2020-06-02T15:55:50-05:00 2019-06-30 721202445 POSTLETHWAITE & NETTERVILLE ONE GALLERIA BLVD STE 2100 METAIRIE LA 70001 990 2018-07-01 421614056 PACE GREATER NEW ORLEANS PACE 5049451531 1000 HOWARD AVENUE NO 200 NEW ORLEANS LA 70113 SR MARJORIE A HEBERT MSC PRESIDENT & CEO 5049451531 2020-03-25 1 SHARON CASSIERE P00543368 5048375990 206.124.204.139 2020-03-25 08:35:42 CD P 8116198F1672A392347007164F631809C7EF954E 594BF319507FF3A2109F440929C1CBCE553614F1 2018 2020-09-23 17:36:50Z SR MARJORIE A HEBERT M 1000 HOWARD AVENUE NO 200 NEW ORLEANS LA 70113 15172482 0 0928 X WWW.PACEGNO.ORG X 2003 LA TO PROVIDE ALL-INCLUSIVE CARE FOR ELDERLY CLIENTS. 6 6 100 83 0 0 205877 96354 13932133 15046193 115224 0 0 29935 14253234 15172482 5291911 6864626 0 0 3629741 4469726 0 0 756 3289375 2637918 12211027 13972270 2042207 1200212 13108776 13172462 2332363 1195837 10776413 11976625 X PACE GREATER NEW ORLEANS ENABLES FRAIL OLDER ADULTS TO LIVE IN THEIR HOMES AND IN THEIR COMMUNITIES AS LONG AS MEDICALLY AND SOCIALLY FEASIBLE. IT IS A COMPREHENSIVE HEALTHCARE PROGRAM WHICH INCLUDES AN ADULT DAY HEALTH CENTER, PRIMARY AND SPECIALTY PHYSICIAN CARE, AND MEDICATIONS. PACE GNO ALSO PROVIDES ITS MEMBERS WITH FULL DAY SERVICES INCLUDING NUTRITIONAL MEALS, HEALTH SCREENING AND MONITORING, MEDICATION ADMINISTRATION, TRANSPORTATION, EXERCISE, SOCIAL ACTIVITIES, AND COUNSELING. 0 0 13562941 6864626 15076128 MET OUR MEMBERS' NEEDS BY PROVIDING FULL DAY SERVICES INCLUDING NUTRITIONAL MEALS, HEALTH SCREENING AND MONITORING, MEDICATION ADMINISTRATION, TRANSPORTATION, EXERCISE, SOCIAL ACTIVITIES, AND COUNSELING. 13562941 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 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 1 0 0 0 1 128 0 1 100 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X CHERYL LABORDE 5045233755 1000 HOWARD AVENUE STE 200 NEW ORLEANS LA 70113 JOHN HUMMEL BOARD MEMBER 1.00 X 0 0 0 JONI COLVIN BOARD MEMBER 1.00 X 0 0 0 JENNIFER STEEL BOURGEOIS BOARD MEMBER 1.00 X 0 0 0 PAUL METOYER BOARD MEMBER 1.00 X 0 0 0 SUSAN NELSON BOARD MEMBER 1.00 X 0 0 0 DWAIN GANNARD CHAIRMAN 1.00 X X 0 0 0 KURT WOOTAN DIRECTOR OF FINANCE 50.00 X 99782 0 9938 ANTONIO DIAS EXECUTIVE DIRECTOR 50.00 X 132361 0 18078 SR MARJORIE A HEBERT MSC PRESIDENT & CEO 1.00 51.00 X 0 0 140534 LYNETTE M GORDON CENTER MANAGER (THRU 02/2019) 40.00 X 110934 0 6059 CRISTINO DIJAMCO MEDICAL DIRECTOR 32.00 X 160844 0 8779 ABBY LEBLANC NURSE PRACTITIONER 40.00 X 103839 0 13021 607760 0 196409 4 0 1 0 OCHSNER MEDICAL CENTER 1514 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 INPATIENT SERVICES 1865813 SECURE TRANSPORTATION COMPANY INC 13111 MEYER ROAD WHITTIER CA 90605 TRANSPORTATION SERVICES 758242 OCHSNER CLINIC 1516 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 OUTPATIENT SERVICES 384084 FRESENIUS MEDICAL CARE DBA NNA OF LOUISI 630 DECKBAR AVE NEW ORLEANS LA 70121 INPATIENT/OUTPATIENT SERVICES 325426 AMED AMBULANCE SERVICE 1800 MONROE ST GRETNA LA 70053 TRANSPORTATION SERVICES 176272 15 75000 21354 96354 MEDICAID/MEDICARE PAYMENTS 624100 15031310 15031310 CLIENT FEES 624100 14883 14883 15046193 REFUNDS/REIMBURSEMENTS/REBATES 624100 29935 29935 29935 15172482 15076128 0 0 6864626 6864626 270072 270072 3481286 3218203 262794 289 108568 100007 8553 8 342248 316873 25342 33 267552 249452 18079 21 8046 4130 3916 24242 16906 7336 676863 646994 29612 257 72140 67318 4821 1 20120 14616 5504 310590 288960 21601 29 313384 312630 753 1 418250 413870 4379 1 267738 265113 2623 2 SUPPLIES AND OTHER OPER 265383 257031 8298 54 FOOD 212032 211948 84 PERSONNEL DEV./RECRUITM 43208 40499 2702 7 MISCELLANEOUS 5922 3693 2176 53 13972270 13562941 408573 756 1871028 1943593 95549 43171 8580156 3542372 5330146 5037784 5812053 6147914 13108776 13172462 1602304 1190377 720400 0 9659 5460 2332363 1195837 X 10776413 11976625 10776413 11976625 13108776 13172462 1200212 0 X X 0 1 X 1 1 1 X 371601 181234 329058 205877 96354 1184124 371601 181234 329058 205877 96354 1184124 1184124 2481 2481 29935 29935 1216540 67548714 0.97340 0.99870 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REFUNDS/REIMBURSEMENTS/REBATES - 2018 AMOUNT: $ 29,935. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 90000 90000 6451981 2322165 4129816 612998 577670 35328 1425177 642537 782640 5037784 DUE FROM AFFILIATE 6147914 6147914 UNEMPLOYMENT RESERVE 5460 5460 X 15172482 0 15172482 0 15172482 13972270 0 13972270 0 13972270 PART X, LINE 2: PACE GNO OPERATES AS A NON-PROFIT CORPORATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, PACE GNO IS SUBJECT TO INCOME TAX ONLY ON UNRELATED BUSINESS TAXABLE INCOME. ACCOUNTING STANDARDS PROVIDE DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED ON EXAMINATION. AS OF JUNE 30, 2019 AND 2018, MANAGEMENT OF PACE GNO BELIEVES THAT IT HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 1 UTILITY ASSISTANCE 4 771 MISCELLANEOUS 44 41420 MEDICINE ASSISTANCE 240 1501588 PERSONAL CARE ASSISTANCE SERVICES 76 210420 OUTPATIENT SERVICES 182 1241682 INPATIENT SERVICES 60 2817013 HOME REPAIR ASSISTANCE 22 8220 FOOD ASSISTANCE 5 361 TRANSPORTATION ASSISTANCE 1 50 HOUSEHOLD ITEMS 1 69 JOB SKILLS DEVELOPMENT 1 325 PROFESSIONAL SERVICES 200 743308 THERAPY SERVICES 77 231822 DENTAL SERVICES 72 67577 JFONTENOT - 02/17/20 05:22PM WORKSHEET SCHEDULE I PART I, LINE 2: GRANT FUNDS ARE MADE PAYABLE DIRECTLY TO LOCAL VENDORS AND REPORTS ARE KEPT TO TRACK ALL PAYMENTS. X X 0 0 0 0 0 0 0 0 0 ANTONIO DIAS EXECUTIVE DIRECTOR 131931 0 0 0 430 0 4788 0 13290 0 150439 0 0 0 CRISTINO DIJAMCO MEDICAL DIRECTOR 159625 0 0 0 1219 0 5587 0 3192 0 169623 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 PACE GREATER NEW ORLEANS HAS ONE CLASS OF MEMBERSHIP AND THE SOLE MEMBER OF THE CORPORATION IS CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS, A LOUISIANA NON-PROFIT CORPORATION. (BY-LAWS OF PACE GREATER NEW ORLEANS, ARTICLE III, SECTION 3.1). FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER HAS THE POWER TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. THE CORPORATE MEMBER ALSO HAS THE POWER TO APPOINT OR REMOVE THE CHAIRMAN OR THE EXECUTIVE DIRECTOR. (BY-LAWS OF PACE GREATER NEW ORLEANS, ARTICLE III, SECTION 3.2) FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER OF THE CORPORATION HAS THE AUTHORITY TO HIRE/FIRE THE CEO, TO APPOINT THE BOARD AND BOARD CHAIR AND TO REVISE THE ARTICLES AND BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS AVAILABLE TO THE BOARD MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C ALL ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ASSUMPTION OF HIS/HER POSITION AND ANNUALLY THEREAFTER. THE EXECUTIVE COMMITTEE REVIEW THE STATEMENTS AND ADVISE THE BOARD OF RELEVANT INFORMATION. WHEN DOUBT OF CONFLICT OF INTEREST EXISTS, THE MATTER WILL BE RESOLVED BY A VOTE OF THE BOARD OR EXECUTIVE COMMITTEE. ANY INTERESTED PERSON SHALL ABSTAIN FROM THE VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND THE SOLE MEMBER OF THE CORPORATION APPROVE COMPENSATION AMOUNTS. THE TOP MANAGEMENT OFFICIAL(S) DECIDE ON COMPENSATION FOR ALL OTHER EMPLOYEES OF THE ORGANIZATION. COMPARABLE SALARY INFORMATION FROM OTHER PACE ENTITIES IS USED TO DETERMINE COMPENSATION AMOUNTS. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGE FROM THE PRIOR YEAR; THE ORGANIZATION'S PARENT, CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS, ASSUMES RESPONSIBILITY FOR SELECTING AN INDEPENDENT ACCOUNTANT AND FOR OVERSIGHT OF THE AUDIT, AND THE ORGANIZATION REVIEWS THE AUDIT BEFORE IT IS ISSUED. PHILMAT INC 1000 HOWARD AVENUE SUITE 200 NEW ORLEANS LA 70113 720787616 COMMODITIES SUPPLEMENTAL FOOD PROGRAM LA 501(C)(3) LINE 7 CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS 0 CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS 1000 HOWARD AVENUE SUITE 200 NEW ORLEANS LA 70113 720408911 OPERATE AND PROVIDE SUPPORT TO COMMUNITY SOCIAL SERVICE PROGRAMS LA 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS P 576766 AMOUNT PAID CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS R 6147914 AMOUNT PAID