IN THE UNITED STATES BANKRUPTCY COURT FOR …upshotservices.s3.amazonaws.com/files/8edffab3-a150-4ae3...List payments or transfers including expense reimbursements to any creditor,

AMENDED STATEMENT OF FINANCIAL AFFAIRS FOR

GALLUP HEALTH FACILITIES, L.P.

(17-44671)

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE NORTHERN DISTRICT OF TEXAS

FORT WORTH DIVISION

In re:

PREFERRED CARE INC., et. al.

Debtors.

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Chapter 11

Case No.: 17-44642

(Jointly Administered)

Case 17-44671-mxm11 Doc 17 Filed 02/21/18 Entered 02/21/18 10:14:02 Page 1 of 31

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Stephen A. McCartin (TX 13374700)

Mark C. Moore (TX 24074751)

GARDERE WYNNE SEWELL LLP

2021 McKinney Avenue, Suite 1600

Dallas, TX 75201

Telephone: (214) 999-3000

Facsimile: (214) 999-4667

[email protected]

[email protected]

COUNSEL TO DEBTORS

AND DEBTORS-IN-POSSESSION

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE NORTHERN DISTRICT OF TEXAS

FORT WORTH DIVISION

In re:

Preferred Care Inc.

Bowling Green Health Facilities, L.P.

Brandenburg Health Facilities, L.P.

Cadiz Health Facilities, L.P.

Campbellsville Health Facilities, L.P.

Elizabethtown Health Facilities, L.P.

Elsmere Health Facilities, L.P.

Fordsville Health Facilities, L.P.

Franklin Health Facilities, L.P.

Hardinsburg Health Facilities, L.P.

Henderson Health Facilities, L.P.

Irvine Health Facilities, L.P.

Morganfield Health Facilities, L.P.

Owensboro Health Facilities, L.P.

Paducah Health Facilities, L.P.

Pembroke Health Facilities, L.P.

Richmond Health Facilities - Kenwood, L.P.

Richmond Health Facilities - Madison, L.P.

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Chapter 11

Case No.: 17-44642

Case No.: 17-44641

Case No.: 17-44644

Case No.: 17-44645

Case No.: 17-44646

Case No.: 17-44647

Case No.: 17-44648

Case No.: 17-44649

Case No.: 17-44650

Case No.: 17-44651

Case No.: 17-44652

Case No.: 17-44653

Case No.: 17-44654

Case No.: 17-44655

Case No.: 17-44656

Case No.: 17-44657

Case No.: 17-44660

Case No.: 17-44661

Salyersville Health Facilities, L.P.

Somerset Health Facilities, L.P.

Springfield Health Facilities, L.P.

Stanton Health Facilities, L.P.

Artesia Health Facilities, L.P.

Bloomfield Health Facilities, L.P.

Clayton Health Facilities, L.P.

Desert Springs Health Facilities, L.P.

Espanola Health Facilities, L.P.

Gallup Health Facilities, L.P.

Lordsburg Health Facilities, L.P.

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Case No.: 17-44663

Case No.: 17-44665

Case No.: 17-44666

Case No.: 17-44669

Case No.: 17-44659

Case No.: 17-44662

Case No.: 17-44664

Case No.: 17-44667

Case No.: 17-44670

Case No.: 17-44671

Case No.: 17-44673


mailto:[email protected]

mailto:[email protected]

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Pinnacle Health Facilities XXXIII, L.P.

Raton Health Facilities, L.P.

SF Health Facilities, L.P.

SF Health Facilities-Casa Real, L.P.

Silver City Health Facilities, L.P.

Debtors.

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Case No.: 17-44674

Case No.: 17-44675

Case No.: 17-44676

Case No.: 17-44677

Case No.: 17-44678

GLOBAL NOTES AND STATEMENT OF LIMITATIONS,

METHODOLOGY, AND DISCLAIMER REGARDING

AMENDMENTS TO THE DEBTORS’ SCHEDULES AND STATEMENTS

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

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

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

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

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

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

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

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

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

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

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

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

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

concurrently herewith.3

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

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

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

the entirety of their Statements.


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3

Additional notes regarding methodology and limitations of the amended Schedules and

Statements are set forth below:

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

additional information to their amended Schedule Fs that is

intended to supplement the information already provided in the

Schedules and Statements. No existing entries on the Debtors’

Schedule Fs were changed in these amended Schedule Fs. The

Debtors’ amendments merely added additional parties.

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

additional information to their amended Schedule Hs that is

intended to supplement the information already provided in the

Schedules and Statements. No existing entries on the Debtors’

Schedule Hs were changed in these amended Schedule Hs. The

Debtors’ amendments merely added additional co-debtors with

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

#END OF GLOBAL NOTES


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Debtors

Debtor Last Four Digits

of Federal Tax I.D. No.

Preferred Care Inc. 7040

Kentucky LP Debtors

Bowling Green Health Facilities, L.P. 5787

Brandenburg Health Facilities, L.P. 6699

Cadiz Health Facilities, L.P. 7640

Campbellsville Health Facilities, L.P. 4207

Elizabethtown Health Facilities, L.P. 6127

Elsmere Health Facilities, L.P. 7843

Fordsville Health Facilities, L.P. 3299

Franklin Health Facilities, L.P. 7307

Hardinsburg Health Facilities, L.P. 3640

Henderson Health Facilities, L.P. 8067

Irvine Health Facilities, L.P. 7418

Morganfield Health Facilities, L.P. 8320

Owensboro Health Facilities, L.P. 8145

Paducah Health Facilities, L.P. 3350

Pembroke Health Facilities, L.P. 8209

Richmond Health Facilities - Kenwood, L.P. 8235

Richmond Health Facilities - Madison, L.P. 8216

Salyersville Health Facilities, L.P. 8263

Somerset Health Facilities, L.P. 8739

Springfield Health Facilities, L.P. 8310


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Stanton Health Facilities, L.P. 8704

New Mexico LP Debtors

Artesia Health Facilities, L.P. 5383

Bloomfield Health Facilities, L.P. 7640

Clayton Health Facilities, L.P. 3609

Desert Springs Health Facilities, L.P. 2707

Espanola Health Facilities, L.P. 2102

Gallup Health Facilities, L.P. 2562

Lordsburg Health Facilities, L.P. 1449

Pinnacle Health Facilities XXXIII, L.P. 1389

Raton Health Facilities, L.P. 6759

SF Health Facilities, L.P. 2323

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

Silver City Health Facilities, L.P. 6972


Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy

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

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

Part 1: Income

1. Gross revenue from business

None

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

Sources of revenue Check all that apply

Gross revenue (before deductions and exclusions)

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

MM / DD / YYYY

Operating a business

Other _______________________ $________________

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


Other _______________________$________________

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


Other _______________________$________________

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

None

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

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

MM / DD / YYYY

___________________________ $________________

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

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

Check if this is anamended filing

Debtor name __________________________________________________________________

United States Bankruptcy Court for the: ________________________________________

Case number (If known): _________________________

Fill in this information to identify the case:

GALLUP HEALTH FACILITIES, L.P.

NORTHERN DISTRICT OF TEXAS

17-44671 MXM

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1/1/2017

1/1/2016 12/31/2016

1/1/2015 12/31/2015

5,958,428.00

7,132,889.00

7,015,808.00

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Debtor _______________________________________________________ Case number (if known)_____________________________________ Name


Part 2: List Certain Transfers Made Before Filing for Bankruptcy

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

None

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

3.1. __________________________________________ Creditor’s name

__________

__________

__________

$_________________ Secured debt

Unsecured loan repayments

Suppliers or vendors

Services

Other _______________________________

3.2. __________________________________________ Creditor’s name

__________

__________

__________

$_________________ Secured debt

Unsecured loan repayments

Suppliers or vendors

Services

Other _______________________________

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

None

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

__________________________________________ Insider’s name

___________

___________

___________

$__________________

Relationship to debtor __________________________________________

4.2. __________________________________________ Insider’s name

___________

___________

___________

$__________________

Relationship to debtor

__________________________________________

GALLUP HEALTH FACILITIES, L.P. 17-44671 MXM

SEE ATTACHED - SOFA 3 AND SOFA 11 997,837.54

SEE ATTACHED - SOFA 4 118,457.34




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

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

5.1. __________________________________________ Creditor’s name

______________ $_________________

5.2. __________________________________________ Creditor’s name

_______________

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

None

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

Amount

__________________________________________ Creditor’s name

_______________

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

Part 3: Legal Actions or Assignments

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

None

7.1.

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

_________________________________ ______________________________ __________________________________________ Name

Pending

On appeal

ConcludedCase number

_________________________________

7.2.

Case title

______________________________

Court or agency’s name and address Pending

On appeal

Concluded

_________________________________ __________________________________________ Name

Case number

_________________________________

_________________$

_________________$


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SEE ATTACHED - SOFA 7




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

NoneCustodian’s name and address Description of the property Value

__________________________________________ Custodian’s name

______________________________________ $______________

Case title Court name and address

______________________________________ __________________________________________ Name

Case number

______________________________________

Date of order or assignment

______________________________________

Part 4: Certain Gifts and Charitable Contributions

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

None

9.1.

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

____________________________________________ Recipient’s name

_______________________________________________

_________________ $______________

Recipient’s relationship to debtor

____________________________________________

9.2.____________________________________________ Recipient’s name

_______________________________________________

_________________ $_____________

Recipient’s relationship to debtor

____________________________________________

Part 5: Certain Losses

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

None

Description of the property lost and how the lossoccurred

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

Date of loss Value of property lost

___________________________________________

___________________________________________ _________________ $_____________


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Part 6: Certain Payments or Transfers

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

None

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

11.1 _____________________________________________

________________________________________________

________________ $______________ Address

Email or website address

_____________________________________________

Who made the payment, if not debtor?

_____________________________________________

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

11.2 ______________________________________________

________________________________________________

________________ $_____________

Address

Email or website address

_____________________________________________

Who made the payment, if not debtor?

_____________________________________________

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

None

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

Total amount or value

_____________________________________________

_________________________________________________

______________ $______________

Trustee

_____________________________________________


SEE ATTACHED - SOFA 11932,774.37

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13. Transfers not already listed on this statement

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

None

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

Date transfer was made

Total amount or value

13.1. __________________________________________

___________________________________________

________________ $______________

Address


__________________________________________

Who received transfer?

___________________________________________

________________ $_____________

13.2. __________________________________________

Address


__________________________________________

Part 7: Previous Locations

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

Does not apply

Address Dates of occupancy

14.1. From ____________ To ____________

14.2. From ____________ To ____________


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Part 8: Health Care Bankruptcies

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

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

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

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

15.1. ____________________________________________ Facility name

____________________________________________________________

____________________

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

How are records kept?

____________________________________________________________

Check all that apply:

Electronically Paper

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

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

15.2. ____________________________________________ Facility name

___________________________________________________________

____________________

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

How are records kept?

____________________________________________________________

Check all that apply:

Electronically Paper

Part 9: Personally Identifiable Information

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

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

Does the debtor have a privacy policy about that information?

No Yes

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

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

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

Name of plan Employer identification number of the plan

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

_______________________________________________________________________ Has the plan been terminated? No Yes


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102RED ROCKS CARE CENTER SKILLED NURSING OPERATION

3720 CHURCH ROCK STREETGALLUP, NM 87301

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

RETAINS SSN AND CREDIT CARD NUMBERS PROVIDED BY CUSTOMERS

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

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

None

Financial institution name and address Last 4 digits of account number

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

Last balance before closing or transfer

18.1 ______________________________________Name

XXXX–___ ___ ___ ___ Checking

Savings

Money market

Brokerage

Other______________

___________________ $____________

18.2 ___________________________________________ Name

XXXX–___ ___ ___ ___ Checking

Savings

Money market

Brokerage

Other______________

___________________ $____________

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

None

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

__________________________________________ Name

____________________________________ _______________________________________

No Yes

Address

_________________________________________

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

None

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

_________________________________________Name

____________________________________ ______________________________________

No Yes

Address

_____________________________________


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✘GALLUP SELF STORAGE AARON MARIANO MEDICAL RECORDS AND BUSINESS

OFFICE PAPERS

2608 E. BOYD AVE.P.O. BOX 718GALLUP, NM 87305




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

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

None

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

__________________________________________Name

__________________________________ _______________________________________

$______________

Part 12: Details About Environmental Information

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

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

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

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

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

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

No Yes. Provide details below.

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

___________________________________________________________________________

Name

____________________________________

Pending

On appeal

Concluded

Case number

_____________________________________

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

No Yes. Provide details below.

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

________________________________________ Name

_______________________________________ Name

_____________________________________

___________________


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

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

________________________________________ Name

________________________________________ Name

____________________________________

__________

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

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

None

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

25.1 _______________________________________Name

________________________________________________

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

Dates business existed

From __________ To __________

25.2


______________________________________ Name

_______________________________________________

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


From __________ To __________


25.3 _______________________________________ Name

_______________________________________________

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


From __________ To __________


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

None

Name and address Dates of service

26a.1 __________________________________________________________________________________Name

From __________ To __________


26a.2 __________________________________________________________________________________ Name

From __________ To __________

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

None


26b.1 ______________________________________________________________________________ Name

From __________ To __________


26b.2 __________________________________________________________________________________Name

From __________ To __________

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

None

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

26c.1 ________________________________________________________________________________ Name

_________________________________________


TOM PATTERSON 9/19/2005 PRESENT

5420 PLANO PARKWAY2ND FLOORPLANO, TX 75093

RYAN HERING 9/19/2005 PRESENT

5420 PLANO PARKWAY1ST FLOORPLANO, TX 75093

BKD 2012 PRESENT

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

BKD 2012 PRESENT

CHRIS CLARK14241 DALLAS PARKWAYSUITE 1100DALLAS , TX 75254

TOM PATTERSON

5420 PLANO PARKWAY2ND FLOORPLANO, TX 75093




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

26c.2 __________________________________________________________________________________ Name

_________________________________________

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

None

Name and address

26d.1 __________________________________________________________________________________ Name

Name and address

26d.2 __________________________________________________________________________________ Name

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

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

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

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

_________________________________________________________________________ ___________ $________________

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

27.1. Name

______________

__________________________________________________________________________


RYAN HERING

5420 PLANO PARKWAY1ST FLOORPLANO, TX 75093

SEE ATTACHED - SCHEDULE AB26D

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

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

_________________________________________________________________________ ___________ $__________________ ________________

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

27.2 _________________________________________________________________________ Name

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

Name Position % of interest, if any

_______________

_______________

_______________

_______________

_______________________________

_______________________________

_______________________________

_______________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

___________________________________________________________

__________________________

__________________________

__________________________

__________________________

_______________________________ ___________________________________________________________ __________________________ _______________

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

Address Position Period during which position or interest was held

From To _______________________________

_______________________________

_______________________________

_______________________________

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

No Yes. Identify below.

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

Dates Reason for providing the value

30.1 _________________________________________________________________ Name

____________________________

__________________


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GALLUP HEALTH FACILITIES GP, LLC GENERAL PARTNER 1.00

THOMAS D. SCOTT LIMITED PARTNER

ROBERT J. RIEK MANAGER

99.00

✘

✘



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

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Name Address Description

Date(s) of

Payment Amount

3.1 ACCELERATED CARE PLUS LEASING, INC. 13828 COLLECTIONS DR., CHICAGO, IL 60693 INV1536585 10/30/2017 $248.23

TOTAL: $248.23

3.2 AMELDA JAMES PO BOX 30, GANADO, AZ 86505 REFUND 9/28/2017 $5,367.87

TOTAL: $5,367.87

3.3 AMERICAN WASTE REMOVAL, INC. 502 CARMONY ROAD NE, ALBUQUERQUE, NM 87107 INV69879 9/8/2017 $233.76

3.4 AMERICAN WASTE REMOVAL, INC. 502 CARMONY ROAD NE, ALBUQUERQUE, NM 87107 INV74309 10/11/2017 $117.08

TOTAL: $350.84

3.5 AT&T MOBILITY PO BOX 6463, CAROL STREAM, IL 60197 UTILITIES 8/23/2017 $55.24



TOTAL: $165.83

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



TOTAL: $373.17

3.11 BIRCH COMMUNICATIONS PO BOX 105066, ATLANTA, GA 30348 UTILITIES 9/13/2017 $510.70


3.13 BIRCH COMMUNICATIONS PO BOX 105066, ATLANTA, GA 30348 UTILITIES 11/7/2017 -$510.70


TOTAL: $1,021.40

3.15 BOTTLE, BURN & BREW, LLC 1906 E. AZTEC AVE, GALLUP, NM 87301 INVINV0385 10/30/2017 $996.60

TOTAL: $996.60

3.16 BRIAN BENALLY ADDRESS REDACTED EXPREPORT 8/30/2017 $900.50



TOTAL: $1,790.78

3.19 BRIAN BILLIE PO BOX 795, NAAJO, NM 87328 REFUND 9/28/2017 $2,191.00

TOTAL: $2,191.00

3.20 BRIGGS MEDICAL SERVICE COMPANY ATTN: CREDIT SERVICES, 4900 UNIVERSITY AVE., STE. # 200, WEST DES MOINES, IA 50266 INV8718454RI 8/17/2017 $140.47



TOTAL: $553.79

3.23 BUSINESS MUSIC, INC. PO BOX 2568, AMARILLO, TX 79105 INVA648853 10/30/2017 $252.96

TOTAL: $252.96

3.24 CARESOURCE PROGRAMS 2200 6TH AVE STE 833, SEATTLE, WA 98121 INV92879 8/17/2017 $300.00

3.25 CARESOURCE PROGRAMS 2200 6TH AVE STE 833, SEATTLE, WA 98121 INV93239 9/28/2017 $314.00

TOTAL: $614.00

3.26 CASS INFORMATION SYSTEMS, INC CIS # 92012, PO BOX 17617, ST. LOUIS, MO 63178 INV198940 8/30/2017 $67.50

3.27 CASS INFORMATION SYSTEMS, INC CIS # 92012, PO BOX 17617, ST. LOUIS, MO 63178 INV204178 9/28/2017 $67.50

TOTAL: $135.00

3.28 CDW LLC PO BOX 75723, CHICAGO, IL 60675 INVJLV6942 8/30/2017 $126.50

3.29 CDW LLC PO BOX 75723, CHICAGO, IL 60675 INVJLD8016 9/13/2017 $3,797.23

3.30 CDW LLC PO BOX 75723, CHICAGO, IL 60675 INVKCZ4297 9/28/2017 $568.36

3.31 CDW LLC PO BOX 75723, CHICAGO, IL 60675 INVKKM7284 10/30/2017 $36.80

TOTAL: $4,528.89

3.32 CIT BANK, N.A. PO BOX 100706, PASADENA, CA 91189 INV30714286 9/8/2017 $334.56



TOTAL: $1,047.78

3.35 CIT, BANK, N.A. PO BOX 100706, PASADENA, CA 91189 INV30745217 9/8/2017 $157.18

3.36 CIT, BANK, N.A. PO BOX 100706, PASADENA, CA 91189 INV30883440 10/11/2017 $157.18

TOTAL: $314.36

3.37 CITY OF GALLUP UTILITY SYSTEMS, PO BOX 1400, GALLUP, NM 87305 UTILITIES 8/30/2017 $4,770.21





TOTAL: $24,677.55

3.42 COMCAST CABLE PO BOX 34744, SEATTLE, WA 98124 UTILITIES 8/23/2017 $98.88





TOTAL: $540.28

3.47 CUMMINS INC 1921 BROADWAY NORTHEAST, ALBUQUERQUE, NM 87102 INV15039 8/17/2017 $1,878.20

3.48 CUMMINS INC 1921 BROADWAY NORTHEAST, ALBUQUERQUE, NM 87102 INV15148 9/28/2017 $1,878.20

TOTAL: $3,756.40

3.49 DATAMAX INC PO BOX 2235, ST LOUIS, MO 63109 INVLQ05448065 9/13/2017 $265.51



TOTAL: $796.53

3.52 DAVID MICHAEL GREENBERG 274 IRON KING, DURANGO, CO 81301 INVAUG2017 8/30/2017 $5,000.00

3.53 DAVID MICHAEL GREENBERG 274 IRON KING, DURANGO, CO 81301 INVSEPT2017 9/28/2017 $5,000.00

TOTAL: $10,000.00

3.54 DIRECT SUPPLY INC. BOX 88201, MILWAUKEE, WI 53288 INV24983005 8/17/2017 $339.47

3.55 DIRECT SUPPLY INC. BOX 88201, MILWAUKEE, WI 53288 INV25031706 8/30/2017 $1,082.47



3.58 DIRECT SUPPLY INC. BOX 88201, MILWAUKEE, WI 53288 INV25157635 10/11/2017 $939.49


TOTAL: $10,998.11

3.60 DIXON-SCHOLL-CARRILLO-P.A. PO BOX 94147, ALBUQUERQUE, NM 87199 INV15038 8/17/2017 $20,560.13

3.61 DIXON-SCHOLL-CARRILLO-P.A. PO BOX 94147, ALBUQUERQUE, NM 87199 INV15140 8/30/2017 $164.23

3.62 DIXON-SCHOLL-CARRILLO-P.A. PO BOX 94147, ALBUQUERQUE, NM 87199 INV15463 9/28/2017 $62.35

TOTAL: $20,786.71


17-44671

Sofa - Question: 3 - SOFA 3 AND SOFA 11



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Date(s) of

Payment Amount

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



TOTAL: $375.00

3.66 ECOLAB INC 26252 NETWROK PLACE, CHICAGO, IL 60673 INV3098885 8/17/2017 $332.91



TOTAL: $998.73

3.69 ECOLAB INC. PO BOX 100512, PASADENA, CA 91189 INV6396982 8/17/2017 $136.14



TOTAL: $408.42

3.72 ELOUISE TALKALAI PO BOX 459, NAVAJO, NM 87328 REFUND 9/28/2017 $305.00

TOTAL: $305.00

3.73 FAWN MABES ADDRESS REDACTED EXPREPORT 8/30/2017 $1,574.86

3.74 FAWN MABES ADDRESS REDACTED EXPREPORT 10/30/2017 $1,284.61

TOTAL: $2,859.47

3.75 FEDERAL EXPRESS CORPORATION PO BOX 94515, PALATINE, IL 60094 INV587326242 8/17/2017 $35.14




TOTAL: $147.70

3.79 FIRST CHOICE MEDICAL SUPPLY HOLDING, INC PO BOX 3608, JACKSON, MS 39207 INV4-869188-00 8/17/2017 $6,487.99






TOTAL: $31,651.12

3.85 GALLUP LUMBER & SUPPLY CO., INC 1724 SOUTH SECOND, GALLUP, NM 87301 INV630776 8/17/2017 $905.82


3.87 GALLUP LUMBER & SUPPLY CO., INC 1724 SOUTH SECOND, GALLUP, NM 87301 INV637458 9/13/2017 $1,158.05




TOTAL: $3,287.23

3.91 GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES INC, 5517 COLLECTIONS CENTER DR, CHICAGO, IL 60693 INV119972 8/17/2017 $567.68

3.92 GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES INC, 5517 COLLECTIONS CENTER DR, CHICAGO, IL 60693 INV122035 10/30/2017 $567.68

TOTAL: $1,135.36

3.93 GLORIA LEZA 603 E WILSON, GALLUP, NM 87301 REFUND 9/19/2017 $938.50

TOTAL: $938.50

3.94 GURLEY PROPERTY LTD. 2608 EAST BOYD AVENUE, GALLUP, NM 87301 INVOCT2017 9/13/2017 $125.00

3.95 GURLEY PROPERTY LTD. 2608 EAST BOYD AVENUE, GALLUP, NM 87301 INVNOV2017 10/11/2017 $125.00

TOTAL: $250.00

3.96 HD SUPPLY FACILITIES MAINTENANCE LTD PO BOX 509058, SAN DIEGO, CA 92150 INV9157685378 10/30/2017 $426.65

TOTAL: $426.65

3.97 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1239362 8/25/2017 $382.38

3.98 HEALTHCARE SERVICES GROUP, INC 3220 TILLMAN DRIVE, SUITE 300, BENSALEM, PA 19020 INV1239775 8/25/2017 $35,522.36
















TOTAL: $178,248.81

3.114 HOLIDAY NURSERY INC PO BOX 577, GALLUP, NM 87301 INV60966 8/17/2017 $667.20



TOTAL: $1,426.94

3.117 HORIZON HEALTHCARE SUPPLY, INC 6100 WASECA ST., STE. 150, DULUTH, MN 55807 INVINV00104892 9/28/2017 $99.99

TOTAL: $99.99

3.118 HYPERDOC, LLC 2865 WEST RIVER ROAD, GRAND ISLAND, NY 14072 INV081817 9/13/2017 $5,400.00

TOTAL: $5,400.00

3.119 IHEARTMEDIA ENTERTAINMENT INC PO BOX 419499, BOSTON, MA 22419 INV1029420644 8/17/2017 $529.64



TOTAL: $1,059.80

3.122 IMPACT TELECOM PO BOX 660344, DALLAS, TX 75266 UTILITIES 9/8/2017 $797.57

3.123 IMPACT TELECOM PO BOX 660344, DALLAS, TX 75266 UTILITIES 10/11/2017 $794.87

TOTAL: $1,592.44

3.124 J & J TRUCK SERVICE INC 2711 W. HISTORIC HWY 66, GALLUP, NM 87301 INV49455 9/13/2017 $137.73

TOTAL: $137.73

3.125 JEANETTE DEMPSEY TOUCHINE PO BOX 137, REHOBOTH, NM 87322 REFUND 9/28/2017 $253.00

TOTAL: $253.00

3.126 JERRY WARREN ADDRESS REDACTED EXPREPORT 9/28/2017 $1,081.65



17-44671




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Payment Amount


TOTAL: $5,805.27

3.129 JJDAC, INC. 10888 S 300 WEST, SOUTH JORDAN, UT 84095 INV1615506A 8/30/2017 $998.42

3.130 JJDAC, INC. 10888 S 300 WEST, SOUTH JORDAN, UT 84095 INV1719191 9/13/2017 $425.13

TOTAL: $1,423.55

3.131 JOERNS WOUNDCO HOLDINGS, INC KEY-BANK LCKBX 713222, 895 CENTRAL AVENUE, CINCINNATI, OH 45202 INV0095015644DI 8/30/2017 $1,030.20

3.132 JOERNS WOUNDCO HOLDINGS, INC KEY-BANK LCKBX 713222, 895 CENTRAL AVENUE, CINCINNATI, OH 45202 INV0095056479DI 9/28/2017 $1,752.67

TOTAL: $2,782.87

3.133 KACHINA RENTALS LLC HC 57 BOX 52, GALLUP, NM 87301 INV86092 9/8/2017 $672.54

3.134 KACHINA RENTALS LLC HC 57 BOX 52, GALLUP, NM 87301 INV88361 10/11/2017 $224.18

TOTAL: $896.72

3.135 KAGE LLC PO BOX 1267, GALLUP, NM 87301 INV18010 9/13/2017 $23.83

TOTAL: $23.83

3.136 KATHERINE RIDENOUR PO BOX 1205, FT DEFIANCE, AZ 86504 REFUND 9/28/2017 $225.00

TOTAL: $225.00

3.137 KIRK DEVERTEUIL ADDRESS REDACTED EXPREPORT 11/7/2017 $1,494.24

TOTAL: $1,494.24

3.138 KONICA MINOLTA BUSINESS SOLUTIONS USA DEPT. 2366, PO BOX 122366, DALLAS, TX 75312 INV246612502 8/30/2017 $59.56



TOTAL: $454.95

3.141 KRJG INC 401 E. COAL AVE., GALLUP, NM 87301 INV70293 8/17/2017 $379.10

3.142 KRJG INC 401 E. COAL AVE., GALLUP, NM 87301 INV80293 9/13/2017 $379.10

TOTAL: $758.20

3.143 LARRY LIVINGSTON PO BOX 793, CHURCHROCK, NM 87311 REFUND 9/28/2017 $499.00

TOTAL: $499.00

3.144 LATASHA HILDRETH ADDRESS REDACTED EXPREPORT 9/13/2017 $90.03

TOTAL: $90.03

3.145 LENA BLATCHFORD PO BOX 129, WINDOW ROCK, AZ 86515 REFUND 9/28/2017 $1,411.00

TOTAL: $1,411.00

3.146 LTS, INC PO BOX 652, GALLUP, NM 87305 INV11630 8/17/2017 $368.25

TOTAL: $368.25

3.147 MASON & ISAACSON, P.A. PO BOX 1772, GALLUP, NM 87305 INV23781 9/28/2017 $146.22

TOTAL: $146.22

3.148 MCKESSON MEDICAL SURGICAL MN SUPPLY INC PO BOX 204786, DALLAS, TX 75320 INV61685308 10/11/2017 $3,870.00

TOTAL: $3,870.00

3.149 MED PASS, INC. L-3495, COLUMBUS, OH 43260 INV1823477 8/17/2017 $369.05




TOTAL: $1,239.80

3.153 MEDLINE INDUSTRIES INC. DEPT 1080, PO BOX 121080, DALLAS, TX 75312 INV1831086809 9/13/2017 $1,124.83

3.154 MEDLINE INDUSTRIES INC. DEPT 1080, PO BOX 121080, DALLAS, TX 75312 INV1832245106 9/28/2017 $490.65

3.155 MEDLINE INDUSTRIES INC. DEPT 1080, PO BOX 121080, DALLAS, TX 75312 INV1829732476 10/11/2017 $52.23

3.156 MEDLINE INDUSTRIES INC. DEPT 1080, PO BOX 121080, DALLAS, TX 75312 INV1833898579 10/30/2017 $1,313.59

TOTAL: $2,981.30

3.157 MELANIE SMITH ADDRESS REDACTED EXPREPORT 9/13/2017 $100.00



TOTAL: $409.98

3.160 MIDTOWN CREDIT IN GALLUP 824 N HIGHWAY, GALLUP, NM 87301 GARNISHMENT 8/15/2017 $5.70

3.161 MIDTOWN CREDIT IN GALLUP 824 N HIGHWAY, GALLUP, NM 87301 GARNISHMENT 9/28/2017 $40.00

TOTAL: $45.70

3.162 MORTY`S LLC PO BOX 2229, GALLUP, NM 87305 INVM004117 8/17/2017 $599.78

3.163 MORTY`S LLC PO BOX 2229, GALLUP, NM 87305 INVP108665 8/30/2017 $2,343.59

3.164 MORTY`S LLC PO BOX 2229, GALLUP, NM 87305 INVM004158 9/13/2017 $289.23

TOTAL: $3,232.60

3.165 NATIONAL DATACARE CORPORATION PROCESSING CENTER, PO BOX 222430, CHANTILLY, VA 20153 INV876648 8/17/2017 $215.30

3.166 NATIONAL DATACARE CORPORATION PROCESSING CENTER, PO BOX 222430, CHANTILLY, VA 20153 INV883662 9/28/2017 $225.65

TOTAL: $440.95

3.167 NED CHEE PO BOX 199, BRIMHALL, NM 87310 REFUND 9/28/2017 $279.00

TOTAL: $279.00

3.168 NEW MEXICO GAS COMPANY PO BOX 27885, ALBUQUERQUE, NM 87125 UTILITIES 8/23/2017 $534.80



TOTAL: $1,737.83

3.171 NEW MEXICO ORTHOPAEDIC ASSOC. PC PO BOX 52163 MSC 800, PHOENIX, AZ 85072 INV1294999 9/28/2017 $262.87

TOTAL: $262.87

3.172 NEW MEXICO SKILLED CARE (CATHEDRAL ROCK) 306 WEST 7TH STREET, SUITE 430, FORT WORTH, TX 76102 INTEREST PAYMENT 9/1/2017 $1,270.05






TOTAL: $17,192.49

3.178 NMNHA BOARD TONEY ANAYA BUILDING, PO BOX 25101, SANTA FE, NM 87504 INVCKREQ082417 8/30/2017 $200.00

TOTAL: $200.00

3.179 O.C. TANNER RECOGNITION COMPANY 1930 SOUTH STATE STREET, SALT LAKE CITY, UT 84115 INV000003825088 8/30/2017 $43.38

3.180 O.C. TANNER RECOGNITION COMPANY 1930 SOUTH STATE STREET, SALT LAKE CITY, UT 84115 INV000003890282 9/28/2017 $252.29

TOTAL: $295.67

3.181 OMEGA HEALTHCARE INVESTORS, INC 303 INTERNATIONAL CIRCLE, STE. 200, HUNT VALLEY, MD 21030 RENT 8/30/2017 $44,567.52





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Payment Amount



TOTAL: $138,975.54

3.187 ON HOLD MARKETING SERVICES, INC. 6840 WEST 70TH STREET, SHREVEPORT, LA 71129 INV235161 8/17/2017 $41.95



TOTAL: $125.85

3.190 OPA CHEMICALS, LLC 136 W. PULASKI RD, HUNTINGTON STATION, NY 11746 INVINV2073 8/17/2017 $126.01

3.191 OPA CHEMICALS, LLC 136 W. PULASKI RD, HUNTINGTON STATION, NY 11746 INVINV2743 9/28/2017 $246.03

TOTAL: $372.04

3.192 PERFORMANCE HEALTH SUPPLY, INC PO BOX 93040, CHICAGO, IL 60673 INVIN89276932 8/17/2017 $140.25





TOTAL: $2,224.22

3.197 PHARMACY CORPORATION OF AMERICA ATTN: MIKE RODRIGUEZ, 1900 S. SUNSET UNIT 1A, LONGMONT, CO 80501 INV707404470430 8/30/2017 $19,401.22



TOTAL: $56,972.76

3.200 PINCOMPUTING COMPANY, LP 5500 W. PLANO PKWY, PLANO, TX 75093 PINCOMPUTING 8/30/2017 $1,300.00



TOTAL: $4,150.00

3.203 PORTER ONE DESIGN LLC 37680 HILLS TECH DRIVE, FARMINGTON HILLS, MI 48331 INV31498 8/30/2017 $195.95

3.204 PORTER ONE DESIGN LLC 37680 HILLS TECH DRIVE, FARMINGTON HILLS, MI 48331 INV32064 9/28/2017 $205.95

TOTAL: $401.90

3.205 PRISCILLA HOOD PO BOX 763, CHURCHROCK, NM 87311 REFUND 9/28/2017 $519.00

TOTAL: $519.00

3.206 PROTECTION ONE ALARM MONITORING, INC. PO BOX 219044, KANSAS CITY, MO 64121 INV117616324 8/17/2017 $395.28




TOTAL: $1,471.79

3.210 QUINTAIROS,PRIETO,WOOD & BOYER,P.A. 9300 SOUTH DADELAND BLVD., 4TH FLOOR, MIAMI, FL 33156 INV555959 10/11/2017 $88.00

TOTAL: $88.00

3.211 REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC., 1901 RED ROCK DR, GALLUP, NM 87301 INVHAO12519 8/17/2017 $115.59

3.212 REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC., 1901 RED ROCK DR, GALLUP, NM 87301 INVHAO17462 9/13/2017 $1,004.87

TOTAL: $1,120.46

3.213 RELIANT PRO REHAB LLC PO BOX 671181, DALLAS, TX 75267 INV471811 8/30/2017 $60,368.33



TOTAL: $176,365.78

3.216 RF TECHNOLOGIES INC PO BOX 8444, CAROL STREAM, IL 60197 INV622201 8/17/2017 $168.81

3.217 RF TECHNOLOGIES INC PO BOX 8444, CAROL STREAM, IL 60197 INV625056 9/13/2017 $448.80

TOTAL: $617.61

3.218 S&S WORLDWIDE, INC ACCOUNTS RECEIVABLE, PO BOX 210, HARTFORD, CT 61410 INV9783961 8/17/2017 $218.34

3.219 S&S WORLDWIDE, INC ACCOUNTS RECEIVABLE, PO BOX 210, HARTFORD, CT 61410 INV9840132 9/28/2017 $173.60

TOTAL: $391.94

3.220 SAMUEL DAMON PO BOX 1312, CROWNPOINT, NM 87313 REFUND 8/30/2017 $5,156.00

TOTAL: $5,156.00

3.221 SARAMANU NM LLC 3820 US 66 E., GALLUP, NM 87301 INV082817 9/13/2017 $398.45

TOTAL: $398.45

3.222 SHAWMARIE BEGAYE ADDRESS REDACTED EXPREPORT 9/28/2017 $100.00

3.223 SHAWMARIE BEGAYE ADDRESS REDACTED EXPREPORT 10/30/2017 $100.00

TOTAL: $200.00

3.224 SHEENA ISAACSON ADDRESS REDACTED EXPREPORT 9/13/2017 $219.89

3.225 SHEENA ISAACSON ADDRESS REDACTED EXPREPORT 10/30/2017 $11.04

TOTAL: $230.93

3.226 SHEILA JORGIO ADDRESS REDACTED EXPREPORT 10/30/2017 $185.00

TOTAL: $185.00

3.227 SHRED-IT US JV LLC 28883 NETWORK PLACE, CHICAGO, IL 60673 INV8122740037 8/30/2017 $60.10



TOTAL: $181.37

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



TOTAL: $266.31

3.233 SOCORRO COX ADDRESS REDACTED EXPREPORT 9/13/2017 $200.00

TOTAL: $200.00

3.234 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1272381 8/17/2017 $1,983.08

3.235 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1278181 9/13/2017 $375.82

3.236 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1279650 9/28/2017 $2,082.56

3.237 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER, CHICAGO, IL 60677 INV1286289 10/11/2017 $74.59

TOTAL: $4,516.05

3.238 STAPLES CONTRACT & COMMERCIAL, INC DEPT DAL, PO BOX 83689, CHICAGO, IL 60696 INV3345515716 8/17/2017 $234.39






TOTAL: $2,062.64

3.244 STATE OF NEW MEXICO HEALTH FACILITY LICENSING& CERT. BUREAU, PO BOX 25886, ALBUQUERQUE, NM 87125 INVCKREQ091217 9/26/2017 $1,224.00

3.245 STATE OF NEW MEXICO HEALTH FACILITY LICENSING& CERT. BUREAU, PO BOX 25886, ALBUQUERQUE, NM 87125 INVCKREQ101817 10/25/2017 $300.00


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Payment Amount

TOTAL: $1,524.00

3.246 STERICYCLE, INC. PO BOX 6578, CAROL STREAM, IL 60197 INV3003944201 8/17/2017 $81.69



TOTAL: $337.45

3.249 TAYLOR CORPORATION PO BOX 840655, DALLAS, TX 75284 INVV7573988 8/30/2017 $46.07

3.250 TAYLOR CORPORATION PO BOX 840655, DALLAS, TX 75284 INVV7601002 9/28/2017 $19.09

TOTAL: $65.16

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



TOTAL: $990.00

3.254 THE CHECKETT LAW FIRM, PLLC 4835 E CACTUS ROAD, STE. 345, SCOTTSDALE, AZ 85254 INV4997 8/17/2017 $19,285.82




TOTAL: $103,416.10

3.258 THE SHERWIN WILLIAMS COMPANY 2100 LAKESIDE BLVD. SUITE 400, RICHARDSON, TX 75082 INV57952142040817 9/13/2017 $184.83

3.259 THE SHERWIN WILLIAMS COMPANY 2100 LAKESIDE BLVD. SUITE 400, RICHARDSON, TX 75082 INV59628142040817 9/28/2017 $499.98

TOTAL: $684.81

3.260 THERESA WARNER ADDRESS REDACTED EXPREPORT 8/30/2017 $114.17

3.261 THERESA WARNER ADDRESS REDACTED EXPREPORT 11/7/2017 $43.33

TOTAL: $157.50

3.262 PCPMG CONSULTING 5420 W. PLANO PKWY, PLANO, TX 75093 MGMT FEES 8/29/2017 $21,855.23




TOTAL: $92,883.38

3.266 THOMAS D. SCOTT 5500 W.PLANO PKWY, PLANO, TX 75093 NOTE INTEREST 11/10/2017 $2,599.91






TOTAL: $15,938.76

3.272 TRI-STATE FLEET MANAGEMENT, LLC PO BOX 162659, FT WORTH, TX 76161 INV5561 8/17/2017 $1,180.94

3.273 TRI-STATE FLEET MANAGEMENT, LLC PO BOX 162659, FT WORTH, TX 76161 INV5684 9/28/2017 $1,998.09

TOTAL: $3,179.03

3.274 TURBO TEK, LLC PO BOX 28715, SANTA FE, NM 87592 INV5547 9/13/2017 $865.50

TOTAL: $865.50

3.275 US DEPARTMENT OF EDUCATION PO BOX 105081, ATLANTA, GA 30348 GARNISHMENT 8/15/2017 $142.03







TOTAL: $1,394.87

3.282 US DEPARTMENT TREASURY DEBT MANAGEMENT SERVICE, PO BOX 979101, ST LOUIS, MO 63197 GARNISHMENT 8/15/2017 $107.11




TOTAL: $400.82

3.286 VICTRINA SPENCER PO BOX 68, FT WINGATE, NM 87310 REFUND 9/28/2017 $1,074.00

TOTAL: $1,074.00

3.287 WEX BANK PO BOX 6293, CAROL STREAM, IL 60197 INV081517 8/30/2017 $1,217.22



TOTAL: $3,820.83

3.290 WILLIAM BENNETT 306 S. 6TH STREET, GALLUP, NM 87301 REFUND 9/28/2017 $84.60

TOTAL: $84.60

3.291 WILLIAM W. HORSLEY 4971 EAST PALOMINO ROAD, PHOENIX, AZ 85018 INV1487 9/28/2017 $2,600.00

TOTAL: $2,600.00

3.292 YVONNE GUERRERO ADDRESS REDACTED EXPREPORT 9/13/2017 $149.80

TOTAL: $149.80

SUB TOTAL: $997,837.54


17-44671



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

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Insider Name Insider Address Date

Total

Amount of

Value

4.1 PINCOMPUTING COMPANY, LP (1601) 5500 W PLANO PKWY, PLANO, TX 75093 11/29/2016 $1,450.00












TOTAL: $16,900.00

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 12/1/2016 $57.53

4.15 THOMAS SCOTT 5500 W PLANO PKWY, PLANO, TX 75093 12/1/2016 $1,411.95





























TOTAL: $101,168.38

SUB TOTAL: $118,457.34


17-44671Sofa - Question: 4 - SOFA 4


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

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Case Title Case Number Nature of Case

Court or Agency's Name and

Address Status of Case

7.1

CARMELITA SMITH PR OF THE ESTATE OF

BESSIE SMITH DECEASED V RED ROCKS

NURSING OPERATIONS ET AL, CATHEDRAL

ROCK ET AL, GALLUP HF LP, GALLUP HF GP,

PCPMG LP, PCI, THOMAS SCOTT, ERIC

MCLEMORE, DARLENE STEPHENS, JOE VEGA

201500387FRACTURE BY

MOVING, WOUND

ELEVENTH JUDICIAL DISTRICT

COURT - MCKINLEYPENDING

7.2 CHARLENE BEGAY 2073604WORKERS

COMPENSATIONSTATE OF NEW MEXICO CLOSED

7.3 DOREATHA JEFFERSON 2081569WORKERS


7.4 EVELYN TEENGAR 2085968WORKERS


7.5 FAWN MABES 2092226WORKERS


7.6 GUALENA DESCHENY 2103061WORKERS


7.7 JANE MARTINEZ 2016-00080CLOSED

LITIGATION

COUNTY OF MCKINLEY


COURT

CLOSED

7.8 JEANETTE NOTAH 2081920WORKERS


7.9

JOHN SCOOPMIRE V. GALLUP HEALTH

FACILITIES, LP D/B/A RED ROCKS CARE CENTER;

GALLUP HEALTH GP, LLC; PREFERRED CARE

PARTNERS MANAGEMENT GROUP, LP; PCPMG,

LLC; PREFERRED CARE INC., THOMAS D. SCOTT;

DAVID LAMB - ADMINISTRATOR; AND JOHN DOES

1-250

201700008GENERAL

NEGLIGENCE


COURT - SAN JUANPENDING

7.10

LISA BRITE, AS PERSONAL REPRESENTATIVE

OF THE WRONGFUL DEATH ESTATE OF

KATHLEEN PENA, DECEASED V. RED ROCKS

NURSING OPERATIONS, LLC, NEW MEXICO

SKILLED CARE, LLC; CATHEDRAL ROCK

MANAGEMENT, LP, CATHEDRAL ROCK

INVESTMENTS, INC., CATHEDRAL ROCK

MANAGEMENT I, INC; CATHEDRAL ROCK

CORPORATION; C. KENT HARRINGTON; GALLUP

HEALTH FACILITIES, LP, GALLUP HEALTH

FACILITIES GP, LLC, PREFERRED CARE

PARTNERS MANAGEMENT GROUP, LP;

PREFERRED CARE, INC.; THOMAS D. SCOTT;

ERIC MCLEMORE, ADMINISTRATOR, EDWARD

FOLEY ADMINISTRATOR, DARLENE STEPHENS

ADMINISTRATOR JOE VEGA ADMINISTRATOR,

AND DOES 1-250

210500329

DEATH,

NEGLIGENCE-

DEATH, WOUND



7.11 MADELENE YAZZIE 2082763WORKERS


7.12 MAE MICON 2112007WORKERS

COMPENSATIONSTATE OF NEW MEXICO PENDING

7.13 MARGARET WYTSALUCY 2073588WORKERS


7.14 MARK J LAIN 2112638WORKERS



17-44671

Sofa - Question: 7 - SOFA 7



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7.15

MELISSA JUMBO, AS PERSONAL

REPRESENTATIVE OF THE WRONGFUL DEATH

ESTATE OF WALLACE JOHN V. GALLUP HEALTH

FACILITIES, LP, GALLUP HEALTH FACILITIES GP,

LLC, PREFERRED CARE PARTNERS

MANAGEMENT GROUP, LP; PREFERRED CARE,

INC., THOMAS D. SCOTT; DAVID LAMB -

ADMINISTRATOR, AND DOES 1-250

201600373NEGLIGENCE-

DEATH



7.16 MICHAEL ILAGAN 2094484WORKERS


7.17

MONICA BEGAY AS GUARDIAN OF HERBERT

GEORGE MORGAN JR., V. RED ROCKS CARE

CENTER, JOHN RICHARDSON, JOHN DOES 1-10,

JANE DOES A-J AND XYZ CORPORATIONS 1-10

201700832FALL, GENERAL

NEGLIGENCE



7.18 RAYDEN R BEGAY 2093327WORKERS


7.19 RAYDEN R BEGAY 2095755WORKERS


7.20 SHERRITA YAZZIE 2087624WORKERS


7.21 SKYLAR HUBBARD 2096880WORKERS


7.22

STATE OF NEW MEXICO COUNTY OF SANTA FE

FIRST JUDICIAL DISTRICT COURT, STATE OF

NEW MEXICO EX REL. GARY KING, ATTORNEY

GENERAL, PLTF V. PCI, PCPMG, LP, PCPM GP,

LLC THOMAS SCOTT, SF HEALTH FACILITIES, LP

D/B/A CASA REAL; SF HEALTH FACILITIES-CASA

REAL GP, LLC; GALLUP HEALTH FACILITIES LP

D/B/A RED ROCKS CARE CENTER; GALLUP

HEALTH FACILITIES GP, LLC; SF HEALTH

FACILITIES, LP D/B/A SANTA FE CARE CENTER;

SF HEALTH FACILITIES GP, LLC; PINNACLE

HEALTH FACILITIES XXXIV LP D/B/A SAGECREST

NURSING AND REHAB CENTER; PINNACLE

HEALTH FACILITIES GP V, LLC; BLOOMFIELD

NURSING AND REHAB CENTER; BLOOMFIELD

HEALTH FACILITIES GP, LLC; ESPANOLA HEALTH

FACILITIES, LP D/B/A ESPANOLA VALLEY

NURSING AND REHAB CENTER AND ; ESPANOLA

HEALTH FACILITIES GP, LLC; LORDSBURG

HEALTH FACILITIES, LP D/B/A SUNSHINE HAVEN

AT LORDSBURG; LORDSBURG HEALTH

FACILITIES GP, LLC AND CATHEDRAL ROCK

CORP, CATHEDRAL ROCK MANAGEMENT LP;

CATHEDRAL ROCK MANAGEMENT I INC.,

CATHEDRAL ROCK INVESTMENTS, INC., C. KENT

HARRINGTON; (** SEE COMPLAINT - ALL

FACILITIES UNDER CATHEDRAL ROCK ENTITY

NAMES**)

D-101-CV-2014-02535REGULATORY

MATTER

SANTA FE FIRST JUDICIAL

DISTRICTPENDING

7.23 TASHINA A CLARK 2075880WORKERS


7.24 TENISHA BROWN 2078852WORKERS


7.25 THERESA FREELAND 2076450WORKERS



17-44671




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7.26 THERESA FREELAND 2084684WORKERS



17-44671



SOFA 11Payments related to bankruptcy

Name Address Dates Total Amount

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







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

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

TOTAL: $932,774.371

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



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

financial statement within 2 years before filing this case

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Name Address 1 Address 2 City State Zip

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

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

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

Sofa - Question: 26D - SCHEDULE AB26D


Documents

IN THE UNITED STATES BANKRUPTCY COURT FOR …upshotservices.s3.amazonaws.com/files/8edffab3-a150-4ae3...List payments or transfers including expense reimbursements to any creditor,