2018-04-16T10:15:38-05:00 2017-06-30 721396621 CARR RIGGS & INGRAM LLC 111 VETERANS BLVD STE 350 METAIRIE LA 70005 990 2016-07-01 720996315 COMMCARE CORPORATION COMM 5043248950 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 DAWN HARVEY VP, CAO 5043248950 2018-04-16 1 COLLEEN R ANGERDINA CPA P00642857 5048379116 98.185.44.75 2018-04-16 09:12:04 CD P 8CD3225E50D103FD674DDAC164907F00D077CDA9 8CD3225E50D103FD674DDAC164907F00D077CDA9 2016 2021-01-29 14:40:06Z JAMES W TUCKER 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 91366562 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 2 2423 10 143636 142635 0 0 85513673 90602490 16712 6699 545650 552320 86076035 91161509 68750 0 0 0 39687061 46104525 0 0 0 42656831 40593278 82412642 86697803 3663393 4463706 105348640 108219562 51425772 49697300 53922868 58522262 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 70406116 90971554 PROVISION OF RESIDENTIAL/EXENDED CARE INCLUDING REHABILITATION AND OTHER NON-ACUTE SERVICES TO THE COMMUNITIES IN WHICH IT OPERATES NURSING HOME FACILITIES. 70406116 1 0 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 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 299 0 1 2423 1 1 1 0 0 0 0 0 0 0 X 5 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X MARY HUDSON 5043248950 950 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 JAMES TUCKER PRESIDENT/DIRECTOR/CEO 3.00 X X 597230 0 35821 L RENE' GOUX DIRECTOR/VICE PRESIDENT/COO 25.00 25.00 X X 304231 274231 32514 HENRY MASSON SECRETARY/TREASURER/DIRECTOR 1.00 2.00 X X 36000 0 0 JOHN STASSI II DIRECTOR/CONTRACT EMPLOYEE 45.00 5.00 X X 300000 0 0 ANTHONY MANGUM DIRECTOR 3.00 X 36000 0 0 GEORGE E GARDNER S. VICE PRESIDENT 50.00 X 248229 0 20128 DAWN HARVEY VICE PRESIDENT/CAO 50.00 X 228493 0 23571 JOLIE HARRIS VICE PRESIDENT 50.00 X 218494 0 18934 DONNA L BEAUBOUEF MARKET MANAGER 50.00 X 180655 0 29965 ROBERT BAUDER MARKET MANAGER 50.00 X 175457 0 22261 BRIAN FREMIN ADMINISTRATOR 50.00 X 165648 0 19617 JOHNNIE ECCLES QI NURSE 50.00 X 148755 0 17625 JOHN STASSI III ADMINISTRATOR 50.00 X 0 151922 14572 LISA GARDNER VICE PRESIDENT MARKETING 50.00 X 146961 0 14247 MARY HUDSON CONTROLLER 50.00 X 144737 0 9679 VANESSA HOUCK ADMINISTRATOR 50.00 X 133935 0 16610 CAROLYN STROTHER QI NURSE 50.00 X 130770 0 21781 DENA LUQUETTE DIRECTOR OF NURSING 50.00 X 124775 0 18886 CHARLENE CAZES DIRECTOR OF NURSING 50.00 X 117879 0 12101 TUESDAY COUSIN DIRECTOR OF NURSING 50.00 X 114528 0 17162 REBECCA GUTHIER DIRECTOR OF NURSING 50.00 X 113842 0 25254 EDWIN REEVES ADMINISTRATOR 50.00 X 113138 0 11177 DONNA COTTON DIRECTOR OF NURSING 50.00 X 112825 0 11966 JON GOUX DIRECTOR OF FINANCE 50.00 X 112401 0 14998 CHRIS PETERS DIRECTOR DESIGN AND PURCHASING 50.00 X 111147 0 11305 CHARLES BARBER ADMINISTRATOR 50.00 X 106623 0 11598 PATRICIA KNAPP UTILIZATION REVIEW 50.00 X 108799 0 14794 M C BADEAUX-KIRST DIRECTOR OF NURSING 50.00 X 102575 0 15785 4434127 426153 462351 25 0 1 0 THE THERAPY CENTER OF JEFFERSON DAVIS PA PO BOX 849 JENNINGS LA 70546 PHYSICAL THERAPY 8378546 CCC PHARMACY LLC 8720 QUIMPER PLACE STE 200 SHREVEPORT LA 71105 PHARACEUTICAL DRUG/SUPPLIES 2541906 REYES HOLDINGS LLC 918 EDWARDS AVENUE HARAHAN LA 70123 FOOD SUPPLIES 2318003 MCKESSON MEDICAL-SURGICAL MINNESOTA SUPP PO BOX 204786 DALLAS TX 75320 MEDICAL SUPPLIES 1174273 MARSH USA INC PO BOX 846015 DALLAS TX 75284 INSURANCE CARRIER 597035 5 PATIENT SERVICES REVENUE 623000 90602490 90602490 90602490 6699 6699 388309 205053 183256 183256 143636 39620 REIMBURSEMENTS 623000 218066 218066 MEALS INCOME 623000 110440 110440 VENDING MACHINES 623000 24054 24054 16504 16504 369064 91161509 90971554 143636 46319 X 3034151 3034151 32409978 28520781 3889197 579278 411288 167990 6261058 4445351 1815707 3820060 2826844 993216 375037 375037 495375 297225 198150 424064 318048 106016 153286 153286 1843371 1013854 829517 1157521 636637 520884 4987773 3790708 1197065 295074 295074 181506 181506 1357651 1357651 3894792 2921094 973698 1073824 923489 150335 ANCILLARY PATIENT SERVI 13865795 13865795 DUES, LICENSES & PROVID 4925163 3693872 1231291 DIETARY & OTHER SUPPLIE 2853729 2140297 713432 MEDICAL SUPPLIES 1525116 1479363 45753 1184201 1133953 50248 86697803 70406116 16291687 0 2781697 4895864 10767171 9661214 8589282 8667533 11113 14593 745243 765087 101719764 39690916 61904160 62028848 5076075 5076075 8705853 12496963 6768046 4613385 105348640 108219562 9315829 10172510 41808729 39524790 301214 0 51425772 49697300 X 53922868 58522262 53922868 58522262 105348640 108219562 4463706 192369 -56681 0 X X 0 1 X 1 0 X 8227 121 8348 67866124 73585142 81053463 85513673 90602490 398620892 67874351 73585263 81053463 85513673 90602490 398629240 0 0 0 398629240 118729 75319 273610 59332 369064 896054 116132 143636 259768 118729 75319 273610 175464 512700 1155822 399364 382975 285543 266644 369064 1703590 68392444 74043557 81612616 85955781 91484254 401488652 0.99290 0.99370 0.00290 0.00190 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2012 AMOUNT: $ 399,364. 2013 AMOUNT: $ 382,975. 2014 AMOUNT: $ 285,543. 2015 AMOUNT: $ 266,644. 2016 AMOUNT: $ 369,064. 10754617 10754617 67597393 23078164 44519229 9216102 7710126 1505976 14151652 8902626 5249026 62028848 X PART X, LINE 2: NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE INTERNAL REVENUE SERVICE HAS DETERMINED TAHT THE COMPANY IS A QUALIFYING 501(C)(3) ORGANIZATION AND IS EXEMPT FROM INCOME TAXES. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ORGANIZATION TO ACCOUNT FOR UNCERTAINTIES IN INCOME TAXES. TEH INTERPRETATION REQUIRES RECOGNITIONAND 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 AND DETERMINED THERE WERE NO OUTSTANDING OR RETROACTIVE TAX POSIIONS WITH LESS THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION OF TAXING AUTHORITIES. THE COMPANY'S TAX RETURNS FOR THE YEARS ENDED, JUNE 30, 2016, JUNE 30, 2015, AND JUNE 30, 2014 REMAIN OPEN AND SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. X X X X X 0 0 0 0 0 0 0 1 0 JAMES TUCKER PRESIDENT/DIRECTOR/CEO 419706 0 147524 0 30000 0 9275 0 26546 0 633051 0 0 0 L RENE' GOUX DIRECTOR/VICE PRESIDENT/COO 209914 209914 64317 64317 30000 0 4638 4638 11619 11619 320488 290488 0 0 JOHN STASSI II DIRECTOR/CONTRACT EMPLOYEE 0 0 0 0 300000 0 0 0 0 0 300000 0 0 0 GEORGE E GARDNER S. VICE PRESIDENT 191229 0 57000 0 0 0 4128 0 16000 0 268357 0 0 0 DAWN HARVEY VICE PRESIDENT/CAO 191001 0 37492 0 0 0 8000 0 15571 0 252064 0 0 0 JOLIE HARRIS VICE PRESIDENT 182694 0 35800 0 0 0 5640 0 13294 0 237428 0 0 0 DONNA L BEAUBOUEF MARKET MANAGER 145485 0 35170 0 0 0 6597 0 23368 0 210620 0 0 0 ROBERT BAUDER MARKET MANAGER 134400 0 41057 0 0 0 2745 0 19516 0 197718 0 0 0 BRIAN FREMIN ADMINISTRATOR 131923 0 33725 0 0 0 4223 0 15394 0 185265 0 0 0 JOHNNIE ECCLES QI NURSE 123794 0 24961 0 0 0 5210 0 12415 0 166380 0 0 0 JOHN STASSI III ADMINISTRATOR 0 123922 0 28000 0 0 0 2390 0 12182 0 166494 0 0 LISA GARDNER VICE PRESIDENT MARKETING 118961 0 28000 0 0 0 3673 0 10574 0 161208 0 0 0 MARY HUDSON CONTROLLER 117137 0 27600 0 0 0 1237 0 8442 0 154416 0 0 0 VANESSA HOUCK ADMINISTRATOR 108259 0 25676 0 0 0 4691 0 11919 0 150545 0 0 0 CAROLYN STROTHER QI NURSE 107377 0 23393 0 0 0 4081 0 17700 0 152551 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 THE 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 1499990 41808729 41808729 2011 1 0 1 1 B 41000 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 JOHN A STASSI III SON OF JOHN A. STASSI, II 156636 EMPLOYEE WAGES 0 JON GOUX SON OF L. RENE GOUX 119916 EMPLOYEE WAGES 0 FORM 990, PART VI, SECTION A, LINE 2 AN OFFICER HAS A FAMILY RELATIONSHIP WITH ANOTHER OFFICER ON THE BOARD OF DIRECTORS. 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 11G DIRECTOR'S FEES: PROGRAM SERVICE EXPENSES 145,580. MANAGEMENT AND GENERAL EXPENSES 48,527. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,107. OTHER FEES: PROGRAM SERVICE EXPENSES 172,468. MANAGEMENT AND GENERAL EXPENSES 57,489. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 229,957. FORM 990, PART IX, LINE 24E EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 327,442. MANAGEMENT AND GENERAL EXPENSES 10,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 337,569. DONATIONS: PROGRAM SERVICE EXPENSES 237,174. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 237,174. AUTO EXPENSES: PROGRAM SERVICE EXPENSES 173,178. MANAGEMENT AND GENERAL EXPENSES 5,356. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,534. TAXES: PROGRAM SERVICE EXPENSES 117,183. MANAGEMENT AND GENERAL EXPENSES 3,624. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,807. BANK SERVICE FEES: PROGRAM SERVICE EXPENSES 93,056. MANAGEMENT AND GENERAL EXPENSES 2,878. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,934. MEALS & ENTERTAINMENT: PROGRAM SERVICE EXPENSES 73,192. MANAGEMENT AND GENERAL EXPENSES 2,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,456. START UP EXPENSES: PROGRAM SERVICE EXPENSES 51,080. MANAGEMENT AND GENERAL EXPENSES 1,580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,660. MOVING & STORAGE: PROGRAM SERVICE EXPENSES 39,911. MANAGEMENT AND GENERAL EXPENSES 1,234. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,145. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,513. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,513. PENALTIES & FINES: PROGRAM SERVICE EXPENSES 16,327. MANAGEMENT AND GENERAL EXPENSES 505. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,832. BAD DEBT ALLOWANCE: PROGRAM SERVICE EXPENSES 5,410. MANAGEMENT AND GENERAL EXPENSES 167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,577. 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 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 COMMCARE LOUISIANA O 549299 CASH COMMCARE AVOYELLES K 1020000 CASH COMMCARE AVOYELLES D 3282129 CASH COMMCARE AVOYELLES S 51035 CASH