Leadership old

President & Owner


The President and owner of Nightingale Services, Inc. is Mr. Harold C. Sims II. Mr. Sims has over 40 years experience in the healthcare industry, either serving as the owner, president, or administrator of various healthcare businesses. Upon receiving his Master’s of Business Administration from Armstrong Atlantic State University, Mr. Sims became the administrator of Jasper Memorial Hospital located in Monticello, GA. In 1974, he moved back to Savannah and became the administrator of Chatham Nursing Home until 1993. During his tenure as a nursing home administrator, Mr. Sims opened up Marshview Inn, a personal care home, which consequently led to the birth of Nightingale Services. After selling Marshview Inn, he ventured into an Emergency Response System Company, which expanded into 17 states before merging with Lifeline in 2004. Under his leadership, Nightingale expanded into the Durable Medical Equipment Industry and Hospice Services. Mr. Sims has successfully led the corporate entity of Nightingale Services into the Private Home Care Industry, which now has 12 offices located across the entire state of Georgia and serving more than a thousand clients.

Mr. Sims is a Retired Lt. Colonel from the Georgia Air National Guard where he was attached to the 165th Air Wing. In 1979, he served a 3 year term as the President of the Georgia Association of County Health Facilities. Continuing his leadership in healthcare, he was elected as the President of the Georgia Association of Community Care Providers from 2001-2005. He is a past member of Savannah Rotary Club and is currently a member of the Savannah Golf Club and the Isle of Hope Methodist Church.

Vice President and CEO

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The day to day corporate operations are managed by Heather Fries, Vice President and Chief Executive Officer. Mrs. Fries has worked in every non-clinical position in the company from entry-level all the way through to her current position as VP & CEO. She has been charged with taking the company into previously unpenetrated markets, adding stakeholder value to the company and ever improving customer service levels. Mrs. Fries served as an integral part of Nightingale’s success, supervising and directing the Durable Medical Equipment Company, providing Emergency Response Systems to over 3,000 subscribers, and performing as the Hospice Administrator for all 3 locations. She holds a Bachelor of Arts in Psychology from Memphis State University coupled with a Masters of Science in Physiological Research & Counseling from the University of Memphis, both of which specialize in the aging population.

In January of 2009, Mrs. Fries was appointed to the Board of Georgia Association of Community Care Providers. Upon being appointed, she was elected as an officer to serve as the secretary and chosen to be the Chairman of the GACCP Billing Committee. 

Director of Operations


John Albright is Director of Operations for Nightingale. Mr. Albright is a graduate of Georgia Southern University’s Jiann-Ping Hsu College of Public Health where he completed his Master’s of Healthcare Administration Degree. Mr. Albright is also a current member of the American College of Healthcare Executives.

As the Director of Operations, his duties include, but are not limited to:

  • Monitor and manage the profit and loss for 12 regional offices.
  • Ensure corporate compliance of all rules and regulations as set forth by all federal and state regulatory agencies.
  • Assist with Monitoring Corporate Financial, Quality, and Operational Performance.
  • Development and Implement Corporate Quality and Operational Policies and Procedures.
  • Develop Corporate and Regional Strategic Business Plans to maximize fiscal responsibility in the process of generating profitability within a specific time frame and budget.
  • Assist with corporate and regional  budget preparation and development.
  • Directs and oversees all billing operations, including both Medicaid and Medicare payer sources.
  • Establish and enhance organizational structures through strategic planning and implementation of company goals and initiatives.
  • Monitor existing regional offices for growth to improve bottom-line, increase productivity, reduce staffing, and decrease operational cost.
  • Direct projects throughout the company providing successful outcomes, providing cross-functional management and standardization for successful outcomes.
  • Lead a Medicare Home Health office through initial licensure and ACHC accreditation in Florida.

Director of Licensure and Expansion



Josh Delawder is Director of Business Development, Licensure & Expansion for Nightingale. Mr. Delawder is a graduate of Shepherd University where he completed his Bachelors Degree in Geriatrics with a concentration of Business. Mr. Delawder has 12 years of Experience in Administration within Acute Care, Skilled Rehabilitation and Long-term Care.

As the Director of Licensure & Expansion, his duties include, but are not limited to:

  • Assure that the company has capitalized on market penetration and reaching the unserved and underserved clients, both within the State of Georgia and the targeted surrounding states of Alabama, Florida, Tennessee, and North Carolina.
  • Establishing new relationships and maintain current relationships with referral sources such as Source, CCSP, Veteran’s Administration, and the Private Pay Market.
  • Ensure corporate compliance of all rules and regulations as set forth by all federal and state regulatory agencies.
  • Maintain and acquire all Corporate Licenses
  • Assist with monitoring Corporate Performance
  • Assist with Development and Implementation of Corporate Quality Policies and Procedures
  • Identify and capitalize on areas of improvement

Director of Human Resources


Mr. Patrick Mead comes to Nightingale as a registered mediator with the State of Georgia with over 11 years of experience. He is a retired Law Enforcement Officer and is a graduate of University of Central Florida where he completed his Bachelors of Psychology. He also graduated with a Master’s Business Administration from Brenau University.

As the Director of Human Resources, his primary duties include, but are not limited to:

  • Coordinates the employment, application, and interviewing process.
  • Coordinates applicant appointment process for new hires in assigned areas.
  • Provide professional advice to company officials on HR and Staff development issues.
  • Creates, reviews, and modifies personnel reports and records.
  • Advise management team on HR issues to ensure compliance with federal and state regulations, as well as company policies and procedures.
  • Coordinates and processes flexible benefits packages for new employees.
  • Conduct safety meetings and manage safety programs and worker’s compensation claims for compliance.



Matthew Sickmeier comes to us as a former US Army armor crewman. Matt is a graduate of Columbia College where he completed his Bachelor Degree in Accounting.

As Comptroller, his duties include, but are not limited to:

  • Guides financial decisions by establishing, monitoring, and enforcing policies and procedures.
  • Protects assets by establishing, monitoring, and enforcing internal controls.
  • Monitors and confirms financial condition by conducting audits; providing information to external auditors.
  • Maximizes return, and limits risk on cash by minimizing bank balances.
  • Prepares budgets by establishing schedules; collecting, analyzing and consolidating financial data;recommending plans.
  • Achieves budget objectives by scheduling expenditures; analyzing variances; initiating corrective actions.
  • Provides status of financial condition by collecting, interpreting and reporting financial data.

Director of Payroll


Cyndi Spiva is Director of Payroll. Ms. Spiva is the most senior of the team of directors, contributing 10 years to the Nightingale Corporation. She came on board in 2004 working for Nightingale under the Emergency Response System company. Upon venturing into the Durable Medical Equipment company, Ms. Spiva was transferred and promoted to be the Office Manager for Nightingale DME. In 2007, Cyndi was promoted again to the position of Human Resource Director. After a year in the role as HR Director, Ms. Spiva was placed solely in charge of Corporate Payroll.

Cyndi has facilitated the growth and maturity of Nightingale from 200 associates to over 700, and from 5 Private Home Care Offices to 12. Cyndi and her team are responsible for all of Nightingale’s payroll preparation and processing along with tax reporting, benefits-records administration, and payroll systems management.