2023-05-11T14:21:46-05:00 2022-06-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2021-07-01 481067110 CATHOLIC CARE CENTER INC % BRENDA DEHASS CATH 3167442020 6700 EAST 45TH STREET NORTH BEL AIRE KS 67226 CYNTHIA LAFLEUR OFFICER 3167442020 2023-05-15 true CYNTHIA LAFLEUR 999009999 SHAWNELL LINOT P01663908 3162652811 2 2021 2023-04-26 12:10:37Z CINDY LAFLEUR 6700 EAST 45TH STREET NORTH BEL AIRE KS 67226 24184974 false 0928 X WWW.CATHOLICCARECENTER.ORG 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 OR LONG TERM. 10 8 468 25 0 1540133 2626033 21777412 21085629 135938 172827 265937 292901 23719420 24177390 0 0 0 0 13247262 12608278 0 0 0 11758579 11716839 25005841 24325117 -1286421 -147727 50098124 46513636 32836909 30246628 17261215 16267008 X CATHOLIC CARE CENTER STRIVES TO ENHANCE THE DIGNITY AND RESPECT OF ALL RESIDENTS BY OFFERING COMPETENT, PROFESSIONAL, AND SPIRITUALLY NOURISHING HEALTHCARE AND SUPPORTIVE SERVICES. WE STRIVE TO KNOW THE NEEDS OF OUR RESIDENTS (CONTINUED ON SCHEDULE O) false false 20147438 0 21085629 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. (CONTINUED ON SCHEDULE O) 20147438 true true false true false false false false false false true false false false true false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 55 0 true 468 true false false false false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true true true false false false X BRENDA DEHASS 3167716575 6700 E 45TH ST NORTH BEL AIRE KS 67226 X CYNTHIA LAFLEUR PRESIDENT 50.0 0.0 X 206443 0 9992 BRENDA DEHASS DIRECTOR OF FINANCE 50.0 0.0 X 131167 0 20558 BRENDA DAVIS DIRECTOR OF NURSING 50.0 0.0 X 120480 0 2756 LARRY NANNY LTC ADMINISTRATOR 50.0 0.0 X 106514 0 8473 REV PATRICK YORK TRUSTEE 1.0 39.0 X 0 35525 0 MIKE BURRUS CHAIR 1.0 0.0 X X 0 0 0 GREGG OBLINGER VICE CHAIR 1.0 0.0 X X 0 0 0 MARK KUHN TREASURER 1.0 0.0 X X 0 0 0 TOM CHURCH SECRETARY 1.0 0.0 X X 0 0 0 JULIANNA RIESCHICK TRUSTEE 1.0 0.0 X 0 0 0 KEVIN STRECKER TRUSTEE 1.0 0.0 X 0 0 0 SR FRAN SCHUMER TRUSTEE 1.0 0.0 X 0 0 0 DR REINALDO MIJARES TRUSTEE 1.0 0.0 X 0 0 0 564604 35525 41779 4 false true false LIFE CARE SERVICES 400 LOCUST ST STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 947144 CASCADE HEALTH SERVICES 1001 NW BARRY RD KANSAS CITY MO 64155 NURSING STAFF AGENCY 889009 MEDICAL STAFFING NETWORK INC PO BOX 840292 DALLAS TX 75284 NURSING STAFF AGENCY 822152 E4H - ENVIRONMENTS FOR HEALTH LLC PO BOX 779062 CHICAGO IL 60677 ARCHITECT 654839 WALDEN MEDICAL STAFFING LLC 114 S COUNTRY VIEW LN WICHITA KS 67235 NURSING STAFF AGENCY 645121 11 2586776 39257 2626033 Skilled Nursing 623000 13183351 13183351 Assisted Living 623000 5868910 5868910 Independent Living 623000 1911250 1911250 Life Care & EPP Fees 623000 122118 122118 _ 21085629 172827 172827 0 0 0 0 0 0 0 0 0 0 0 0 10594 7584 3010 3010 BEAUTY & BARBER 812900 4149 4149 CAFETERIA REVENUE 722514 110225 110225 MANAGEMENT FEES 900099 107180 107180 68337 68337 289891 24177390 21085629 465728 0 0 0 0 216435 216435 0 9618775 8786329 832446 81566 67517 14049 1962650 1363080 599570 728852 636831 92021 854413 854413 10191 10191 97036 97036 0 0 0 3042848 2975667 67181 0 46810 46810 475499 313947 161552 418612 418612 0 1584127 1519948 64179 9739 799 8940 0 9153 5229 3924 399122 331503 67619 0 2214665 1839459 375206 454411 377425 76986 PURCHASED SERVICES 328710 328710 MEDICAL SUPPLIES 1508437 1508437 CONTRACT LABOR 933 933 PROVIDER TAX EXPENSE 143968 143968 118165 92557 25608 24325117 20147438 4177679 0 3672222 1714024 14373622 13973784 0 0 1220612 1379551 0 0 0 0 0 0 242273 285572 196682 184075 59771370 30829487 29963245 28941883 0 0 0 0 0 0 0 0 429468 34747 50098124 46513636 1931415 1661476 0 0 18206894 18911085 0 8821067 0 0 0 0 0 0 0 0 12698600 853000 32836909 30246628 X 17261215 16267008 0 0 17261215 16267008 50098124 46513636 -147727 -846480 X false true X true false X 10000 13255 19132 1540133 2626033 4208553 22542212 24132000 24680836 21777412 21085629 114218089 0 0 0 22552212 24145255 24699968 23317545 23711662 118426642 69996 95621 84145 83255 301180 634197 0 69996 95621 84145 83255 301180 634197 117792445 417752 493653 534248 171562 172827 1790042 0 417752 493653 534248 171562 172827 1790042 0 318891 302474 484514 264466 289891 1660236 23288855 24941382 25718730 23753573 24174380 121876920 0.96649 0.96703 0.01469 0.01591 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2080 false false false 2080 false false SCHEDULE C, PART II-B, LINE 1F 10% OF LEADINGAGE KANSAS' DUES ARE DEDICATED TO LOBBYING. 1885720 1885720 45463519 22922250 22541269 5407117 4396897 1010220 7015014 3510340 3504674 28941883 0 NOTES PAYABLE 853000 853000 23330910 -846480 -846480 24177390 24177390 24325117 24325117 24325117 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. X X X false false false false false false false false false CYNTHIA LAFLEUR PRESIDENT 206443 0 0 0 0 0 0 0 6008 0 212451 0 0 0 BRENDA DEHASS DIRECTOR OF FINANCE 131167 0 0 0 0 0 0 0 17935 0 149102 0 0 0 SCHEDULE J, PART I, LINE 3 CATHOLIC CARE CENTER UTILITZES A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. SCHEDULE J, PART I, LINE 4B 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 ORGANIZATIONS. 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 INDIVIDUAL RECEIVED CURRENT YEAR DISTRIBUTIONS DURING CALENDAR YEAR 2021. A CITY OF BEL AIRE KANSAS 2022-06-01 9596000 SEE PART VI false false false B CITY OF BEL AIRE KANSAS 2022-06-01 10637000 SEE PART VI false false false A 0 0 9596000 0 0 0 186000 0 0 0 0 9410000 false false true true B 0 0 10637000 0 0 0 205930 0 0 0 0 10431070 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true A true B true SCHEDULE K, PART I, COLUMN F, LINES A & B To refinance the Refinanced Obligation, pay costs of purchasing, acquiring, constructing, reconstructing, improving, installing, equipping, furnishing, repairing, enlarging or remodeling the Facility. FORM 990, PART III, LINE 1 AND PROVIDE INDIVIDUALIZED NURSING CARE. WE STRIVE TO LOVE OUR RESIDENTS WITH THE LOVE OF CHRIST. WE STRIVE TO SERVE OUR RESIDENTS WITH EMPATHY AND GENTLENESS. FORM 990, PART III, LINE 4A 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. FORM 990, PART VI, SECTION A, LINE 7A CATHOLIC CARE CENTER, INC. HAS ONE CORPORATE MEMBER, CATHOLIC DIOCESE OF WICHITA, WHICH HAS THE ABILITY TO APPOINT MEMBERS TO THE GOVERNING BODY OF CATHOLIC CARE CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7B CATHOLIC CARE CENTER, INC. HAS DESIGNATED 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 AND MAJOR TRANSACTIONS; GOVERNING DOCUMENTS; APPOINTMENTS/REMOVALS; EVALUATION OF DEBT LIMITS; STRATEGIC AND FINANCIAL PLANS; ASSETS; SYSTEM POLICIES AND PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY THE CORPORATE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE 990 IS THEN REVIEWED BY THE DIRECTOR OF FINANCE AND THE ORGANIZATION'S DESIGNATED COMMITTEE TO THE BOARD OF TRUSTEES. ANY QUESTIONS OR CONCERNS THE DIRECTOR OF FINANCE AND THE COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990 WITH ALL THE REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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, SECTION B, LINE 15A & 15B IN DETERMINING COMPENSATION FOR THE ORGANIZATION'S OFFICERS INCLUDES A REVIEW OF COMPARABILITY DATA, DELIBERATION AND DECISION BY HUMAN RESOURCES, FINANCE, AND EXECUTIVE LEADERS BEFORE GOING TO THE EXECUTIVE COMMITTEE OF THE BOARD FOR THE FINAL APPROVAL. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO THE 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, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:RN/LPN STAFFING TOTAL FEES:1232880 FORM 990 PART IX LINE 11G DESCRIPTION:AIDE STAFFING TOTAL FEES:1578845 FORM 990 PART IX LINE 11G DESCRIPTION:HOUSEKEEPING TOTAL FEES:19859 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:211264 CATHOLIC DIOCESE OF WICHITA 424 N BROADWAY WICHITA KS 67202 480453780 RELIGIOUS KS 501(C)(3) 1 NA false HOLY FAMILY SPECIAL NEEDS FOUNDATION 424 N BROADWAY WICHITA KS 67202 020690783 ASSISTANCE KS 501(C)(3) 12A CDOW false GUADALUPE CLINIC INC 424 N BROADWAY WICHITA KS 67202 201285208 HEALTHCARE KS 501(C)(3) 12A CDOW false PRIESTS RETIREMENT AND EDUCATION FUND 424 N BROADWAY WICHITA KS 67202 481252635 RELIGIOUS KS 501(C)(3) 12A CDOW false CATHOLIC CHARITIES INC 437 N TOPEKA WICHITA KS 67202 812415790 SOCIAL SERV KS 501(C)(3) 7 CDOW false SUPPORT FOR CATHOLIC SCHOOLS INC 424 N BROADWAY WICHITA KS 67202 812415790 ASSISTANCE KS 501(C)(3) 12A CDOW false GUADALUPE HEALTH FOUNDATION 424 N BROADWAY WICHITA KS 67202 201344137 ASSISTANCE KS 501(C)(3) 12A CDOW false false false false false false false false false false false false false false false false false false false false