2021-04-05T13:05:28-05:00 2020-06-30 721396621 CARR RIGGS & INGRAM LLC 111 VETERANS BLVD SUITE 350 METAIRIE LA 70005 990 2019-07-01 720996315 COMMCARE CORPORATION COMM 5043248950 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 DAWN HARVEY PSARELLIS CORPORATE SECRETARY 5043248950 2021-03-30 1 MELISSA Y DUHON CPA P50053660 5048379116 2021-03-30 2019 2022-09-23 18:48:47Z JOHN TUCKER 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 102502586 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. 3 2 2594 0 134384 133384 0 4207110 97450330 96541051 333311 402309 617005 696710 98400646 101847180 0 0 0 0 49525649 51124700 0 0 0 48290948 53560654 97816597 104685354 584049 -2838174 139539324 182016195 73596455 119184219 65942869 62831976 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 65175284 97379779 PROVISION OF RESIDENTIAL/EXENDED CARE INCLUDING REHABILITATION AND OTHER NON-ACUTE SERVICES TO THE COMMUNITIES IN WHICH IT OPERATES NURSING HOME FACILITIES. 65175284 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 289 0 1 2594 1 1 1 0 0 0 0 0 0 0 0 0 X 3 2 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 JOHN STASSI II PRESIDENT/CEO/EMPLOYEE 40.00 3.00 X X 354808 0 0 ANTHONY MANGUM DIRECTOR 1.00 3.00 X 44000 0 0 PATRICIA M PRECHTER DIRECTOR/ASSISTANT SECRETARY 1.00 3.00 X 41000 0 0 DAWN HARVEY PSARELLIS SECRETARY (NON-VOTING) 50.00 3.00 X 0 280779 17840 KATHY MARLOWE DIRECTOR OF NURSING 40.00 X 150096 0 9305 HOWARD SADLER ADMINISTRATOR 50.00 X 165572 0 21607 ERIC WAHLEN ADMINISTRATOR 40.00 X 163951 0 15601 VANESSA HOUCK ADMINISTRATOR 40.00 X 141058 0 12488 ALICIA SMITH DIRECTOR OF NURSING 40.00 X 136260 0 11105 MEGAN D WILLIAMS ADMINISTRATOR 40.00 X 132200 0 21548 1328945 280779 109494 16 0 1 0 DONAHUE FAVRET CONTRACTOR'S INC 3030 CAUSEWAY APPROACH MANDEVILLE LA 70448 BUILDING CONTRACTOR 30088237 QUALITY CARE REHAB INC 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY SERVICES 8783773 DHH DIVISION OF FISCAL MANAGEMENT PO BOX 62898 NEW ORLEANS LA 70162 PROVIDER FEES 4774548 BEN E KEITH COMPANY PO BOX 1869 FORT WORTH TX 76101 FOOD SUPPLIER 2781233 FUSION CARE PHARMACY 8720 QUIMPER PLACE STE 200 SHREVEPORT LA 71105 PHARACEUTICAL DRUG/SUPPLIES 2539163 40 4207110 4207110 PATIENT SERVICES REVENUE 623000 96541051 96541051 96541051 392009 392009 523688 655406 -131718 -131718 134384 -266102 10300 0 10300 10300 10300 MANAGEMENT FEE INCOME 623000 443359 443359 CAMELOT 623000 185322 185322 MEALS INCOME 623000 112755 112755 86992 86992 828428 101847180 97379779 134384 125907 X 612970 612970 40828780 31693604 9135176 578477 455706 122771 5962095 4022405 1939690 3142378 2473113 669265 6838764 6838764 643710 643710 681117 681117 635968 635968 151234 151234 1300688 768124 532564 1481538 1481538 4964949 4964949 257949 18102 239847 193999 6892 187107 1972108 1972108 3349487 2419776 929711 1001242 1001242 UBT INCOME TAX 113594 113594 ANCILLARY PATIENT SERVI 11787392 11765836 21556 DEBT FORGIVENESS 5076075 5076075 PROVIDER FEES 4702929 4702929 8407911 6848797 1559114 104685354 65175284 39510070 0 13464365 29751750 3060108 3073651 12445513 12548547 6966400 7666400 665 2577 558689 1075618 157316428 50741470 77237988 106574958 11710284 7120371 12734625 12781773 1360687 1420550 139539324 182016195 11495077 14618259 62101378 36814036 65739065 0 2012859 73596455 119184219 X 65942869 62831976 65942869 62831976 139539324 182016195 -2838174 -272719 0 X X 0 1 X 1 0 X 4207110 4207110 85513673 90602490 89761716 97450330 96541051 459869260 85513673 90602490 89761716 97450330 100748161 464076370 0 0 0 464076370 59332 369064 281291 333311 560009 1603007 116132 143636 91356 129808 134384 615316 175464 512700 372647 463119 694393 2218323 266644 369064 901586 322195 838728 2698217 85955781 91484254 91035949 98235644 102281282 468992910 0.98950 0.99120 0.00470 0.00400 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 266,644. 2016 AMOUNT: $ 369,064. 2017 AMOUNT: $ 901,586. 2018 AMOUNT: $ 322,195. 2019 AMOUNT: $ 838,728. 10512177 10512177 117425052 30685420 86739632 13891529 8598581 5292948 15487670 11457469 4030201 106574958 CARES ACT REFUNDABLE ADVANCE 2012859 2012859 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, 2019 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, 2019. INCOME TAX EXPENSE OF $221,900 WAS RECORDED IN MISCELLANEOUS (EXPENSE) INCOME ON THE CONSOLIDATED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS DURING THE YEAR ENDED JUNE 30, 2019. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN FOR MANAGEMENT. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT COMMCARE CORPORATION AND ITS NONPROFIT SUBSIDIARIES QUALIFY AS 503(C)(3) ORGANIZATIONS AND ARE EXEMPT FROM INCOME TAXES. THE COMPANY'S FOR PROFIT SUBSIDIARIES, OTHER THAN MANAGEMENT, 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 1 0 0 0 0 0 0 1 0 JOHN STASSI II PRESIDENT/CEO/EMPLOYEE 284808 0 0 0 70000 0 0 0 0 0 354808 0 0 0 DAWN HARVEY PSARELLIS SECRETARY (NON-VOTING) 0 227576 0 53203 0 0 0 0 0 17840 0 298619 0 0 KATHY MARLOWE DIRECTOR OF NURSING 128646 0 21450 0 0 0 0 0 9305 0 159401 0 0 0 HOWARD SADLER ADMINISTRATOR 130963 0 34609 0 0 0 0 0 21607 0 187179 0 0 0 ERIC WAHLEN ADMINISTRATOR 128382 0 35569 0 0 0 0 0 15601 0 179552 0 0 0 VANESSA HOUCK ADMINISTRATOR 111789 0 29269 0 0 0 0 0 12488 0 153546 0 0 0 MEGAN D WILLIAMS ADMINISTRATOR 107245 0 24955 0 0 0 0 0 21548 0 153748 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 4A L. RENE GOUX'S NEGOTIATED SEVERANCE PACKAGE APPROVED BY THE BOARD OF DIRECTORS. 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 B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 000000000 2016-06-30 1512000 ACQUISITION 0 0 0 A 6376693 41808729 41808729 2011 1 0 1 1 B 130000 1512000 1512000 2018 0 0 0 1 A 0 1 0 0 0.21000 0.21000 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 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 $443,359 FOR THE YEAR ENDED JUNE 30, 2020, 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 IX, LINE 24E DIETARY & OTHER SUPPLIES: PROGRAM SERVICE EXPENSES 3,105,657. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,105,657. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 1,972,541. MANAGEMENT AND GENERAL EXPENSES 325,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,298,535. PROVISION FOR BAD DEBTS: PROGRAM SERVICE EXPENSES 1,535,571. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,535,571. MINOR EQUIPMENT PURCHASED: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 567,899. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 567,899. YARD WORK: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 333,228. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 333,228. DUES, LICENSES & PROVIDER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 194,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,776. ACTIVITIES & SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 151,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,552. DONATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 108,472. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,472. MEALS EXPENSE: PROGRAM SERVICE EXPENSES 83,476. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,476. PENALTIES & FINES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,745. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE IT'S OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. COMMCARE LOUISIANA 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 061658278 LONG-TERM CARE LA 501(C)(3) LINE 10 1 COMMCARE AVOYELLES 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 464782242 MAINTAINING A LONG-TERM CARE FACILITY LA 501(C)(3) LINE 12A, I 1 COMMCARE TANGIPAHOA 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 821110720 MAINTAINING A LONG-TERM CARE FACILITY LA 501(C)(3) LINE 12A, I 0 DIGNITY CARE CORPORATION 950 W CAUSEWAY APPROACH MANDEVILLE LA 70471 832470761 MAINTAINING OF A LONG-TERM CARE FACILITY LA COMMCARE CORPORATION INC C 1.00000 0 COMMCARE MANAGEMENT CORPORATION 950 W CAUSEWAY APPROACH MANDEVILLE LA 70471 831097525 MAINTAINING OF A LONG-TERM CARE FACILITY LA COMMCARE CORPORATION INC C 1.00000 0 0 0 0 1 1 1 0 0 0 0 1 0 1 0 1 0 0 0 1 COMMCARE LOUISIANA O 439808 CASH - FAIR MARKET VALUE COMMCARE AVOYELLES K 1020000 CASH - FAIR MARKET VALUE COMMCARE AVOYELLES D 353108 CASH - FAIR MARKET VALUE COMMCARE AVOYELLES S 56642 CASH - FAIR MARKET VALUE COMMCARE TANGIPAHOA D 1155918 CASH - FAIR MARKET VALUE COMMCARE LOUISIANA D 308735 CASH - FAIR MARKET VALUE COMMCARE LOUISIANA F 3000000 CASH - FAIR MARKET VALUE COMMCARE MANAGEMENT CORPORATION M 7309973 CASH - FAIR MARKET VALUE