2025-11-12T08:58:11+00:00 2024-12-31 440160260 Forvis Mazars LLP 255 South Orange Avenue Suite 600 Orlando FL 32801 990 2024-01-01 621808817 Health Services Management Inc HEAL 6158961191 206 Fortress Boulevard Murfreesboro TN 37128 JAMES SHATZ Principal Officer 6158961191 2025-11-12 true true Harry Harp P00176471 4077405400 2025-11-11 2024 2025-03-06 01:10:19Z JAMES SHATZ 206 Fortress Boulevard Murfreesboro TN 37128 121963810 false X hsmgroup.org X 2000 TN TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES. 5 3 3572 0 0 357322 12393 104274079 102017043 1164448 13650873 1341061 5630809 107136910 121311118 0 0 0 0 58305479 53803277 0 0 0 56919741 57766491 115225220 111569768 -8088310 9741350 156538498 159018685 105386479 94768344 51152019 64250341 TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES. false false 102030473 107647852 TO PROVIDE CARE FOR INDIGENT AND ELDERLY INDIVIDUALS IN NURSING HOMES AND ASSISTED LIVING FACILITIES IN INDIANA, TENNESSEE, TEXAS, AND FLORIDA. 102030473 true false false false false false false false true false true false false true 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 true false false false false false true 155 0 true 3572 true false false false false false false false false false false false false X 5 3 false false false false false false false true true false false false true true true true true true true true true true X SCOTT FISHER 3524170360 206 Fortress Boulevard Murfreesboro TN 37128 JIM SHATZ CEO 40.0 X X 649418 0 0 SCOTT FISHER CFO 40.0 X X 649418 0 0 RANDY SHUCK CHAIRMAN, DIRECTOR 1.0 X 100500 0 0 ROBERT CONROY DIRECTOR 1.0 X 100500 0 0 TIMOTHY PRIDDY DIRECTOR 1.0 X 97000 0 0 ANITA MAMONE CHIEF LEGAL & GOVERNANCE OFFICER 40.0 X 285164 0 0 BRIAN JACKSON CHIEF QUALITY & RISK OFFICER 40.0 X 377143 0 0 JOSH WHITE COO 40.0 X 441133 0 0 SAMANTHA ALLEN CHIEF NURSING OFFICER 40.0 X 273915 0 0 CLINT WELLS VP, REVENUE CYCLE MANAGEMENT 40.0 X 253282 0 0 JERALD ERLANDSON DIRECTOR OF CLIENT SERVICES 40.0 X 236487 0 0 KEVIN BAXTER VP OF OPERATIONS 40.0 X 275367 0 0 MARK RICHARDSON CORPORATE DIRECTOR OF COMPLIANCE & A 40.0 X 197308 0 0 SHELBY JACKSON ADMINISTRATOR 40.0 X 201637 0 0 4138272 0 0 58 false true false CRESTMARK PHARMACY 1860 HIGHLAND OAKS BLVD LUTZ FL 33559 PHARMACY 13979373 RELIANT REHABILIATATION 5800 GRANITE PARKWAY STE 1000 PLANO TX 75024 THERAPY 5435866 US FOODS POB 281841 Atlanta GA 30384 FOOD & DIETARY SUPPLIES 2364104 MEDLINE DPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES 2109959 QUALITY CARE REHAB 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY 799950 64 475 11918 12393 PATIENT SERVICE REVENUE 623000 96527857 96527857 MANAGEMENT FEE REVENUE 623000 5435144 5435144 CABLE & PHONE REVENUE 812900 13553 13553 CAFETERIA & VENDING REVENUE 722514 40489 40489 0 0 0 0 102017043 211081 211081 5616487 5616487 0 5616487 5616487 2425260 11667224 188883 463809 2236377 11203415 13439792 13439792 0 OTHER REVENUE 900099 14322 14322 0 0 0 0 14322 121311118 107647852 0 13650873 X 4210772 892334 3318438 43862006 43719204 142802 87580 87580 2186093 2149586 36507 3456826 3301552 155274 722481 722481 229447 229447 13857675 13300934 556741 0 752614 263371 489243 1021329 571732 449597 1122915 199772 923143 13534286 13253339 280947 150551 75518 75033 363173 201099 162074 898446 847528 50918 3753393 3512289 241104 4303548 4153961 149587 TAXES 5509555 4358058 1151497 SUPPLIES AND EQUIPMENT 3421189 3323483 97706 FOOD 2986073 2986073 0 PHARMACEUTICAL DRUGS 2759664 2759664 0 2380152 2073396 306756 0 111569768 102030473 9539295 0 6151572 6400745 7829998 15956073 9823534 10806625 0 0 0 0 1638435 13102751 426752 336320 1608546 1383552 96835118 49351459 61932949 47483659 563239 715354 0 66563473 62833606 156538498 159018685 7032048 6078129 425273 278536 0 0 35551009 34014554 62378149 54397125 105386479 94768344 X 51152019 64250341 51152019 64250341 156538498 159018685 9741350 3356972 0 X true X true X true false X 10935145 1724219 1854690 357322 12394 14883770 130742072 122572362 129025337 104274078 102017042 588630891 6695020 1549854 1495295 1327689 5616487 16684345 0 0 0 0 0 0 0 0 0 0 0 0 148372237 125846435 132375322 105959089 107645923 620199006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620199006 296326 221672 451587 398373 211081 1579039 0 0 0 0 0 0 296326 221672 451587 398373 211081 1579039 0 0 0 0 0 0 1368633 704474 609755 13372 14322 2710556 150037196 126772581 133436664 106370834 107871326 624488601 0.99313 0.99193 0 0.0029 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 1368633.0, COLUMN B - 704474.0, COLUMN C - 609755.0, COLUMN D - 13372.0, COLUMN E - 14322.0, COLUMN F - 2710556.0; false true X 3784449 3784449 63733794 28121638 35612156 15750001 10267010 5482991 8200335 6905067 1295268 5366539 4057744 1308795 47483659 OPERATING LEASES, RIGHT-OF-USE ASSETS 48302055 RENT RECEIVABLE 1421000 INTEREST RECEIVABLE 545347 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 528056 ESCROW 4840306 RESIDENTS FUNDS HELD IN TRUST 278536 OTHER ASSETS 1201859 DUE FROM RELATED PARTIES 5716447 62833606 0 Federal Income Taxes 0 LEASE LIABILITY 49772383 OTHER LIABILITIES 3362 DUE TO RELATED PARTIES 4621380 54397125 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part IV, Line 2b Explanation of escrow agreement THE ORGANIZATION USES A THIRD PARTY ADMINISTRATOR TO MANAGE THE FUNDS HELD IN TRUST FOR RESIDENTS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT PERFORMS AN EVALUATION OF ALL INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ORGANIZATION'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 true X X X X false false false false false true false true false JIM SHATZ CEO 589168 0 0 0 60250 0 0 0 0 0 649418 0 0 0 SCOTT FISHER CFO 589168 0 0 0 60250 0 0 0 0 0 649418 0 0 0 JOSH WHITE COO 408883 0 0 0 32250 0 0 0 0 0 441133 0 0 0 BRIAN JACKSON CHIEF QUALITY & RISK OFFICER 344893 0 0 0 32250 0 0 0 0 0 377143 0 0 0 ANITA MAMONE CHIEF LEGAL & GOVERNANCE OFFICER 285164 0 0 0 0 0 0 0 0 0 285164 0 0 0 SAMANTHA ALLEN CHIEF NURSING OFFICER 273915 0 0 0 0 0 0 0 0 0 273915 0 0 0 KEVIN BAXTER VP OF OPERATIONS 257367 0 0 0 18000 0 0 0 0 0 275367 0 0 0 CLINT WELLS VP, REVENUE CYCLE MANAGEMENT 253282 0 0 0 0 0 0 0 0 0 253282 0 0 0 JERALD ERLANDSON DIRECTOR OF CLIENT SERVICES 236487 0 0 0 0 0 0 0 0 0 236487 0 0 0 MARK RICHARDSON CORPORATE DIRECTOR OF COMPLIANCE & A 197308 0 0 0 0 0 0 0 0 0 197308 0 0 0 SHELBY JACKSON ADMINISTRATOR 201637 0 0 0 0 0 0 0 0 0 201637 0 0 0 Schedule J, Part I, Line 1a Travel for companions During the HSM Annual Conference in April, travel and lodging is provided to the spouse of attendees. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE 2024 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. Schedule J, Part I, Line 7 Non-fixed payments THE 2024 PLAN INCLUDES AN INCENTIVE PAYMENT TO THE CENTER ADMISSIONS BEDS FROM THE CENTER'S BUDGET) AND FOR MEDICARE PLUS MANAGED CARE CENSUS LEVELS (BASED ON AVERAGE PER PATIENT DAY) Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy QUESTIONNAIRES ARE COMPLETED ANNUALLY BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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, Line 15b Process to establish compensation of other employees 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, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL DATA, ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 10966720, Program Service Expense: 10952463, Management and General Expenses: 14257, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 2189323, Program Service Expense: 1731754, Management and General Expenses: 457569, Fundraising Expenses: ; PAYROLL PROCESSING FEE - Total Expense: 406293, Program Service Expense: 321378, Management and General Expenses: 84915, Fundraising Expenses: ; CASE MANAGEMENT - Total Expense: 295339, Program Service Expense: 295339, Management and General Expenses: 0, Fundraising Expenses: ; Form 990, Part XI, Line 8 Reconciliation of Net Assets Prior period adjustments were made after tax return was filed. Form 990, Part XII, Line 2c FINANCIAL STATEMENTS AND REPORTING THE PROCESS IS THE SAME AS IN THE PRIOR YEAR. AYERS HEALTH & REHABILITATION CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 621832456 NURSING CENTER FL 13025325 16000856 NA BEAR CREEK NURSING CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 621832453 NURSING CENTER FL 11855901 9098456 NA BROOKSVILLE HEALTH CARE CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 621832455 NURSING CENTER FL 15564536 7059109 NA CYPRESS COVE CARE CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 621832454 NURSING CENTER FL 13344180 9369317 NA HEATHER HILL NURSING CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 621832434 NURSING CENTER FL 10017181 5171479 NA ROYAL OAK NURSING CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 621832435 NURSING CENTER FL 13544042 12058858 NA HEALTH SERVICES MGMT OF FLORIDA 206 FORTRESS BLVD MURFREESBORO TN 37128 205198485 ADMINISTRATIVE OPERATIONS FOR FL NURSING CENTERS FL 6363476 7344748 NA HSMTXSTALLONES-TOMBALL LLC 52-2331985 TOMBALL TX 77375 522331985 NURSING CENTER TX 2632910 464594 NA BROWNSBURG HEALTH CARE CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 522326251 NURSING CENTER IN 229740 701588 NA HSMTXJANISCH-HOUSTON LLC 617 JANISCH HOUSTON TX 77018 522331995 NURSING CENTER TX 5945086 905760 NA HSMTXRICHMOND LLC 705 JACKSON RICHMOND TX 77469 522332014 NURSING CENTER TX 4504076 -4544457 NA HSMTXCONROE LLC 2019 NORTH FRAIZER CONROE TX 77301 522332002 NURSING CENTER TX 7734370 536657 NA HSMTXFRIENDSWOOD LLC 213 HERITAGE FRIENDSWOOD TX 77546 522331987 NURSING CENTER TX 0 -1221095 NA HSMTXHUNTSVILLE LLC 2628 MILAM HUNTSVILLE TX 77340 522332015 NURSING CENTER TX 5096794 -900191 NA HSMTXCLEVELAND LLC 903 EAST HOUSTON CLEVELAND TX 77340 522332016 NURSING CENTER TX 7039461 3913040 NA HSMTXBEAUMONT LLC 795 LINDBERGH BEAUMONT TX 77707 522331997 NURSING CENTER TX 3345825 2161995 NA HSMTXLINDBERGH-BEAUMONT LLC 4150 COLLEGE STREET BEAUMONT TX 77707 522331994 NURSING CENTER TX 5457834 2483394 NA HSMTXLAWRENCE TOMBALL LLC 615 LAWRENCE TOMBALL TX 77375 522332020 NURSING CENTER TX 5643084 -3855332 NA HSMTXSUGAR LAND LLC 333 MATLAGE WAY SUGAR LAND TX 77478 522332006 NURSING CENTER TX 9817986 4634460 NA HSMTXLIBERTY LLC 1206 NORTH TRAVIS LIBERTY TX 77575 522332017 NURSING CENTER TX 6275135 1147626 NA HEALTH SERVICES MGMT OF TEXAS LLC 13415 MEDICAL COMPLEX DRIVE TOMBALL TX 77375 412061529 ADMINISTRATIVE OPERATIONS FOR TX NURSING CENTERS TX 1488935 7341098 NA CASTLETON HEALTH CARE CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 522274993 NURSING CENTER IN 641451 509828 NA HSM FINANCIAL SERVICES LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 261146659 FINANCIAL SERVICES FOR ALL CONSOLIDATING ENTITIES TN 2082180 45872371 NA RICHMOND REALTY LLC 705 JACKSON STREET RICHMOND TX 77469 800295974 HOLDS REAL ESTATE FOR NURSING FACILITY TX 485915 2531847 NA SUGAR LAND REALTY LLC 333 MATLAGE WAY SUGAR LAND TX 77478 263663166 HOLDS REAL ESTATE FOR NURSING FACILITY TX 837133 5205373 NA FRIENDSWOOD REALTY LLC 213 HERITAGE FRIENDSWOOD TX 77546 370560353 HOLDS REAL ESTATE FOR NURSING FACILITY TX 0 2515549 NA LINDBERGH-BEAUMONT REALTY LLC 795 LINDBERGH BEAUMONT TX 77707 263662748 HOLDS REAL ESTATE FOR NURSING FACILITY TX 363988 2695853 NA CLEVELAND REALTY LLC 903 EAST HOUSTON CLEVELAND TX 77340 450645556 HOLDS REAL ESTATE FOR NURSING FACILITY TX 567591 2172409 NA JANISCH-HOUSTON REALTY LLC 617 JANISCH HOUSTON TX 77018 450646051 HOLDS REAL ESTATE FOR NURSING FACILITY TX 348245 3159858 NA HUNTSVILLE REALTY LLC 2628 MILAM HUNTSVILLE TX 77340 450646221 HOLDS REAL ESTATE FOR NURSING FACILITY TX 321219 2152758 NA LIBERTY REALTY LLC 1206 NORTH TRAVIS LIBERTY TX 77575 800295944 HOLDS REAL ESTATE FOR NURSING FACILITY TX 509013 3982211 NA LAWENCE-TOMBALL REALTY LLC 615 LAWRENCE TOMBALL TX 77375 271768886 HOLDS REAL ESTATE FOR NURSING FACILITY TX 678311 5548276 NA CONROE REALTY LLC 2019 NORTH FRAIZER CONROE TX 77301 800295954 HOLDS REAL ESTATE FOR NURSING FACILITY TX 619931 4188543 NA HSMTXMASTER TENANT LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 454639375 REAL ESTATE PASS THROUGH ENTITY TX 0 -13827 NA PLAINFIELD HEALTH CENTER LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 522326247 NURSING CENTER IN 486236 1075819 NA HSM REALTY LLC 206 FORTRESS BLVD MURFREESBORO TX 37128 REAL ESTATE ENTITY TN 0 -1142036 NA HSMTNTHE LODGE OPERATING COMPANY LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 452683488 ASSISTED LIVING CENTER TN 3268006 -1700071 NA HSMTNTHE LODGE AT NACHEZ TRACE 206 FORTRESS BLVD MURFREESBORO TN 37128 452683380 HOLDS REAL ESTATE FOR NURSING FACILITY TN 798096 11782203 NA HSM PHARMACY SERVICES LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 471658071 PHARMACY JOINT VENTURE TN 608115 3997749 NA HEALTH SERVICES MANAGEMENT OF TENNESSEE LLC 206 FORTRESS BLVD MURFREESBORO TN 37128 473946821 PAYROLL LEASING COMPANY TN 0 0 NA HSMINHEALTH SERVICES MANAGEMENT OF INDIANA LLC 7056 W GULF TO LAKE HIGHWAY CRYSTAL RIVER FL 34429 453820667 ADMINISTRATIVE OPERATIONS FOR IN NURSING CENTERS IN 41682 1747628 NA HSM TRANSPORTATION LLC 206 FORTRESS BLVD MURFREESBORO FL 37128 463773826 HOLD TRANSPORTATION ASSETS TN 0 -331476 NA