2018-05-15T15:07:28-05:00 2017-06-30 990 2016-07-01 481067110 CATHOLIC CARE CENTER INC CATH 3147338000 6700 East 45th Street North Bel Aire KS 67226 Tonya Mershon Tax Officer 2018-05-15 2016 2021-01-29 14:40:06Z X Cindy LaFleur 6700 East 45th Street North Bel Aire KS 67226 22331739 false 0928 X WWW.VIACHRISTI.ORG/LOCATIONS/SENIORS X 1988 KS To provide continuing care retirement community living, including skilled nursing services and assisted living services to those in our community for the short term or long term. 9 5 555 92 0 0 8219 19344 21260490 21653360 55034 292783 271372 338839 21595115 22304326 0 0 0 12021329 11256248 0 0 0 10046720 10816761 22068049 22073009 -472934 231317 49119539 51850982 28700153 31278862 20419386 20572120 CATHOLIC CARE CENTER carries out the healing mission of the Catholic Church THROUGH A JOINT SPONSORSHIP AGREEMENT WITH VIA CHRISTI VILLAGES, INC. AND THE CATHOLIC DIOCESE OF WICHITA. Via Christi's history extends back over 100 years and today we continue to respond to our greater community's needs. Our Mission calls for us to provide spiritually centered, holistic care which sustains and improves the health of individuals and communities, of all faiths, races, and socio-economic backgrounds, particularly those most in need. We commit ourselves to identifying and developing effective responses to the health and housing needs of all persons we are called to serve with special attention to those who are poor and vulnerable. false false 17516334 0 21653360 CATHOLIC CARE CENTER, INC. IS A NURSING AND ASSISTED LIVING FACILITY. OUR CENTER, INSPIRED BY THE HEALING MISSION OF THE CATHOLIC CHURCH TO THE ELDERLY, PROVIDES A CONTINUUM OF CARE TO RESIDENTS THAT MAXIMIZES DIGNITY AND INDEPENDENCE. ROOTED IN THE CATHOLIC TRADITION OF CARING. OUR COMMUNITY IS CONTINUALLY DEVELOPING AND ADOPTING NEW BEST PRACTICES IN CARE THAT ENHANCE THE EXPERIENCE OF OUR RESIDENTS, PROGRAM PARTICIPANTS AND PATIENTS. THE STAFF IS COMMITTED TO PROMOTING THE WELL-BEING OF THOSE WE SERVE THROUGH THE DELIVERY OF QUALITY CARE. THE CENTER CONSISTS OF A 176-BED NURSING FACILITY AND A 100-UNIT ASSISTED LIVING FACILITY LOCATED IN WICHITA, KANSAS. CATHOLIC CARE CENTER, INC. SERVES PEOPLE IN THE WICHITA AREA. THE PRIMARY COUNTIES INCLUDE SEDGWICK AND BUTLER. A TREND OF SIGNIFICANCE IN THE COMMUNITY IS THE GROWING ELDERLY POPULATION. TO ADDRESS THIS TREND, CATHOLIC CARE CENTER, INC. IS COLLABORATING WITH OTHER COMMUNITY ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO: MEALS ON WHEELS, ALZHEIMER'S ASSOCIATION, AND NURSING EDUCATION ORGANIZATIONS TO PROVIDE SERVICES AND EDUCATION TO THE ELDERLY. FINANCIAL SURPLUSES ARE USED TO FULFILL OUR CHARITABLE PURPOSE. THE BOARD OF DIRECTORS INCLUDED MEMBERS OF THE LOCAL COMMUNITY. OUR ORGANIZATION OFFERS DISCOUNTED CARE TO PERSONS WITHOUT ADEQUATE FINANCIAL MEANS TO PAY FOR SUCH SERVICES. THIS INCLUDES THE PARTICIPATION IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. 17516334 true true false true false false false false false false true false false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 61 0 true 555 true false false false false false true true false false false false X 9 5 false false false false true true true true true false false false true true true true true false false false X BRENDA DEHASS 3169465216 2622 W CENTRAL SUITE 100 WICHITA KS 67203 CYNTHIA LAFLEUR EX-OFFICIO, EXECUTIVE DIRECTOR 49.0 1.0 X X 166197 39157 17036 BRYAN COULTER TRUSTEE 1.0 0 X X 0 0 0 FATHER MICHAEL SIMONE CHAIR 1.0 0 X X 0 0 0 DAVID A GAMBINO CHAIR (END 12/2016) 1.0 54.0 X X 0 680015 32538 DAN LOUGHMAN VICE CHAIR 1.0 0 X X 0 0 0 JULIANNA M RIESCHICK TRUSTEE 1.0 54.0 X 0 168269 9564 JOY M SCOTT TRUSTEE 1.0 54.0 X 0 216135 34413 GERARD BRUNGARDT MD TRUSTEE 1.0 0 X 0 0 0 MELISSA EVRAETS TRUSTEE 1.0 39.0 X 0 177052 9381 JOAN C MELZER TRUSTEE 1.0 0 X 0 0 0 NICK HARSHFIELD CHIEF FINANCIAL OFFICER 1.0 54.0 X 0 293044 37102 JOE GIRARDI FORMER OFFICER (END 7/2015) 0.0 0.0 X 0 150178 0 166197 1723850 140034 1 true true false GENESIS REHAB SERVICES PO BOX 821322 PHILADELPHIA PA 19182 REHABILITATION SERVICES 647073 1 X 19344 19344 SKILLED NURSING 623000 13680794 13680794 ASSISTED LIVING 623000 6545202 6545202 INDEPENDENT LIVING 623000 866404 866404 Life Care & Epp Fees 623000 478514 478514 Other resident services 623000 82446 82446 0 0 0 0 21653360 292783 292783 50 50 0 50 50 0 0 -9158 -9158 -9158 30692 27413 3279 3279 BEAUTY & BARBER 812900 84299 84299 CAFETERIA REVENUE 722514 130725 130725 Management Fees 900099 98694 98694 30950 0 0 30950 344668 22304326 21653360 0 631622 8903337 7832587 1070750 106039 106039 1583627 1393174 190453 663245 573591 89654 1305466 25668 1279798 648 648 37850 37850 2496 2496 887226 887226 0 0 79722 79722 188655 94842 93813 597776 198 597578 922032 884638 37394 21298 12972 8326 354 354 438092 438092 2057817 2057817 66865 66865 Purchased Services 1476886 1369403 107483 Medical Supplies 1601627 1594966 6661 Maintenance and Repairs 534785 534387 398 Minor Equipment 144553 136410 8143 452613 118455 334158 0 22073009 17516334 4556675 0 599357 2214089 15036413 15040036 1583912 2127970 0 0 0 74177 100157 28414 34615 52225359 19956142 31751014 32269217 0 0 46252 64898 49119539 51850982 1989578 1915266 12178964 15030186 0 14531611 14333410 28700153 31278862 X 20419386 20572120 20419386 20572120 49119539 51850982 231317 -82910 4327 0 X false true X true false X 33715 22472 11763 8219 19344 95513 15622319 21335927 21365766 21260490 21653360 101237862 24548 24521 28757 25183 30692 133701 0 0 15680582 21382920 21406286 21293892 21703396 101467076 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101467076 90358 190852 71491 208157 292783 853641 0 90358 190852 71491 208157 292783 853641 0 151956 219026 241266 267786 335510 1215544 15922896 21792798 21719043 21769835 22331689 103536261 0.9800 0.9815 0.0082 0.0068 X Schedule A, Part III SCH A, PART III EFFECTIVE APRIL 1, 2013, VIA CHRISTI HEALTH, THE PARENT OF THE FILING ORGANIZATION, WAS ACQUIRED BY ASCENSION HEALTH. ASCENSION HEALTH IS A SUBSIDIARY OF ASCENSION HEALTH ALLIANCE. AS PART OF THE ACQUISITION, THE ORGANIZATION CHANGED ITS TAX YEAR TO JUN 30 IN ORDER TO ALIGN WITH THE TAX YEAR OF ASCENSION HEALTH. AMOUNTS REPORTED ON SCHEDULE A, PART III FOR THE 2012 TAX YEAR REPRESENT THE SHORT PERIOD OCTOBER 1, 2012 THROUGH JUNE 30, 2013 Schedule A, Part III, Line 12 Other Income DESCRIPTION - BEAUTY & BARBER, COLUMN A - 78974.0, COLUMN B - 112802.0, COLUMN C - 85194.0, COLUMN D - 86115.0, COLUMN E - 84299.0, COLUMN F - 447384.0; DESCRIPTION - CAFETERIA/GUEST MEALS, COLUMN A - 14858.0, COLUMN B - 24094.0, COLUMN C - 101173.0, COLUMN D - 106519.0, COLUMN E - 130725.0, COLUMN F - 377369.0; DESCRIPTION - EQUIPMENT RENTAL, COLUMN A - 8562.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 14267.0, COLUMN E - 0.0, COLUMN F - 22829.0; DESCRIPTION - OTHER INCOME, COLUMN A - 49562.0, COLUMN B - 82130.0, COLUMN C - 54899.0, COLUMN D - 60885.0, COLUMN E - 120486.0, COLUMN F - 367962.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 2496 2496 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to a trade association of the senior center that is specifically allocable to lobbying. Catholic Care Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to a trade association of the senior center that is specifically allocable to lobbying. Catholic Care Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 1885720 1885720 32287271 11607591 20679680 11707955 5922861 5785094 6344413 2425690 3918723 32269217 DUE TO RELATED PARTY NOTE PAYABLE AHSC/VCV LONG-TERM 12340000 RESIDENCY FUNDS RESIDENT RESTRICTED FUND Estimated Settlement to Third-Party Payor 34350 Current Portion Other Liability 1959060 14333410 X 22253159 -82910 0 -82910 22336069 -31743 -31743 22304326 22100423 0 0 22100423 -27414 -27414 22073009 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE CENTER RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements COST OF GOODS SOLD - -27413 PRIOR PERIOD ADJUSTMENT - -4327 ROUNDING - -3 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements COST OF GOODS SOLD - -27413 ROUNDING - -1 true true false false false false false false false CYNTHIA LAFLEUR EX-OFFICIO, EXECUTIVE DIRECTOR 154919 38454 9672 0 1606 703 2161 1850 10773 2252 179131 43259 0 0 DAVID A GAMBINO CHAIR (END 12/2016) 0 397731 0 231152 0 51132 0 15900 0 16638 0 712553 0 0 JULIANNA M RIESCHICK TRUSTEE 0 156446 0 0 0 11823 0 8475 0 1089 0 177833 0 0 JOY M SCOTT TRUSTEE 0 163369 0 31409 0 21357 0 11628 0 22785 0 250548 0 0 MELISSA EVRAETS TRUSTEE 0 157456 0 7810 0 11786 0 9381 0 0 0 186433 0 0 JOE GIRARDI FORMER OFFICER (END 7/2015) 0 0 0 0 0 150178 0 0 0 0 0 150178 0 0 NICK HARSHFIELD CHIEF FINANCIAL OFFICER 0 254114 0 30000 0 8930 0 9428 0 27674 0 330146 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF VIA CHRISTI VILLAGES, INC., WHICH IS ONE OF THE CORPORATE MEMBERS OF CATHOLIC CARE CENTER, INC., USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from a related organization of one of the corporate members during calendar year 2016: JOE GIRARDI - $150,178 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions during calendar year 2016 . Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF VIA CHRISTI VILLAGES, INC., WHICH IS ONE OF THE CORPORATE MEMBERS OF CATHOLIC CARE CENTER, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF VIA CHRISTI VILLAGES, INC., WHICH IS ONE OF THE CORPORATE MEMBERS OF CATHOLIC CARE CENTER, INC. INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders CATHOLIC CARE CENTER, INC. HAS TWO CORPORATE MEMBERS, VIA CHRISTI VILLAGES, INC. AND CATHOLIC DIOCESE OF WICHITA Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CATHOLIC CARE CENTER, INC. HAS TWO CORPORATE MEMBERS, VIA CHRISTI VILLAGES, INC. AND THE CATHOLIC DIOCESE OF WICHITA, WHO HAVE THE ABILITY TO APPOINT MEMBERS TO THE GOVERNING BODY OF CATHOLIC CARE CENTER, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension Health Senior Care, a related entity of Catholic Care Center, Inc., has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals' evaluation debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Transportation Revenue - Total Revenue: 8619, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 8619; Other Revenue - Total Revenue: 22331, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 22331;