2023-05-15T12:26:39-05:00 2022-06-30 721396621 CARR RIGGS & INGRAM LLC 111 VETERANS BLVD SUITE 350 METAIRIE LA 70005 990 2021-07-01 720996315 COMMCARE CORPORATION COMM 5043248950 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 DAWN HARVEY PSARELLIS CORPORATE SECRETARY 5043248950 2023-05-15 1 DAWN HARVEY PSARELLIS 999009999 MELISSA Y DUHON CPA P01336607 5048379116 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z PATRICIA PRECHTER 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 134207523 0 X WWW.COMMCARE.COM X 1984 LA TO PROVIDE THE HIGHEST QUALITY HEALTH & CUSTODIAL CARE TO ELDERLY & INFIRM PERSONS ON A NON-DISCRIMINATORY BASIS IN CONJUNCTION WITH A COMMITMENT TO SUPPORT THE CITIZENS OF THE COMMUNITY WE SERVE. 5 4 3222 100 461732 0 14886363 3776872 100344561 121926235 -5085282 5339651 1063137 2847813 111208779 133890571 0 0 0 0 53535465 63585747 0 0 0 53017133 65406413 106552598 128992160 4656181 4898411 199915920 195058410 127452215 102179318 72463705 92879092 X TO PROVIDE RESIDENTIAL/EXTENDED CARE, INCLUDING REHABILITATION AND OTHER NON-ACUTE SERVICES TO THE COMMUNITIES IN WHICH IT OPERATES NURSING HOMES, AND TO SERVE THE SPECIAL NEEDS OF THE ELDERLY BY PROVIDING PHYSICAL CARE, SAFE ENVIRONMENTS, PSYCHOLOGICAL CARE AND RECREATIONAL OPPORTUNITIES TO BOTH RESIDENTS OF THE FACILITIES AND THE ELDERLY WHO RESIDE IN THE COMMUNITIES THE ORGANIZATION SERVES. 0 0 70474687 129242606 PROVISION OF RESIDENTIAL/EXENDED CARE INCLUDING REHABILITATION AND OTHER NON-ACUTE SERVICES TO THE COMMUNITIES IN WHICH IT OPERATES NURSING HOME FACILITIES. 70474687 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 234 0 1 3222 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARY HUDSON 5043248950 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 ANTHONY MANGUN CHAIRMAN OF THE BOARD 1.00 8.00 X 48000 0 0 PATRICIA M PRECHTER PRESIDENT/BOARD MEMBER 40.00 10.00 X X 82155 0 0 MICHAEL FORD BOARD MEMBER 1.00 6.00 X 36000 0 0 WAYNE R PLAISANCE BOARD MEMBER 1.00 2.00 X 0 0 0 DAWN HARVEY PSARELLIS SECRETARY (NON-VOTING) 1.00 50.00 X 0 378170 25956 ANDREW ST PIERRE ADMINISTRATOR 40.00 0.00 X 167552 0 17503 HOWARD SADLER ADMINISTRATOR 40.00 0.00 X 196628 0 16957 KORY W KOTTENBROOK ADMINISTRATOR 40.00 0.00 X 197524 0 8129 KANDISE M WILSON DIRECTOR OF NURSING 40.00 0.00 X 174535 0 14285 CHASITI SOUTER DIRECTOR OF NURSING 40.00 0.00 X 165180 0 11206 1067574 378170 94036 35 0 1 0 SERVERWORK LLC 127 W BROAD STREET SUITE 800 LAKE CHARLES LA 70601 IT/COMPUTER SUPPORT 889712 QUALITY CARE REHAB INC 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY SERVICES 640866 NURSE'S DIRECT LLC 109 S COLLEGE ROAD LAFAYETTE LA 70503 AGENCY FOR NURSES 634635 RICHTER AND ASSOCIATES INC 8948 CANYON FALLS BLVD 400 TWINSBURG OH 44087 ADMINISTRATIVE SERVICES 569614 NATIONAL NURSES OF AMERICA INC 5820 JACKSON STREET EXT ALEXANDRIA LA 71303 STAFFING SERVICES 347731 5 3776872 3776872 PATIENT SERVICES REVENUE 623000 121926235 121926235 121926235 392995 392995 671660 123390 209928 107024 461732 16366 478098 461732 16366 4946656 0 4946656 4946656 4946656 INSURANCE SETTLEMENT PROCEEDS 623000 1500000 1500000 MANAGEMENT FEE INCOME 623000 572031 572031 MISCELLANEOUS 623000 179254 179254 118430 118430 2369715 133890571 129242606 461732 409361 199681 199681 52762682 32220271 20542411 637681 412742 224939 5869691 4412125 1457566 4116012 2535336 1580676 7972216 7972216 1233318 1233318 793383 793383 1162382 1162382 188321 188321 1417603 762988 654615 1885978 1885978 7714236 7714236 229602 3885 225717 206531 268 206263 2677522 2677522 6035080 4334804 1700276 1128805 1128805 UBT INCOME TAX 28298 28298 ANCILLARY PATIENT SERVI 12283099 8476915 3806184 MEDICAL SUPPLIES 6729909 6056918 672991 PROVIDER FEES 5471913 5471913 8248217 5786522 2461695 128992160 70474687 58517473 0 8894626 13573640 2074512 1574768 16021608 16265229 17285725 27211787 702 475 894851 1028450 131467851 33797272 121126966 97670579 9713827 8248991 21523723 26001382 2379380 3483109 199915920 195058410 14894703 26011572 33672249 63947056 78827393 12220690 57870 0 127452215 102179318 X 72463705 92879092 72463705 92879092 199915920 195058410 X 4898411 686967 -108001 14938010 X X 0 1 X 1 0 X 4207110 14886363 3776873 22870346 89761716 97450330 96541051 100344561 121926235 506023893 89761716 97450330 100748161 115230924 125703108 528894239 0 0 0 528894239 281291 333311 560009 1079576 1064655 3318842 91356 129808 134384 135753 16368 507669 372647 463119 694393 1215329 1081023 3826511 901586 322195 838728 622037 2369715 5054261 91035949 98235644 102281282 117068290 129153846 537775011 0.98350 0.98740 0.00710 0.00650 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 901,586. 2018 AMOUNT: $ 322,195. 2019 AMOUNT: $ 838,728. 2020 AMOUNT: $ 622,037. 2021 AMOUNT: $ 2,369,715. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8855028 8855028 95440967 17000501 78440466 13171620 7109410 6062210 14000236 9687361 4312875 97670579 X PART X, LINE 2: MANAGEMENT IS A C-CORPORATION FOR INCOME TAX PURPOSES AND INCOME TAX EXPENSE IS CALCULATED BASED ON THE LIABILITY METHOD. DURING THE YEAR ENDED JUNE 30, 2022 THERE WERE NO DIFFERENCES BETWEEN THE BOOK BASIS AND THE TAX BASIS OF MANAGEMENT'S ASSETS AND LIABILITIES, AND THEREFORE THERE WERE NO DEFERRED TAX ASSETS OR LIABILITIES RECORDED AT JUNE 30, 2022. INCOME TAX EXPENSE OF $0 AND $110,431 WAS RECORDED IN MISCELLANEOUS (EXPENSE) INCOME ON THE CONSOLIDATED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS DURING THE YEAR ENDED JUNE 30, 2022 AND 2021, RESPECTIVELY. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN FOR COMMCARE MANAGEMENT CORPORATION. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT COMMCARE CORPORATION AND ITS NONPROFIT SUBSIDIARIES QUALIFY AS 501(C)(3) ORGANIZATIONS AND ARE EXEMPT FROM INCOME TAXES. THE COMPANY'S FOR PROFIT SUBSIDIARIES, OTHER THAN COMMCARE MANAGEMENT CORPORATION, HAVE ELECTED TO BE TAXED AS PARTNERSHIPS AND ALL INCOME FLOWS THROUGH TO THE INDIVIDUAL MEMBERS. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ORGANIZATION TO ACCOUNT FOR UNCERTAINTIES IN INCOME TAXES. THE INTERPRETATION REQUIRES RECOGNITION AND MEASUREMENT OF UNCERTAIN INCOME TAX POSITIONS USING A "MORE-LIKELY-THAN-NOT" APPROACH. THE COMPANY HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING OR RETROACTIVE TAX POSITIONS WITH LESS THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION OF TAXING AUTHORITIES. X X X X X 0 0 0 0 0 0 0 1 0 DAWN HARVEY PSARELLIS SECRETARY (NON-VOTING) 0 253520 0 124650 0 0 0 0 0 25956 0 404126 0 0 HOWARD SADLER ADMINISTRATOR 146163 0 50465 0 0 0 0 0 16957 0 213585 0 0 0 KORY W KOTTENBROOK ADMINISTRATOR 151824 0 45700 0 0 0 0 0 8129 0 205653 0 0 0 KANDISE M WILSON DIRECTOR OF NURSING 147315 0 27220 0 0 0 0 0 14285 0 188820 0 0 0 ANDREW ST PIERRE ADMINISTRATOR 124942 0 42610 0 0 0 0 0 17503 0 185055 0 0 0 CHASITI SOUTER DIRECTOR OF NURSING 139475 0 25705 0 0 0 0 0 11206 0 176386 0 0 0 PART I, LINE 3 SUBSCRIBE TO ANNUAL COMPENSATION SURVEYS BY HCCS. COMPENSATION IS REVIEWED ANNUALLY BY OUTSIDE DIRECTORS IN COMPARISON WITH INDUSTRY AVERAGES REPORTED BY HCCS. PART I, LINE 7 MERIT BONUSES AT THE DISCRETION OF MANAGEMENT AND BOARD OF DIRECTORS. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 000000000 2016-06-01 41808729 REFUNDING OF BONDS ISSUED 07/29/2015 0 0 0 A 41808729 41808729 41808729 2011 1 0 1 1 A 0 1 0 0 0.21000 0.21000 0 0 1 A 0 0 1 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 DURING THE YEAR ENDED JUNE 30, 2019, THE COMPANY FORMED A WHOLLY OWNED SUBSIDIARY, COMMCARE MANAGEMENT CORPORATION. MANAGEMENT IS FORMED TO MANAGE SKILLED NURSING FACILITIES BOTH OWNED BY THE COMPANY AND BY THIRD PARTY ENTITIES. ALL MANAGEMENT FEES ASSESSED TO ENTITIES WITH COMMON OWNERSHIP ARE ELIMINATED THROUGH CONSOLIDATION OF THE FINANCIAL STATEMENTS. MANAGEMENT FEE INCOME OF $572,031 FOR THE YEAR ENDED JUNE 30, 2022, REPRESENTS FEES EARNED THROUGH THE MANAGEMENT OF THIRD PARTY OWNED SKILLED HOMES. FORM 990, PART VI, SECTION B, LINE 11B REVIEWED BY MANAGEMENT, WHO ARE ALSO PART OF THE GOVERNING BOARD, THEN REVIEWED BY ALL OF THE GOVERNING BOARD AT AN OPEN MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, WHO ARE MEMBERS OF THE BOARD OF DIRECTORS, CERTIFY ANNUALLY THAT THEY HAVE READ, UNDERSTAND, AND WILL COMPLY WITH THE COMPLIANCE POLICY, WHICH CONTAINS CONFLICT OF INTEREST PROVISIONS AND A QUESTIONNAIRE REGARDING CONFLICTS OF INTEREST. ANY NOTED CONFLICTS WILL CAUSE A PERSON TO ABSTAIN FROM VOTE. FORM 990, PART VI, SECTION B, LINE 15 SUBSCRIBE TO ANNUAL COMPENSATION SURVEYS BY HCCS. COMPENSATION IS REVIEWED ANNUALLY BY OUTSIDE DIRECTORS IN COMPARISON WITH INDISTRY AVERAGES REPOTRED BY HCCS. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CONTRIBUTIONS FROM SUBSIDIARIES 14,938,010. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE IT'S OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. 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