in the united states bankruptcy court for the...

AMENDED STATEMENT OF FINANCIAL AFFAIRS FOR

SALYERSVILLE HEALTH FACILITIES, L.P.

(17-44663)

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE NORTHERN DISTRICT OF TEXAS

FORT WORTH DIVISION

In re:

PREFERRED CARE INC., et. al.

Debtors.

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Chapter 11

Case No.: 17-44642

(Jointly Administered)

Case 17-44663-mxm11 Doc 17 Filed 02/20/18 Entered 02/20/18 16:29:50 of 34

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Stephen A. McCartin (TX 13374700)

Mark C. Moore (TX 24074751)

GARDERE WYNNE SEWELL LLP

2021 McKinney Avenue, Suite 1600

Dallas, TX 75201

Telephone: (214) 999-3000

Facsimile: (214) 999-4667

[email protected]

[email protected]

COUNSEL TO DEBTORS

AND DEBTORS-IN-POSSESSION

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE NORTHERN DISTRICT OF TEXAS

FORT WORTH DIVISION

In re:

Preferred Care Inc.

Bowling Green Health Facilities, L.P.

Brandenburg Health Facilities, L.P.

Cadiz Health Facilities, L.P.

Campbellsville Health Facilities, L.P.

Elizabethtown Health Facilities, L.P.

Elsmere Health Facilities, L.P.

Fordsville Health Facilities, L.P.

Franklin Health Facilities, L.P.

Hardinsburg Health Facilities, L.P.

Henderson Health Facilities, L.P.

Irvine Health Facilities, L.P.

Morganfield Health Facilities, L.P.

Owensboro Health Facilities, L.P.

Paducah Health Facilities, L.P.

Pembroke Health Facilities, L.P.

Richmond Health Facilities - Kenwood, L.P.

Richmond Health Facilities - Madison, L.P.

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Chapter 11

Case No.: 17-44642

Case No.: 17-44641

Case No.: 17-44644

Case No.: 17-44645

Case No.: 17-44646

Case No.: 17-44647

Case No.: 17-44648

Case No.: 17-44649

Case No.: 17-44650

Case No.: 17-44651

Case No.: 17-44652

Case No.: 17-44653

Case No.: 17-44654

Case No.: 17-44655

Case No.: 17-44656

Case No.: 17-44657

Case No.: 17-44660

Case No.: 17-44661

Salyersville Health Facilities, L.P.

Somerset Health Facilities, L.P.

Springfield Health Facilities, L.P.

Stanton Health Facilities, L.P.

Artesia Health Facilities, L.P.

Bloomfield Health Facilities, L.P.

Clayton Health Facilities, L.P.

Desert Springs Health Facilities, L.P.

Espanola Health Facilities, L.P.

Gallup Health Facilities, L.P.

Lordsburg Health Facilities, L.P.

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Case No.: 17-44663

Case No.: 17-44665

Case No.: 17-44666

Case No.: 17-44669

Case No.: 17-44659

Case No.: 17-44662

Case No.: 17-44664

Case No.: 17-44667

Case No.: 17-44670

Case No.: 17-44671

Case No.: 17-44673


mailto:[email protected]

mailto:[email protected]

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Pinnacle Health Facilities XXXIII, L.P.

Raton Health Facilities, L.P.

SF Health Facilities, L.P.

SF Health Facilities-Casa Real, L.P.

Silver City Health Facilities, L.P.

Debtors.

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Case No.: 17-44674

Case No.: 17-44675

Case No.: 17-44676

Case No.: 17-44677

Case No.: 17-44678

GLOBAL NOTES AND STATEMENT OF LIMITATIONS,

METHODOLOGY, AND DISCLAIMER REGARDING

AMENDMENTS TO THE DEBTORS’ SCHEDULES AND STATEMENTS

Preferred Care Inc. and each of its debtor affiliates, as debtors-in-possession (collectively,

the “Debtors”)1 filed their Schedules of Assets and Liabilities (the “Schedules”2) and Statement

of Financial Affairs (the “Statements” and, collectively with the Schedules, the “Schedules and

Statements”) on or about January 5, 2018 or January 7, 2018, both in each Debtor’s respective

case and in Case No. 44642 (the “Main Case”). Attached to and incorporated into the Schedules

and Statements were Global Notes intended to provide additional information regarding the

limitations of and methodology used in the preparation of the Schedules and Statements (the

“Global Notes”). The Global Notes comprise an integral part of the Schedules and Statements

and should be referred to and considered in connection with any review of such Schedules and

Statements. Additionally, though the Global Notes have not been attached to the amended

Schedules and Statements in their entirety, the Debtors incorporate such Global Notes by

reference as if fully set forth herein. The Global Notes should be referred to and considered in

connection with any review of the Debtors’ amended Schedules and Statements filed

concurrently herewith.3

1 A list of the Debtors in these chapter 11 cases, along with the last four digits of each Debtor’s federal tax

identification number, is attached hereto. 2 The term “Schedules” includes: Schedules A/B, D, E/F, G, and H, along with the applicable summaries and

all attachments appurtenant thereto. 3 At this time, the Debtors are only amending Schedules E/F and H. The Debtors are amending and restating

the entirety of their Statements.


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Additional notes regarding methodology and limitations of the amended Schedules and

Statements are set forth below:

a. Amended Schedule Fs. Where necessary, the Debtors have added

additional information to their amended Schedule Fs that is

intended to supplement the information already provided in the

Schedules and Statements. No existing entries on the Debtors’

Schedule Fs were changed in these amended Schedule Fs. The

Debtors’ amendments merely added additional parties.

b. Amended Schedule Hs. Where necessary, the Debtors have added

additional information to their amended Schedule Hs that is

intended to supplement the information already provided in the

Schedules and Statements. No existing entries on the Debtors’

Schedule Hs were changed in these amended Schedule Hs. The

Debtors’ amendments merely added additional co-debtors with

respect to the notes payable added to the amended Schedule Fs.

#END OF GLOBAL NOTES


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Debtors

Debtor Last Four Digits

of Federal Tax I.D. No.

Preferred Care Inc. 7040

Kentucky LP Debtors

Bowling Green Health Facilities, L.P. 5787

Brandenburg Health Facilities, L.P. 6699

Cadiz Health Facilities, L.P. 7640

Campbellsville Health Facilities, L.P. 4207

Elizabethtown Health Facilities, L.P. 6127

Elsmere Health Facilities, L.P. 7843

Fordsville Health Facilities, L.P. 3299

Franklin Health Facilities, L.P. 7307

Hardinsburg Health Facilities, L.P. 3640

Henderson Health Facilities, L.P. 8067

Irvine Health Facilities, L.P. 7418

Morganfield Health Facilities, L.P. 8320

Owensboro Health Facilities, L.P. 8145

Paducah Health Facilities, L.P. 3350

Pembroke Health Facilities, L.P. 8209

Richmond Health Facilities - Kenwood, L.P. 8235

Richmond Health Facilities - Madison, L.P. 8216

Salyersville Health Facilities, L.P. 8263

Somerset Health Facilities, L.P. 8739

Springfield Health Facilities, L.P. 8310


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Stanton Health Facilities, L.P. 8704

New Mexico LP Debtors

Artesia Health Facilities, L.P. 5383

Bloomfield Health Facilities, L.P. 7640

Clayton Health Facilities, L.P. 3609

Desert Springs Health Facilities, L.P. 2707

Espanola Health Facilities, L.P. 2102

Gallup Health Facilities, L.P. 2562

Lordsburg Health Facilities, L.P. 1449

Pinnacle Health Facilities XXXIII, L.P. 1389

Raton Health Facilities, L.P. 6759

SF Health Facilities, L.P. 2323

SF Health Facilities-Casa Real, L.P. 0716

Silver City Health Facilities, L.P. 6972


Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy 4/16

The debtor must answer every question. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor’s name and case number (if known).

Part 1: Income

1. Gross revenue from business

None

Identify the beginning and ending dates of the debtor’s fiscal year, which may be a calendar year

Sources of revenue Check all that apply

Gross revenue (before deductions and exclusions)

From the beginning of the fiscal year to filing date: From ___________ to Filing date

MM / DD / YYYY

Operating a business

Other _______________________ $________________

For prior year: From ___________ to ___________ MM / DD / YYYY MM / DD / YYYY


Other _______________________$________________

For the year before that: From ___________ to ___________ MM / DD / YYYY MM / DD / YYYY


Other _______________________$________________

2. Non-business revenueInclude revenue regardless of whether that revenue is taxable. Non-business income may include interest, dividends, money collectedfrom lawsuits, and royalties. List each source and the gross revenue for each separately. Do not include revenue listed in line 1.

None

Description of sources of revenue Gross revenue from each source (before deductions and exclusions)

From the beginning of the fiscal year to filing date: From ___________ to Filing date

MM / DD / YYYY

___________________________ $________________

For prior year: From ___________ to ___________ MM / DD / YYYY MM / DD / YYYY ___________________________ $________________

For the year before that: From ___________ to ___________ MM / DD / YYYY MM / DD / YYYY ___________________________ $________________

Check if this is anamended filing

Debtor name __________________________________________________________________

United States Bankruptcy Court for the: ________________________________________

Case number (If known): _________________________

Fill in this information to identify the case:

SALYERSVILLE HEALTH FACILITIES, L.P.

NORTHERN DISTRICT OF TEXAS

17-44663 MXM

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1/1/2017

1/1/2016 12/31/2016

1/1/2015 12/31/2015

8,871,331.00

10,165,792.00

10,493,892.00

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Debtor _______________________________________________________ Case number (if known)_____________________________________ Name


Part 2: List Certain Transfers Made Before Filing for Bankruptcy

3. Certain payments or transfers to creditors within 90 days before filing this caseList payments or transfersincluding expense reimbursementsto any creditor, other than regular employee compensation, within 90 days before filing this case unless the aggregate value of all property transferred to that creditor is less than $6,425. (This amount may be adjusted on 4/01/19 and every 3 years after that with respect to cases filed on or after the date of adjustment.)

None

Creditor’s name and address Dates Total amount or value Reasons for payment or transfer Check all that apply

3.1. __________________________________________ Creditor’s name

__________

__________

__________

$_________________ Secured debt

Unsecured loan repayments

Suppliers or vendors

Services

Other _______________________________

3.2. __________________________________________ Creditor’s name

__________

__________

__________

$_________________ Secured debt

Unsecured loan repayments

Suppliers or vendors

Services

Other _______________________________

4. Payments or other transfers of property made within 1 year before filing this case that benefited any insiderList payments or transfers, including expense reimbursements, made within 1 year before filing this case on debts owed to an insider or guaranteed or cosigned by an insider unless the aggregate value of all property transferred to or for the benefit of the insider is less than$6,425. (This amount may be adjusted on 4/01/19 and every 3 years after that with respect to cases filed on or after the date of adjustment.) Do not include any payments listed in line 3. Insiders include officers, directors, and anyone in control of a corporate debtor and their relatives; general partners of a partnership debtor and their relatives; affiliates of the debtor and insiders of such affiliates; and any managing agent of the debtor. 11 U.S.C. § 101(31).

None

Insider’s name and address Dates Total amount or value Reasons for payment or transfer 4.1.

__________________________________________ Insider’s name

___________

___________

___________

$__________________

Relationship to debtor __________________________________________

4.2. __________________________________________ Insider’s name

___________

___________

___________

$__________________

Relationship to debtor

__________________________________________

SALYERSVILLE HEALTH FACILITIES, L.P. 17-44663 MXM

SEE ATTACHED - SOFA 3 AND SOFA 11 1,340,656.09

SEE ATTACHED - SOFA 4 15,805.33




5. Repossessions, foreclosures, and returnsList all property of the debtor that was obtained by a creditor within 1 year before filing this case, including property repossessed by a creditor,sold at a foreclosure sale, transferred by a deed in lieu of foreclosure, or returned to the seller. Do not include property listed in line 6.

NoneCreditor’s name and address Description of the property Date Value of property

5.1. __________________________________________ Creditor’s name

______________ $_________________

5.2. __________________________________________ Creditor’s name

_______________

6. SetoffsList any creditor, including a bank or financial institution, that within 90 days before filing this case set off or otherwise took anything from an account ofthe debtor without permission or refused to make a payment at the debtor’s direction from an account of the debtor because the debtor owed a debt.

None

Creditor’s name and address Description of the action creditor took Date action was taken

Amount

__________________________________________ Creditor’s name

_______________

Last 4 digits of account number: XXXX– __ __ __ __

Part 3: Legal Actions or Assignments

7. Legal actions, administrative proceedings, court actions, executions, attachments, or governmental auditsList the legal actions, proceedings, investigations, arbitrations, mediations, and audits by federal or state agencies in which the debtorwas involved in any capacity—within 1 year before filing this case.

None

7.1.

Case title Nature of case Court or agency’s name and address Status of case

_________________________________ ______________________________ __________________________________________ Name

Pending

On appeal

ConcludedCase number

_________________________________

7.2.

Case title

______________________________

Court or agency’s name and address Pending

On appeal

Concluded

_________________________________ __________________________________________ Name

Case number

_________________________________

_________________$

_________________$


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SEE ATTACHED - SOFA 7




8. Assignments and receivershipList any property in the hands of an assignee for the benefit of creditors during the 120 days before filing this case and any property in thehands of a receiver, custodian, or other court-appointed officer within 1 year before filing this case.

NoneCustodian’s name and address Description of the property Value

__________________________________________ Custodian’s name

______________________________________ $______________

Case title Court name and address

______________________________________ __________________________________________ Name

Case number

______________________________________

Date of order or assignment

______________________________________

Part 4: Certain Gifts and Charitable Contributions

9. List all gifts or charitable contributions the debtor gave to a recipient within 2 years before filing this case unless the aggregate valueof the gifts to that recipient is less than $1,000

None

9.1.

Recipient’s name and address Description of the gifts or contributions Dates given Value

____________________________________________ Recipient’s name

_______________________________________________

_________________ $______________

Recipient’s relationship to debtor

____________________________________________

9.2.____________________________________________ Recipient’s name

_______________________________________________

_________________ $_____________

Recipient’s relationship to debtor

____________________________________________

Part 5: Certain Losses

10. All losses from fire, theft, or other casualty within 1 year before filing this case.

None

Description of the property lost and how the lossoccurred

Amount of payments received for the loss If you have received payments to cover the loss, for example, from insurance, government compensation, or tort liability, list the total received. List unpaid claims on Official Form 106A/B (Schedule A/B: Assets – Real and Personal Property).

Date of loss Value of property lost

___________________________________________

___________________________________________ _________________ $_____________


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Part 6: Certain Payments or Transfers

11. Payments related to bankruptcyList any payments of money or other transfers of property made by the debtor or person acting on behalf of the debtor within 1 year beforethe filing of this case to another person or entity, including attorneys, that the debtor consulted about debt consolidation or restructuring,seeking bankruptcy relief, or filing a bankruptcy case.

None

Who was paid or who received the transfer? If not money, describe any property transferred Dates Total amount or value

11.1 _____________________________________________

________________________________________________

________________ $______________ Address

Email or website address

_____________________________________________

Who made the payment, if not debtor?

_____________________________________________

Who was paid or who received the transfer? If not money, describe any property transferred Dates Total amount or value

11.2 ______________________________________________

________________________________________________

________________ $_____________

Address

Email or website address

_____________________________________________

Who made the payment, if not debtor?

_____________________________________________

12. Self-settled trusts of which the debtor is a beneficiary List any payments or transfers of property made by the debtor or a person acting on behalf of the debtor within 10 years before the filing of this case toa self-settled trust or similar device.Do not include transfers already listed on this statement.

None

Name of trust or device Describe any property transferred Dates transfers were made

Total amount or value

_____________________________________________

_________________________________________________

______________ $______________

Trustee

_____________________________________________


SEE ATTACHED - SOFA 11932,774.37

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13. Transfers not already listed on this statement

List any transfers of money or other propertyby sale, trade, or any other meansmade by the debtor or a person acting on behalf of the debtorwithin 2 years before the filing of this case to another person, other than property transferred in the ordinary course of business or financial affairs.Include both outright transfers and transfers made as security. Do not include gifts or transfers previously listed on this statement.

None

Who received transfer? Description of property transferred or payments received or debts paid in exchange

Date transfer was made

Total amount or value

13.1. __________________________________________

___________________________________________

________________ $______________

Address


__________________________________________

Who received transfer?

___________________________________________

________________ $_____________

13.2. __________________________________________

Address


__________________________________________

Part 7: Previous Locations

14. Previous addressesList all previous addresses used by the debtor within 3 years before filing this case and the dates the addresses were used.

Does not apply

Address Dates of occupancy

14.1. From ____________ To ____________

14.2. From ____________ To ____________


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Part 8: Health Care Bankruptcies

15. Health Care bankruptciesIs the debtor primarily engaged in offering services and facilities for: diagnosing or treating injury, deformity, or disease, or providing any surgical, psychiatric, drug treatment, or obstetric care?

No. Go to Part 9. Yes. Fill in the information below.

Facility name and address Nature of the business operation, including type of services the debtor provides

If debtor provides meals and housing, number of patients in debtor’s care

15.1. ____________________________________________ Facility name

____________________________________________________________

____________________

Location where patient records are maintained (if different from facility address). If electronic, identify any service provider.

How are records kept?

____________________________________________________________

Check all that apply:

Electronically Paper

Facility name and address Nature of the business operation, including type of services the debtor provides

If debtor provides meals and housing, number of patients in debtor’s care

15.2. ____________________________________________ Facility name

___________________________________________________________

____________________

Location where patient records are maintained (if different from facility address). If electronic, identify any service provider.

How are records kept?

____________________________________________________________

Check all that apply:

Electronically Paper

Part 9: Personally Identifiable Information

16. Does the debtor collect and retain personally identifiable information of customers?

No. Yes. State the nature of the information collected and retained. ___________________________________________________________________

Does the debtor have a privacy policy about that information?

No Yes

17. Within 6 years before filing this case, have any employees of the debtor been participants in any ERISA, 401(k), 403(b), or otherpension or profit-sharing plan made available by the debtor as an employee benefit?

No. Go to Part 10. Yes. Does the debtor serve as plan administrator?

No. Go to Part 10. Yes. Fill in below:

Name of plan Employer identification number of the plan

EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

_______________________________________________________________________ Has the plan been terminated? No Yes


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60SALYERSVILLE NURSING AND SKILLED NURSING OPERATION

REHABILITATION CENTER662 PARKWAY DRIVESALYERSVILLE, KY 41465

AMERICAN HEALTHTECH574 HIGHLAND COLONY PARKWAY, SUITE 200RIDGELAND, MS 39157 ✘

RETAINS SSN AND CREDIT CARD NUMBERS PROVIDED BY CUSTOMERS

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Part 10: Certain Financial Accounts, Safe Deposit Boxes, and Storage Units

18. Closed financial accountsWithin 1 year before filing this case, were any financial accounts or instruments held in the debtor’s name, or for the debtor’s benefit, closed, sold,moved, or transferred?Include checking, savings, money market, or other financial accounts; certificates of deposit; and shares in banks, credit unions,brokerage houses, cooperatives, associations, and other financial institutions.

None

Financial institution name and address Last 4 digits of account number

Type of account Date account was closed, sold, moved, or transferred

Last balance before closing or transfer

18.1 ______________________________________Name

XXXX–___ ___ ___ ___ Checking

Savings

Money market

Brokerage

Other______________

___________________ $____________

18.2 ___________________________________________ Name

XXXX–___ ___ ___ ___ Checking

Savings

Money market

Brokerage

Other______________

___________________ $____________

19. Safe deposit boxesList any safe deposit box or other depository for securities, cash, or other valuables the debtor now has or did have within 1 year before filing this case.

None

Depository institution name and address Names of anyone with access to it Description of the contents Does debtor still have it?

__________________________________________ Name

____________________________________ _______________________________________

No Yes

Address

_________________________________________

20. Off-premises storageList any property kept in storage units or warehouses within 1 year before filing this case. Do not include facilities that are in a part of a building inwhich the debtor does business.

None

Facility name and address Names of anyone with access to it Description of the contents Does debtor still have it?

_________________________________________Name

____________________________________ ______________________________________

No Yes

Address

_____________________________________


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✘DATA SECURITY DEVELOPMENT ELAINE JONES, RUBY LEMASTER &

KELLIE KEETONMEDICAL RECORD, EMPLOYEE ANDRESIDENT FILES

13201 DATA VAULT DRIVELOUISVILLE, KY 40223




Part 11: Property the Debtor Holds or Controls That the Debtor Does Not Own

21. Property held for anotherList any property that the debtor holds or controls that another entity owns. Include any property borrowed from, being stored for, or held intrust. Do not list leased or rented property.

None

Owner’s name and address Location of the property Description of the property Value

__________________________________________Name

__________________________________ _______________________________________

$______________

Part 12: Details About Environmental Information

For the purpose of Part 12, the following definitions apply:

Environmental law means any statute or governmental regulation that concerns pollution, contamination, or hazardous material,regardless of the medium affected (air, land, water, or any other medium).

Site means any location, facility, or property, including disposal sites, that the debtor now owns, operates, or utilizes or that the debtorformerly owned, operated, or utilized.

Hazardous material means anything that an environmental law defines as hazardous or toxic, or describes as a pollutant, contaminant,or a similarly harmful substance.

Report all notices, releases, and proceedings known, regardless of when they occurred.

22. Has the debtor been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders.

No Yes. Provide details below.

Case title Court or agency name and address Nature of the case Status of case

___________________________________________________________________________

Name

____________________________________

Pending

On appeal

Concluded

Case number

_____________________________________

23. Has any governmental unit otherwise notified the debtor that the debtor may be liable or potentially liable under or in violation of anenvironmental law?

No Yes. Provide details below.

Site name and address Governmental unit name and address Environmental law, if known Date of notice

________________________________________ Name

_______________________________________ Name

_____________________________________

___________________


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24. Has the debtor notified any governmental unit of any release of hazardous material? No Yes. Provide details below.

Site name and address Governmental unit name and address Environmental law, if known Date of notice

________________________________________ Name

________________________________________ Name

____________________________________

__________

Part 13: Details About the Debtor’s Business or Connections to Any Business

25. Other businesses in which the debtor has or has had an interestList any business for which the debtor was an owner, partner, member, or otherwise a person in control within 6 years before filing this case.Include this information even if already listed in the Schedules.

None

Business name and address Describe the nature of the business Employer Identification number Do not include Social Security number or ITIN.

25.1 _______________________________________Name

________________________________________________

EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Dates business existed

From __________ To __________

25.2


______________________________________ Name

_______________________________________________

EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___


From __________ To __________


25.3 _______________________________________ Name

_______________________________________________

EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___


From __________ To __________


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26. Books, records, and financial statements26a. List all accountants and bookkeepers who maintained the debtor’s books and records within 2 years before filing this case.

None

Name and address Dates of service

26a.1 __________________________________________________________________________________Name

From __________ To __________


26a.2 __________________________________________________________________________________ Name

From __________ To __________

26b List all firms or individuals who have audited, compiled, or reviewed debtor’s books of account and records or prepared a financial statement within 2 years before filing this case.

None


26b.1 ______________________________________________________________________________ Name

From __________ To __________


26b.2 __________________________________________________________________________________Name

From __________ To __________

26c List all firms or individuals who were in possession of the debtor’s books of account and records when this case is filed.

None

Name and address If any books of account and records are unavailable, explain why

26c.1 ________________________________________________________________________________ Name

_________________________________________


TOM PATTERSON 10/17/2011 PRESENT

5420 PLANO PARKWAY2ND FLOORPLANO, TX 75093

RYAN HERING 9/19/2005 PRESENT

5420 PLANO PARKWAY1ST FLOORPLANO, TX 75093

BKD 2012 PRESENT

JON UNROE2800 POST OAK BLVD.SUITE 3200HOUSTON, TX 77056

BKD 2012 PRESENT

CHRIS CLARK14241 DALLAS PARKWAYSUITE 1100DALLAS , TX 75254

TOM PATTERSON

5420 PLANO PARKWAY2ND FLOORPLANO, TX 75093




Name and address If any books of account and records are unavailable, explain why

26c.2 __________________________________________________________________________________ Name

_________________________________________

26d List all financial institutions, creditors, and other parties, including mercantile and trade agencies, to whom the debtor issued a financial statement within 2 years before filing this case.

None

Name and address

26d.1 __________________________________________________________________________________ Name

Name and address

26d.2 __________________________________________________________________________________ Name

27. InventoriesHave any inventories of the debtor’s property been taken within 2 years before filing this case?

No Yes. Give the details about the two most recent inventories.

Name of the person who supervised the taking of the inventory Date of inventory

The dollar amount and basis (cost, market, or other basis) of each inventory

_________________________________________________________________________ ___________ $________________

Name and address of the person who has possession of inventory records

27.1. Name

______________

__________________________________________________________________________


RYAN HERING

5420 PLANO PARKWAY1ST FLOORPLANO, TX 75093

SEE ATTACHED - SCHEDULE AB26D

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Name of the person who supervised the taking of the inventory Date of inventory

The dollar amount and basis (cost, market, or other basis) of each inventory

_________________________________________________________________________ ___________ $__________________ ________________

Name and address of the person who has possession of inventory records

27.2 _________________________________________________________________________ Name

28. List the debtor’s officers, directors, managing members, general partners, members in control, controlling shareholders, or otherpeople in control of the debtor at the time of the filing of this case.

Name Position % of interest, if any

_______________

_______________

_______________

_______________

_______________________________

_______________________________

_______________________________

_______________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

___________________________________________________________

__________________________

__________________________

__________________________

__________________________

_______________________________ ___________________________________________________________ __________________________ _______________

29. Within 1 year before the filing of this case, did the debtor have officers, directors, managing members, general partners, members in controlof the debtor, or shareholders in control of the debtor who no longer hold these positions? No Yes. Identify below.

Address Position Period during which position or interest was held

From To _______________________________

_______________________________

_______________________________

_______________________________

30. Payments, distributions, or withdrawals credited or given to insidersWithin 1 year before filing this case, did the debtor provide an insider with value in any form, including salary, other compensation, draws,bonuses, loans, credits on loans, stock redemptions, and options exercised?

No Yes. Identify below.

Name and address of recipient Amount of money or description and value of property

Dates Reason for providing the value

30.1 _________________________________________________________________ Name

____________________________

__________________


__________________________________________________________________

_____________

_____________

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SALYERSVILLE HEALTH FACILITIES GP, LLC GENERAL PARTNER 1.00

THOMAS D. SCOTT LIMITED PARTNER

ROBERT J. RIEK MANAGER

99.00

✘

✘


SOFA 3 3. Certain payments or transfers to creditors within 90 days before filing this case.

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Name Address Description

Date(s) of

Payment Amount

3.1 ACCELERATED CARE PLUS LEASING, INC 13828 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693 INV1502594 9/28/2017 $118.18

TOTAL: $118.18

3.2 AETNA BETTER HEALTH OF KENTUCKY-FINANCE PO BOX 842605, DALLAS, TX 75284 REFUND 8/30/2017 $14,866.74

TOTAL: $14,866.74

3.3 ALICIA L DAVIS 2203 GRANTLAND AVE, NASHVILLE, TN 37204 INV5576 9/13/2017 $6,870.00

3.4 ALICIA L DAVIS 2203 GRANTLAND AVE, NASHVILLE, TN 37204 INV5646 9/28/2017 $2,129.68

TOTAL: $8,999.68

3.5 AMERATHON, LLC 671 OHIO PIKE B/C, CINCINNATI, OH 45245 INV4134748 8/30/2017 $2,432.35

3.6 AMERATHON, LLC 671 OHIO PIKE B/C, CINCINNATI, OH 45245 INV4252086 9/28/2017 $1,762.19

TOTAL: $4,194.54

3.7 APPALACHIAN NEWSPAPERS, INC. PO BOX 802, PIKEVILLE, KY 41502 INV073117 8/30/2017 $121.80

3.8 APPALACHIAN NEWSPAPERS, INC. PO BOX 802, PIKEVILLE, KY 41502 INV090117 9/28/2017 $357.60

TOTAL: $479.40

3.9 AT&T PO BOX 5019, CAROL STREAM, IL 60197 UTILITIES 8/30/2017 $453.40



TOTAL: $1,360.20

3.12 AT&T MOBILITY PO BOX 6463, CAROL STREAM, IL 60197 UTILITIES 9/6/2017 $179.20



TOTAL: $537.90

3.15 AUTOGOV DEPT. 3867, PO BOX 123867, DALLAS, TX 75312 INV9122017 9/12/2017 $119.33



TOTAL: $373.17

3.18 CAREERBUILDER, LLC 13047 COLLECTION CENTER DRIVE, CHICAGO, IL 60693 INVCB03441823 9/13/2017 $320.00

TOTAL: $320.00

3.19 CARESOURCE PROGRAMS 2200 6TH AVE STE 833, SEATTLE, WA 98121 INV92866 8/30/2017 $600.00



TOTAL: $1,213.00

3.22 CASS INFORMATION SYSTEMS, INC. CIS # 92012, PO BOX 17617, ST. LOUIS, MO 63178 INV199108 8/30/2017 $135.00

3.23 CASS INFORMATION SYSTEMS, INC. CIS # 92012, PO BOX 17617, ST. LOUIS, MO 63178 INV204337 9/28/2017 $135.00

TOTAL: $270.00

3.24 CDW LLC PO BOX 75723, CHICAGO, IL 60675 INVJKR1302 9/13/2017 $738.58

3.25 CDW LLC PO BOX 75723, CHICAGO, IL 60675 INVJZP6603 9/28/2017 $748.93

3.26 CDW LLC PO BOX 75723, CHICAGO, IL 60675 INVJXW1475 10/30/2017 $68.49

TOTAL: $1,556.00

3.27 CH 13 TRUSTEE-EDKY PO BOX 1766, MEMPHIS, TN 38101 GARNISHMENT 10/25/2017 $224.67

TOTAL: $224.67

3.28 CHFS FOR DONALD GRIFFITH 311 NORTH ARNOLD AVE, PRESTONSBURG, KY 41653 REFUND 8/30/2017 $229.70

TOTAL: $229.70

3.29 CHILD SUPPORT ENFORCEMENT CENTRALIZED COLLECTION UNIT, PO BOX 14059, LEXINGTON, KY 40512 GARNISHMENT 8/17/2017 $69.22






TOTAL: $848.12

3.35 CIT BANK, N.A 21146 NETWORK PLACE, CHICAGO, IL 60673 INV30638632 8/30/2017 $378.52



TOTAL: $1,118.51

3.38 CITY OF SALYERSVILLE PO BOX 640, SALYERSVILLE, KY 41465 W/H TAX 8/15/2017 $2,371.28


3.40 CITY OF SALYERSVILLE PO BOX 640, SALYERSVILLE, KY 41465 PROPTAXES 10/12/2017 $817.58



TOTAL: $11,436.26

3.43 CMRS-FP PO BOX 0505, CAROL STREAM, IL 60132 INVCKREQ093017 10/30/2017 $250.00

TOTAL: $250.00

3.44 COMMUNITY CARE SERVICES, INC 203 N PATRICK, DUBLIN, TX 76446 INV119130 8/30/2017 $164.00

TOTAL: $164.00

3.45 CULL & HAYDEN, P.S.C. PO BOX 1515, FRANKFORT, KY 40602 INV11606 9/28/2017 $180.00

TOTAL: $180.00

3.46 DATA SECURITY DEVELOPMENT, INC. 13201 DATA VAULT DRIVE, LOUISVILLE, KY 40223 INV1015529 9/28/2017 $1,228.35

3.47 DATA SECURITY DEVELOPMENT, INC. 13201 DATA VAULT DRIVE, LOUISVILLE, KY 40223 INV1017660 10/30/2017 $153.10

TOTAL: $1,381.45

3.48 DAVID ELLETT 407 FLEMINGSBURG RD., MOREHEAD, KY 40351 INV072017 8/17/2017 $554.04



3.51 DAVID ELLETT 407 FLEMINGSBURG RD., MOREHEAD, KY 40351 INV091817A 10/30/2017 $535.90

TOTAL: $1,715.56

3.52 DEBRA-KUEMPEL INC PO BOX 701620, CINCINNATI, OH 45270 ASSET 9/13/2017 $2,844.34

3.53 DEBRA-KUEMPEL INC PO BOX 701620, CINCINNATI, OH 45270 INV876403 9/28/2017 $684.32

3.54 DEBRA-KUEMPEL INC PO BOX 701620, CINCINNATI, OH 45270 INV876993 10/30/2017 $528.20

TOTAL: $4,056.86

3.55 DEPT OF REVENUE PO BOX 491, FRANKFORT, KY 40602 GARNISHMENT 9/28/2017 $50.00




TOTAL: $200.00

3.59 DIRECT SUPPLY INC BOX 88201, MILWAUKEE, WI 53288 INV24974908 8/17/2017 $1,772.09


17-44663

Sofa - Question: 3 - SOFA 3 AND SOFA 11



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Payment Amount




3.63 DIRECT SUPPLY INC BOX 88201, MILWAUKEE, WI 53288 INV25178237 10/12/2017 $620.46

TOTAL: $7,806.21

3.64 DONS SUPER LUBE & OIL CHANGE 1388 ROYALTON RD., SALYERSVILLE, KY 41465 INV16444 9/13/2017 $20.00

TOTAL: $20.00

3.65 DR. MIKE DECARDENAS 6230 SW 144 STREET, MIAMI, FL 33158 INV8292017 8/29/2017 $125.00



TOTAL: $375.00

3.68 ECOLAB INC PO BOX 32027, NEW YORK, NY 10087 INV6463880 8/17/2017 $208.17

3.69 ECOLAB INC PO BOX 32027, NEW YORK, NY 10087 INV6795302 9/28/2017 $208.17

TOTAL: $416.34

3.70 ECOLAB INC. 26252 NETWORK PLACE, CHICAGO, IL 60673 INV3219485 8/17/2017 $847.04

3.71 ECOLAB INC. 26252 NETWORK PLACE, CHICAGO, IL 60673 INV3572353 9/28/2017 $423.52

TOTAL: $1,270.56

3.72 ELAINE JONES ADDRESS REDACTED EXPREPORT 8/17/2017 $104.32



TOTAL: $1,024.84

3.75 FEDERAL EXPRESS CORPORATION PO BOX 371461, PITTSBURGH, PA 15250 INV586970728 8/17/2017 $62.33





TOTAL: $339.21

3.80 FIRST CHOICE MEDICAL SUPPLY HOLDING, INC PO BOX 3608, JACKSON, MS 39207 INV4-870793-00 8/17/2017 $7,022.93






TOTAL: $37,923.67

3.86 FOOTHILLS BROADBAND PO BOX 240, STAFFORDSVILLE, KY 41256 UTILITIES 8/30/2017 $1,224.03



TOTAL: $3,787.37

3.89 FORMATION CAPITAL 3500 LENOX ROAD NE, SUITE 510, ATLANTA, GA 30326 SECURITY DEPOSIT 8/14/2017 $67,116.55

TOTAL: $67,116.55

3.90 FRANCOTYP POSTALIA, INC PO BOX 157, BEDFORD PARK, IL 60499 INVRI103271747 9/28/2017 $356.16

TOTAL: $356.16

3.91 FRANK HOWARD TV CABLE, INC PO BOX 229, SALYERSVILLE, KY 41465 UTILITIES 8/30/2017 $1,433.35



TOTAL: $4,300.05

3.94 FRANK HOWARD TV CABLE, INC. PO BOX 229, SALYERSVILLE, KY 41465 UTILITIES 8/30/2017 $71.69



TOTAL: $215.07

3.97 FUN EXPRESS LLC PO BOX 14463, DES MOINES, IA 50306 INV685036384 8/30/2017 $161.25



TOTAL: $407.88

3.100 HD SUPPLY FACILITIES MAINTENANCE LTD P.O. BOX 509058, SAN DIEGO, CA 92150 INV9155970230 8/17/2017 $618.92




TOTAL: $2,572.25

3.104 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1239857 8/25/2017 $14,675.20



3.107 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 CRM0080673 9/15/2017 -$116.65




3.111 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1239857 9/15/2017 $97.83






TOTAL: $230,451.78

3.117 HERITAGE FIRE PROTECTION, INC. 400 SOUTH BIG RUN STE 1, ASHLAND, KY 41102 INV8023 9/13/2017 $3,533.20

3.118 HERITAGE FIRE PROTECTION, INC. 400 SOUTH BIG RUN STE 1, ASHLAND, KY 41102 INV9419 10/12/2017 $575.50

TOTAL: $4,108.70

3.119 HOMETOWN HARDWARE INC PO BOX 1565, SALYERSVILLE, KY 41465 INV117391 8/17/2017 $154.10




TOTAL: $641.98

3.123 JOERNS WOUNDCO HOLDINGS INC KEYBANK-LCKBOX#713222, 895 CENTRAL AVENUE, CINCINNATI, OH 45202 INV0095015594DI 8/30/2017 $4,276.17




17-44663




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Payment Amount

TOTAL: $9,613.47

3.126 JOHN C COX ESQ BLEECK BRODEY & ANDREWS, 9247 N MERIDIAN ST. STE 101, INDIANAPOLIS, IN 46260 GARNISHMENT 8/17/2017 $177.92







TOTAL: $907.73

3.133 JPS LLC PO BOX 1616, SALYERSVILLE, KY 41465 INV111616 8/17/2017 $55.00




TOTAL: $256.10

3.137 KELLIE KEETON ADDRESS REDACTED EXPREPORT 10/30/2017 $133.75

TOTAL: $133.75

3.138 KENTUCKY FRONTIER GAS PO BOX 408, PRESTONSBURG, KY 41653 UTILITIES 9/6/2017 $514.01



TOTAL: $1,562.17

3.141 KENTUCKY POWER COMPANY PO BOX 24410, CANTON, OH 44701 UTILITIES 8/25/2017 $177.84


3.143 KENTUCKY POWER COMPANY PO BOX 24410, CANTON, OH 44701 UTILITIES 8/25/2017 $15,040.62







TOTAL: $44,183.30

3.150 KENTUCKY STATE TREASURER DEPT. OF REVENUE, FRANKFORT, KY 40619 BEDTAXES 8/17/2017 $43,805.65



3.153 KENTUCKY STATE TREASURER OFFICE OF INSPECTOR GENERAL, 275 E MAIN STREET, 5E-A, FRANKFORT, KY 40621 INVCKREQ101817 10/30/2017 $4,550.00

3.154 KENTUCKY STATE TREASURER OFFICE OF INSPECTOR GENERAL, 275 E MAIN STREET, 5E-A, FRANKFORT, KY 40621 INVCKREQ102117 10/30/2017 $300.00

3.155 KENTUCKY STATE TREASURER OFFICE OF INSPECTOR GENERAL, 275 E MAIN STREET, 5E-A, FRANKFORT, KY 40621 INVCKREQ101817 10/30/2017 $105.00

TOTAL: $130,499.50

3.156 KONICA MINOLTA BUSINESS SOLUTIONS USA DEPT CH 19188, PALATINE, IL 60055 INV246872549 8/30/2017 $152.85

3.157 KONICA MINOLTA BUSINESS SOLUTIONS USA DEPT CH 19188, PALATINE, IL 60055 INV247348206 9/28/2017 $154.23

TOTAL: $307.08

3.158 LAFFERTY ENTERPRISES, INC PO BOX 1263, PRESTONSBURG, KY 41653 INV1707016731 8/30/2017 $1,205.62

3.159 LAFFERTY ENTERPRISES, INC PO BOX 1263, PRESTONSBURG, KY 41653 INV170801404R2 9/28/2017 $3,146.42

3.160 LAFFERTY ENTERPRISES, INC PO BOX 1263, PRESTONSBURG, KY 41653 INV1709012232 10/13/2017 $2,511.97

3.161 LAFFERTY ENTERPRISES, INC PO BOX 1263, PRESTONSBURG, KY 41653 INV170901762R1 10/30/2017 $1,668.11

TOTAL: $8,532.12

3.162 LONNIE L. COLE HC 62 BOX 1665, SALYERSVILLE, KS 41465 INV072817 8/17/2017 $690.00



3.165 LONNIE L. COLE HC 62 BOX 1665, SALYERSVILLE, KS 41465 INV10517 10/30/2017 $1,150.00

TOTAL: $2,968.00

3.166 LORETTA HOWARD 110 CAUDILL BRANCH ROAD, SALYERSVILLE, KY 41465 REFUND 9/28/2017 $24.42

TOTAL: $24.42

3.167 MAGOFFIN COUNTY OCCUPATIONAL TAX PO BOX 430, SALYERSVILLE, KY 41465 W/H TAX 10/30/2017 $8,324.06

TOTAL: $8,324.06

3.168 MANDY LOVE HC 77 BOX 255, ROYALTON, KY 41465 REFUND 8/30/2017 $343.80

TOTAL: $343.80

3.169 MC INVESTMENTS PO BOX 272, CARLISLE, KY 40311 INV745 8/17/2017 $15.00

TOTAL: $15.00

3.170 MCKESSON MEDICAL-SURGICAL MINNESOTA SUPPLY INC., PO BOX 204786, DALLAS, TX 75320 INV62871209 10/12/2017 $1,806.00

TOTAL: $1,806.00

3.171 MEDLINE INDUSTRIES DEPT. 1080, PO BOX 121080, DALLAS, TX 75312 INV1830589278 8/30/2017 $524.08




TOTAL: $1,762.67

3.175 MED-PASS INC L-3495, COLUMBUS, OH 43260 INV1820339 8/17/2017 $113.63




TOTAL: $299.34

3.179 NATHAN SCOTT WHITAKER H.C 62 BOX 1006, SALYERSVILLE, KY 41465 INV9 8/17/2017 $125.00





3.184 NATHAN SCOTT WHITAKER ADDRESS REDACTED EXPREPORT 10/30/2017 $103.79

TOTAL: $728.79

3.185 NATIONAL DATACARE CORPORATION PO BOX 222430, CHANTILLY, VA 20153 INV873687 8/17/2017 $212.00



3.188 NATIONAL DATACARE CORPORATION PO BOX 222430, CHANTILLY, VA 20153 INVA01183 10/30/2017 $200.30

TOTAL: $1,174.33

3.189 NATIONAL GOVERNMENT SERVICES PO BOX 2952, MILWAUKEE, WI 53201-2952 MEDICARE PAYBACK 8/17/2017 $80,016.00

TOTAL: $80,016.00


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Payment Amount

3.190 NEW LEXINGTON CLINIC PSC PO BOX 11790, LEXINGTON, KY 40578 INV756476V13059 9/28/2017 $59.10

TOTAL: $59.10

3.191 O.C. TANNER RECOGNITION COMPANY 1930 SOUTH STATE ST, SALT LAKE CITY, UT 84115 INV000003825080 8/30/2017 $378.94

3.192 O.C. TANNER RECOGNITION COMPANY 1930 SOUTH STATE ST, SALT LAKE CITY, UT 84115 INV000003890274 9/28/2017 $711.65

TOTAL: $1,090.59

3.193 ON HOLD MARKETING SERVICES, INC 6840 WEST 70TH ST, SHREVEPORT, LA 71129 INV235291 8/17/2017 $37.95



TOTAL: $113.85

3.196 PAINTSVILLE HOSPITAL COMPANY, LLC PO BOX 731808, DALLAS, TX 75373 INV5388092 9/28/2017 $16.32

TOTAL: $16.32

3.197 PERFORMANCE HEALTH SUPPLY, INC. PO BOX 93040, CHICAGO, IL 60673 INVIN89354599 8/30/2017 $139.89



TOTAL: $463.80

3.200 PHARMACY CORPORATION OF AMERICA ATTN: MIKE RODRIGUEZ, 1900 S. SUNSET UNIT 1A, LONGMONT, CO 80501 INV712609970430 8/30/2017 $40,925.57



TOTAL: $109,291.21

3.203 PINCOMPUTING COMPANY, LP 5550 W. PLANO PKWY, SUITE 210, PLANO, TX 75093 PINCOMPUTING 8/30/2017 $1,100.00



TOTAL: $3,400.00

3.206 PORTER ONE DESIGN, LLC 37680 HILLS TECH DRIVE, FARMINGTON HILLS, MI 48331 INV31503 8/30/2017 $184.55

3.207 PORTER ONE DESIGN, LLC 37680 HILLS TECH DRIVE, FARMINGTON HILLS, MI 48331 INV32067 9/13/2017 $194.55

TOTAL: $379.10

3.208 QUALITY PROVIDER SERVICES, INC. 229 CHURCHILL DR., RICHMOND, KY 40475 INV82539200 9/13/2017 $1,588.59

3.209 QUALITY PROVIDER SERVICES, INC. 229 CHURCHILL DR., RICHMOND, KY 40475 INV95255900 9/28/2017 $220.19

TOTAL: $1,808.78

3.210 QUINTAIROS PRIETO WOOD & BOYER P.A. 9300 SOUTH DADELAND BLVD, 4TH FLOOR, MIAMI, FL 33156 INV530818 8/17/2017 $12,860.21



TOTAL: $57,146.47

3.213 RELIANT PRO REHABILITATION PO BOX 671181, DALLAS, TX 75267 INV472531 8/30/2017 $70,064.91



TOTAL: $225,792.92

3.216 REM CO, INC PO BOX 455, VERSAILLES, KY 40383 ASSET 8/17/2017 $1,156.68

TOTAL: $1,156.68

3.217 RF TECHNOLOGIES INC PO BOX 8444, CAROL STREAM, IL 60197 INV621384 8/17/2017 $356.80

3.218 RF TECHNOLOGIES INC PO BOX 8444, CAROL STREAM, IL 60197 INV627692 10/30/2017 $595.45

TOTAL: $952.25

3.219 RUMPKE PO BOX 538710, CINCINNATI, OH 45253 UTILITIES 8/17/2017 $1,298.26



TOTAL: $3,894.78

3.222 SALYERSVILLE INDEPENDENT, LLC PO BOX 29, SALYERSVILLE, KY 41465 INV073117 8/30/2017 $175.00



TOTAL: $500.00

3.225 SALYERSVILLE PETTY CASH 571 PARKWAY DR, SLAYERSVILLE, KY 42301 INVPC080317 8/30/2017 $1,013.33

3.226 SALYERSVILLE PETTY CASH 571 PARKWAY DR, SLAYERSVILLE, KY 42301 INVPC090617 9/13/2017 $545.34

3.227 SALYERSVILLE PETTY CASH 571 PARKWAY DR, SLAYERSVILLE, KY 42301 INVPC100517 10/18/2017 $1,585.11

TOTAL: $3,143.78

3.228 SALYERSVILLE WATER WORKS 401 COLLEGE STREET, SALYERSVILLE, KY 41465 UTILITIES 8/25/2017 $4,769.37



TOTAL: $13,488.89

3.231 SANDY VALLEY TRANSPORTATION SVCS INC 81 RESOURCE COURT, PRESTONSBURG, KY 41653 INV20180009 8/30/2017 $63.00



TOTAL: $154.00

3.234 SARAH MARKLAND 572 PARKWAY DR., SALYERSVILLE, KY 41465 EXPREPORT 8/17/2017 $1,128.32



TOTAL: $4,597.24

3.237 SCURLOCK HEATING & COOLING INC PO BOX 1616, PAINTSVILLE, KY 41240 INV15670 9/28/2017 $480.00

TOTAL: $480.00

3.238 SHEFFER LAW FIRM, PLLC 101 S. FIFTH ST., SUITE 1450, LOUISVILLE, KY 40202 INV19 8/30/2017 $2,865.39

3.239 SHEFFER LAW FIRM, PLLC 101 S. FIFTH ST., SUITE 1450, LOUISVILLE, KY 40202 INV20B 9/28/2017 $1,722.75

3.240 SHEFFER LAW FIRM, PLLC 101 S. FIFTH ST., SUITE 1450, LOUISVILLE, KY 40202 INV21A 10/30/2017 $3,598.50

3.241 SHEFFER LAW FIRM, PLLC 101 S. FIFTH ST., SUITE 1450, LOUISVILLE, KY 40202 INV22A 11/7/2017 $1,177.50

TOTAL: $9,364.14

3.242 SHRED-IT US JV LLC SHRED-IT USA, 28883 NETWORK PLACE, CHICAGO, IL 60673 INV8122932517 9/13/2017 $38.00

3.243 SHRED-IT US JV LLC SHRED-IT USA, 28883 NETWORK PLACE, CHICAGO, IL 60673 INV8123132569 10/12/2017 $38.00

TOTAL: $76.00

3.244 SIMPLE LTC (SOFTWARE) 2435 N. CENTRAL EXPRESSWAY, STE 1510, RICHARDSON, TX 75080 INV9062017 9/6/2017 $88.77



TOTAL: $266.31

3.247 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV699507537 / 732400 8/30/2017 $4,086.38

3.248 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV738619 9/13/2017 $389.94

3.249 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1281211 9/28/2017 $4,830.95


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Payment Amount

3.250 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1287588 10/12/2017 $4,311.09

TOTAL: $13,618.36

3.251 STAPLES CONTRACT & COMMERCIAL, INC. DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3345515713 8/17/2017 $461.99






TOTAL: $2,390.34

3.257 STERICYCLE PO BOX 6575, CAROL STREAM, IL 60197 INV4007256159 8/17/2017 $183.72



TOTAL: $1,143.63

3.260 STEWART WIEGAND & OWENS PC 325 NORTH ST. PAUL STREET, SUITE 3750, DALLAS, TX 75201 INV13968 9/13/2017 $435.50

3.261 STEWART WIEGAND & OWENS PC 325 NORTH ST. PAUL STREET, SUITE 3750, DALLAS, TX 75201 INV14190 10/30/2017 $152.00

TOTAL: $587.50

3.262 SYMPHONY DIAGNOSTIC SERVICES NO.1, INC. PO BOX 17462, BALTIMORE, MD 21297 INV33101-07-2017U 8/30/2017 $4,326.13

3.263 SYMPHONY DIAGNOSTIC SERVICES NO.1, INC. PO BOX 17462, BALTIMORE, MD 21297 INV33101-08-2017V 9/28/2017 $2,390.00

TOTAL: $6,716.13

3.264 TAMMY BELL ADDRESS REDACTED EXPREPORT 9/28/2017 $379.46

TOTAL: $379.46

3.265 TAYLOR CORPORATION PO BOX 840655, DALLAS, TX 75284 INVV7500837 8/17/2017 $451.77

3.266 TAYLOR CORPORATION PO BOX 840655, DALLAS, TX 75284 INVV7600996 9/28/2017 $120.65

TOTAL: $572.42

3.267 TEAM TSI (QAPI COMPLIANCE) PO BOX 1547, ALBERTVILLE, AL 35950 INV8292017 8/29/2017 $330.00



TOTAL: $990.00

3.270 THE SHERWIN WILLIAMS COMPANY 2100 LAKESIDE BLVD. SUITE #400, RICHARDSON, TX 75082 INV81969110790817 9/13/2017 $174.79

TOTAL: $174.79

3.271 PCPMG CONSULTING 5420 W. PLANO PKWY, PLANO, TX 75093 MGMT FEES 8/29/2017 $38,091.15




TOTAL: $142,030.53

3.275 US DEPARTMENT OF EDUCATION PO BOX 105081, ATLANTA, GA 30348 GARNISHMENT 8/17/2017 $85.20




TOTAL: $317.39

3.279 VANGUARD SALES OF EVANSVILLE, INC 816 MAXWELL AVE, EVANSVILLE, IA 47711 INV24139 8/30/2017 $495.00

3.280 VANGUARD SALES OF EVANSVILLE, INC 816 MAXWELL AVE, EVANSVILLE, IA 47711 INV24908 9/13/2017 $410.00

TOTAL: $905.00

3.281 WHAYNE SUPPLY COMPANY DEPT. 8326, CAROL STREAM, IL 60122 INVSVIV0342237 8/17/2017 $1,071.00

TOTAL: $1,071.00

3.282 WILLIAMS ELECTRIC & PLUMBING SUPPLY INC. PO BOX 635, SALYERSVILLE, KY 41465 INV214661 9/28/2017 $227.57

TOTAL: $227.57

3.283 WILSON, ELSER, MOSKWITZ, EDELMAN & DICKER LLP, 150 EAST 42ND ST, NEW YORK, NY 10017 INV2783445 8/17/2017 $896.44

3.284 WILSON, ELSER, MOSKWITZ, EDELMAN & DICKER LLP, 150 EAST 42ND ST, NEW YORK, NY 10017 INV2797465 9/13/2017 $1,907.50



TOTAL: $13,737.57

3.287 WRIGHT NATIONAL FLOOD INSURANCE CO. PO BOX 33070, ST PETERSBURG, FL 33733 INV080317 8/17/2017 $5,473.00

TOTAL: $5,473.00

SUB TOTAL: $1,340,656.09


17-44663



AMENDED SOFA 4Payments or other transfers of property made within 1 year before filing this case that benefited any insider

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Total

Amount of

Value

4.1 PINCOMPUTING COMPANY, LP (1601) 5500 W PLANO PKWY STE 210, PLANO, TX 75093 11/29/2016 $1,100.00












TOTAL: $13,100.00

4.13 PINCOMPUTING COMPANY, LP (1615) 5500 W PLANO PKWY STE 210, PLANO, TX 75093 11/9/2016 $64.50

4.14 PINCOMPUTING COMPANY, LP (1615) 5500 W PLANO PKWY STE 210, PLANO, TX 75093 1/30/2017 $388.96


TOTAL: $1,739.15

4.16 THOMAS SCOTT 5500 W PLANO PKWY, PLANO, TX 75093 12/1/2016 $80.09



TOTAL: $966.18

SUB TOTAL: $15,805.33


17-44663Sofa - Question: 4 - SOFA 4


SOFA 7Legal actions, administrative proceedings, court actions, executions, attachments, or governmental audits

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Case Title Case Number Nature of Case Court or Agency's Name and Address Status of Case

7.1 ALLISON WISECUP 2097158WORKERS

COMPENSATIONSTATE OF KENTUCKY CLOSED

7.2

AVANELL LITTERAL AS ADMINSTRATRIX OF THE

ESTATE OF LILLIE PENNINGTON, DECEASED V.

PREFERRED CARE OF DELAWARE, INC. D/B/A

PREFERRED CARE, INC.; KENTUCKY PARTNERS

MANAGEMENT, LLC; PREFERRED CARE

PARTNERS MANAGEMENT GROUP, LP; PCPMG,

LLC; SALYERSVILLE HEALTH FACILITIES, LP

D/B/A SALYERSVILLE NURSING AND

REHABILITATION CENTER; SALYERSVILLE

HEALTH FACILITIES GP, LLC: GLENN COX, IN HIS

CAPACITY AS ADMINISTRATOR OF

SALYERSVILLE NURSING AND REHABILITATION

CENTER; AND ELAINE JONES, IN HER CAPACITY

AS ADMINISTRATOR OF SALYERSVILLE

NURSING AND REHABILITATION CENTER

16-CI-0025 FALLS-DEATH CIRCUIT COURT OF MAGOFFIN COUNTY PENDING

7.3 BRENDA COMBS 2114889WORKERS


7.4 BRITTANY L JARRELL 2097164WORKERS


7.5

BUFORD FLETCHER PLAINTIFF VS.


CENTER AND ELAINE JONES, ADMINISTRATOR

DEFENDANTS

15-CI-0140 FALL MAGOFFIN CIRCUIT COURT PENDING

7.6

CAROLYN MATHENY AS ADMINISTRATRIX OF

THE ESTATE OF AMOS PERKINS, DECEASED V.

SALYERSVILLE HEALTH FACILITIES, LP D/B/A

SALYERSVILLE NURSING & REHABILITATION

CENTER; KENTUCKY PARTNERS MANAGEMENT,

LLC; PREFERRED CARE PARTNERS

MANAGEMENT GROUP, L.P.; PREFERRED CARE

OF DELAWARE, INC. D/B/A PREFERRED CARE,

INC.; KENTUCKY PARTNERS MANAGEMENT

GROUP, LLC; PCPMG, LLC; SALYERSVILLE

HEALTH FACILITIES GP, LLC; ELAINE JONES;

AND JOHN DOES 1 THROUGH 10

15-CI-0200

DEATH, GENERAL

NEGLIGENCE,

WOUND-DEATH

CIRCUIT COURT OF MAGOFFIN COUNTY PENDING

7.7

CARRIE BAILEY, AS ADMINISTRATRIX OF THE

ESTATE OF INA MARSHALL, DECEASED V.


PREFERRED CARE, INC.; SALYERSVILLE HEALTH

FACILITIES, LP D/B/A SALYERSVILLE NURSING

AND REHABILITATION CENTER; SALYERSVILLE

HEALTH FACILITIES, GP, LLC; PREFERRED CARE


LLC; KENTUCKY PARTNERS MANAGEMENT, LLC;

ELAINE JONES, IN HER CAPACITY AS

ADMINISTRATOR OF SALYERSVILLE NURSING

AND REHABILITATION CENTER

16-CI-0192

DEATH, FALL,

INFECTION -

SEPSIS

CIRCUIT COURT OF MAGOFFIN COUNTY PENDING

7.8 CASSIE MCCARTY 2083297WORKERS





COMPENSATIONSTATE OF KENTUCKY PENDING


17-44663

Sofa - Question: 7 - SOFA 7



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7.11

CLYDE ISAACS, AS EXECUTOR OF THE ESTATE

OF CARL BLAIR, AND ON BEHALF OF THE

WRONGFUL DEATH BENEFICIARIES V.

EXTENDICARE HOMES, INC., FORMERLY D/B/A

SALYERSVILLE HEALTH CARE CENTER, N/K/A


CENTER; EXTENDICARE HOLDINGS, INC.;

EXTENDICARE HEALTH SERVICES, INC.;

EXTENDICARE HEALTH FACILITY HOLDINGS,

INC.; EXTENDICARE HEALTH NETWORK, INC.;

EXTENDICARE MASTER TENANT 1, LLC;


EXTENDICARE MASTER MANAGER 1, LLC;


EXTENDICARE HUD MASTER TENANT 1, INC.;


EXTENDICARE, LLC; PREFERRED CARE OF

DELAWARE, INC. D/B/A PREFERRED CARE, INC.;

KENTUCKY PARTNERS MANAGEMENT, LLC;

PREFERRED CARE PARTNERS MANAGEMENT

GROUP, LP; PCPMG, LLC; SALYERSVILLE

HEALTH FACILITIES, LP D/B/A SALYERSVILLE

NURSING AND REHABILITATION CENTER;

SALYERSVILLE HEALTH FACILITIES GP, LLC:

SHARON WELCH, IN HER CAPACITY AS


AND REHABILITATION CENTER; GLENN COX, IN

HIS CAPACITY AS ADMINISTRATOR OF





15-CI-0208NEGLIGENCE-

DEATHCIRCUIT COURT OF MAGOFFIN COUNTY PENDING

7.12

DAVID BLEEKER AS ADMINISTRATOR OF THE

ESTATE OF DELLA BLEEKER, DECEASED V.

SALYERSVILLE HEALTH FACILITIES, LP D/B/A


CENTER; KENTUCKY PARTNERS MANAGEMENT,

LLC; PREFERRED CARE PARTNERS

MANAGEMENT GROUP, L.P.; PREFERRED CARE


INC.; KENTUCKY PARTNERS MANAGEMENT

GROUP, LLC; PCPMG, LLC; SALYERSVILLE

HEALTH FACILITIES GP, LLC; ELAINE JONES;

AND JOHN DOES 1 THROUGH 10

NEGLIGENCE-

DEATH

CIRCUIT COURT OF MAGOFFIN

COUNTY, DIVISION 1PENDING

7.13 EDDIE D HARVEY 2080407WORKERS


7.14 ELIZABETH ROBERTS 2102064WORKERS


7.15 ETHEL SLONE 2014-00258CLOSED

LITIGATION

IN THE CIRCUIT COURT OF MAGOFFIN

COUNTYCLOSED


17-44663




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7.16

FANNIE ISAAC AS EXECUTRIX OF THE ESTATE

OF IRVIN ISSAC, SALYERSVILLE HEALTH

FACILITIES, LP D/B/A SALYERSVILLE NURSING

AND REHABILITATION CENTER; SALYERSVILLE

HEALTH FACILITIES GP, LLC; KENTUCKY

PARTNERS MANAGEMENT LLC; PREFERRED

CARE PARTNERS MANAGEMENT GROUP, L.P.;

PCPMG, LLC; PREFERRED CARE OF DELAWARE,

INC. ; ELAINE JONES - ADMINISTRATOR,

THOMAS SCOTT (ADDED TO MRP CASE)

MRP-2017-

0088

NEGLIGENCE-

DEATHPENDING

7.17 GENGER HOWARD 2072965WORKERS


7.18 GENGER HOWARD 2091839WORKERS


7.19

GEORGE HELTON, AS EXECUTOR OF THE

ESTATE OF GLADYS HELTON, DECEASED V.




PARTNERS MANAGEMENT GROUP, L.P.; PCPMG,


D/B/A SALYERSVILLE NURSING &


HEALTH FACILITIES GP, LLC; THOMAS SCOTT;


ADMINISTRATOR OF SALYERSVILLE NURSING &

REHABILITATION CENTER; AND JOHN DOES 1

THROUGH 5, UNKNOWN DEFENDANTS

15-CI-0043 INFECTION-DEATH CIRCUIT COURT OF MAGOFFIN COUNTY PENDING

7.20

JAMES BRACKETT, JR. AS ADMINISTRATOR OF

THE ESTATE OF JAMES BRACKETT SR,

DECEASED V. SALYERSVILLE HEALTH

FACILITIES, LP D/B/A SALYERSVILLE NURSING &

REHABILITATION CENTER; KENTUCKY

PARTNERS MANAGEMENT, LLC; PREFERRED




MANAGEMENT GROUP, LLC; PCPMG, LLC;

SALYERSVILLE HEALTH FACILITIES GP, LLC;

ELAINE JONES.

17-CI-0089GENERAL

NEGLIGENCECIRCUIT COURT OF MAGOFFIN COUNTY PENDING

7.21

JESSICA BLEVINS, ADMINISTRATRIX OF THE

ESTATE OF JERRY ALLEN, PREFERRED CARE


INC.; KENTUCKY PARTNERS MANAGEMENT, LLC;


GROUP, L.P.; PCPMG, LLC; SALYERSVILLE



SALYERSVILLE HEALTH FACILITIES GP, LLC;

ELAINE JONES, AS ADMINISTRATOR OF


CENTER; AND THOMAS SCOTT.




17-44663




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7.22

JOYCE CANTRELL AS ADMIN OF THE ESTATE OF

NANCY CAROL SPRIGGS, V PC OF DELAWARE

INC., KPM LLC, PCPMG, LP, PCPMG LLC,

SALYERSVILLE HEALTH FACILITY LP D/B/A

SALYERSVILLE NURSING & REHAB, SHF GP LLC,

THOMAS SCOTT-DISMISSED, ELAINE JONES

15-CI-58

ASPIRATION

PNEUMONIA-

DEATH

MAGOFFIN CIRCUIT COURT PENDING

7.23 KAREN CAUDILL 2076548WORKERS


7.24 KATHRYN ARNETT 2079054WORKERS


7.25 KATHRYN ARNETT 2092206WORKERS


7.26 KIMBERLY ARNETT 2104302WORKERS


7.27 KIMBERLY MOLLETTE 2102875WORKERS


7.28 LAKYN KENNARD 2095406WORKERS


7.29

LENORA BLACKBURN, AS POWER OF ATTORNEY

FOR KATHERINE BARNETT V. SALYERSVILLE


NURSING AND REHABILITATION CENTER,

SALYERSVILLE HEALTH FACILITIES GP, LLC,

KENTUCKY PARTNERS MANAGEMENT GROUP,

LP, PCPMG, LLC, PREFERRED CARE OF

DELAWARE, INC. D/B/A PREFERRED CARE, INC.,


ADMINISTRATOR OF SALYERSVILLE NURSING &

REHABILITATION CENTER

17-CI-33GENERAL


7.30 LISA GILBERT 2072793WORKERS


7.31 LISA GILBERT 2083295WORKERS


7.32

MARILYN SALYERS, INDIVIDUALLY AND AS

ADMINISTRATOR OF THE ESTATE OF BARBARA

ARNETT V. SALYERSVILLE NURSING AND

REHABILITATION CENTER AND ELAINE JONES-

GRAY, ADMINISTRATOR DEFENDANTS

17-CI-21NEGLIGENCE-

DEATHMAGOFFIN CIRCUIT COURT PENDING

7.33

MEREDITH HOLBROOK, AS POWER OF

ATTORNEY OF MAE HOWARD, AND MAE

HOWARD, IN HER INDIVIDUAL CAPACITY V.


SALYERSVILLE HEALTH CARE CENTER;

EXTENDICARE HOLDINGS, INC.; EXTENDICARE

HEALTH SERVICES, INC.; EXTENDICARE HEALTH

FACILITY HOLDINGS, INC.; EXTENDICARE

HEALTH NETWORK, INC.; EXTENDICARE

MASTER TENANT 1, LLC; EXTENDICARE MASTER

TENANT 2, LLC; EXTENDICARE MASTER

MANAGER 1, LLC; EXTENDICARE MASTER

MANAGER 2, LLC; EXTENDICARE HUD MASTER

TENANT 1, INC.; EXTENDICARE HUD MASTER

TENANT 2, INC.; EXTENDICARE, LLC;

SALYERSVILLE HEALTH FACILITIES, L.P.;

SALYERSVILLE HEALTH RE, LLC; SALYERSVILLE

HEALTH FACILITIES, GP, LLC; SHARON WELCH;

GLENN COX; AND UNKNOWN DEFENDANTS;

13-CI- 00013GENERAL



17-44663




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7.34

MITCHELL JOSEPH AS GUARDIAN OF ODIE

COMBS V. EXTENDICARE HOMES, INC.,

FORMERLY D/B/A SALYERSVILLE HEALTH CARE

CENTER, N/K/A SALYERSVILLE NURSING &

REHABILITATION CENTER; EXTENDICARE

HOLDINGS, INC.; EXTENDICARE HEALTH

SERVICES, INC.; EXTENDICARE HEALTH

FACILITY HOLDINGS, INC.; EXTENDICARE

HEALTH NETWORK, INC.; EXTENDICARE

MASTER TENANT 1, LLC; EXTENDICARE MASTER

TENANT 2, LLC; EXTENDICARE MASTER

MANAGER 1, LLC; EXTENDICARE MASTER

MANAGER 2, LLC; EXTENDICARE HUD MASTER

TENANT 1, INC.; EXTENDICARE HUD MASTER

TENANT 2, INC.; EXTENDICARE, LLC;






D/B/A SALYERSVILLE NURSING AND


HEALTH FACILITIES GP, LLC: SHARON WELCH,

IN HER CAPACITY AS ADMINISTRATOR OF


CENTER; GLENN COX, IN HIS CAPACITY AS


AND REHABILITATION CENTER; AND ELAINE

JONES, IN HER CAPACITY AS ADMINISTRATOR

OF SALYERSVILLE NURSING AND

REHABILITATION CENTER

16-CI-0129GENERAL


7.35 MONNA DINGUS 2104298WORKERS


7.36

PAUL DWAYNE ROBBINS AS ADMINISTRATOR OF

THE ESTATE OF MYRTLE MARIE ROBBINS,

DECEASED V. SALYERSVILLE HEALTH

FACILITIES, LP D/B/A SALYERSVILLE NURSING &

REHABILITATION CENTER; KENTUCKY

PARTNERS MANAGEMENT, LLC; PREFERRED


THOMAS SCOTT PREFERRED CARE OF


KENTUCKY PARTNERS MANAGEMENT GROUP,

LLC; PCPMG, LLC; SALYERSVILLE HEALTH

FACILITIES GP, LLC; ELAINE JONES

17-CI-0119 WOUND CIRCUIT COURT OF MAGOFFIN COUNTY PENDING


17-44663




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7.37

RANDY HOWELL AS ADMINISTRATOR OF THE

ESTATE OF GEORGE HOWELL AND ON BEHALF

OF THE WRONGFUL DEATH BENEFICIARIES V.


SALYERSVILLE HEALTH CARE CENTER, N/K/A


CENTER; EXTENDICARE HOLDINGS, INC.;

EXTENDICARE HEALTH SERVICES, INC.;

EXTENDICARE HEALTH FACILITY HOLDINGS,

INC.; EXTENDICARE HEALTH NETWORK, INC.;







EXTENDICARE, LLC; PREFERRED CARE OF


KENTUCKY PARTNERS MANAGEMENT, LLC;


GROUP, LP; PCPMG, LLC; SALYERSVILLE



SALYERSVILLE HEALTH FACILITIES GP, LLC:

SHARON WELCH, IN HER CAPACITY AS


AND REHABILITATION CENTER; GLENN COX, IN

HIS CAPACITY AS ADMINISTRATOR OF





15-CI-0263GENERAL


7.38 REVA HELTON 2075404WORKERS


7.39

SHELIA PERKINS, AS ADMINISTRATRIX OF THE

ESTATE OF SCOTT DEMKOVITCH V. PREFERRED

CARE OF DELAWARE, INC. D/B/A PREFERRED

CARE, INC.; KENTUCKY PARTNERS


PARTNERS MANAGEMENT GROUP, L.P.; PCPMG,


D/B/A SALYERSVILLE NURSING &


HEALTH FACILITIES GP, LLC; ELAINE JONES, IN

HER CAPACITY AS ADMINISTRATOR OF


CENTER; AND JOHN DOES 1 THROUGH 5,

UNKNOWN DEFENDANTS



7.40 TABATHA MANN 2091181WORKERS


7.41 VERA HAMMOND 2072161WORKERS


7.42 WHITNEY MEADE 2114564WORKERS



17-44663



SOFA 11Payments related to bankruptcy

Name Address Dates Total Amount

GARDERE WYNNE SEWELL LLP 2021 MCKINNEY AVE, STE 1600, DALLAS, TX 75201 1/17/2017 $2,940.00







FOCUS MANAGEMENT GROUP 5001 LEMON ST, TAMPA FL 33609 11/1/2017 $200,000.00

JNDLA 8269 E 23RD AVE, STE 275, DENVER, CO 80238 11/1/2017 $30,000.00

TOTAL: $932,774.371

1 -THESE FEES AND EXPENSES WERE ALLOCATED EQUALLY TO EACH OF THE THIRTY-FOUR (34) DEBTORS.



SOFA 26dList all financial institutions, creditors, and other parties, including mercantile and trade agencies, to whom the debtor issued a

financial statement within 2 years before filing this case

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Name Address 1 Address 2 City State Zip

26d. 1 CIT ATTN: ED SHUSTER, DIRECTOR 11 WEST 42ND STREET NEW YORK NY 10036

26d. 2 CIT ATTN: MIKE COILEY, MANAGING DIRECTOR 305 FELLOWSHIP ROAD, SUITE 300 MOUNT LAUREL NJ 08054

26d. 3 WELLS FARGO ATTN: ERIC MORSE, PORTFOLIO MANAGER 14241 DALLAS PARKWAY DALLAS TX 75254

Sofa - Question: 26D - SCHEDULE AB26D


in the united states bankruptcy court for the...

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