SANSBURY CARE CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SANSBURY CARE CENTER INC (EIN 26-2878527)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2022-11-02
IRS object ID: 202213069349303216
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-02T17:22:07-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	610420207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	JONES NALE & MATTINGLY PLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	401 WEST MAIN STREET SUITE 1100	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	262878527	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SANSBURY CARE CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SANS	BusinessNameControlTxt
Phone	8593363974	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2625 BARDSTOWN ROAD	AddressLine1Txt
City	ST CATHARINE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40061	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MEGAN FINNIE	PersonNm
Person Title	ADMINISTRATOR	PersonTitleTxt
Phone	8593363974	PhoneNum
Signature	2022-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MEGAN	PersonFirstNm
Person Last	FINNIE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KORTNEY RYAN	PreparerPersonNm
PTIN	P01432484	PTIN
Phone	5025830248	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MEGAN FINNIE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2625 BARDSTOWN ROAD	AddressLine1Txt
City	ST CATHARINE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40061	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,111,994	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SANSBURYCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2008	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE QUALITY HEALTHCARE FOR OUR RESIDENTS, ROOTED IN THE MISSION OF THE CHURCH, GOSPEL VALUES, CHARISM AND TRADITION OF THE CONGREGATION.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	158	TotalEmployeeCnt
Total Volunteers	5	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$704,543	PYContributionsGrantsAmt
CY Contributions Grants	$937,325	CYContributionsGrantsAmt
PY Program Service Revenue	$4,155,976	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,168,803	CYProgramServiceRevenueAmt
PY Investment Income	$329	PYInvestmentIncomeAmt
CY Investment Income	$280	CYInvestmentIncomeAmt
PY Other Revenue	$5,532	PYOtherRevenueAmt
CY Other Revenue	$5,586	CYOtherRevenueAmt
PY Total Revenue	$4,866,380	PYTotalRevenueAmt
CY Total Revenue	$6,111,994	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,017,076	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,909,147	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,554,502	PYOtherExpensesAmt
CY Other Expenses	$1,631,190	CYOtherExpensesAmt
PY Total Expenses	$5,571,578	PYTotalExpensesAmt
CY Total Expenses	$5,540,337	CYTotalExpensesAmt
PY Revenues Less Expenses	-$705,198	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$571,657	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,102,419	TotalAssetsBOYAmt
Total Assets EOY	$766,869	TotalAssetsEOYAmt
Total Liabilities BOY	$1,218,351	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$311,144	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$115,932	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$455,725	NetAssetsOrFundBalancesEOYAmt
Mission	ROOTED IN THE LEGACY OF THE DOMINICAN SISTERS OF PEACE, SANSBURY CARE CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, PERSONALIZED, COMPASSIONATE CARE SERVICES TO THE SISTERS AND THE LAY WOMEN WHO RESIDE AT THE FACILITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$4,803,141	ExpenseAmt
Revenue	$5,174,389	RevenueAmt
Desc	PROVIDE NURSING CARE SERVICES TO THE RESIDENTS OF SANSBURY CARE CENTER, INC.	Desc
Total Program Service Expenses	$4,803,141	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	158	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SANSBURY CARE CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8593363974	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2625 BARDSTOWN ROAD	AddressLine1Txt
City	ST CATHARINE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40061	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
KENNETH URLAGE
CHAIRPERSON	1.00	Yes (X)	Yes (X)	$0	$0	$0
ANNE HARRISON
VICE CHAIRPERSON	1.00	Yes (X)	Yes (X)	$0	$0	$0
DIANE HALL
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
THOMAS S HAYDON
BOARD MEMBER	0.25	Yes (X)		$0	$0	$0
P KEVIN FORD
BOARD MEMBER	0.25	Yes (X)		$0	$0	$0
KENNETH A GEORGE
BOARD MEMBER	0.25	Yes (X)		$0	$0	$0
LINDA HUNTER
BOARD MEMBER	0.25	Yes (X)		$0	$0	$0
SR BARBARA SULLIVAN
BOARD MEMBER	0.25	Yes (X)		$0	$0	$0
SR DENISE ANN CLIFFORD
BOARD MEMBER	0.25	Yes (X)		$0	$0	$0
MEGAN FINNIE
PRESIDENT	40.00	Yes (X)	Yes (X)	$76,350	$0	$13,485
LINDA CROUCH
TREASURER	1.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$76,350	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$13,485	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HEALTHPRO HERITAGE
PO BOX 69268	BALTIMORE	MD	21264	PHYSICAL, OCCUPATIONAL AND SPEECH THERAP	$239,522
GORDON FOOD SERVICES
PO BOX 88029	CHICAGO	IL	606801029	FOOD, DIETARY SUPPLIES, HOUSEKEEPING AND	$196,161

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$927,425	GovernmentGrantsAmt
All Other Contributions	$9,900	AllOtherContributionsAmt
Total Contributions	$937,325	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	623000	$3,464,484	$3,464,484
SUBSIDY FROM CONGREGAT	623000	$1,704,319	$1,704,319

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,168,803	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$280	TotalRevenueColumnAmt
Exclusion	$280	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,586	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,586	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,586	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,111,994	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,174,389	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$280	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$84,221	TotalAmt
Program Services	$21,055	ProgramServicesAmt
Management And General	$63,166	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,028,593	TotalAmt
Program Services	$2,736,540	ProgramServicesAmt
Management And General	$292,053	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$87,386	TotalAmt
Program Services	$77,774	ProgramServicesAmt
Management And General	$9,612	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$482,062	TotalAmt
Program Services	$426,691	ProgramServicesAmt
Management And General	$55,371	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$226,885	TotalAmt
Program Services	$200,994	ProgramServicesAmt
Management And General	$25,891	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$26,300	TotalAmt
Management And General	$26,300	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,590	TotalAmt
Management And General	$28,590	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$54,528	TotalAmt
Management And General	$54,528	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$44,031	TotalAmt
Program Services	$33,023	ProgramServicesAmt
Management And General	$11,008	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$223,776	TotalAmt
Program Services	$190,210	ProgramServicesAmt
Management And General	$33,566	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,315	TotalAmt
Program Services	$2,315	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,635	TotalAmt
Program Services	$3,635	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$37,559	TotalAmt
Program Services	$28,169	ProgramServicesAmt
Management And General	$9,390	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DIETARY SUPPLIES	$265,051	$198,788	$66,263
THERAPY SERVICES	$258,540	$258,540
PROVIDER TAX	$204,970	$204,970
NURSING SERVICES	$151,009	$151,009

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$330,886	TotalAmt
Program Services	$269,428	ProgramServicesAmt
Management And General	$61,458	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,540,337	TotalAmt
Program Services	$4,803,141	ProgramServicesAmt
Management And General	$737,196	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$392,086	BOYAmt
EOY	$308,312	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$468,105	BOYAmt
EOY	$329,026	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$45,284	BOYAmt
EOY	$39,866	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$133,270	BOYAmt
EOY	$11,087	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$58,134	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,687	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$22,797	BOYAmt
EOY	$42,447	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$40,877	BOYAmt
EOY	$36,131	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,102,419	BOYAmt
EOY	$766,869	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$386,945	BOYAmt
EOY	$222,575	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$164,725	BOYAmt
EOY	$88,569	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$666,681	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,218,351	BOYAmt
EOY	$311,144	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$118,087	BOYAmt
EOY	$455,310	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,155	BOYAmt
EOY	$415	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$115,932	BOYAmt
EOY	$455,725	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,102,419	BOYAmt
EOY	$766,869	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$571,657	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$50,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$41,890	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$172,690	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$704,543	CurrentTaxYearMinus1YearAmt
Current Tax Year	$937,325	CurrentTaxYearAmt
Total	$1,906,448	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,465,127	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,372,937	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,128,961	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,155,976	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,168,804	CurrentTaxYearAmt
Total	$25,291,805	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,515,127	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,414,827	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,301,651	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,860,519	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,106,129	CurrentTaxYearAmt
Total	$27,198,253	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$27,198,253	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$190	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$289	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$355	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$329	CurrentTaxYearMinus1YearAmt
Current Tax Year	$280	CurrentTaxYearAmt
Total	$1,443	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$190	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$289	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$355	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$329	CurrentTaxYearMinus1YearAmt
Current Tax Year	$280	CurrentTaxYearAmt
Total	$1,443	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,145	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,920	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,882	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,532	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,579	CurrentTaxYearAmt
Total	$17,058	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,516,462	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,417,036	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,304,888	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,866,380	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,111,988	CurrentTaxYearAmt
Total	$27,216,754	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99930	PublicSupportCY509Pct
Public Support PY509	0.99950	PublicSupportPY509Pct
Investment Income CY	0.00010	InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,849	OtherCostOrOtherBasisAmt
Depreciation	$13,795	DepreciationAmt
Book Value	$21,054	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,285	OtherCostOrOtherBasisAmt
Depreciation	$1,892	DepreciationAmt
Book Value	$21,393	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$42,447	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$5,445,313	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$5,445,313	RevenueSubtotalAmt
Other Revenues Not Included	$666,681	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$666,681	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$6,111,994	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$5,540,337	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$5,540,337	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$5,540,337	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART X, LINE 2:

AS A BRANCH OF THE DOMINICAN SISTERS OF PEACE, INC., THE CENTER QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL AND STATE INCOME TAXES HAS BEEN MADE IN THESE STATEMENTS. THE CENTER'S ACCOUNTING POLICY PROVIDES THAT A TAX EXPENSE/BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON TECHNICAL MERITS. THE CENTER HAS NO UNCERTAIN TAX POSITIONS RESULTING IN AN ACCRUAL OF TAX EXPENSE OR BENEFIT. THE CENTER'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX IS SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES UNTIL THE EXPIRATION OF THE RELATED STATUTES OF LIMITATIONS ON THE RETURN, WHICH IS GENERALLY THREE YEARS.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

FORGIVEN PPP LOAN PROCEEDS 666,681.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 WILL BE E-MAILED TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR THEIR REVIEW AND APPROVAL BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	MEMBERS RELATIONSHIPS ARE REVIEWED ANNUALLY AND DOCUMENTED IN THE CENTER'S MINUTES.
FORM 990, PART VI, SECTION B, LINE 15A	A HUMAN RESOURCES CONSULTANT IS USED TO DETERMINE FAIR COMPENSATION FOR THE POSITION, INDUSTRY AND REGION.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT TYPICALLY MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BUT WILL DO SO UPON REQUEST.
FORM 990 PART XII LINE 2C	NO CHANGES FROM PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DOMINICAN SISTERS OF PEACE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2320 AIRPORT DRIVE	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43219	ZIPCd

Field	Value	IRS element (for citing)
EIN	263550703	EIN
Primary Activities	RELIGIOUS CONGREGATION OF CATHOLIC SISTERS	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DOMINICAN SISTERS OF PEACE INC
K	$120,000	LEASE
DOMINICAN SISTERS OF PEACE INC
L	$252,598	PATIENT CHARGES
DOMINICAN SISTERS OF PEACE INC
S	$1,704,319	SUBSIDY