2020-08-26T08:12:44-05:00 2019-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2019-01-01 364390434 CATHERINE KASPER LIFE CENTER % CKLC CATH 5749351727 PO BOX 1 DONALDSON IN 46513 SR JOETTA HUELSMANN PROVINICAL LEADER 5749351727 2020-11-16 true Lauren R Denton P01571860 2604604000 167.68.126.162 35027420202395000007 2020-08-26 P 4054C3EF14AA7DF352A59B9CFDC0CB34D463127C 43DB6BABCD5765C21A853E601D85CE870D305F40 2019 2020-11-19 02:30:22Z SR JOETTA HUELSMANN PO BOX 1 DONALDSON IN 46513 8750045 false 0928 X WWW.CKLC.POORHANDMAIDS.ORG X 2000 IN CKLC IS COMPOSED OF CKH, A LONG TERM CARE FACILITY, MARIA CENTER, AN APARTMENT COMPLEX FOR SENIORS, AND CATHERINE'S COTTAGE, OFFERING INDEPENDENT LIVING SERVICES FOR MEMBERS. 12 12 180 12 0 0 4045 48429 2128759 8680179 572 21437 0 0 2133376 8750045 0 0 0 0 1233055 5415381 0 0 0 1490629 4124061 2723684 9539442 -590308 -789397 1679089 1582536 879694 1487632 799395 94904 X CKLC IS COMPOSED OF CATHERINE KASPER HOME (CKH), A STATE LICENSED AND CERTIFIED LONG TERM CARE FACILITY, MARIA CENTER, AN APARTMENT COMPLEX FOR SENIORS OFFERING SUPPORTIVE SERVICES, AND CATHERINE'S COTTAGE (THE COTTAGE) OFFERING INDEPENDENT LIVING SERVICES TO THE RELIGIOUS MEMBERS RESIDING THERE. false false 6254734 7897902 CATHERINE KASPER HOME (CKH) IS AN 82-BED LICENSED NURSING CARE FACILITY PROVIDING SKILLED SERVICES TO RESIDENTS. CKH PROVIDES ROUTINE CARE SERVICES MEETING THE NEEDS OF RESIDENTS RANGING FROM A LIGHT ACUITY LEVEL NURSING FACILITY COMPONENT TO A SKILLED NURSING UNIT. THE BASIC FEE INCLUDES 24-HOUR NURSING SERVICES, THREE MEALS PER DAY, AND AT LEAST ONE PLANNED NUTRITIONAL SNACK, LAUNDRY SERVICES FOR PERSONAL CLOTHING AND LINENS, ROUTINE MEDICAL SUPPLIES, LOCAL TRANSPORATION FOR MEDICAL NECESSITY, ACTIVITIES, SOCIAL SERVICE CONSULTATION, PASTORAL CARE, DIETICIAN CONSULTATIONS AND GROUNDS SECURITY. ALL ROOM ACCOMODATIONS ARE INDIVIDUAL PRIVATE ROOMS, OFFERING A PEACEFUL HOME-LIKE SETTING FOR RESIDENTS' FRIENDS AND FAMILY. 1085770 591537 MARIA CENTER IS A NON-LICENSED APARTMENT COMPLEX FOR SENIORS OFFERING SUPPORTIVE SERVICES. A PART OF CKLC, MARIA CENTER IS HOUSED WITHIN THE MAIN POOR HANDMAIDS OF JESUS CHRIST MINISTRY CENTER BUILDING. A FULL-TIME DIRECTOR AND PART-TIME ACTIVITY DIRECTOR STAFF THE MARIA CENTER. MARIA CENTER IS COMPRISED OF 27 APARTMENTS. AN ACTIVITY ROOM PROVIDES EXERCISE EQUIPMENT, A FULL KITCHEN, SMALL LIBRARY, LARGE SCREEN TV AND MEETING AND ACTIVITY SPACE. MARIA CENTER PROVIDES THREE MEALS DAILY THROUGH THE MINISTRY CENTER'S DINING SERVICE. THE MONTHLY RENT INCLUDES ACCESS TO A LAUNDRY FACILITY, A LOCKED PERSONAL STORAGE UNIT, RESERVED PARKING AND TRANSPORTATION FOR SHOPPING. AS AN INDEPENDENT LIVING COMPLEX, ALL ACTIVITIES AND OFFERINGS ARE UTILIZED PER CHOICE OF THE RESIDENT. THERE ARE A WIDE VARIETY OF ACTIVITIES BOTH WITHIN AND OUTSIDE THE MARIA CENTER. 552133 190740 CATHERINE'S COTTAGE IS A PART OF CKLC THAT PROVIDES COMMUNAL LIVING SERVICES FOR RELIGIOUS MEMBERS OF ITS CONGREGATION. EACH RESIDENT RECEIVES STANDARD SERVICES THAT INCLUDE HEALTH AND MEDICAL, MEALS, HOUSEKEEPING, LAUNDRY, TRANSPORTATION, SECURITY, MAINTENANCE, AND WELLNESS ACTIVITIES FOR A MONTHLY RATE. 7892637 true true false false false false false false false false true true false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false true 13 0 180 true false false false false false false false false false false false false X 12 12 false true false false true true true true true false false true true true true true true true true false IN X CKLC 5749369936 9601 UNION ROAD PLYMOUTH IN 46563 X MERITA ALLSOP-BORTON DIRECTOR 1.0 0.0 X 0 0 0 SR JOETTA HUELSMANN CHAIRPERSON 1.0 0.0 X X 0 0 0 STEPHEN GRANDFIELD DIRECTOR 1.0 0.0 X 0 0 0 SR NORA HAHN VICE-PRESIDENT/SECRETARY 1.0 0.0 X X 0 0 0 ANDREA KOONTZ DIRECTOR 1.0 0.0 X 0 0 0 TERRI LAWTON DIRECTOR 1.0 0.0 X 0 0 0 KENNETH LUKENBILL DIRECTOR 1.0 0.0 X 0 0 0 SR PATRICIA PETERS TREASURER 1.0 0.0 X X 0 0 0 SR SHARON FOX DIRECTOR 1.0 0.0 X 0 0 0 SR CAROLE LANGHAUSER DIRECTOR 1.0 0.0 X 0 0 0 DONNA SIKORSKI DIRECTOR 1.0 0.0 X 0 0 0 SR LINDA VOLK DIRECTOR 1.0 0.0 X 0 0 0 0 0 0 0 false false false TRINITY HEALTH 20555 VICTOR PKWY LIVONIA MI 48152 MANAGEMENT SERVICES 561496 MELADJOY THERAPY SERVICES INC 51470 NORWICH DR GRANGER IN 46530 THERAPY SERVICES 456447 ROSEWOOD STAFFING INC 1022 S 250 W ALBION IN 46701 EMPLOYMENT SERVICES 335701 ATC HEALTHCARE SERVICES INC 8115B LIMA RD FORT WAYNE IN 46818 EMPLOYMENT SERVICES 292219 IN TOUCH PHARMACEUTICALS 1150 EASTPORT CENTER DR VALPARAISO IN 46383 PHARMACY SERVICES 266597 8 48429 48429 CKH REVENUE 623000 7897902 7897902 MARIA CENTER REVENUE 623000 591537 591537 CATHERINE'S COTTAGE REVENUE 623990 190740 190740 8680179 21437 21437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8750045 8680179 21437 0 0 0 0 0 0 4977566 4427903 549663 0 176788 157266 19522 261027 232202 28825 457613 457613 9665 9665 43750 43750 0 0 0 750033 600026 150007 3636 3636 462157 97053 365104 0 0 656090 656090 37207 33098 4109 0 7947 7069 878 0 0 78575 78575 655344 655344 PHARMACY 264449 264449 FOOD 570514 570514 MISCELLANEOUS 127081 113048 14033 9539442 7892637 1646805 0 498612 232637 0 0 0 0 691431 926695 0 0 0 0 0 0 38359 17245 17084 25752 1137906 880052 332687 257854 0 0 100916 122353 0 0 0 0 0 0 1679089 1582536 751209 750913 0 0 12917 30417 0 0 0 0 0 0 0 0 0 0 115568 706302 879694 1487632 X 776851 56149 22544 38755 799395 94904 1679089 1582536 -789397 84906 X false true X true false X X 1 ANCILLA DOMINI SISTERS 350867952 1 true 0 0 1 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 128701 87866 40835 1009205 792186 217019 257854 Investments - Other securities 122353 F 122353 0 Other Liability 706302 706302 8834951 84906 84906 8750045 8750045 9539442 9539442 9539442 ASC 740 FOOTNOTE 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. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH TRINITY SENIOR SERVICES MANAGEMENT, INC. (TSSM) ON APRIL 15, 2017. THE AGREEMENT CALLS FOR TSSM TO PROVIDE MANAGEMENT SERVICES FOR THE LONG-TERM CARE FACILITY MAINLY IN THE AREAS OF CLINICAL OPERATIONS, HUMAN RESOURCES, ACCOUNTS RECEIVABLE MANAGEMENT, AND FINANCIAL OVERSIGHT. FINANCIAL OVERSIGHT ENCOMPASSES THE PROCESSING AND RECORDING OF BILLINGS/CASH RECEIPTS AND ACCOUNTS PAYABLES/CASH DISBURSEMENTS, AS WELL AS THE PREPARATIONS OF MONTHLY FINANCIAL STATEMENTS AND ANNUAL COST REPORTS. AFTER THE AGREEMENT WITH TSSM EXPIRED ON 11/31/19, THE ORGANIZATION ENTERED INTO AN AGREEMENT WITH CSJI MANAGEMENT DURING DECEMBER 2019. FORM 990, PART VI, SECTION A, LINE 6 THE PROVINCIAL OF THE AMERICAN PROVINCE OF THE POOR HANDMAIDS OF JESUS CHRIST, THE TREASURER OF THE AMERICAN PROVINCE OF POOR HANDMAIDS OF JESUS CHRIST AND THE INDIVIDUALS HOLDING MEMBERSHIP POSITION IN THE PROVINCIAL COUNCIL OF THE AMERICAN PROVINCE OF THE POOR HANDMAIDS OF JESUS CHRIST ARE THE VOTING MEMBERS OF THE CATHERINE KASPER LIFE CENTER (CKLC). FORM 990, PART VI, LINE 7A THE MEMBERS OF CKLC APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B THE APPROVAL OF THE MEMBERS OF CKLC IS REQUIRED WITH RESPECT TO THE FOLLOWING: 1.) ANY MODIFICATIONS OF THE PHILOSOPHY OF CKLC. 2.) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS. 3.) THE MERGER OR CONSOLIDATION OF CKLC WITH OR INTO ANY OTHER ENTITY. 4.) THE VOLUNTARY DISSOLUTION OF CKLC. 5.) THE LEASE, SALE, TRANSFER, ASSIGNMENT, MORTGAGE OR ENCUMBRANCE OF ANY KIND OF FIXED CAPITAL, REAL ESTATE OR BUILDINGS HAVING A BOOK VALUE IN EXCESS OF ONE MILLION. 6.) THE INCURRENCE OF DEBT IN EXCESS OF $100,000 OTHER THAN INCURRED IN THE ORDINARY COURSE OF BUSINESS. 7.) THE SELECTION OF CERTIFIED PUBLIC ACCOUNTANTS. 8.) THE ACCEPTANCE OF ANY DONATION, GIFT, DEVISE OR BEQUEST WHICH IMPOSES AN ONGOING OR CONTINUING OBLIGATION UPON CKLC. FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY THE INDEPENDENT AUDITORS OF CKLC, AND WAS REVIEWED BY TRINITY SENIOR SERVICES MANAGEMENT AND ANCILLA DOMINI SISTERS, INC., BOTH OF WHICH PROVIDED ACCOUNTING SERVICES TO CKLC DURING 2019. A DRAFT OF THE FORM 990 WAS PROVIDED TO ALL DIRECTORS VIA EMAIL FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, LINE 12C EACH OFFICER, DIRECTOR AND KEY EMPLOYEE ARE REQUIRED TO ANNUALLY COMPLETE A DISCLOSURE STATEMENT WHICH IDENTIFIES CONFLICTS OF INTEREST. THE FILING OFFICER REVIEWS THE DISCLOSURE STATEMENTS AND REPORTS ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD CHAIR WHO WOULD SUBSEQUENTLY DISCLOSE THE POTENTIAL CONFLICT OF INTEREST TO THE BOARD. IN 2019, NO POTENTIAL CONFLICTS OF INTEREST WERE NOTED. FORM 990, PART VI, LINE 15A & 15B THE DIRECTOR OF HUMAN RESOURCES OF ANCILLA DOMINI SISTERS, INC., WHICH PROVIDES HUMAN RESOURCE SERVICES TO CKLC, GATHERS DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AS SIMILARLY SITUATED ORGANIZATIONS AND MAKES A RECOMENDATION AS TO ANNUAL ADJUSTMENTS FOR EACH EMPLOYEE. THE MEMBERS OF CKLC REVIEWS AND APPROVES THE COMPENSATION. FORM 990, PART VI, LINE 19 CKLC DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC EXCEPT TO THE EXTENT THAT THEY ARE IN A PUBLICLY AVAILABLE DOCUMENT SUCH AS FORM 990 OR 1023. FORM 990, PART VIII & PART IX IN MARCH OF 2018, CATHERINE KASPER LIFE CENTER (CKLC) ENTERED INTO AN AGREEMENT WITH WOODLAWN HOSPITAL WHERE THE ORGANIZATION LEASES OR SUBLEASES CERTAIN TANGIBLE AND INTANGIBLE PROPERTY INCLUDING REAL ESTATE FACILITIES. CKLC ENTERED INTO A PROPERTY LICENSE AGREEMENT FOR THE FACILITY AND A MANAGEMENT AGREEMENT AND HEALTH CARE FACILITY LEASE AGREEMENT. UNDER THESE AGREEMENTS, THE ORGANIZATION LEASES THE PROPERTY AND MANAGES THE HEALTH CARE SERVICES ON WOODLAWNS BEHALF. CKLC RECEIVES CERTAIN REVENUE FOR RENT OF THE LEASED PROPERTY AND MANAGEMENT AND OTHER FEES, ALL INCLUDED ON THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. THE LINDEN HOUSE OF GARY INC 566 WEST LAKE STREET CHICAGO IL 60661 351954576 SR. HOUSING IN 501(C)(3) 10 ANCILLA SYS false THE LINDEN HOUSE OF HOBART INC 566 WEST LAKE STREET CHICAGO IL 60661 352006008 SR. HOUSING IN 501(C)(3) 10 ANCILLA SYS false THE LINDEN HOUSE OF MISHAWAKA 566 WEST LAKE STREET CHICAGO IL 60661 351968002 SR. HOUSING IN 501(C)(3) 10 ANCILLA SYS false WEST TOWER SENIOR RESIDENCE INC 566 WEST LAKE STREET CHICAGO IL 60661 363768578 SR. 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