANY HAS REMAINED THE EMPLOYER OF ALL THE EMPLOYEES IN THE FIFTEEN NURSING HOMES LEASED TO THE HOSPITAL. THIS IS THE REVENUE AND EXPENSE IN RELATION TO LEASING THE BUILDINGS TO THE HOSPITAL. 18335062 true false false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false true true true false false true 22 0 true 1114 true false false false false false false false false 0 false false false false false false false false false false X 4 2 false false false false false false false true true false false true true true true true true true true false GA IN X X KEITH YODER 6789907262 5555 GLENRIDGE CONNECTER STE 650 ATLANTA GA 30342 X KEITH YODER CEO 40.00 0.00 X X 310170 0 15884 FRANCIS CROSBY President 40.00 0.00 X X 333504 0 15884 JOHN STODDARD Director 10.00 0.00 X 24000 0 0 JOHN MOBLEY Director 10.00 0.00 X 24000 0 0 GARY B WAYMIRE VP OPERATIONS 40.00 0.00 X 251855 0 14665 JANICE RICHEY DIR. OPERATIONS 40.00 0.00 X 166184 0 8209 VANESSA PETRY NURSE CONSULTANT 40.00 0.00 X 125404 0 6644 BARBARA SWORD DIR CLINICAL SV 40.00 0.00 X 145657 0 8209 STEPHANIE ENDRES CORPORATE CONTROLL 40.00 0.00 X 176680 0 20863 1557454 90358 9 false true true Bradley Associates 201 S Capitol Avenue Suite 7000 Indianapolis IN 46225 Audit and Consulting 232785 Healthcare Therapy Services 1411 West County Line Road Greenwood IN 46142 Therapies 1910740 ATC Healthcare Services Inc 75 Remittance Drive Dept 6773 Chicago IL 606756773 Contract Labor 512421 Medical Staffing Solutions 9700 Highway 57 North Suite A Evansville IN 47725 Contract Labor 116198 4 26412 26412 CONTRACTED EMPLOYEES 561300 15963872 15963872 LEASED FACILITIES 531110 3676961 3676961 NURSING HOMES 623000 3154655 3154655 22795488 98560 98560 0 0 0 3900 253127 -249227 -249227 -249227 0 0 0 COMMISSION/REBATES 900099 19560 19560 MEAL/VENDING INCOME 722210 3729 3729 Nursing Home Mgmt 541610 435542 435542 2096 2096 460927 23132160 23233126 -127378 0 0 0 0 723442 272510 450932 0 17104340 14379429 2724911 9322 4600 4722 239845 191107 48738 1347173 1266415 80758 0 9171 9171 66655 66655 4040 1010 3030 0 0 292452 252515 39937 13443 4608 8835 84967 84967 348432 348432 0 628061 526833 101228 61183 5815 55368 0 4609 293 4316 16 16 0 911373 866492 44881 112659 112659 Provider Fees 282370 282370 Food, Dietary Supplies & Equip 117597 117597 Drugs 70450 70450 Medical Supplies 57190 57190 46910 35812 11098 22535700 18335062 4200638 0 1000 1000 12274863 12530861 0 3660276 4015524 0 0 0 0 0 13361403 9044889 5342626 4316514 0 0 0 0 457927 363255 21736692 21227154 1789564 1815643 5175087 4043010 55271 31097 7019922 5889750 X 14716770 15337404 14716770 15337404 21736692 21227154 596460 24174 X false true X true false X 5999 21634 17636 22345 26412 94026 26207878 34265320 23109035 22476164 22795488 128853885 0 0 0 26213877 34286954 23126671 22498509 22821900 128947911 0 0 128947911 11849 585603 1379944 1395572 98560 3471528 0 11849 585603 1379944 1395572 98560 3471528 0 259847 1313301 1561824 185920 460927 3781819 26485573 36185858 26068439 24080001 23381387 136201258 0.94670 0.95360 0.02550 0.02230 X false false false false false false false false false false true 4040 4040 false false Part II-B, Line 1i - Other Activities Description The Company is a member of trade associations, such as Leading Age Indiana and Ohio Healthcare Association. This amount represents the portion of the membership dues used for lobbying. 375000 375000 9377438 6413929 2963509 117477 56638 60839 3491488 2574322 917166 4316514 OBLIGATION UNDER INTEREST RATE SWAP 31097 31097 X 23469387 288000 288000 23181387 -49227 -49227 23132160 22735672 426314 426314 22309358 226342 226342 22535700 Part X : FIN48 Footnote Hickory Creek Healthcare Foundation, Inc. is recognized as a tax-exempt organization under Section 501(c)(3) of the U.S. Internal Revenue Code. Atrium Living Centers of Texas, Inc. is a for-profit organization and is subject to federal and state income taxes. For the years ended December 31, 2016 and 2015, federal and state income taxes are not material to the financial statements. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 INCOME OF RELATED ORGANIZATION $288000 Part XII, Line 2d: Other expenses and losses per audited F/S EXPENSES OF RELATED ORGANIZATION $426314 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S EXPENSES FROM DISCONTINUED OPERATIONS $26342 INTER-COMPANY MANAGEMENT FEES $200000 X X X false false false false false false false false false false BARBARA SWORD DIR CLINICAL SV 142657 3000 2500 5709 153866 FRANCIS CROSBY President 288504 45000 2500 13384 349388 GARY B WAYMIRE VP OPERATIONS 238355 13500 2500 12165 266520 JANICE RICHEY DIR. OPERATIONS 158684 7500 2500 5709 174393 KEITH YODER CEO 265170 45000 2500 13384 326054 STEPHANIE ENDRES CORPORATE CONTROLL 163680 13000 2500 18363 197543 Form 990, Part VI, Line 11b: Form 990 Review Process The Form 990 will be prepared by the Company in conjunction with its auditors. Following preparation of the initial draft, it will be delivered in draft form to each Member of the Board of Directors for comment. After a comment period of at least 10 business days, all comments of the Board Members together with any questions will be resolved prior to publication of the final Form 990. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Each member of the Board of Directors and each Officer is required to disclose annually, in writing, any and all interests which they may have either in the healthcare industry or in any business which does business with the Company. The written disclosure is then reviewed by the other members of the Board of Directors. If a conflict of interest were discovered, it would be addressed by the Board, and appropriate action taken. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Board receives wage studies of comparable health care providers and evaluates the duties of all officers and key employees in arriving at the compensation to be paid. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Copies of such documents are published and given to all employees and are available for inspection in each nursing home office. ATRIUM LIVING CENTERS OF TEXAS N/A false ATRIUM LIVING CENTERS OF TEXAS 5555 GLENRIDGE CONNECTOR SUITE 650 ATLANTA GA 30342 522409489 MANAGEMENT DE NA C 288000 324174 1.00000 true false false false false false false false false false false false false false false false false false false true ATRIUM LIVING CENTERS OF TEXAS s 200000 CASH TRANSFER