in the united states bankruptcy court for...
TRANSCRIPT
STATEMENT OF FINANCIAL AFFAIRS FOR
SILVER CITY HEALTH FACILITIES, L.P.
(17-44678)
IN THE UNITED STATES BANKRUPTCY COURT
FOR THE NORTHERN DISTRICT OF TEXAS
FORT WORTH DIVISION
In re:
PREFERRED CARE INC., et. al.
Debtors.
§
§
§
§
§
§
Chapter 11
Case No.: 17-44642
(Jointly Administered)
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 1 of 39
Gardere01 - 10992853v.6
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
PROPOSED 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.
§
§
§
§
§
§
§
§
§
§
§
§
§
§
§
§
§
§
§
§
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.
§
§
§
§
§
§
§
§
§
§
§
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
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 2 of 39
Gardere01 - 10992853v.6
2
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.
§
§
§
§
§
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
SCHEDULES AND STATEMENTS OF DEBTORS
The Schedules of Assets and Liabilities (the “Schedules”1) and Statement of Financial
Affairs (the “Statements” and, collectively with the Schedules, the “Schedules and
Statements”) filed by Preferred Care Inc. and each of its debtor affiliates, as debtors and debtors
in possession (collectively, the “Debtors”)2, in the above-captioned bankruptcy cases pending
before the United States Bankruptcy Court for the Northern District of Texas, Fort Worth
Division (the “Bankruptcy Court”) were prepared pursuant to 11 U.S.C. § 521 and Federal
Rule of Bankruptcy Procedure 1007 by the Debtors’ financial advisor in connection with the
Debtors’ personnel and/or personnel at PCPMG Consulting, LLC (“PCPMG Consulting”), the
company that provides management services to the Debtors. The Schedules and Statements are
unaudited. While the persons responsible for the preparation of the Schedules and Statements
have made a reasonable effort to ensure that the Schedules and Statements are accurate and
complete based on information known to them at the time of preparation after reasonable
inquiries, inadvertent errors may exist and/or the subsequent receipt of information may result in
material changes in financial and other data contained in the Schedules and Statements that may
warrant amendment of same. Moreover, because the Schedules and Statements contain
unaudited information that is subject to further review and potential adjustment, there be can no
assurance that these Schedules and Statements are complete or accurate. These Global Notes
comprise an integral part of the Schedules and Statements and should be referred to and
considered in connection with any review of them.
1. Cases. On November 13, 2017 (the “Petition Date”), the Debtors filed voluntary
petitions for relief under Chapter 11 of the Bankruptcy Code. The resulting cases (the “Chapter
11 Cases”) were administratively consolidated into Case No. 17-44642. The Debtors are
authorized to continue operating their businesses and manage their property as debtors-in-
possession pursuant to §§ 1107(a) and 1108 of the Bankruptcy Code. “Chapter 11 Case” shall
mean the main bankruptcy case for Preferred Care Inc., Case No. 17-44642.
2. Amendments. Debtors reserve their right to amend the Schedules and Statements
in all respects at any time as may be necessary or appropriate, including, without limitation, the
right to dispute or to assert offsets or defenses to any claim reflected on the Schedules and
1 The term “Schedules” includes: Schedules A/B, D, E/F, G, and H, along with the applicable summaries and
all attachments appurtenant thereto. 2 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.
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 3 of 39
Gardere01 - 10992853v.6
3
Statements as to amount, to liability, or to classification, or to otherwise subsequently designate
any claim as “disputed,” “contingent,” or “unliquidated.” Any failure to designate a claim as
“contingent,” “unliquidated,” or “disputed” does not constitute an admission by Debtors that
such claim is not “contingent,” “unliquidated,” or “disputed.”
3. Estimates and Assumptions. The preparation of the Schedules and Statements
requires the Debtors to make estimates and assumptions that affect the reported amounts of
assets and liabilities, the disclosures of contingent assets and liabilities on the date of the
Schedules and Statements, and the reported amounts of revenues and expenses during the
reporting period.
4. Unknown Amounts. Some of the scheduled assets and liabilities may be
unknown and unliquidated at this time. In such cases, the amounts may be listed as “Unknown”
or “Unliquidated.” Accordingly, the Schedules and the Statements may not accurately reflect the
aggregate amount of the Debtors’ assets and liabilities.
5. Prepetition v. Post-Petition. Debtors have sought to allocate liabilities between
the pre-petition and post-petition periods based on the information from research that was
conducted with the preparation of these Schedules and Statements. As additional information
becomes available and further research is conducted, the allocation of liabilities between pre-
petition and post-petition periods may change.
6. GAAP. Given the difference between the information requested in the Schedules
and Statements, and the financial information utilized under generally accepted accounting
principles in the United States (“GAAP”), the aggregate asset values and claim amounts set forth
in the Schedules and Statements do not necessarily reflect the amounts that would be set forth in
a balance sheet prepared in accordance with GAAP.
7. Asset Values. To date, the Debtors have not conducted an appraisal and/or audit
of their assets, particularly the membership interests owned by Preferred Care Inc. in other
entities. Therefore, some assets have been listed as having “unknown” or “unliquidated” values
rather than values that may be otherwise incorrect or based on incomplete information. To the
extent an asset is listed on the Schedules and described in the Statements, unless otherwise noted
therein, such assets disclosed in the Schedules and Statements were included therein as a result
of the Debtors’ books and records having reflected the existence of such assets as of the Petition
Date.
8. Causes of Action. The Debtors reserve all of their causes of action. Neither these
Global Notes nor the Schedules and Statements shall be deemed a waiver of any such cause of
action. Furthermore, nothing contained in the Schedules and Statements shall constitute a waiver
of rights with these chapter 11 cases, equitable subordination, and/or causes of action arising
under the provisions of chapter 5 of the Bankruptcy Code and other relevant nonbankruptcy laws
to recover assets or avoid transfers.
9. Insiders. In the circumstances where the Schedules and Statements require
information regarding insiders and/or officers and directors, included therein are Debtors’ (a)
members, general partners, and/or limited partners (or persons in similar positions), (b)
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 4 of 39
Gardere01 - 10992853v.6
4
employees that are, or were during the relevant period, officers (or persons in control), (c) family
members of officers/members, and (d) affiliates as such term is defined in the Bankruptcy Code.
The listing of a party as an insider is not intended to be nor should it be construed as a legal
characterization of such party as an insider and does not act as an admission of any fact, claim,
right, or defense, and all such rights, claims, and defenses are hereby expressly reserved.
Further, employees that are not directors or officers have not been included in this disclosure.
Nothing contained in the Schedules and Statements is deemed to be an admission or legal
conclusion as the comprehensive scope of the inclusion or exclusion of persons qualifying as
“insiders” in terms of control of the Debtors, management responsibilities or functions, decision-
making or corporate authority and/or as otherwise defined by applicable law, including, without
limitation, the federal securities laws, or with respect to any theories of liability or for any other
purpose. The Debtors reserve all rights to amend, supplement, revise the Schedules and
Statements with regard to any matters concerning its “insiders,” as such term is defined in the
Bankruptcy Code and their progeny. The Debtors reserve all rights to require an order from the
Bankruptcy Court regarding the scope of particular persons deemed to be “insiders.” Item 4 of
the Statements requires the Debtors to disclose payments or transfers made within 1 year before
filing the bankruptcy case on debts owed to an insider or guaranteed or co-signed by an insider
unless the aggregate value of all property transferred to or for the benefit of the insider is less
than $6,425.
10. Managers, Directors, or Officers. The Debtors disclosed the identity of certain
officers and/or directors in Section 28 of each Statement. The Debtors’ inclusion of these
persons in Section 28 of each Statement is not intended to be an admission or a legal conclusion
as the status of such persons as “Directors,” “Officers,” “Managers,” “Insiders,” or otherwise a
“person in control” of the Debtor. For the sake of clarity and out of an abundance of caution, the
Debtors have included such persons in response to Section 28 of the Statement for the purpose of
candid disclosure of information in these Bankruptcy Cases. The Debtors reserve all rights to
amend, supplement, revise the Schedules and Statements with regard to any matters concerning
any persons deemed to “Directors,” “Officers,” “Managers,” “Insiders,” or otherwise a “person
in control” of the Debtors, as such terms may be defined in the Bankruptcy Code and their
progeny. The Debtors reserve all rights to require an order from the Bankruptcy Court regarding
the scope of particular persons deemed to be “Directors,” “Officers,” “Managers,” “Insiders,” or
otherwise a “person in control” of the Debtors.
11. Summary of Reporting Policies and Practices. The following conventions were
adopted by the Debtors in preparation of the Schedules and Statements:
a. Fair Market Value; Book Value. Unless otherwise noted therein,
the Schedules and Statements reflect the carrying value of the
assets/liabilities as listed in the Debtors’ books and records.
Except as set forth above with respect to membership interests
owned by the Debtors, where the current market value of assets is
unknown, the Debtors have based their valuation on book values;
however, the actual value may differ.
b. Disputed, Contingent and/or Unliquidated Claims. Schedules D,
E, and F permit the Debtors to designate a claim as disputed,
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 5 of 39
Gardere01 - 10992853v.6
5
contingent, and/or unliquidated. A failure to designate a claim on
any of these Schedules and Statements as disputed, contingent,
and/or unliquidated does not constitute an admission that such
claim is not subject to objection. The Debtors reserve the right to
dispute, or assert offsets or defenses to, any claim reflected on
these Schedules and Statements as to amount, liability, or status.
c. Revenues. In reference to Section 1 of Part 1 in Form 207 of the
Debtors’ Statements, the Debtors’ disclosure of their gross revenue
includes revenue through November 13, 2017.
d. Claims. Certain of the Schedules and Statements list creditors of
the Debtors as of the Petition Date. As discussed below, the Court
has authorized (but not directed) the Debtors to, among other
things, continue certain prepetition practices regarding some of
those claims. Under this authority, the Debtors paid a number of
prepetition claims, including, without limitation, certain prepetition
wages and employee compensation/benefits.
e. Employee Claims. The Bankruptcy Court entered an order
authorizing the Debtors to pay prepetition and post-petition wages,
salaries, benefits and other obligations. The Debtors employed
approximately 2,500 employees as of the Petition Date.
Accordingly, only employee claims against the Debtors for
prepetition amounts that have not been paid as of the time that the
Schedules and Statements were prepared, if any, and employee
claims for items not authorized to be paid by order of the
Bankruptcy Court, if any, have been included in the Schedules and
Statements.
f. Transfers/Payments to Facility Support Funding, LLC and/or FSF
II, LLC. Question 4 of the Debtors’ Statements requires the listing
of payments or transfers made within 1 year prior to the Petition
Date on debts owed to an insider. Due to the nature of the
Debtors’ cash management system, whereby all collections for the
non-HUD Debtors are deposited into accounts managed by Facility
Support Funding, LLC (“FSF”), swept and applied to pay down
the Wells Fargo line of credit (for those Debtors included in such
line), and then advanced back to FSF, the Debtors have not listed
payments, transfers, or offsets to FSF in questions 3 or 4 of the
Statements. Similarly, the HUD Debtors have not listed payments,
transfers or offsets to FSF II, LLC (“FSF II”). The HUD Debtors
are not included in the Wells Fargo line of credit, but their
collections are deposited into FSF II accounts before being used
for the HUD Debtors’ benefit. For more information on the
Debtors’ cash management systems, see the Debtors’ Motion for
Interim and Final Orders (A) Authorizing Continued Use of
Existing (I) Cash Management System, (II) Accounts and Business
Forms, and (III) Deposit Practices; (B) Maintaining Resident
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 6 of 39
Gardere01 - 10992853v.6
6
Trust Fund Accounts; (C) For An Extension of Time to Comply
with Section 345 of the Bankruptcy Code; and (D) Scheduling a
Final Hearing filed at Docket No. 15 in Case No. 17-44642.
g. Preferred Care Inc. Statement Questions 3 and 4. For questions 3
and 4 of its Statements, Preferred Care Inc. has not included
payments arguably made on its behalf on account of lease
obligations pursuant to certain master leases for properties where
the Debtors and their Non-Debtor affiliates operate facilities in
New Mexico, Kentucky, and other states where the Debtor and
Non-Debtor facilities pay the applicable landlords directly (or
payments are made on their behalf by FSF and FSF II as described
above). Consult the applicable facilities’ Schedules and
Statements for more information as to such payments by each
Debtor facility.
12. First-Day Orders. Pursuant to various orders issued by the Court, the Debtors
were authorized to pay certain outstanding prepetition claims, including, without limitation, to
the following claims relating to employee compensation, benefits, reimbursable business
expenses. To the extent claims have been paid, such claims have not been listed on the
Schedules and Statements. To the extent such a claim is listed on the Schedules and Statements,
inadvertently or otherwise, the Debtors do not waive any right to amend the Schedules and
Statements or subsequently object to such claims.
13. Ordinary Course of Business. In the ordinary course of its business, the Debtors
apply credits against amounts otherwise due to vendors. These credits arise because, among
other matters, materials ordered and paid for may not be delivered, materials delivered are
damaged or unuseable, and vendors provide volume rebates and cash discounts. Certain of these
credits are subject to change. Vendor claims are listed at the amounts entered on the Debtors’
books and records as of the Petition Date, which may reflect creditors or allowances due from
such creditors to the Debtors. The Debtors reserve all of their rights respecting such credits and
allowances.
14. Executory Contracts and Unexpired Leases. For purposes of the Schedules and
Statements, the Debtors have only scheduled claims and executory contracts for which the
Debtors may be contractually and/or directly liable. While every reasonable effort has been
made to ensure the accuracy of Schedule G regarding executory contracts and unexpired leases,
inadvertent errors or omissions may have occurred. The Debtors hereby reserve all of their
rights to dispute the validity, status or enforceability of any contract, agreement, or lease set forth
on Schedule G that may have expired or may have been modified, amended, and supplemented
from time to time by various amendments, restatements, waivers, estoppel certificates, letters and
other documents, instruments, and agreements which may not be listed on Schedule G. Certain
of the leases and contracts listed on Schedule G may contain certain renewal options, guarantees
of payment, options to purchase, rights of first refusal, and other miscellaneous rights. Such
rights, powers, duties and obligations are not set forth on Schedule G. Certain of the executory
agreements may not have been memorialized in writing and could be subject to dispute. In
addition, the Debtors may have entered into various other types of agreements in the ordinary
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 7 of 39
Gardere01 - 10992853v.6
7
course of its business, such as easements, right of way, subordination, non-disturbance and
attornment agreements, supplemental agreements, amendments/letter agreements, title
agreements and confidentiality agreements. Such documents may not be set forth on Schedule
G. The Debtors reserve all of their rights to dispute or to challenge the characterization of the
structure of any transaction, or any document or instrument related to a creditor’s claim. In the
ordinary course of business, each Debtor may have entered into agreements, written or oral, for
the provision of certain services on a month-to-month or at-will basis. Such contracts may not
be included on Schedule G. But the Debtors reserve the right to assert that such agreements
constitute executory contracts. Listing a contract or agreement on Schedule G does not
constitute an admission that such contract or agreement is an executory contract or unexpired
lease. The Debtors reserve all rights to challenge whether any of the listed contracts, leases,
agreements or other documents constitute an executory contract or unexpired lease, including if
any are unexpired non-residential real property leases. Any and all of the Debtor’s rights, claims,
and causes of action regarding the contracts and agreements listed on Schedule G are hereby
reserved and preserved.
Neither the Debtors, their agents, nor their attorneys guarantee or warrant the accuracy,
the completeness, or correctness of the data that is provided herein or in the Schedules and
Statements, and neither is liable for any loss or injury arising out of or caused in whole or in part
by the acts, errors or omissions, whether negligent or otherwise, in procuring, compiling,
collecting, interpreting, reporting, communication or delivering the information hem. While
every effort has been made to provide accurate and complete information herein, inadvertent
errors or omissions may exist. The Debtors and their agents, attorneys and advisors expressly do
not undertake any obligation to update, modify, revise or re-categorize the information provided
herein, or to notify any third party should the information be updated, modified, revised or re-
categorized. In no event shall the Debtors or their agents, attorneys and advisors be liable to any
third party for any direct, indirect, incidental, consequential or special damages (including, but
not limited to, damages arising from the disallowance of a potential claim against the Debtors or
damages to business reputation, lost business or lost profits), whether foreseeable or not and
however caused, even if the Debtors or their agents, attorneys and advisors are advised of the
possibility of such damages.
15. Reservation of Rights. Reasonable efforts have been made to prepare and file
complete and accurate Statements and Schedules; however, inadvertent errors or omissions may
exist. The Debtors reserve all rights to (i) amend or supplement the Statements and Schedules
from time to time, in all respects, as may be necessary or appropriate, including, without
limitation, the right to amend the Statements and Schedules with respect to claim (“Claim”)
description or designation; (ii) dispute or otherwise assert offsets or defenses to any Claim
reflected in the Statements and Schedules as to amount, liability, priority, status or classification;
(iii) subsequently designate any Claim as “disputed,” “contingent,” or “unliquidated;” or object
to the extent, validity, enforceability, priority, or avoidability of any Claim. Any failure to
designate a Claim in the Statements and Schedules as “disputed,” “contingent,” or “unliquidated”
does not constitute an admission by the Debtors (or any individual debtor) that such Claim or
amount is not “disputed,” “contingent,” or “unliquidated.” Listing a Claim does not constitute an
admission of liability by the Debtor against which the Claim is listed. Furthermore, nothing
contained in the Statements and Schedules shall constitute a waiver of rights with respect to each
Debtor’s chapter 11 case, including, without limitation, issues involving Claims, substantive
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 8 of 39
Gardere01 - 10992853v.6
8
consolidation, defenses, equitable subordination, and/or causes of action arising under the
provisions of chapter 5 of the Bankruptcy Code and any other relevant non-bankruptcy laws to
recover assets or avoid transfers. Any specific reservation of rights contained elsewhere in the
Global Notes does not limit in any respect the general reservation of rights contained in this
paragraph. Notwithstanding the foregoing, the Debtors shall not be required to update the
Statements and Schedules except as may be required by applicable law.
16. Liabilities. The Debtors have sought to allocate liabilities between the prepetition
and post-petition periods and between Debtor and Non-Debtor entities based on the information
and research conducted in connection with the preparation of the Statements and Schedules. As
additional information becomes available and further research is conducted, the allocation of
liabilities between the prepetition and post-petition periods may change. Accordingly, each
Debtors reserve all of their rights to amend, supplement, or otherwise modify its Statements and
Schedules as is necessary or appropriate.
The liabilities listed on the Schedules do not reflect any analysis of Claims under
section 503(b)(9) of the Bankruptcy Code. Accordingly, the Debtors reserve all of their rights
to dispute or challenge the validity of any asserted Claims under section 503(b)(9) of the
Bankruptcy Code or the characterization of the structure of any such transaction or any
document or instrument related to any creditor’s Claim.
17. Excluded Assets and Liabilities. The Debtors have excluded certain categories of
assets, and liabilities from the Statements and Schedules, including, without limitation, certain
assets and liabilities that they believe are property or obligations of Non-Debtor affiliates. The
Debtors have also excluded rejection damage Claims of counterparties to executory contracts and
unexpired leases that may or may not be rejected, to the extent such damage Claims exist. In
addition, certain immaterial assets and liabilities may have been excluded.
The Bankruptcy Court has authorized (but not directed) the Debtors to pay, in their
discretion, certain outstanding Claims on a post-petition basis. Prepetition liabilities that have
been paid post-petition or those that each Debtor anticipates paying via this authorization have
not been included in the Schedules. Please see the notes to Schedule E/F for additional
information.
18. Intellectual Property Rights. Exclusion of any intellectual property shall not be
construed as an admission that such intellectual property rights have been abandoned,
terminated, assigned, expired by their terms, or otherwise transferred pursuant to a sale,
acquisition, or other transaction.
19. Classifications. Listing (a) a Claim on Schedule D as “secured,” (b) a Claim on
Schedule E/F as “priority,” (c) a Claim on Schedule E/F as “unsecured,” or (d) a contract on
Schedule G as “executory” or “unexpired,” does not constitute an admission by any Debtor of
the legal rights of the claimant or a waiver of any Debtor’s rights to re-characterize or reclassify
such Claims or contracts or to setoff of such Claims.
20. Currency. Unless otherwise indicated, all amounts are reflected in U.S. dollars.
21. Intercompany Payables and Receivables. Intercompany receivables/payables are
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 9 of 39
Gardere01 - 10992853v.6
9
set forth on Schedules B and E/F, respectively. The listing by each Debtor of any account
between a Debtor and another affiliate is a statement of what appears in the Debtors’ books and
records and does not reflect any admission or conclusion of any Debtor regarding the allowance,
classification, characterization, validity, or priority of such account. The Debtors periodically
record intercompany amounts for combined entities, which could result in discrepancies for
allocation between legal entities. The Debtors take no position in these Statements and Schedules
as to whether such accounts would be allowed as a Claim, an Interest, or not allowed at all. The
Debtors and all parties in interest reserve all rights with respect to such accounts.
22. Setoffs. The Debtors periodically incur certain setoffs in the ordinary course of
business. Setoffs in the ordinary course can result from various items including, but not limited
to, intercompany transactions, pricing discrepancies, returns, refunds, negotiations and/or
disputes between a Debtor and its customers and/or suppliers. These normal setoffs are
consistent with the ordinary course of business in the Debtors’ industry and can be particularly
voluminous, making it unduly burdensome and costly for the Debtors to list such ordinary course
setoffs. Therefore, although such setoffs and other similar rights may have been accounted for
when scheduling certain amounts, these ordinary course setoffs are not independently accounted
for, and as such, are or may be excluded from the Debtors’ Statements and Schedules.
23. Employee Addresses. Pursuant to the Order Granting Motion for Entry of An
Order (I) Authorizing the Filing of A Consolidated List of Creditors and a Consolidated List of
the 30 Largest Unsecured Creditors, (II) Authorizing the Debtors to Redact Certain Personal
Information for Individual Creditors, and (III) Approving the Proposed Form of Proof of Claim
in these Cases [Docket No. 62], current employee addresses have been redacted from the
Debtors’ Schedules and Statements where applicable.
24. Debtors’ Addresses. For the purposes of the Statements and Schedules, all
addresses for all Debtors have been reported as the Debtors’ headquarters address in Plano,
Texas.
Specific Notes with Respect to the Debtors’ Schedules of Assets and Liabilities
The Schedules neither purport to represent financial statements prepared in accordance
with GAAP, nor are they intended to be fully reconciled with the financial statements of the
Debtors. Additionally, the Schedules contain unaudited information that is subject to further
review and potential adjustment, and reflect the Debtors’ reasonable best efforts to report the
assets and liabilities of each Debtor. Moreover, given, among other things, questions about the
characterization of certain assets and the valuation and nature of certain liabilities, to the extent
that any Debtor shows more assets than liabilities, this is not an admission that such Debtor was
solvent as of the Petition Date or at any time before the Petition Date. Likewise, to the extent any
Debtor shows more liabilities than assets, this is not an admission that such Debtor was insolvent
as of the Petition Date or at any time before the Petition Date.
1. Schedule A/B, Part 3, Question 11 – Accounts Receivable
The Debtors reflect gross accounts receivable balances by entity based on detailed sub-
ledger information. Gross accounts receivable are reduced by an allowance for doubtful
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 10 of 39
Gardere01 - 10992853v.6
10
accounts. In establishing each Debtors’ allowance for doubtful accounts, management
considers historical collection experience, the aging of the account, the payor
classification and resident payment patterns.
2. Schedule A/B, Part 5, Question 22 – Other Inventory or Supplies
The amounts listed for “Medical Supplies & Pharmaceuticals” includes both supplies
kept in the ordinary course of the Debtors’ business at their facilities and pharmaceuticals
kept for the benefit of the Debtors’ residents.
3. Schedule A/B, Part 11, Question 72 – Tax Refunds and Unused Net Operating
Losses
The Debtors have not finalized the calculation of the 2017 net operating loss. Upon
finalization of the calculation the amount of net operating losses may be materially higher
than the amount currently listed.
4. Schedule A/B, Part 11, Question 73 – Interests in insurance policies or annuities
The Debtors maintain a variety of insurance policies including property, general liability,
and workers’ compensation policies and other employee-related policies. The Debtors’
interest in these types of policies is limited to the amount of the premiums that the
Debtors prepaid, if any, as of 11/13/2017. To the extent the Debtors have made a
determination of the amount of prepaid insurance premiums as of 11/13/2017, such
amounts are listed on the schedules. All policies are expected to remain active at this
time.
5. Schedule A/B, Part 11, Question 74 – Causes of action against third parties
The Debtors have only listed active affirmative litigation on the Schedules. The Debtors
may have other causes of action, and are not waiving any rights to pursue such causes of
action in the future.
6. Schedule D
Except as specifically stated herein, real property lessors, utility companies and other
parties that may hold security deposits have not been listed on Schedule D. The Debtors
have not included parties that may believe their Claims are secured through setoff rights
or inchoate statutory lien rights, including certain parties from whom the Debtors have
received lien notices but whose notices the Debtors understand have not yet been filed or
recorded. While reasonable efforts have been made, determination of the date upon which
each claim in Schedule D was incurred or arose would be unduly burdensome or cost
prohibitive, and therefore the Debtors may not list a date for each claim listed on
Schedule D.
Finally, the Debtors are taking no position on the extent or priority of any particular
creditor’s lien.
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 11 of 39
Gardere01 - 10992853v.6
11
6. Schedule E/F
Certain of the claims of state and local taxing authorities set forth in Schedule E/F,
ultimately may be deemed to be secured claims pursuant to state or local laws. In
addition, certain of the claims owing to various taxing authorities to which any Debtor
may be liable may be subject to ongoing audits. The Debtors reserve the right to dispute
or challenge whether claims owing to various taxing authorities are entitled to priority
and the listing of any claim on Schedule E/F does not constitute an admission that such
claim is entitled to priority treatment pursuant to section 507 of the Bankruptcy Code.
The claims of individual creditors for, among other things, goods, products, services, or
taxes are listed as the amounts entered on the Debtors’ books and records and may not
reflect credits, allowances, or other adjustments due from such creditors to any Debtor.
The Debtors reserve all of their rights with regard to such credits, allowances, and other
adjustments, including the right to assert claims objections and/or setoffs with respect to
the same.
Pursuant to the Interim Order Granting Motion for Authority to Pay Prepetition Wages
and Other Employee Benefit Claims [Docket No. 66] (the “Wages Order”), the
Bankruptcy Court granted the Debtors authority to pay or honor certain prepetition
obligations for wages, salaries, and other compensation, and employee medical and
similar benefits. The Debtors have not listed on Schedule E/F any wage or wage-related
obligations that the Debtors were granted authority to pay pursuant to any order that has
been entered by the Bankruptcy Court, including the Wages Order. The Debtors believe
that, with the exception of unpaid employee vacation/PTO and deferred compensation,
which are included on Schedule E/F part 2, all such claims have been, or will be, satisfied
in the ordinary course during their chapter 11 case pursuant to the authority granted in the
Wages Order. While the unpaid employee vacation/PTO and deferred compensation are
currently reflected on Schedule E/F part 2, the analysis of these claims is continuing.
Once the analysis is complete, some portion of these claims may be subject to priority
treatment.
Schedule E/F does not include certain deferred charges, deferred liabilities, accruals, or
general reserves. Such amounts are, however, reflected on the Debtors’ books and
records as required in accordance with GAAP. Such accruals are general estimates of
liabilities and do not represent specific Claims as of the Petition Date. The Debtors have
made every effort to include as contingent, unliquidated, or disputed the Claim of any
vendor not included on the Debtors’ open accounts payable that is associated with an
account that has an accrual or receipt not invoiced.
7. Supplemental Schedule F
Pursuant to the Order Granting Motion of the Debtors (A) To Authorize Certain
Procedures to Maintain the Confidentiality of Patient Information, (B) For Authority to
File Under Seal Separate Matrix and Schedule F Containing Patient Information, (C) To
Modify Notice to Patients, and (D) For Relief From Required Form of Mailing Matrix
with Regard to Separate Matrix [Docket No. 69] (the “Patient Confidentiality Order”),
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 12 of 39
Gardere01 - 10992853v.6
12
the Debtors shall file a separate, Supplemental Schedule F that lists known resident
claims against the Debtors. The Supplemental Schedule F shall be filed under seal of the
Court. Where protected resident information that would otherwise be included in
Schedule F of the Debtors’ Schedules, the Debtors have taken all reasonable precautions
to ensure that such information is not disclosed except pursuant to the Patient
Confidentiality Order.
8. Schedule G
Certain of the instruments reflected on Schedule G may contain renewal options,
guarantees of payments, options to purchase, rights of first refusal, rights to lease
additional lands, and other miscellaneous rights. Such rights, powers, duties, and
obligations are not separately set forth on Schedule G. The Debtors hereby expressly
reserve the right to assert that any instrument listed on Schedule G is an executory
contract or unexpired lease within the meaning of section 365 of the Bankruptcy Code. In
addition, each Debtor reserves all of its rights, claims, and causes of action with respect
to claims associated with any contracts and agreements listed on Schedule A/B, including
their right to dispute or challenge the characterization or the structure of any transaction,
document, or instrument (including any intercompany agreement).
Certain confidentiality and non-compete agreements may not be listed on Schedule G.
The Debtors reserves all of their rights with respect to such agreements.
Certain of the contracts and agreements listed on Schedule G may consist of several
parts, including purchase orders, amendments, restatements, waivers, letters and other
documents that may not be listed on Schedule G or that may be listed as a single entry.
The contracts, agreements, and leases listed on Schedule G may have expired or may
have been modified, amended, or supplemented from time to time by various
amendments, restatements, waivers, estoppel certificates, letters, memoranda, and other
documents, instruments, and agreements that may not be listed therein despite the
Debtors’ use of reasonable efforts to identify such documents. Further, unless otherwise
specified on Schedule G, it is the Debtor’s intent that each executory contract or
unexpired lease listed thereon shall include all exhibits, schedules, riders, modifications,
declarations, amendments, supplements, attachments, restatements, or other agreements
made directly or indirectly by any agreement, instrument, or other document that in any
manner affects such executory contract or unexpired lease, without respect to whether
such agreement, instrument, or other document is listed thereon. In some cases, the same
supplier or provider appears multiple times on Schedule G. This multiple listing is
intended to reflect distinct agreements between the applicable Debtor and such supplier
or provider.
8. Statement Part 3, Question 7
Part 3, Question 7 of the Statements requires that the Debtors list “legal actions,
proceedings, investigations, arbitrations, mediations, and audits by federal or state
agencies in which the debtor was involved in any capacity—within 1 year before filing
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 13 of 39
Gardere01 - 10992853v.6
13
this case.” To the best of their knowledge, the Debtors have disclosed all pending legal
actions except for those legal actions or investigations where the Debtor is precluded by
court order, if any. That includes litigation filed in which the Debtors have been named as
a party to the litigation or appear as a “d/b/a” in the style or heading of the case.
Inclusion of such cases should not be construed as an admission that the applicable
Debtor is actually a party to the case, actually does business as the name listed, or should
be included in the case as listed. The Debtors reserve all rights in connection with each
listed lawsuit, including, but not limited to, the right to dispute or challenge whether they
(or any one of them) are/is actually a party in each listed lawsuit.
Additionally, other than Preferred Care Inc., as participants in Medicare and Medicaid
programs, the Debtors operate skilled-nursing facilities that are highly regulated and
subject to investigations and/or audits by state and federal agencies for compliance with
Medicare and Medicaid rules and regulations. Certain of the Debtors also operate skilled-
nursing facilities built and financed pursuant to HUD programs that are subject to
investigations and/or audits for compliance with applicable regulations.
#END OF GLOBAL NOTES
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 14 of 39
Gardere01 - 10992853v.6
14
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
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 15 of 39
Gardere01 - 10992853v.6
15
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
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 16 of 39
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 _______________________ $________________
For prior year: From ___________ to ___________ MM / DD / YYYY MM / DD / YYYY
Operating a business
Other _______________________$________________
For the year before that: From ___________ to ___________ MM / DD / YYYY MM / DD / YYYY
Operating a business
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:
SILVER CITY HEALTH FACILITIES, L.P.
NORTHERN DISTRICT OF TEXAS
17-44678 MXM
✘
✘
✘
1/1/2017
1/1/2016 12/31/2016
1/1/2015 12/31/2015
5,469,566.00
6,756,808.00
7,645,060.00
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 17 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
__________________________________________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
SEE ATTACHED - SOFA 3 AND SOFA 11 887,221.02
SEE ATTACHED - SOFA 4 43,049.23
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 18 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
______________ $_________________
5.2. __________________________________________ Creditor’s name
_______________
6. SetoffsList any creditor, including a bank or financial institution, that within 90 days before filing this case set off or otherwise took anything from an account ofthe debtor without permission or refused to make a payment at the debtor’s direction from an account of the debtor because the debtor owed a debt.
None
Creditor’s name and address Description of the action creditor took Date action was taken
Amount
__________________________________________ Creditor’s name
_______________
Last 4 digits of account number: XXXX– __ __ __ __
Part 3: Legal Actions or Assignments
7. Legal actions, administrative proceedings, court actions, executions, attachments, or governmental auditsList the legal actions, proceedings, investigations, arbitrations, mediations, and audits by federal or state agencies in which the debtorwas involved in any capacity—within 1 year before filing this case.
None
7.1.
Case title Nature of case Court or agency’s name and address Status of case
_________________________________ ______________________________ __________________________________________ Name
Pending
On appeal
ConcludedCase number
_________________________________
7.2.
Case title
______________________________
Court or agency’s name and address Pending
On appeal
Concluded
_________________________________ __________________________________________ Name
Case number
_________________________________
_________________$
_________________$
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
✘
✘
SEE ATTACHED - SOFA 7
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 19 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
___________________________________________
___________________________________________ _________________ $_____________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
✘
✘
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 20 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
_____________________________________________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
SEE ATTACHED - SOFA 11932,774.37
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 21 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
Relationship to debtor
__________________________________________
Who received transfer?
___________________________________________
________________ $_____________
13.2. __________________________________________
Address
Relationship to debtor
__________________________________________
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 ____________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
✘
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 22 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
✘
✘
✘
✘
100SILVER CITY CARE CENTER SKILLED NURSING OPERATION
3514 FOWLER AVENUESILVER CITY, NM 88061
AMERICAN HEALTHTECH574 HIGHLAND COLONY PARKWAY, SUITE 200RIDGELAND, MS 39157 ✘
RETAINS SSN AND CREDIT CARD NUMBERS PROVIDED BY CUSTOMERS
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 23 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
_____________________________________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
✘
✘
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 24 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
_____________________________________
___________________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
✘
✘
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 25 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
Business name and address Describe the nature of the business Employer Identification number Do not include Social Security number or ITIN.
______________________________________ Name
_______________________________________________
EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Dates business existed
From __________ To __________
Business name and address Describe the nature of the business Employer Identification number Do not include Social Security number or ITIN.
25.3 _______________________________________ Name
_______________________________________________
EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Dates business existed
From __________ To __________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
✘
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 26 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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 __________
Name and address Dates of service
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
Name and address Dates of service
26b.1 ______________________________________________________________________________ Name
From __________ To __________
Name and address Dates of service
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
_________________________________________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
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
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 27 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
______________
__________________________________________________________________________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
RYAN HERING
5420 PLANO PARKWAY1ST FLOORPLANO, TX 75093
SEE ATTACHED - SCHEDULE AB26D
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 28 of 39
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name
Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy
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
____________________________
__________________
Relationship to debtor
__________________________________________________________________
_____________
_____________
_____________
_____________
_____________
Address
Name
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
_________________________
_________________________
_________________________
_________________________
____________ ___________
____________ ___________
____________ ___________
___________ ___________
SILVER CITY HEALTH FACILITIES, L.P. 17-44678 MXM
SILVER CITY HEALTH FACILITIES GP, LLC GENERAL PARTNER 1.00
THOMAS D. SCOTT LIMITED PARTNER
ROBERT J. RIEK MANAGER
99.00
✘
✘
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 29 of 39
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 30 of 39
SOFA 3 3. Certain payments or transfers to creditors within 90 days before filing this case.
Lin
e N
um
ber
Name Address DescriptionDate(s) of Payment Amount
3.1 ACCOUNTABLE HEALTHCARE STAFFING INC PO BOX 732800, DALLAS, TX 75373 INV1170015219 8/16/2017 $22,510.133.2 ACCOUNTABLE HEALTHCARE STAFFING INC PO BOX 732800, DALLAS, TX 75373 INV1170013536 8/30/2017 $14,615.043.3 ACCOUNTABLE HEALTHCARE STAFFING INC PO BOX 732800, DALLAS, TX 75373 INV1170018064 9/12/2017 $2,864.213.4 ACCOUNTABLE HEALTHCARE STAFFING INC PO BOX 732800, DALLAS, TX 75373 INV1170016983 9/28/2017 $8,861.763.5 ACCOUNTABLE HEALTHCARE STAFFING INC PO BOX 732800, DALLAS, TX 75373 INV1170017450 10/30/2017 $3,812.90
TOTAL: $52,664.043.6 ALDO POLANCO 5303 EL CAMINO REAL, LAS CRUCES, NM 88007 INV5219 8/16/2017 $552.39
TOTAL: $552.393.7 AMY SKILES ADDRESS REDACTED EXPREPORT 9/12/2017 $97.093.8 AMY SKILES ADDRESS REDACTED EXPREPORT 9/28/2017 $242.57
TOTAL: $339.663.9 ANTHONY LABADIE 2017 SOUTH PLATINUM AVENUE, DEMING, NM 88030 INV23 10/30/2017 $400.00
TOTAL: $400.003.10 ARMANDO FLETCHER ADDRESS REDACTED EXPREPORT 9/12/2017 $50.00
TOTAL: $50.003.11 AT&T MOBILITY PO BOX 6463, CAROL STREAM, IL 60197 UTILITIES 8/23/2017 $50.053.12 AT&T MOBILITY PO BOX 6463, CAROL STREAM, IL 60197 UTILITIES 9/21/2017 $50.053.13 AT&T MOBILITY PO BOX 6463, CAROL STREAM, IL 60197 UTILITIES 10/30/2017 $50.29
TOTAL: $150.393.14 AUTOGOV DEPT. 3867, PO BOX 123867, DALLAS, TX 75312 INV9122017 9/12/2017 $119.333.15 AUTOGOV DEPT. 3867, PO BOX 123867, DALLAS, TX 75312 INV9262017 9/26/2017 $126.923.16 AUTOGOV DEPT. 3867, PO BOX 123867, DALLAS, TX 75312 INV10242017 10/24/2017 $126.92
TOTAL: $373.173.17 BIRCH COMMUNICATIONS PO BOX 105066, ATLANTA, GA 30348 UTILITIES 9/12/2017 $509.813.18 BIRCH COMMUNICATIONS PO BOX 105066, ATLANTA, GA 30348 UTILITIES 10/10/2017 $509.81
TOTAL: $1,019.623.19 CALIFORNIA STATE DISBURSEMENT UNIT PO BOX 989067, W. SACRAMENTO, CA 95798 GARNISHMENT 8/16/2017 $118.283.20 CALIFORNIA STATE DISBURSEMENT UNIT PO BOX 989067, W. SACRAMENTO, CA 95798 GARNISHMENT 8/30/2017 $118.283.21 CALIFORNIA STATE DISBURSEMENT UNIT PO BOX 989067, W. SACRAMENTO, CA 95798 GARNISHMENT 9/12/2017 $118.283.22 CALIFORNIA STATE DISBURSEMENT UNIT PO BOX 989067, W. SACRAMENTO, CA 95798 GARNISHMENT 9/28/2017 $118.283.23 CALIFORNIA STATE DISBURSEMENT UNIT PO BOX 989067, W. SACRAMENTO, CA 95798 GARNISHMENT 10/10/2017 $118.283.24 CALIFORNIA STATE DISBURSEMENT UNIT PO BOX 989067, W. SACRAMENTO, CA 95798 GARNISHMENT 10/25/2017 $118.283.25 CALIFORNIA STATE DISBURSEMENT UNIT PO BOX 989067, W. SACRAMENTO, CA 95798 GARNISHMENT 11/7/2017 $118.28
TOTAL: $827.963.26 CANDACE SIPKO ADDRESS REDACTED EXPREPORT 10/30/2017 $50.00
TOTAL: $50.003.27 CARESOURCE PROGRAMS INC 2200 6TH AVE SUITE 833, SEATTLE, WA 98121 INV92966 8/30/2017 $299.003.28 CARESOURCE PROGRAMS INC 2200 6TH AVE SUITE 833, SEATTLE, WA 98121 INV93251 9/28/2017 $299.00
TOTAL: $598.003.29 CASS INFORMATION SYSTEMS, INC CIS#92012, PO BOX 17617, ST. LOUIS, MO 63178 INV198592 8/30/2017 $67.503.30 CASS INFORMATION SYSTEMS, INC CIS#92012, PO BOX 17617, ST. LOUIS, MO 63178 INV203844 9/28/2017 $67.50
TOTAL: $135.003.31 CDW, LLC PO BOX 75723, CHICAGO, IL 60675 INVJND9743 8/30/2017 $161.433.32 CDW, LLC PO BOX 75723, CHICAGO, IL 60675 INVJRP7847 9/12/2017 $286.40
TOTAL: $447.833.33 CENTURY LINK PO BOX 91155, SEATTLE, WA 98111 UTILITIES 8/23/2017 $267.333.34 CENTURY LINK PO BOX 91155, SEATTLE, WA 98111 UTILITIES 9/28/2017 $352.563.35 CENTURY LINK PO BOX 91155, SEATTLE, WA 98111 UTILITIES 10/25/2017 $368.18
TOTAL: $988.073.36 CHRIS MADRID ADDRESS REDACTED EXPREPORT 9/28/2017 $101.66
TOTAL: $101.663.37 CIT BANK, N.A. PO BOX 100706, PASADENA, CA 91189 INV30758643 9/12/2017 $340.423.38 CIT BANK, N.A. PO BOX 100706, PASADENA, CA 91189 INV30892363 10/10/2017 $340.42
TOTAL: $680.843.39 COMCAST PO BOX 34744, SEATTLE, WA 98124 UTILITIES 8/16/2017 $1,071.793.40 COMCAST PO BOX 34744, SEATTLE, WA 98124 UTILITIES 9/21/2017 $1,071.793.41 COMCAST PO BOX 34744, SEATTLE, WA 98124 UTILITIES 10/17/2017 $1,069.43
TOTAL: $3,213.013.42 COMCAST CABLE PO BOX 34744, SEATTLE, WA 98124 UTILITIES 8/23/2017 $347.443.43 COMCAST CABLE PO BOX 34744, SEATTLE, WA 98124 UTILITIES 9/21/2017 $347.443.44 COMCAST CABLE PO BOX 34744, SEATTLE, WA 98124 UTILITIES 10/17/2017 $349.19
TOTAL: $1,044.073.45 COMMUNITY CARE SERVICES, INC 203 N PATRICK, DUBLIN, TX 76446 INV119036 8/16/2017 $261.00
TOTAL: $261.003.46 D. RUSSELL CUSTOM TILE & FLOORING PO BOX 2420, SILVER CITY, NM 88062 INV082217 9/12/2017 $218.08
TOTAL: $218.083.47 DANIELLE LUCERO ADDRESS REDACTED EXPREPORT 9/28/2017 $84.86
TOTAL: $84.863.48 DATAMAX INC PO BOX 2235, ST. LOUIS, MO 63109 INVLQ05359067 8/16/2017 $171.043.49 DATAMAX INC PO BOX 2235, ST. LOUIS, MO 63109 INV1040554 8/16/2017 $320.773.50 DATAMAX INC PO BOX 2235, ST. LOUIS, MO 63109 INVLQ05359068 9/12/2017 $171.043.51 DATAMAX INC PO BOX 2235, ST. LOUIS, MO 63109 INV1064199 9/28/2017 $113.003.52 DATAMAX INC PO BOX 2235, ST. LOUIS, MO 63109 INVLQ05359069 10/10/2017 $171.043.53 DATAMAX INC PO BOX 2235, ST. LOUIS, MO 63109 INV1077376 10/30/2017 $113.00
TOTAL: $1,059.893.54 DIRECT SUPPLY PO BOX 88201, MILWAUKEE, WI 53288 INV25012159 8/16/2017 $1,590.443.55 DIRECT SUPPLY PO BOX 88201, MILWAUKEE, WI 53288 INV25027088 8/30/2017 $3,160.703.56 DIRECT SUPPLY PO BOX 88201, MILWAUKEE, WI 53288 INV25094309 9/28/2017 $1,417.653.57 DIRECT SUPPLY PO BOX 88201, MILWAUKEE, WI 53288 INV25157378 10/10/2017 $813.443.58 DIRECT SUPPLY PO BOX 88201, MILWAUKEE, WI 53288 INV25205747 10/30/2017 $1,083.56
TOTAL: $8,065.793.59 DR. MIKE DECARDENAS 6230 SW 144 STREET, MIAMI, FL 33158 INV8292017 8/29/2017 $125.003.60 DR. MIKE DECARDENAS 6230 SW 144 STREET, MIAMI, FL 33158 INV9262017 9/26/2017 $125.00
Silver City Health Facilities, L.P.17-44678
Sofa - Question: 3 - SOFA 3 AND SOFA 11
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 31 of 39
SOFA 3 3. Certain payments or transfers to creditors within 90 days before filing this case.
Lin
e N
um
ber
Name Address DescriptionDate(s) of Payment Amount
3.61 DR. MIKE DECARDENAS 6230 SW 144 STREET, MIAMI, FL 33158 INV10312017 10/31/2017 $125.00TOTAL: $375.00
3.62 ECOLAB INC PO BOX 100512, PASADENA, CA 91189 INV6241035 8/16/2017 $132.043.63 ECOLAB INC PO BOX 100512, PASADENA, CA 91189 INV6576564 8/30/2017 $131.603.64 ECOLAB INC PO BOX 100512, PASADENA, CA 91189 INV6900006 9/28/2017 $131.60
TOTAL: $395.243.65 ELIZABETH HOLGUIN 11 HERMANA ST, SILVER CITY, NM 88061 INV30 9/12/2017 $266.41
TOTAL: $266.413.66 ESTHER GUTIERREZ ADDRESS REDACTED EXPREPORT 9/28/2017 $55.64
TOTAL: $55.643.67 FEDERAL EXPRESS CORPORATION PO BOX 94515, PALATINE, IL 60094 INV585865510 8/16/2017 $41.993.68 FEDERAL EXPRESS CORPORATION PO BOX 94515, PALATINE, IL 60094 INV589436654 9/12/2017 $50.413.69 FEDERAL EXPRESS CORPORATION PO BOX 94515, PALATINE, IL 60094 INV592301535 10/10/2017 $25.67
TOTAL: $118.073.70 FIRETROL PROTECTION SYSTEMS, INC 8401 AVENUE F, LUBBOCK, TX 79404 INV100493177 9/28/2017 $1,998.003.71 FIRETROL PROTECTION SYSTEMS, INC 8401 AVENUE F, LUBBOCK, TX 79404 INV100494501 10/10/2017 $1,382.40
TOTAL: $3,380.403.72 FIRST CHOICE MEDICAL SUPPLY HOLDING INC PO BOX 3608, JACKSON, MS 39207 INV4-866509-00 8/16/2017 $4,089.643.73 FIRST CHOICE MEDICAL SUPPLY HOLDING INC PO BOX 3608, JACKSON, MS 39207 INV4-911996-00 9/12/2017 $2,538.763.74 FIRST CHOICE MEDICAL SUPPLY HOLDING INC PO BOX 3608, JACKSON, MS 39207 INV4-930931-00 9/28/2017 $9,457.213.75 FIRST CHOICE MEDICAL SUPPLY HOLDING INC PO BOX 3608, JACKSON, MS 39207 INV5-026688-00 10/10/2017 $749.453.76 FIRST CHOICE MEDICAL SUPPLY HOLDING INC PO BOX 3608, JACKSON, MS 39207 INV5-060149-00 10/30/2017 $4,822.84
TOTAL: $21,657.903.77 FRANCOTY-POSTALIA, INC PO BOX 157, BEDFORD PARK, IL 60499 INVRI103212356 8/16/2017 $84.24
TOTAL: $84.243.78 FUN EXPRESS, LLC PO BOX 14463, DES MOINES, IA 50306 INV685506174 10/10/2017 $55.09
TOTAL: $55.093.79 GEMALTO COGENT, INC. PO BOX 845552, DALLAS, TX 75284 INVCKREQ083017 9/12/2017 $439.803.80 GEMALTO COGENT, INC. PO BOX 845552, DALLAS, TX 75284 INVCKREQ091317 9/28/2017 $439.80
TOTAL: $879.603.81 GEORGETTE SANCHEZ ADDRESS REDACTED EXPREPORT 11/7/2017 $50.00
TOTAL: $50.003.82 GLORIA GOE PO BOX 64, HURLEY, NM 88043 REFUND 8/16/2017 $294.00
TOTAL: $294.003.83 GRANT COUNTY PEST CONTROL, INC PO BOX 5063, SILVER CITY, NM 88062 INV24715 8/30/2017 $118.803.84 GRANT COUNTY PEST CONTROL, INC PO BOX 5063, SILVER CITY, NM 88062 INV24883 9/28/2017 $118.80
TOTAL: $237.603.85 HD SUPPLY FACILITIES MAINTENANCE LTD PO BOX 509058, SAN DIEGO, CA 92150 INV9155814861 8/16/2017 $433.653.86 HD SUPPLY FACILITIES MAINTENANCE LTD PO BOX 509058, SAN DIEGO, CA 92150 INV9156424507 8/30/2017 $85.373.87 HD SUPPLY FACILITIES MAINTENANCE LTD PO BOX 509058, SAN DIEGO, CA 92150 INV9156893078 9/12/2017 $761.213.88 HD SUPPLY FACILITIES MAINTENANCE LTD PO BOX 509058, SAN DIEGO, CA 92150 INV9157164614 9/28/2017 $725.433.89 HD SUPPLY FACILITIES MAINTENANCE LTD PO BOX 509058, SAN DIEGO, CA 92150 INV9157561616 10/10/2017 $2,088.96
TOTAL: $4,094.623.90 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1239862 8/25/2017 $9,821.123.91 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1239862 8/25/2017 $6,547.413.92 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1239785 8/25/2017 $31,309.933.93 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1247635 8/25/2017 $686.533.94 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1247635 8/25/2017 $1,149.523.95 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1256519 9/15/2017 $422.893.96 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1256691 9/15/2017 $6,547.413.97 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1256691 9/15/2017 $9,821.123.98 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1256613 9/15/2017 $30,445.603.99 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV127997 9/29/2017 $409.45
3.100 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1257997 9/29/2017 $780.653.101 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1268854 11/3/2017 $476.043.102 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1268854 11/3/2017 $865.203.103 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1268987 11/3/2017 $30,445.603.104 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1269066 11/3/2017 $6,547.413.105 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1269066 11/3/2017 $9,821.12
TOTAL: $146,097.003.106 HOMESTEADERS LIFE COMPANY PO BOX 1756, DES MOINES, IA 50306 REFUND 9/28/2017 $2,329.003.107 HOMESTEADERS LIFE COMPANY PO BOX 1756, DES MOINES, IA 50306 REFUND 10/30/2017 $1,167.40
TOTAL: $3,496.403.108 HUMPHREY`S ENTERPRISES, INC 4007 HWY 90 S, SILVER CITY, NM 88061 INV201714509 8/30/2017 $248.40
TOTAL: $248.403.109 ISIDRO LARA PO BOX 1294, BAYARD, NM 88023 REFUND 8/16/2017 $2.00
TOTAL: $2.003.110 JERAMIE M CARILLO 37 WESTERN DRIVE, SILVER CITY, NM 88061 INV10176 10/10/2017 $1,036.80
TOTAL: $1,036.803.111 JESUS J POLANCO 500 TRAILING HEART, SILVER CITY, NM 88061 INV072017 8/16/2017 $1,782.003.112 JESUS J POLANCO 500 TRAILING HEART, SILVER CITY, NM 88061 INV071717 8/30/2017 $783.003.113 JESUS J POLANCO 500 TRAILING HEART, SILVER CITY, NM 88061 INV081617 9/12/2017 $14,244.123.114 JESUS J POLANCO 500 TRAILING HEART, SILVER CITY, NM 88061 INV062917B 9/28/2017 $4,490.643.115 JESUS J POLANCO 500 TRAILING HEART, SILVER CITY, NM 88061 INV092217 10/10/2017 $1,075.00
TOTAL: $22,374.763.116 JOERNS WOUNDCO HOLDINGS, INC KEY-BANK LCKBX 713222, 895 CENTRAL AVENUE, CINCINNATI, OH 45202 INV0095015691DI 8/30/2017 $129.853.117 JOERNS WOUNDCO HOLDINGS, INC KEY-BANK LCKBX 713222, 895 CENTRAL AVENUE, CINCINNATI, OH 45202 INV0095056428DI 9/28/2017 $843.053.118 JOERNS WOUNDCO HOLDINGS, INC KEY-BANK LCKBX 713222, 895 CENTRAL AVENUE, CINCINNATI, OH 45202 INV0095088747DI 10/30/2017 $111.75
TOTAL: $1,084.653.119 JOHN MAHL #2 SHASTA STREET, SILVER CITY, NM 88061 INV17845 10/10/2017 $79.92
TOTAL: $79.923.120 JUANITA ESCOBAR 3410 N. MANN DRIVE, SILVER CITY, NM 88041 REFUND 8/16/2017 $324.00
TOTAL: $324.00
Silver City Health Facilities, L.P.17-44678
Sofa - Question: 3 - SOFA 3 AND SOFA 11
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 32 of 39
SOFA 3 3. Certain payments or transfers to creditors within 90 days before filing this case.
Lin
e N
um
ber
Name Address DescriptionDate(s) of Payment Amount
3.121 KONICA MINOLTA BUSINESS SOLUTIONS USA DEPT. 2366 PO BOX 122366, DALLAS, TX 75312 INV245836658 8/16/2017 $265.453.122 KONICA MINOLTA BUSINESS SOLUTIONS USA DEPT. 2366 PO BOX 122366, DALLAS, TX 75312 INV247309150 9/28/2017 $292.37
TOTAL: $557.823.123 KS COMMERCIAL LAUNDRY SPECIALISTS INC. 2631 E. YANDELL, EL PASO, TX 79903 ASSET 10/10/2017 $10,439.97
TOTAL: $10,439.973.124 LORETTA HERBERT PO BOX 255, SANTA CLARA, NM 88026 REFUND 8/16/2017 $236.80
TOTAL: $236.803.125 MAGDALENA COLEMAN PO BOX 171, SANTA CLARA, NM 88026 REFUND 8/16/2017 $1,670.00
TOTAL: $1,670.003.126 MARIA RIVERA ADDRESS REDACTED EXPREPORT 9/12/2017 $296.99
TOTAL: $296.993.127 MCKESSON MEDICAL SURGICAL MN SUPPLY INC PO BOX 204786, DALLAS, TX 75320 INV61685438 10/10/2017 $3,187.53
TOTAL: $3,187.533.128 MEDLINE INDUSTRIES INC DEPT 1080, PO BOX 121080, DALLAS, TX 75312 INV1831536808 9/12/2017 $554.583.129 MEDLINE INDUSTRIES INC DEPT 1080, PO BOX 121080, DALLAS, TX 75312 INV1833482971 10/10/2017 $440.96
TOTAL: $995.543.130 MED-PASS INCORPORATED L-3495, COLUMBUS, OH 43260 INV1827632 8/30/2017 $62.253.131 MED-PASS INCORPORATED L-3495, COLUMBUS, OH 43260 INV1830191 9/28/2017 $22.963.132 MED-PASS INCORPORATED L-3495, COLUMBUS, OH 43260 INV1839539 10/10/2017 $93.55
TOTAL: $178.763.133 MICHELLE VASQUEZ ADDRESS REDACTED EXPREPORT 9/28/2017 $207.58
TOTAL: $207.583.134 MIMBRES INTERNAL MEDICINE, P.A. 122 S. GOLD STREET, DEMING, NM 88030 INVAUG2017 8/30/2017 $5,000.003.135 MIMBRES INTERNAL MEDICINE, P.A. 122 S. GOLD STREET, DEMING, NM 88030 INVSEPT2017 9/28/2017 $5,000.00
TOTAL: $10,000.003.136 MONIQUE ESTRADA ADDRESS REDACTED EXPREPORT 9/28/2017 $41.203.137 MONIQUE ESTRADA ADDRESS REDACTED EXPREPORT 10/30/2017 $50.83
TOTAL: $92.033.138 NATIONAL DATACARE CORPORATION PO BOX 222430, CHANTILLY, VA 20153 INV883663 9/12/2017 $236.17
TOTAL: $236.173.139 NEW MEXICO CHILD SUPPORT PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 8/16/2017 $138.003.140 NEW MEXICO CHILD SUPPORT PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 8/30/2017 $138.003.141 NEW MEXICO CHILD SUPPORT PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 9/12/2017 $138.003.142 NEW MEXICO CHILD SUPPORT PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 9/28/2017 $138.003.143 NEW MEXICO CHILD SUPPORT PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 10/10/2017 $138.003.144 NEW MEXICO CHILD SUPPORT PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 10/25/2017 $138.003.145 NEW MEXICO CHILD SUPPORT PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 11/7/2017 $138.00
TOTAL: $966.00
3.146 NEW MEXICO ENVIRONMENT DEPARTMENTFIELD OPERATIONS DIVISION - SILVER CITY, 3082 32ND STREET BYPASS ROAD, STE D, SILVER CITY, NM 88061 INVI015917 11/7/2017 $200.00
TOTAL: $200.003.147 NEW MEXICO GAS COMPANY PO BOX 27885, ALBUQUERQUE, NM 87125 UTILITIES 8/23/2017 $394.483.148 NEW MEXICO GAS COMPANY PO BOX 27885, ALBUQUERQUE, NM 87125 UTILITIES 9/21/2017 $403.943.149 NEW MEXICO GAS COMPANY PO BOX 27885, ALBUQUERQUE, NM 87125 UTILITIES 10/25/2017 $373.14
TOTAL: $1,171.563.150 NEW MEXICO HEALTH CARE ASSOCIATION 4600A MONTGOMERY BLVD, NE, STE. 205, ALBUQUERQUE, NM 87109 INV97370 8/30/2017 $950.00
TOTAL: $950.003.151 NEW MEXICO SDU PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 8/16/2017 $41.323.152 NEW MEXICO SDU PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 8/30/2017 $41.323.153 NEW MEXICO SDU PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 9/12/2017 $41.323.154 NEW MEXICO SDU PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 9/28/2017 $41.323.155 NEW MEXICO SDU PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 10/10/2017 $41.323.156 NEW MEXICO SDU PO BOX 25109, ALBUQUERQUE, NM 87125 GARNISHMENT 10/25/2017 $41.32
TOTAL: $247.923.157 NEW MEXICO SKILLED CARE (CATHEDRAL ROCK) 306 WEST 7TH STREET, SUITE 430, FORT WORTH, TX 76102 INTEREST PAYMENT 9/1/2017 $1,127.063.158 NEW MEXICO SKILLED CARE (CATHEDRAL ROCK) 306 WEST 7TH STREET, SUITE 430, FORT WORTH, TX 76102 INTEREST PAYMENT 9/1/2017 $3,958.553.159 NEW MEXICO SKILLED CARE (CATHEDRAL ROCK) 306 WEST 7TH STREET, SUITE 430, FORT WORTH, TX 76102 INTEREST PAYMENT 10/2/2017 $1,111.033.160 NEW MEXICO SKILLED CARE (CATHEDRAL ROCK) 306 WEST 7TH STREET, SUITE 430, FORT WORTH, TX 76102 INTEREST PAYMENT 10/2/2017 $3,974.583.161 NEW MEXICO SKILLED CARE (CATHEDRAL ROCK) 306 WEST 7TH STREET, SUITE 430, FORT WORTH, TX 76102 INTEREST PAYMENT 11/1/2017 $1,094.943.162 NEW MEXICO SKILLED CARE (CATHEDRAL ROCK) 306 WEST 7TH STREET, SUITE 430, FORT WORTH, TX 76102 INTEREST PAYMENT 11/1/2017 $3,990.67
TOTAL: $15,256.833.163 NM EDUCATIONAL ASSISTANCE FOUNDATION PO BOX 93970, 7400 TIBURON NE, ALBUQUERQUE, NM 87199 GARNISHMENT 8/16/2017 $462.603.164 NM EDUCATIONAL ASSISTANCE FOUNDATION PO BOX 93970, 7400 TIBURON NE, ALBUQUERQUE, NM 87199 GARNISHMENT 8/30/2017 $439.073.165 NM EDUCATIONAL ASSISTANCE FOUNDATION PO BOX 93970, 7400 TIBURON NE, ALBUQUERQUE, NM 87199 GARNISHMENT 9/12/2017 $440.513.166 NM EDUCATIONAL ASSISTANCE FOUNDATION PO BOX 93970, 7400 TIBURON NE, ALBUQUERQUE, NM 87199 GARNISHMENT 9/28/2017 $453.403.167 NM EDUCATIONAL ASSISTANCE FOUNDATION PO BOX 93970, 7400 TIBURON NE, ALBUQUERQUE, NM 87199 GARNISHMENT 10/10/2017 $584.733.168 NM EDUCATIONAL ASSISTANCE FOUNDATION PO BOX 93970, 7400 TIBURON NE, ALBUQUERQUE, NM 87199 GARNISHMENT 10/25/2017 $439.073.169 NM EDUCATIONAL ASSISTANCE FOUNDATION PO BOX 93970, 7400 TIBURON NE, ALBUQUERQUE, NM 87199 GARNISHMENT 11/7/2017 $443.13
TOTAL: $3,262.513.170 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 8/16/2017 $93.223.171 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 8/16/2017 $108.613.172 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 8/30/2017 $77.033.173 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 8/30/2017 $112.733.174 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 9/12/2017 $95.963.175 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 9/12/2017 $102.463.176 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 9/28/2017 $103.363.177 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 9/28/2017 $127.523.178 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 10/10/2017 $96.253.179 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 10/10/2017 $132.683.180 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 10/25/2017 $63.703.181 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 10/25/2017 $99.363.182 NMSL PO BOX 27845, ALBUQUERQUE, NM 87125 GARNISHMENT 11/7/2017 $134.56
TOTAL: $1,347.443.183 O.C. TANNER RECOGNITION COMPANY 1930 SOUTH STATE STREET, SALT LAKE CITY, UT 84115 INV000003825089 8/30/2017 $104.48
Silver City Health Facilities, L.P.17-44678
Sofa - Question: 3 - SOFA 3 AND SOFA 11
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 33 of 39
SOFA 3 3. Certain payments or transfers to creditors within 90 days before filing this case.
Lin
e N
um
ber
Name Address DescriptionDate(s) of Payment Amount
3.184 O.C. TANNER RECOGNITION COMPANY 1930 SOUTH STATE STREET, SALT LAKE CITY, UT 84115 INV000003890283 9/28/2017 $120.56TOTAL: $225.04
3.185 OMEGA HEALTHCARE INVESTORS, INC 303 INTERNATIONAL CIRCLE, SUITE 200, HUNT VALLEY, MD 21030 RENT 8/30/2017 $60,600.633.186 OMEGA HEALTHCARE INVESTORS, INC 303 INTERNATIONAL CIRCLE, SUITE 200, HUNT VALLEY, MD 21030 RENT 8/30/2017 $772.923.187 OMEGA HEALTHCARE INVESTORS, INC 303 INTERNATIONAL CIRCLE, SUITE 200, HUNT VALLEY, MD 21030 RENT 9/28/2017 $60,600.633.188 OMEGA HEALTHCARE INVESTORS, INC 303 INTERNATIONAL CIRCLE, SUITE 200, HUNT VALLEY, MD 21030 RENT 9/28/2017 $772.923.189 OMEGA HEALTHCARE INVESTORS, INC 303 INTERNATIONAL CIRCLE, SUITE 200, HUNT VALLEY, MD 21030 RENT 10/30/2017 $60,600.633.190 OMEGA HEALTHCARE INVESTORS, INC 303 INTERNATIONAL CIRCLE, SUITE 200, HUNT VALLEY, MD 21030 RENT 10/30/2017 $772.92
TOTAL: $184,120.653.191 ON HOLD MARKETING SERVICES, INC 6840 WEST 70TH STREET, SHREVEPORT, LA 71129 INV235167 8/16/2017 $39.953.192 ON HOLD MARKETING SERVICES, INC 6840 WEST 70TH STREET, SHREVEPORT, LA 71129 INV237716 9/12/2017 $39.953.193 ON HOLD MARKETING SERVICES, INC 6840 WEST 70TH STREET, SHREVEPORT, LA 71129 INV240350 10/10/2017 $39.95
TOTAL: $119.853.194 PAMELA DONAHUE 3885 PINOS ALTOS RD, SILVER CITY, NM 88061 REFUND 8/16/2017 $4,234.00
TOTAL: $4,234.003.195 PCPMG CONSULTING 5420 W. PLANO PKWY, PLANO, TX 75093 MGMT FEES 8/29/2017 $18,306.763.196 PCPMG CONSULTING 5420 W. PLANO PKWY, PLANO, TX 75093 MGMT FEES 10/6/2017 $17,934.233.197 PCPMG CONSULTING 5420 W. PLANO PKWY, PLANO, TX 75093 MGMT FEES 10/31/2017 $17,760.123.198 PCPMG CONSULTING 5420 W. PLANO PKWY, PLANO, TX 75093 MGMT FEES 11/10/2017 $22,022.90
TOTAL: $76,024.013.199 PERFORMANCE HEALTH SUPPLY, INC PO BOX 93040, CHICAGO, IL 60673 INVIN89386133 8/30/2017 $161.853.200 PERFORMANCE HEALTH SUPPLY, INC PO BOX 93040, CHICAGO, IL 60673 INVIN89568069 10/10/2017 $32.92
TOTAL: $194.773.201 PHARMACY CORPORATION OF AMERICA 1900 S. SUNSET UNIT 1A, ATTN: MIKE RODRIGUEZ, LONGMONT, CO 80501 INV707507870430 8/30/2017 $17,329.523.202 PHARMACY CORPORATION OF AMERICA 1900 S. SUNSET UNIT 1A, ATTN: MIKE RODRIGUEZ, LONGMONT, CO 80501 INV707507870531 9/28/2017 $25,853.343.203 PHARMACY CORPORATION OF AMERICA 1900 S. SUNSET UNIT 1A, ATTN: MIKE RODRIGUEZ, LONGMONT, CO 80501 INV707507870630 10/30/2017 $20,697.19
TOTAL: $63,880.053.204 PINCOMPUTING COMPANY, LP 5500 W PLANO PKWY, PLANO, TX 75093 PINCOMPUTING 8/30/2017 $1,150.003.205 PINCOMPUTING COMPANY, LP 5500 W PLANO PKWY, PLANO, TX 75093 PINCOMPUTING 9/28/2017 $1,050.003.206 PINCOMPUTING COMPANY, LP 5500 W PLANO PKWY, PLANO, TX 75093 PINCOMPUTING 10/30/2017 $1,200.00
TOTAL: $3,400.003.207 PNM PO BOX 27900, ALBUQUERQUE, NM 87125 UTILITIES 8/16/2017 $5,224.813.208 PNM PO BOX 27900, ALBUQUERQUE, NM 87125 UTILITIES 9/21/2017 $5,032.623.209 PNM PO BOX 27900, ALBUQUERQUE, NM 87125 UTILITIES 10/17/2017 $4,143.46
TOTAL: $14,400.893.210 PORTER ONE DESIGN LLC 37680 HILLS TECH DRIVE, FARMINGTON HILLS, MI 48331 INV31301 8/16/2017 $44.953.211 PORTER ONE DESIGN LLC 37680 HILLS TECH DRIVE, FARMINGTON HILLS, MI 48331 INV31510 8/30/2017 $124.953.212 PORTER ONE DESIGN LLC 37680 HILLS TECH DRIVE, FARMINGTON HILLS, MI 48331 INV32034 9/28/2017 $502.40
TOTAL: $672.303.213 RELIANT PRO REHAB LLC PO BOX 671181, DALLAS, TX 75267 INV47233 8/30/2017 $43,860.223.214 RELIANT PRO REHAB LLC PO BOX 671181, DALLAS, TX 75267 INV47672 9/28/2017 $51,389.193.215 RELIANT PRO REHAB LLC PO BOX 671181, DALLAS, TX 75267 INV48369 10/30/2017 $47,242.37
TOTAL: $142,491.783.216 RENEE VASQUEZ ADDRESS REDACTED EXPREPORT 9/12/2017 $199.693.217 RENEE VASQUEZ ADDRESS REDACTED EXPREPORT 11/7/2017 $100.00
TOTAL: $299.693.218 RURAL RADIOLOGY ASSOCIATES, PLLC 12687 W CEDAR DRIVE, STE 200, LAKEWOOD, CO 80228 INV060917 8/16/2017 $31.00
TOTAL: $31.003.219 SARAH ORTIZ ADDRESS REDACTED EXPREPORT 9/12/2017 $621.723.220 SARAH ORTIZ ADDRESS REDACTED EXPREPORT 9/28/2017 $98.773.221 SARAH ORTIZ ADDRESS REDACTED EXPREPORT 10/30/2017 $1,177.31
TOTAL: $1,897.803.222 SHRED-IT US JV LLC 28883 NETWORK PLACE, CHICAGO, IL 60673 INV8122740039 8/16/2017 $30.053.223 SHRED-IT US JV LLC 28883 NETWORK PLACE, CHICAGO, IL 60673 INV8123136440 10/30/2017 $30.05
TOTAL: $60.103.224 SILVER CITY CARE CENTER PETTY CASH 3514 N FOWLER AVE, SILVER CITY, NM 88061 INVPC081717 8/30/2017 $1,253.053.225 SILVER CITY CARE CENTER PETTY CASH 3514 N FOWLER AVE, SILVER CITY, NM 88061 INVPC082917 9/12/2017 $1,005.553.226 SILVER CITY CARE CENTER PETTY CASH 3514 N FOWLER AVE, SILVER CITY, NM 88061 INVPC092117 9/28/2017 $1,901.563.227 SILVER CITY CARE CENTER PETTY CASH 3514 N FOWLER AVE, SILVER CITY, NM 88061 INVPC101117 10/30/2017 $271.173.228 SILVER CITY CARE CENTER PETTY CASH 3514 N FOWLER AVE, SILVER CITY, NM 88061 INVPC100417 11/3/2017 $950.96
TOTAL: $5,382.293.229 SILVER CITY INDEPENDENT PUBLISHING CO. PO BOX 1371, SILVER CITY, NM 88062 INV18531 8/16/2017 $738.183.230 SILVER CITY INDEPENDENT PUBLISHING CO. PO BOX 1371, SILVER CITY, NM 88062 INV18460 9/12/2017 $290.30
TOTAL: $1,028.483.231 SIMPLE LTC (SOFTWARE) 2435 N. CENTRAL EXPRESSWAY, STE 1510, RICHARDSON, TX 75080 INV9062017 9/6/2017 $88.773.232 SIMPLE LTC (SOFTWARE) 2435 N. CENTRAL EXPRESSWAY, STE 1510, RICHARDSON, TX 75080 INV10032017 10/3/2017 $88.773.233 SIMPLE LTC (SOFTWARE) 2435 N. CENTRAL EXPRESSWAY, STE 1510, RICHARDSON, TX 75080 INV11072017 11/7/2017 $88.77
TOTAL: $266.313.234 SOUTHERN SKY LANDSCAPING LLC 37 WESTERN DRIVE, SILVER CITY, NM 88061 INV10169 9/12/2017 $1,036.80
TOTAL: $1,036.803.235 SOUTHWEST BONE & JOINT INSTITUTE PC 1268 E. 32ND ST, SILVER CITY, NM 88061 INV61568B 8/16/2017 $720.563.236 SOUTHWEST BONE & JOINT INSTITUTE PC 1268 E. 32ND ST, SILVER CITY, NM 88061 INV60484 9/12/2017 $1,020.903.237 SOUTHWEST BONE & JOINT INSTITUTE PC 1268 E. 32ND ST, SILVER CITY, NM 88061 INV71995A 10/30/2017 $248.55
TOTAL: $1,990.013.238 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1271698 8/16/2017 $2,897.193.239 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV728059 8/30/2017 $519.943.240 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1278185 9/28/2017 $3,128.723.241 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV749562 10/10/2017 $225.17
TOTAL: $6,771.023.242 STAPLES CONTRACT & COMMERICAL INC DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3345515717 8/16/2017 $793.723.243 STAPLES CONTRACT & COMMERICAL INC DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3347160185 8/30/2017 $157.443.244 STAPLES CONTRACT & COMMERICAL INC DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3348678747 9/12/2017 $504.803.245 STAPLES CONTRACT & COMMERICAL INC DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3349448439 9/28/2017 $175.593.246 STAPLES CONTRACT & COMMERICAL INC DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3351840899 10/10/2017 $870.32
Silver City Health Facilities, L.P.17-44678
Sofa - Question: 3 - SOFA 3 AND SOFA 11
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 34 of 39
SOFA 3 3. Certain payments or transfers to creditors within 90 days before filing this case.
Lin
e N
um
ber
Name Address DescriptionDate(s) of Payment Amount
3.247 STAPLES CONTRACT & COMMERICAL INC DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3352520692 10/30/2017 $558.30TOTAL: $3,060.17
3.248 STATE OF NEW MEXICO DEPT OF HEALTH/PROGRAM OPERATIONS BUREAU, PO BOX 26110, SANTA FE, NM 87502 INVCKREQ091217 9/21/2017 $1,200.00TOTAL: $1,200.00
3.249 STERICYCLE, INC PO BOX 6578, CAROL STREAM, IL 60197 INV3003944293 8/30/2017 $174.083.250 STERICYCLE, INC PO BOX 6578, CAROL STREAM, IL 60197 INV3003978762 9/15/2017 $174.05
TOTAL: $348.133.251 TAYLOR CORPORATION PO BOX 840655, DALLAS, TX 75284 INVV7573329 8/30/2017 $46.693.252 TAYLOR CORPORATION PO BOX 840655, DALLAS, TX 75284 INVV7609004 10/10/2017 $203.76
TOTAL: $250.453.253 TEAM TSI (QAPI COMPLIANCE) PO BOX 1547, ALBERTVILLE, AL 35950 INV8292017 8/29/2017 $330.003.254 TEAM TSI (QAPI COMPLIANCE) PO BOX 1547, ALBERTVILLE, AL 35950 INV9262017 9/26/2017 $330.003.255 TEAM TSI (QAPI COMPLIANCE) PO BOX 1547, ALBERTVILLE, AL 35950 INV10312017 10/31/2017 $330.00
TOTAL: $990.003.256 TEXAS NEW MEXICO NEWSPAPER PARTNERSHIP PO BOX 512598, LOS ANGELES, CA 90051 INV080117 8/16/2017 $31.503.257 TEXAS NEW MEXICO NEWSPAPER PARTNERSHIP PO BOX 512598, LOS ANGELES, CA 90051 INV090117 8/30/2017 $31.503.258 TEXAS NEW MEXICO NEWSPAPER PARTNERSHIP PO BOX 512598, LOS ANGELES, CA 90051 INV100117 9/28/2017 $31.503.259 TEXAS NEW MEXICO NEWSPAPER PARTNERSHIP PO BOX 512598, LOS ANGELES, CA 90051 INV110117 10/30/2017 $31.33
TOTAL: $125.833.260 TEXAS NEW MEXICO NEWSPAPERS PARTNERSHIP PO BOX 677890, DALLAS, TX 75267 INV103016 9/12/2017 $315.48
TOTAL: $315.483.261 THOMAS D. SCOTT 5500 W.PLANO PKWY, PLANO, TX 75093 NOTE INTEREST 11/10/2017 $2,305.173.262 THOMAS D. SCOTT 5500 W.PLANO PKWY, PLANO, TX 75093 NOTE INTEREST 11/10/2017 $2,305.173.263 THOMAS D. SCOTT 5500 W.PLANO PKWY, PLANO, TX 75093 NOTE INTEREST 11/10/2017 $2,375.503.264 THOMAS D. SCOTT 5500 W.PLANO PKWY, PLANO, TX 75093 NOTE INTEREST 11/10/2017 $2,382.013.265 THOMAS D. SCOTT 5500 W.PLANO PKWY, PLANO, TX 75093 NOTE INTEREST 11/10/2017 $2,382.013.266 THOMAS D. SCOTT 5500 W.PLANO PKWY, PLANO, TX 75093 NOTE INTEREST 11/10/2017 $2,382.01
TOTAL: $416,273.243.267 TOWN OF SILVER CITY PO BOX 1188, SILVER CITY, NM 88062 INV17072601I 8/16/2017 $200.003.268 TOWN OF SILVER CITY PO BOX 1188, SILVER CITY, NM 88062 UTILITIES 9/1/2017 $3,924.773.269 TOWN OF SILVER CITY PO BOX 1188, SILVER CITY, NM 88062 UTILITIES 10/3/2017 $4,098.14
TOTAL: $8,222.913.270 TRICORE REFERENCE LABORATORIES PO BOX 25627, ALBUQUERQUE, NM 87125 INV2017060 8/16/2017 $1,017.483.271 TRICORE REFERENCE LABORATORIES PO BOX 27561, DEPT 30775, ALBUQUERQUE, NM 87125 INV288L4660184 8/16/2017 $89.24
TOTAL: $1,106.723.272 TRI-STATE FLEET MANAGEMENT LLC PO BOX 162659, FORT WORTH, TX 76161 INV5563 8/16/2017 $740.173.273 TRI-STATE FLEET MANAGEMENT LLC PO BOX 162659, FORT WORTH, TX 76161 INV5681 9/12/2017 $536.90
TOTAL: $1,277.073.274 UNITED HEALTHCARE COMMUNITY PLAN ATTN: RECOVERY SERVICES, PO BOX 101760, ATLANTA, GA 30392 REFUND 9/12/2017 $10,619.573.275 UNITED HEALTHCARE COMMUNITY PLAN ATTN: RECOVERY SERVICES, PO BOX 101760, ATLANTA, GA 30392 REFUND 10/25/2017 $2,369.50
TOTAL: $12,989.073.276 US DEPT OF EDUCATION PO BOX 105081, ATLANTA, GA 30348 GARNISHMENT 10/25/2017 $142.183.277 US DEPT OF EDUCATION PO BOX 105081, ATLANTA, GA 30348 GARNISHMENT 11/7/2017 $166.18
TOTAL: $308.363.278 VERONICA FLORES ADDRESS REDACTED EXPREPORT 9/28/2017 $50.003.279 VERONICA FLORES ADDRESS REDACTED EXPREPORT 11/7/2017 $100.00
TOTAL: $150.003.280 WNM COMMUNICATIONS CLEC SC 2005 HWY 180 E, STE 300, SILVER CITY, NM 88061 UTILITIES 9/8/2017 $1,352.233.281 WNM COMMUNICATIONS CLEC SC 2005 HWY 180 E, STE 300, SILVER CITY, NM 88061 UTILITIES 10/10/2017 $1,351.37
TOTAL: $2,703.60
SUB TOTAL: $887,221.02
Silver City Health Facilities, L.P.17-44678
Sofa - Question: 3 - SOFA 3 AND SOFA 11
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 35 of 39
SOFA 4Payments or other transfers of property made within 1 year before filing this case that benefited any insider
Lin
e N
um
be
r
Insider Name Insider Address Date
Total
Amount of
Value
4.1 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 11/28/2016 $1,200.00
4.2 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 12/28/2016 $1,250.00
4.3 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 1/30/2017 $1,250.00
4.4 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 2/27/2017 $1,250.00
4.5 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 3/27/2017 $1,300.00
4.6 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 4/26/2017 $1,250.00
4.7 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 5/30/2017 $1,300.00
4.8 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 6/29/2017 $1,150.00
4.9 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 7/28/2017 $1,200.00
4.10 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 8/30/2017 $1,150.00
4.11 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 9/28/2017 $1,050.00
4.12 PINCOMPUTING COMPANY, LP (1602) 5500 W PLANO PKWY, PLANO, TX 75093 10/30/2017 $1,200.00
TOTAL: $14,550.00
4.13 PINCOMPUTING COMPANY, LP (1611) 5500 W PLANO PKWY, PLANO, TX 75093 1/30/2017 $388.96
TOTAL: $388.96
4.14 THOMAS SCOTT 5500 W PLANO PKWY, PLANO, TX 75093 VARIOUS $28,110.27
TOTAL: $28,110.27
SUB TOTAL: $43,049.23
Silver City Health Facilities, L.P.
17-44678Sofa - Question: 4 - SOFA 4
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 36 of 39
SOFA 7Legal actions, administrative proceedings, court actions, executions, attachments, or governmental audits
Lin
e N
um
be
r
Case Title Case Number Nature of Case Court or Agency's Name and Address Status of Case
7.1 JENNIFER MISQUEZ 2074521WORKERS
COMPENSATIONSTATE OF NEW MEXICO CLOSED
7.2 JENNIFER MISQUEZ 2112630WORKERS
COMPENSATIONSTATE OF NEW MEXICO CLOSED
7.3 JENNIFER SPINTI 2094238WORKERS
COMPENSATIONSTATE OF NEW MEXICO CLOSED
7.4 JOANN NELSON 2104743WORKERS
COMPENSATIONSTATE OF NEW MEXICO CLOSED
7.5 MARIA TORRES 2069687WORKERS
COMPENSATIONSTATE OF NEW MEXICO CLOSED
7.6 RHONDA CARRILLO 2112394WORKERS
COMPENSATIONSTATE OF NEW MEXICO CLOSED
Silver City Health Facilities, L.P.
17-44678Sofa - Question: 7 - SOFA 7
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 37 of 39
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
GARDERE WYNNE SEWELL LLP 2021 MCKINNEY AVE, STE 1600, DALLAS, TX 75201 2/14/2017 $11,638.70
GARDERE WYNNE SEWELL LLP 2021 MCKINNEY AVE, STE 1600, DALLAS, TX 75201 3/21/2017 $1,897.77
GARDERE WYNNE SEWELL LLP 2021 MCKINNEY AVE, STE 1600, DALLAS, TX 75201 5/23/2017 $110,573.83
GARDERE WYNNE SEWELL LLP 2021 MCKINNEY AVE, STE 1600, DALLAS, TX 75201 7/18/2017 $56,370.07
GARDERE WYNNE SEWELL LLP 2021 MCKINNEY AVE, STE 1600, DALLAS, TX 75201 7/25/2017 $4,354.00
GARDERE WYNNE SEWELL LLP 2021 MCKINNEY AVE, STE 1600, DALLAS, TX 75201 11/1/2017 $515,000.00
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 - Question: 11 - SOFA 11
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 38 of 39
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
Lin
e N
um
ber
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
Case 17-44642-mxm11 Doc 290 Filed 01/07/18 Entered 01/07/18 17:55:40 Page 39 of 39