2024-04-17T16:43:23-05:00 2023-06-30 420714325 RSM US LLP 4622 PENNSYLVANIA AVE STE 1100 KANSAS CITY MO 64112 990 2022-07-01 760760243 CATHOLIC CARE CAMPUS INC CATH 9139060990 13800 W 116TH ST OLATHE KS 66062 JON GRAMS TREASURER 9139060990 2024-04-12 1 JON GRAMS XXX-XX-XXXX 0 KEVIN ENSMINGER P01310558 8167533000 2024-04-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SANTA MARTA CHESTER SURMACZEWICZ 13800 W 116TH ST OLATHE KS 66062 24825142 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. 22 22 403 42 0 0 22966 38432 19850607 20977915 1552564 353021 30427 37595 21456564 21406963 310648 329092 0 0 10497315 10641922 0 0 0 10611774 10527593 21419737 21498607 36827 -91644 67739695 67756416 101444565 101373132 -33704870 -33616716 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 16815453 329092 21015510 CATHOLIC CARE CAMPUS, INC. PROVIDES INDIVIDUAL RETIREMENT LIVING SERVICES FOR ABOUT 250 RESIDENTS. CATHOLIC CARE CAMPUS, INC. PROVIDES FOR THE RESIDENT'S DIETARY, LAUNDRY AND HOUSEKEEPING NEEDS. SKILLED NURSING SERVICES ARE ALSO PROVIDED TO ABOUT 36 OF THOSE RESIDENTS AND ASSISTED LIVING AND MEMORY SUPPORT SERVICES ARE PROVIDED TO ABOUT 60 OF THOSE RESIDENTS. 16815453 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 88 0 1 403 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X DONNA MCKINNEY 9139060990 13800 W 116TH ST OLATHE KS 66062 ANDREW SCHMIDT VICE CHAIR/SECRETARY 4.00 X X 0 0 0 DOUG MOORMAN CHAIR (THRU 12/2022) 4.00 X X 0 0 0 JANE ZACCARDI CHAIRMAN 4.00 X X 0 0 0 TOM DEBACCO PAST CHAIR(THRU 12/2022) 4.00 X X 0 0 0 CAROL AHLVERS DIRECTOR (THRU 8/2022) 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 BRENT DEPPERSCHMIDT DIRECTOR (STARTED 5/2023) 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 EVERETT FRITZ II DIRECTOR (STARTED 5/2023) 4.00 X 0 0 0 BRUCE GEHRING DIRECTOR (STARTED 5/2023) 4.00 X 0 0 0 JON GRAMS TREASURER 4.00 X 0 0 0 FATHER MIKE HAWKEN DIRECTOR/ARCHDIOCESE REP 4.00 X 0 0 0 DAN JACOBSON DIRECTOR 4.00 X 0 0 0 JOSE MERCADO DIRECTOR (STARTED 5/2023) 4.00 X 0 0 0 PEGGY O'TOOLE DIRECTOR 4.00 X 0 0 0 MICHAEL PAYNE DIRECTOR (THRU 12/2022) 4.00 X 0 0 0 GREG SIEVE DIRECTOR (THRU 11/2022) 4.00 X 0 0 0 MICHAEL SKOCH DIRECTOR 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 226041 0 48215 MARSHA ANDERSON DIRECTOR OF MARKETING 40.00 X 147793 0 12634 BRIAN HAASE ADMINISTRATOR 40.00 X 115678 0 30162 KELLI DEMALINE DIRECTOR OF NURSING 40.00 X 108759 0 29880 DONNA MCKINNEY DIRECTOR OF FINANCE 40.00 X 104079 0 12754 GINA ZWICKEL DIRECTOR OF OPERATIONS 40.00 X 102696 0 25812 805046 0 159457 7 0 1 0 GREYSTONE MGMT SERVICES 220 E LAS COLINAS BLVD STE 1000 IRVING TX 75039 MANAGEMENT SERVICES 728004 ATTANE INC PO BOX 95649 CHICAGO IL 60694 ADVERTISING SERVICES 359886 ENCORE REHABILITATION SERVICES PO BOX 933195 CLEVELAND OH 44193 HEALTH SERVICES 318538 LEXINGTON PLUMBING & HEATING CO INC PO BOX 875810 KANSAS CITY MO 64187 MAINTENANCE SERVICES 264450 HERMES LANDSCAPING 13030 W 87TH STREET PKWY LENEXA KS 66215 MAINTENANCE SERVICES 256952 9 38432 38432 RESIDENT FEES 623000 18502467 18502467 HEALTH SERVICES 623000 1214938 1214938 NON-REFUNDABLE FEES 623000 1148757 1148757 MEALS & OTHER SERVICES 623000 111753 111753 20977915 367174 367174 37595 0 37595 37595 37595 3404026 3392222 25957 11804 -25957 -14153 -14153 21406963 21015510 0 353021 300000 300000 29092 29092 240801 240801 8539749 7425464 1114285 89387 89387 1091450 1091450 680535 680535 462467 462467 1820 1820 66610 66610 25077 25077 1119550 1005796 113754 322949 322949 892403 784297 108106 108727 108727 1192629 1192629 37173 12233 24940 591933 591933 3202661 3202661 175280 175280 DINING & RESIDENT PROGR 1352639 1319147 33492 EMPLOYEE EXPENSES 762260 632854 129406 LINENS 73894 73894 DUES & SUBSCRIPTIONS 61665 26887 34778 77856 43286 34570 21498607 16815453 4683154 0 3362779 3800787 372677 322866 67382 68352 124176 98458 93691364 39927146 55901678 53764218 5883853 7385212 1870698 1894529 156452 421994 67739695 67756416 1173974 1204469 28081252 25900123 72189339 74268540 101444565 101373132 X -33704870 -33616716 -33704870 -33616716 67739695 67756416 -91644 179798 0 X X 0 1 X 1 0 X 2035912 22966 38432 2097310 17617867 20018559 19234152 19850607 20977915 97699100 17617867 20018559 21270064 19873573 21016347 99796410 0 0 0 99796410 385334 382368 297333 209450 404769 1679254 385334 382368 297333 209450 404769 1679254 18003201 20400927 21567397 20083023 21421116 101475664 0.98350 0.98410 0.01650 0.01590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2315663 2315663 79472227 30854005 48618222 6005873 4673176 1332697 5897601 4399965 1497636 53764218 REFUNDABLE DEPOSITS 66958305 NONREFUNDABLE DEPOSITS 6272823 RESIDENT REFUNDS DUE 847828 DUE TO ARCHDIOCESE 189584 74268540 21558549 179798 179798 21378751 25077 3135 28212 21406963 21470395 0 21470395 25077 3135 28212 21498607 PART XI, LINE 4B - OTHER ADJUSTMENTS: SUBSIDY 29,092. LOSS ON SALE OF PROPERTY & EQUIPMENT -25,957. PART XII, LINE 4B - OTHER ADJUSTMENTS: SUBSIDY 29,092. LOSS ON SALE OF PROPERTY & EQUIPMENT -25,957. 1 ARCHDIOCESE OF KANSAS CITY IN KANSAS 12615 PARALLEL PARKWAY KANSAS CITY KS 66109 480559094 501(C)(3) 300000 0 MINISTRY SUPPORT TO THE ELDERLY 1 0 SUBSIDY 1 0 29092 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 189847 0 25070 0 11124 0 7023 0 41192 0 274256 0 0 0 MARSHA ANDERSON DIRECTOR OF MARKETING 86343 0 13800 0 47650 0 4485 0 8149 0 160427 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 2197000 29299000 197798 29101202 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 1 1 1 0 0 0 0 A 0 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 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