2023-05-03T15:35:04-05:00 2022-06-30 420714325 RSM US LLP 4622 PENNSYLVANIA AVE STE 1100 KANSAS CITY MO 64112 990 2021-07-01 760760243 CATHOLIC CARE CAMPUS INC CATH 9139060990 13800 W 116TH ST OLATHE KS 66062 JON GRAMS TREASURER 9139060990 2023-05-01 1 JON GRAMS XXX-XX-XXXX KEVIN ENSMINGER P01310558 8167533000 2023-05-01 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SANTA MARTA CHESTER SURMACZEWICZ 13800 W 116TH ST OLATHE KS 66062 31411645 0 X WWW.SANTAMARTARETIREMENT.COM X 2004 KS TO PROVIDE THE ELDERLY WITH SUITABLE HOUSING, PHYSICAL AND MENTAL CARE, CIVIC, CULTURAL, RECREATIONAL ACTIVITIES, AND RELIGIOUS SERVICES IN A CATHOLIC ENVIRONMENT CONDUCIVE TO THE DIGNITY AND INDEPENDENCE OF THE ELDERLY WITHOUT CAUSING UNDUE FINANCIAL DISTRESS. 23 23 390 35 0 0 2035912 22966 19234152 19850607 429735 1552564 9275 30427 21709074 21456564 338269 310648 0 0 9502624 10497315 0 0 0 10465736 10611774 20306629 21419737 1402445 36827 79287672 67739695 111178080 101444565 -31890408 -33704870 TO PROVIDE THE ELDERLY WITH SUITABLE HOUSING, PHYSICAL AND MENTAL CARE, CIVIC, CULTURAL, RECREATIONAL ACTIVITIES, AND RELIGIOUS SERVICES IN A CATHOLIC ENVIRONMENT CONDUCIVE TO THE DIGNITY AND INDEPENDENCE OF THE ELDERLY WITHOUT CAUSING UNDUE FINANCIAL DISTRESS. 0 0 16703363 310648 19881034 CATHOLIC CARE CAMPUS, INC. PROVIDES INDIVIDUAL RETIREMENT LIVING SERVICES FOR ABOUT 240 RESIDENTS. CATHOLIC CARE CAMPUS, INC. PROVIDES FOR THE RESIDENT'S DIETARY, LAUNDRY AND HOUSEKEEPING NEEDS. SKILLED NURSING SERVICES ARE ALSO PROVIDED TO ABOUT 37 OF THOSE RESIDENTS AND ASSISTED LIVING AND MEMORY SUPPORT SERVICES ARE PROVIDED TO ABOUT 60 OF THOSE RESIDENTS. 16703363 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 75 0 1 390 1 0 0 0 0 0 0 0 0 0 0 0 0 X 23 23 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X DONNA THORNTON 9139060990 13800 W 116TH ST OLATHE KS 66062 ANDREW SCHMIDT TREASURER 4.00 X X 0 0 0 DOUG MOORMAN CHAIR 4.00 X X 0 0 0 JANE ZACCARDI VICE CHAIR & SECRETARY 4.00 X X 0 0 0 TOM DEBACCO PAST CHAIR 4.00 X X 0 0 0 CAROL AHLVERS DIRECTOR 4.00 X 0 0 0 REGAN BARON DIRECTOR 4.00 X 0 0 0 DEBRA BLECHA DIRECTOR 4.00 X 0 0 0 JEFF BOLLIG DIRECTOR 4.00 X 0 0 0 KAREN ELDRIDGE DIRECTOR 4.00 X 0 0 0 CATHERINE ERKMANN DIRECTOR 4.00 X 0 0 0 LARRY FOGEL DIRECTOR 4.00 X 0 0 0 MICHELLE FRIEL DIRECTOR (01/31/22) 4.00 X 0 0 0 JON GRAMS DIRECTOR 4.00 X 0 0 0 FATHER MIKE HAWKEN DIRECTOR/ARCHDIOCESE REP 4.00 X 0 0 0 THERESA HURSH DIRECTOR (THRU 12/31/21) 4.00 X 0 0 0 DAN JACOBSON DIRECTOR 4.00 X 0 0 0 DANIEL MCKEAN DIRECTOR (THRU 04/30/22) 4.00 X 0 0 0 PEGGY O'TOOLE DIRECTOR 4.00 X 0 0 0 MICHAEL PAYNE DIRECTOR 4.00 X 0 0 0 GREG SIEVE DIRECTOR 4.00 X 0 0 0 MICHAEL SKOCH DIRECTOR 4.00 X 0 0 0 MONSIGNOR THOMAS TANK DIRECTOR (THRU 12/31/21) 4.00 X 0 0 0 LESLIE THOMAS DIRECTOR 4.00 X 0 0 0 TIM URBAN DIRECTOR 4.00 X 0 0 0 RADD WAY DIRECTOR 4.00 X 0 0 0 MARY WHITAKER DIRECTOR 4.00 X 0 0 0 BILL WILSON DIRECTOR 4.00 X 0 0 0 CHESTER SURMACZEWICZ PRESIDENT 40.00 X 211507 0 30313 MARSHA ANDERSON DIRECTOR OF MARKETING 40.00 X 130607 0 12237 BRIAN HAASE ADMINISTRATOR 40.00 X 111894 0 28334 KELLI DEMALINE DIRECTOR OF NURSING 40.00 X 104922 0 32910 558930 0 103794 4 0 1 0 GREYSTONE MGMT SERVICES 225 E JOHN CARPENTER FWY SUITE 7 IRVING TX 75062 MANAGEMENT SERVICES 704426 ATTANE INC PO BOX 95649 CHICAGO IL 60694 ADVERTISING SERVICES 367592 ENCORE REHABILITATION SERVICES PO BOX 933195 CLEVELAND OH 44193 HEALTH SERVICES 354365 HERMES LANDSCAPING 13030 W 87TH STREET PKWY LENEXA KS 66215 MAINTENANCE SERVICES 277119 TRUE COLOR 1310 S 51ST STREET KANSAS CITY KS 66106 PAINTING SERVICES 254738 13 22966 22966 RESIDENT FEES 623000 18062011 18062011 HEALTH SERVICES 623000 1052404 1052404 NON-REFUNDABLE FEES 623000 654778 654778 MEALS & OTHER SERVICES 623000 81414 81414 19850607 179023 179023 30427 0 30427 30427 30427 11328200 422 9931959 23122 1396241 -22700 1373541 1373541 21456564 19881034 0 1552564 250000 250000 60648 60648 253137 253137 8308144 7226124 1082020 94468 94468 1128914 1128914 712652 712652 423292 423292 4005 4005 63323 63323 33031 33031 1085655 986014 99641 356711 356711 818316 709828 108488 105183 105183 1139717 1134724 4993 32893 13629 19264 795468 795468 3227811 3227811 153106 153106 DINING & RESIDENT PROGR 1285315 1252627 32688 EMPLOYEE EXPENSES 465554 348933 116621 WRITE-OFF DEFERRED FINA 346308 346308 LINENS 129215 129215 146871 68928 77943 21419737 16703363 4716374 0 4164659 3362779 482068 372677 59157 67382 80168 124176 93027776 37126098 58363753 55901678 13412427 5883853 2602227 1870698 123213 156452 79287672 67739695 1176930 1173974 39248571 28081252 70752579 72189339 111178080 101444565 X -31890408 -33704870 -31890408 -33704870 79287672 67739695 36827 -1851289 0 X X 0 1 X 1 0 X 2035912 22966 2058878 16268597 17617867 20018559 19234152 19850607 92989782 16268597 17617867 20018559 21270064 19873573 95048660 0 0 0 95048660 263480 385334 382368 297333 209450 1537965 263480 385334 382368 297333 209450 1537965 16532077 18003201 20400927 21567397 20083023 96586625 0.98410 0.98190 0.01590 0.01730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2315663 2315663 79061913 28490820 50571093 5853267 4524110 1329157 5796933 4111168 1685765 55901678 REFUNDABLE DEPOSITS 65737066 NONREFUNDABLE DEPOSITS 6127488 RESIDENT REFUNDS DUE 324785 72189339 19534296 -1851289 -1851289 21385585 33031 37948 70979 21456564 21348758 0 21348758 33031 37948 70979 21419737 PART XI, LINE 4B - OTHER ADJUSTMENTS: SUBSIDY 60,648. LOSS ON SALE OF PROPERTY & EQUIPMENT -22,700. PART XII, LINE 4B - OTHER ADJUSTMENTS: SUBSIDY 60,648. LOSS ON SALE OF PROPERTY & EQUIPMENT -22,700. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 1 ARCHDIOCESE OF KANSAS CITY IN KANSAS 12615 PARALLEL PARKWAY KANSAS CITY KS 66109 480559094 501(C)(3) 250000 0 MINISTRY SUPPORT TO THE ELDERLY 1 0 SUBSIDY 1 0 60648 FMV SUBSIDY PART I, LINE 2: THE GRANTEE COMPLETES AN APPLICATION THAT IS GIVEN TO THE GOVERNING BODY FOR APPROVAL. ONCE APPROVED AND GRANT IS AWARDED, MONTHLY REPORTS ARE REVIEWED BY BUSINESS OFFICE TO CONFIRM AMOUNT(S). X X 0 0 0 0 0 0 0 1 0 CHESTER SURMACZEWICZ PRESIDENT 175402 0 26223 0 9882 0 5981 0 24332 0 241820 0 0 0 PART I, LINE 7 GREYSTONE MANAGEMENT REVIEWS THE ANNUAL SALARIES AND BONUSES FOR THE PRESIDENT AND DIRECTOR. FOR THE ANNUAL SALARY REVIEW, EACH INDIVIDUAL COMPLETES A SELF-APPRAISAL WHICH IS THEN REVIEWED BY THE GREYSTONE MANAGEMENT OPERATIONS REGIONAL. THEN, THE RESULTS ARE REVIEWED WITH THE CHAIR OF THE BOARD OF DIRECTORS FOR FEEDBACK AND DISCUSSIONS REGARDING PRIOR YEAR PERFORMANCE AND FUTURE YEARS' GOALS. TO DETERMINE REASONABLENESS OF SALARY INCREASES, FROM TIME TO TIME SALARIES ARE COMPARED TO LEADING AGE INDUSTRY STANDARDS. BONUSES ARE DETERMINED BASED ON 60% FINANCIAL MEASUREMENT AND 40% SUBJECTIVE MEASUREMENT. GREYSTONE MANAGEMENT OPERATIONS REGIONAL REVIEWS THE BONUSES. FURTHER, BONUSES ARE DISCUSSED WITH THE CHAIR OF THE BOARD OF DIRECTORS, WHO PROVIDES FEEDBACK REGARDING PRIOR YEAR PERFORMANCE. FORM 990 PART VII & SCHEDULE J, PART II CHESTER SURMACZEWICZ IS EMPLOYED BY GREYSTONE MANAGEMENT SERVICES CO., LLC, AND SERVES AS PRESIDENT OF CATHOLIC CARE CAMPUS, INC. GREYSTONE IS A MANAGEMENT COMPANY THAT PROVIDES SERVICES TO THE ORGANIZATION. CATHOLIC CARE CAMPUS IS DISCLOSING THE COMPENSATION RECEIVED BY MR. SURMACZEWICZ AND PAID BY GREYSTONE FOR SERVICES PROVIDED TO CATHOLIC CARE CAMPUS. A CITY OF OLATHE KANSAS 486034756 2021-10-19 29299000 REFINANCE SERIES 2015B BONDS 0 0 0 A 1037000 29299000 197798 29101202 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 1 1 1 0 0 0 0 A 0 PART II, COLUMN A, LINE 11: 29,101,202 OF PROCEEDS USED FOR A CURRENT REFUNDING OF SERIES 2015B BONDS. PART II, COLUMN A, LINE 13: REFINANCING OF SERIES 2015B BONDS, WHICH REFINANCED SERIES 2006 BONDS, WHICH WAS THE ORIGINAL FINANCING FOR THE PROJECT. FORM 990, PART VI, SECTION A, LINE 3 GREYSTONE MANAGEMENT IS AN UNRELATED BUSINESS ORGANIZATION ENGAGED BY THE CATHOLIC CARE CAMPUS, INC. BOARD OF DIRECTORS TO PROVIDE MANAGEMENT SERVICES. CHESTER SURMACZEWICZ IS EMPLOYED BY GREYSTONE AND SERVES AS PRESIDENT OF CATHOLIC CARE CAMPUS. MANAGEMENT DUTIES INCLUDE HIRING AND RECRUITING QUALIFIED PERSONNEL, PREPARING ANNUAL OPERATING BUDGETS FOR SUBMISSION TO THE BOARD OF DIRECTORS, AND ASSISTING IN THE PREPARATION OF MONTHLY AND ANNUAL FINANCIAL REPORTING DISCLOSURES. THE BOARD OF DIRECTORS HAVE FINAL AUTHORITY OVER THE APPROVAL OF THE ANNUAL OPERATING BUDGET, APPROVAL OF MONTHLY AND ANNUAL FINANCIAL REPORTING DISCLOSURES, AND OVERSIGHT OF THE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION CHANGED THE CONDITIONS OF MEMBERSHIP IN THE ARTICLES OF INCORPORATION AND BYLAWS FUTHER EXPLAINED IN LINE 6 EXPLANATION. THE ORGANIZATION ALSO CHANGED TERM OF SERVICE OF DIRECTORS INCLUDING LIMITS. THE ORGANIZATION UPDATED VOTING RIGHTS OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE NUMBER OF MEMBERS ALLOWED SHALL BE UNLIMITED, AND ALL MEMBERS SHALL HAVE ONE VOTE ON ALL ACTIONS TO BE TAKEN BY THE MEMBERS. MEMBERS OF THE CORPORATION, AS NAMED IN THE ARTICLES OF INCORPORATION, INCLUDE THE FOLLOWING: (A) THE PERSON HOLDING THE POSITION OF ROMAN CATHOLIC ARCHBISHOP OF THE ARCHDIOCESE OF KANSAS CITY IN KANSAS ("ARCHDIOCESE"); (B) THE PERSON (OR PERSON(S)) HOLDING THE OFFICE (OR OFFICES) FOR THE ARCHDIOCESE OF VICAR GENERAL OF ADMINISTRATION AND/OR CHANCELLOR. IF ONE PERSON HOLDS BOTH TITLES, THEN THIS SUBPARAGRAPH REFERS TO ONE MEMBER. IF ONE PERSON IS VICAR GENERAL OF ADMINISTRATION AND ANOTHER PERSON IS CHANCELLOR, THEN THIS SUBPARAGRAPH REFERS TO TWO MEMBERS; (C) THE PERSON HOLDING THE OFFICE FOR THE ARCHDIOCESE OF CHIEF FINANCIAL OFFICER; (D) THE HEALTHCARE PROFESSIONAL WHO IS DESIGNATED BY THE ARCHBISHOP TO SERVE AS A MEMBER OF THIS CORPORATION; AND (E ) ANY OTHER ELIGIBLE PERSON OR PERSONS DESIGNATED BY UNANIMOUS ACTION OF ALL MEMBERS OF THE CORPORATION AT ANY REGULAR OR SPECIAL MEETING OF THE MEMBERS DULY CALLED AND HELD. IF THE MEMBERS DESIGNATE AN ADDITIONAL MEMBER UNDER THIS SUBSECTION, THE ARCHBISHOP SHALL IDENTIFY SUCH PERSON TO THE CHAIR OF THE BOARD OF DIRECTORS IN WRITING WITHIN TEN (10) DAYS OF THE DESIGNATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS AT EACH ANNUAL MEETING OR AT A SPECIAL MEETING IF A VACANCY OCCURS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS MUST PROVIDE WRITTEN APPROVAL FOR ACTIONS BY THE GOVERNING BODY INVOLVING: AMENDING THE ARTICLES OF INCORPORATION; TRANSACTIONS INVOLVING THE PURCHASE, EXCHANGE OR DISPOSITION OF REAL ESTATE OR ENCUMBERING REAL PROPERTY; ANY MERGER, CONSOLIDATION, DISSOLUTION, LIQUIDATION OR TERMINATION OF THE CORPORATION; OR MAKING ANY EXPENDITURE, INVESTMENT, PURCHASE OF PERSONAL PROPERTY OR BORROWING FUNDS IN EXCESS OF STATED AMOUNTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. MEMBERS OF THE ORGANIZATION'S FINANCE COMMITTEE REVIEW THE FORM 990 AND ASSOCIATED SCHEDULES FOR ACCURACY AND COMPLETENESS. THE ORGANIZATION'S BOARD MEMBERS WILL BE PROVIDED COPIES OF THE FORM 990. THIS WILL ALL OCCUR PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH NEW DIRECTOR, TRUSTEE OR MANAGER SHALL, UPON JOINING HIS OR HER RESPECTIVE BOARD, AND ANNUALLY THEREAFTER, BE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY AND SHALL ACKNOWLEDGE, IN WRITING, RECEIPTS OF THE POLICY AND COMPLIANCE THEREWITH. ANY DIRECTOR WHO BELIEVES HE OR SHE MAY BE IN VIOLATION OR POTENTIAL VIOLATION, HAS A DUTY TO REPORT THAT FACT TO THE CHAIR OF THE BOARD IMMEDIATELY UPON BECOMING AWARE OF THE RELEVANT FACTS. ANY DIRECTOR MAY RECUSE HIMSELF OR HERSELF AT ANY TIME FROM INVOLVEMENT IN ANY DECISION OR DISCUSSION IN WHICH THE DIRECTOR BELIEVES S/HE HAS OR MAY HAVE CONFLICT OF INTEREST, WITHOUT GOING THROUGH THE PROCESS FOR DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS. ANY ACTION TAKEN BY THE SANTA MARTA BOARD WHICH INVOLVES AN "INTERESTED DIRECTOR" MUST, TO BE VALID, MEET THE FOLLOWING TESTS: A. IT MUST BE FOR SANTA MARTA'S BENEFIT; AND B. IT MUST BE FAIR AND REASONABLE AT THE TIME SANTA MARTA ENTERED INTO IT; AND C. IT MUST BE APPROVED BY A MAJORITY OF THE BOARD WITHOUT CONSIDERING THE VOTE, IF CAST, OF THE INTERESTED DIRECTOR AND ONLY AFTER DISCLOSURE OF ALL MATERIAL FACTS BY THE INTERESTED DIRECTOR; AND D. PRIOR TO AUTHORIZING THE ACTION THE BOARD MUST HAVE DETERMINED, AFTER REASONABLE INVESTIGATION, THAT SANTA MARTA COULD NOT OBTAIN A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT, THAN THE ARRANGEMENT BEING APPROVED. FORM 990, PART VI, SECTION B, LINE 15 GREYSTONE MANAGEMENT REVIEWS THE ANNUAL SALARIES AND BONUSES FOR THE PRESIDENT AND DIRECTOR. FOR THE ANNUAL SALARY REVIEW, EACH INDIVIDUAL COMPLETES A SELF-APPRAISAL WHICH IS THEN REVIEWED BY THE GREYSTONE MANAGEMENT OPERATIONS REGIONAL. THEN, THE RESULTS ARE REVIEWED WITH THE CHAIR OF THE BOARD OF DIRECTORS FOR FEEDBACK AND DISCUSSIONS REGARDING PRIOR YEAR PERFORMANCE AND FUTURE YEARS' GOALS. TO DETERMINE REASONABLENESS OF SALARY INCREASES, FROM TIME TO TIME BALANCES ARE COMPARED TO LEADING AGE INDUSTRY STANDARDS. BONUSES ARE DETERMINED BASED ON 60% FINANCIAL MEASUREMENT AND 40% SUBJECTIVE MEASUREMENT. GREYSTONE MANAGEMENT OPERATIONS REGIONAL REVIEWS THE BONUSES. FURTHER, BONUSES ARE DISCUSSED WITH THE CHAIR OF THE BOARD OF DIRECTORS, WHO PROVIDES FEEDBACK REGARDING PRIOR YEAR PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 CATHOLIC CARE CAMPUS, INC.'S ANNUAL AUDITED FINANCIAL STATEMENT AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE SET FORTH IN SECTION 6104(D). FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. ARCHDIOCESE OF KANSAS CITY IN KANSAS 12615 PARALLEL PARKWAY KANSAS CITY KS 66109 480559094 CHURCH KS 501(C)(3) LINE 1 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0