2017-05-15T20:02:48-05:00 2016-06-30 990 2015-07-01 481067110 CATHOLIC CARE CENTER INC CATH 3167442020 12250 Weber Hill Road Suite 200 St Louis MO 63127 NICK HARSHFIELD AHSC COO 2017-05-15 2015 2021-01-29 14:40:06Z X Cindy LaFleur 12250 Weber Hill Road St Louis MO 63127 21770524 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 3 571 81 0 0 11763 8219 21352903 21260490 -158270 55034 266296 271372 21472692 21595115 0 0 11272733 12021329 0 0 9458035 10046720 20730768 22068049 741924 -472934 47608551 49119539 26651981 28700153 20956570 20419386 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 16709963 21274757 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. 16709963 true false 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 54 0 true 571 true false false false false false true true false false false false X 9 3 false false false false true true true true true false false true true true true true true false false false X BRENDA DEHASS 3169465216 2622 W CENTRAL SUITE 100 WICHITA KS 67203 BRYAN COULTER SECRETARY/TREASURER 1.0 0 X X 0 0 0 ERIK HATTEN TREASURER (END 4/2016) 1.0 54.0 X X 0 227685 36647 CYNTHIA LAFLEUR EX-OFFICO 1.0 50.0 X X 0 230118 45287 DAN LOUGHMAN VICE CHAIR 1.0 0 X X 0 0 0 MARKUS MEYER PRESIDENT/CEO (END 11/15) 50.0 0.0 X X 0 107688 16978 FR MICHAEL SIMONE CHAIR 1.0 0 X X 0 0 0 SR PAMELA YOUNG SECRETARY (END 10/2015) 1.0 1.0 X X 0 0 0 DAVID A GAMBINO TRUSTEE 1.0 54.0 X X 0 544747 74387 JOAN MELZER TRUSTEE 1.0 0 X 0 0 0 JOY M SCOTT TRUSTEE 1.0 54.0 X 0 151929 46376 DR GERARD BRUNGARDT TRUSTEE 1.0 0 X 0 0 0 MELISSA EVRAETS TRUSTEE 1.0 40.0 X 0 158102 12416 JOE GIRARDI CFO (END 7/15) 1.0 54.0 X 0 282816 15729 NICK HARSHFIELD CHIEF FINANCIAL OFFICER (START 2/2016) 1.0 54.0 X 0 0 0 0 1703084 247820 0 true true false ASCENSION SENIOR LIVING 12250 WEBER HILL RD sUITE 200 sT lOUIS MO 63127 Therapy Services & is sUPPORT sERVICES 1975033 Via Christi Villages Inc 2622 West Central No 100 Wichita KS 67203 Management Services 259395 2 X 8219 8219 SKILLED NURSING 623000 13840512 13840512 ASSISTED LIVING 623000 6323124 6323124 INDEPENDENT LIVING 623000 935406 935406 REIMBURSEMENT REVENUE 623000 95819 95819 Other resident services 623000 65629 65629 0 0 0 0 21260490 208846 0 208846 0 0 153812 0 -153812 -153812 -153812 25183 21597 3586 3586 BEAUTY & BARBER 812900 86115 86115 CAFETERIA SALES 722100 83402 83402 GUEST MEALS 722210 23117 23117 75152 14267 0 60885 267786 21595115 21274757 0 312139 9896389 9097686 798703 28610 11537 17073 1351996 420774 931222 744334 664557 79777 1580528 24216 1556312 3967 3967 37176 37176 2523 2523 1551584 1451728 99856 0 19844 19844 167032 76247 90785 685455 685455 737636 717122 20514 10926 5081 5845 11686 9256 2430 664378 664378 1904245 1904245 127096 127096 MINOR EQUIPMENT 109525 55994 53531 MEDICAL SUPPLIES & PHARM 700436 700436 DIETARY SUPPLIES 868146 868146 MAINT & REPAIR 379981 379981 484556 322957 161599 0 22068049 16709963 5358086 0 3342128 599357 8218401 1366461 0 1456315 1583912 0 0 0 76149 74177 93323 28414 49664167 17913153 27719219 31751014 6703016 13669952 0 0 0 0 46252 47608551 49119539 2073313 1989578 0 0 0 0 0 0 24578668 26710575 26651981 28700153 X 20956570 20419386 0 0 0 0 0 20956570 20419386 47608551 49119539 -472934 -64250 0 X false true X true false X 14222 33715 22472 11763 8219 90391 21035071 15622319 21335927 21365766 21260490 100619573 41243 24548 24521 28757 25183 144252 0 0 0 0 21090536 15680582 21382920 21406286 21293892 100854216 91554 0 0 0 0 91554 0 0 0 0 0 0 91554 0 0 0 0 91554 100762662 141502 90358 190852 71491 208157 702360 0 0 141502 90358 190852 71491 208157 702360 0 0 226786 151956 219026 241266 267786 1106820 21458824 15922896 21792798 21719043 21769835 102663396 0.9815 0.9938 0.0068 0.0021 X Schedule A, Part II, Line 17a 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 - 118824.0, COLUMN B - 78974.0, COLUMN C - 112802.0, COLUMN D - 85194.0, COLUMN E - 86115.0, COLUMN F - 481909.0; DESCRIPTION - CAFETERIA/GUEST MEALS, COLUMN A - 27930.0, COLUMN B - 14858.0, COLUMN C - 24094.0, COLUMN D - 101173.0, COLUMN E - 106519.0, COLUMN F - 274574.0; DESCRIPTION - EQUIPMENT RENTAL, COLUMN A - 11495.0, COLUMN B - 8562.0, COLUMN C - , COLUMN D - , COLUMN E - 14267.0, COLUMN F - 34324.0; DESCRIPTION - OTHER INCOME, COLUMN A - 68537.0, COLUMN B - 49562.0, COLUMN C - 82130.0, COLUMN D - 54899.0, COLUMN E - 60885.0, COLUMN F - 316013.0; false false false false false false false false true 2523 2523 false 1885720 1885720 38710734 13650702 25060032 5337421 1968922 3368499 3708151 2293529 1414622 22141 22141 31751014 DUE TO RELATED PARTY 1038191 NON-REFUNDABLE USE FEES 1709143 REFUNDABLE USE FEES 10244690 NOTE PAYABLE AHSC/VCV LONG-TERM 13635000 RESIDENCY FUNDS 65000 RESIDENT RESTRICTED FUND 18551 26710575 X 21706273 -64250 0 -64250 21770523 -175408 -175408 21595115 22243457 0 0 22243457 -175408 -175408 22068049 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 - -21597 Gain/Loss on Sale Non Op - PPE - -487 Loss on Disposal of PPE - -153324 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Cost of Goods Sold - -21597 Gain/Loss on Sale Non Op - PPE - -487 Loss on Disposal of PPE - -153324 true true false false false false false false false ERIK HATTEN TREASURER (END 4/2016) 0 227685 0 0 0 0 0 17407 0 19240 0 264332 0 0 CYNTHIA LAFLEUR EX-OFFICO 0 192938 0 35441 0 1739 0 30933 0 14353 0 275405 0 0 DAVID A GAMBINO TRUSTEE 0 444439 0 92278 0 8029 0 49950 0 24437 0 619133 0 0 JOY M SCOTT TRUSTEE 0 144687 0 0 0 7242 0 16674 0 29702 0 198305 0 0 MELISSA EVRAETS TRUSTEE 0 158102 0 0 0 0 0 11796 0 620 0 170518 0 0 JOE GIRARDI CFO (END 7/15) 0 145080 0 10000 0 127736 0 9666 0 6063 0 298545 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ASCENSION HEALTH SENIOR CARE d.b.a. ASCENSION SENIOR LIVING, a related organization 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 TRUSTEE/OFFICER RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2015: JOE GIRARDI - $94,423 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 funded annually based on participation and are not vested until the 5 year service requirement is reached. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. The amount funded annually under the program to the executives is reported as compensation on Form 990 Schedule J, Part II Column B in the year funded. The amount ultimately paid under the program to executives is reported on Form 990 Schedule J, Part II Column F. There were no distributions to a supplemental nonqualified retirement plan during the year. Keysop plan-frozen: Eligible executives participated in a frozen supplemental option benefit program that provides for supplemental retirement benefits that was limited to Via Christi Hospital St, Francis, Preferred Medical Associates Physicians, Mount Carmel Regional Medical Center and Via Christi Health system executives. The payment of benefits under the program, if any, was linked to the exercise date for the options or to earned dividends on the options. Executives were vested in full when the options were granted. The amount ultimately paid under the program to executives receiving net option value is reported on Form 990 Schedule J, Part II, Column F. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION CATHOLIC CARE CENTER, INC. USES POLICIES ESTABLISHED FOR A COMMON PHILOSOPHY, STRATEGY, AND PROCESSES FOR EXECUTIVE COMPENSATION. THROUGH THE OVERSIGHT OF THE EXECUTIVE COMPENSATION COMMITTEE, EXECUTIVE COMPENSATION IS COMPETITIVELY POSITIONED AT ITS STATED MARKET POSITION WHEN COMPARED TO THE COMPENSATION PAID BY RELEVANT ORGANIZATIONS (COMPARABLY-SIZED HEALTH SYSTEMS, HOSPITALS, AND LONG-TERM CARE PROVIDERS). THE RESPONSIBILITY TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE IS RECOGNIZED IN VIEW OF ITS MISSION AND TAX-EXEMPT STATUS AND THAT ITS COMPENSATION LEVELS AND EXPENDITURES ARE REASONABLE AND NOT EXCESSIVE. TO ENSURE THESE ENDS, THE EXECUTIVE COMPENSATION COMMITTEE HAS ESTABLISHED AND APPROVED THE EXECUTIVE COMPENSATION PHILOSOPHY FOR CATHOLIC CARE CENTER AND ALL RELATED ENTITIES. IT WILL ALSO APPROVE ALL CHANGES IN THE COMPENSATION PACKAGE FOR EXECUTIVES IN ADVANCE. ON AN ANNUAL BASIS, THE COMMITTEE CONDUCTS A COMPREHENSIVE REVIEW OF TOTAL COMPENSATION FOR ALL EXECUTIVES. IT ALSO REVIEWS AND APPROVES "OFF-CYCLE" COMPENSATION TRANSACTIONS AS NEEDED. IN THEIR REVIEW. THE COMMITTEE CONSIDERS THE FOLLOWING FACTORS: - MARKET DATA FROM INDEPENDENT COMPENSATION SURVEYS AND SOURCES THAT REFLECT COMPARABLE POSITIONS IN ORGANIZATIONS OF SIMILAR SIZE AND SCOPE; - DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES; - SKILLS, EXPERIENCE AND PERFORMANCE HISTORY OF INDIVIDUAL EXECUTIVES; - CRITICAL BUSINESS OR STRATEGIC ISSUES THAT THE ORGANIZATION MAY FACE; AND - MARKET POSITION FOR TOTAL COMPENSATION. THE ADEQUACY, COMPETITIVENESS, AND COST OF THE VCH TOTAL EXECUTIVE COMPENSATION PROGRAM ARE REVIEWED ON AN ONGOING BASIS AND CHANGES ARE MADE AS THE COMMITTEE DETERMINES APPROPRIATE. THE EXECUTIVE COMPENSATION PROGRAM WILL BE MAINTAINED SUCH THAT IT WILL FALL WITHIN THE SAFE HARBOR GUIDELINES ESTABLISHED BY THE INTERMEDIATE SANCTIONS REGULATIONS. THE COMMITTEE ALSO EMPLOYS THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE MARKET ANALYSIS TO AID AND SUPPORT THE COMMITTEE'S ACTIONS, PROVIDE DOCUMENTATION OF MARKET TRENDS FOR BUDGET SETTING PURPOSES, REVIEW ANNUAL COMPENSATION CHANGES TO ENSURE "REASONABLENESS" AND PROVIDE ATTESTATION, AND PROVIDE CONSULTATION ON ALL EXECUTIVE COMPENSATION ISSUES. 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 d.b.a. Ascension Senior Living, 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 MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED/ENFORCED AS PART OF THE SYSTEM-WIDE PROCEDURES OF ASCENSION SENIOR LIVING AND NOT AT THE ORGANIZATIONAL LEVEL. THE POLICY IS MONITORED AND ENFORCED AS FOLLOWS: 1 - AT TIME OF APPOINTMENT AND ANNUALLY THEREAFTER, ALL INTERESTED PERSONS, INCLUDING BOARD AND COMMITTEE MEMBERS, COMPLETE A DISCLOSURE STATEMENT WHICH ADDRESSES ACTUAL OR POTENTIAL CONFLICTS OF INTEREST; 2 - THE DISCLOSURE STATEMENT IS DONE ELECTRONICALLY AND THE RETURN OF THE COMPLETED STATEMENT IS A CONDITION OF CONTINUED APPOINTMENT, EMPLOYMENT, OR PARTICIPATION WITH THE ORGANIZATION; 3 - ALL ACTUAL CONFLICTS ARE INVESTIGATED, AND RESOLVED BY THE CHIEF GOVERNANCE OFFICER AND THE CORPORATE RESPONSIBILITY OFFICER, WITH THE RESULTS SHARED WITH THE CHIEF EXECUTIVE OF THE ORGANIZATION; AND 4 - PERIODIC REVIEWS ARE CONDUCTED BY GOVERNANCE, COMPLIANCE, AND INTERNAL AUDIT TO ENSURE THE ORGANIZATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS. Form 990, Part VI, Line 19 Required documents available to the public CATHOLIC CARE CENTER, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 60885, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 60885; RENTAL INCOME - Total Revenue: 14267, Related or Exempt Function Revenue: 14267, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; General Information - Box C Change of Address The physical address of Catholic Care Center, Inc. is 6700 EAST 45TH STREET NORTH, Bel Aire, KS 67226. The address listed on page 1 on this return is for mailing purposes only.