2020-11-05T14:19:17-06:00 2020-06-30 610420207 JONES NALE & MATTINGLY PLC 401 WEST MAIN STREET SUITE 1100 LOUISVILLE KY 40202 990 2019-07-01 262878527 SANSBURY CARE CENTER INC SANS 8593363974 2625 BARDSTOWN ROAD ST CATHARINE KY 40061 MEGAN FINNIE ADMINISTRATOR 8593363974 2020-10-29 1 KATHY K CHLON P01246853 5025830248 12.70.187.66 2020-10-29 16:07:06 ED P E7B30F42FF519717D92BBEF0898F403C64C04473 4BB3EFCC8685F6A5E46E9597B666238A352760C5 2019 2021-01-29 14:40:06Z MEGAN FINNIE 2625 BARDSTOWN ROAD ST CATHARINE KY 40061 5304888 0 X HTTPS://SANSBURYCARE.ORG X 2008 KY TO PROVIDE QUALITY HEALTHCARE FOR OUR RESIDENTS, ROOTED IN THE MISSION OF THE CHURCH, GOSPEL VALUES, CHARISM AND TRADITION OF THE CONGREGATION. 8 8 183 10 0 0 41890 172690 5372937 5128961 289 355 1920 2882 5417036 5304888 0 0 0 0 3717389 4001785 0 0 0 1603929 1441064 5321318 5442849 95718 -137961 971830 1576003 244603 986737 727227 589266 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. 0 0 4736670 5128961 PROVIDE NURSING CARE SERVICES TO THE RESIDENTS OF SANSBURY CARE CENTER, INC. 4736670 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 183 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 KY X X SANSBURY CARE CENTER INC 8593363974 2625 BARDSTOWN ROAD ST CATHARINE KY 40061 SR PAT TWOHILL OP PRIORESS 0.00 X 0 0 0 SR ANNE LYTHGOE OP COUNCIL 0.00 X 0 0 0 SR THERESE LECKERT OP COUNCIL 0.00 X 0 0 0 SR GEMMA DOLL OP COUNCIL 0.00 X 0 0 0 SR GENE POORE OP COUNCIL 0.00 X 0 0 0 SR BARBARA SULLIVAN BOARD OF TRUSTEES 1.00 X 0 0 0 LINDA HUNTER BOARD OF TRUSTEES 0.25 X 0 0 0 KENNETH A GEORGE BOARD OF TRUSTEES 0.25 X 0 0 0 P KEVIN FORD BOARD OF TRUSTEES 0.25 X 0 0 0 HAMILTON SIMMS CHAIRMAN 1.00 X 0 0 0 SR ANTHONY MARY SARTORIUS BOARD OF TRUSTEES 0.25 X 0 0 0 KENNETH URLAGE BOARD OF TRUSTEES 1.00 X 18000 0 0 ANNE HARRISON BOARD OF TRUSTEES 0.25 X 0 0 0 MEGAN FINNIE ADMINISTRATOR 40.00 X X 51140 0 0 69140 0 0 0 0 0 0 HEALTHPRO HERITAGE 536 OLD HOWELL ROAD GREENVILLE SC 29615 PHYSICAL, OCCUPATIONAL AND SPEECH THERAP 248768 GORDON FOOD SERVICES PO BOX 88029 CHICAGO IL 606801029 FOOD, DIETARY SUPPLIES, HOUSEKEEPING AND 200266 2 172690 172690 PATIENT SERVICE 623000 3105741 3105741 SUBSIDY FROM CONGREGAT 623000 2023220 2023220 5128961 355 355 2882 2882 2882 5304888 5128961 0 3237 71593 17898 53695 3056421 2768322 288099 124599 110984 13615 521096 464157 56939 228076 203154 24922 50487 50487 54897 54897 23401 17551 5850 219086 186223 32863 1742 1742 35636 26727 8909 GENERAL SERVICES 438217 344854 93363 ANCILLARY SERVICES 313853 313853 PROVIDER TAX 180029 180029 NURSING SERVICES 91712 91712 32004 9464 22540 5442849 4736670 706179 0 573257 1158872 11655 320161 290997 29786 27623 22344 19118 34849 10309 26282 24540 0 43198 971830 1576003 244603 289716 71911 0 625110 244603 986737 X 727227 577611 11655 727227 589266 971830 1576003 -137961 0 X 0 1 X 0 0 X 25185 50000 41890 172690 289765 5017412 5061717 5465127 5372937 5128961 26046154 5017412 5086902 5515127 5414827 5301651 26335919 0 0 0 26335919 141 133 190 289 355 1108 141 133 190 289 355 1108 491 1060 1145 1920 2882 7498 5018044 5088095 5516462 5417036 5304888 26344525 0.99970 0.99980 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34849 10309 24540 24540 REFUNDABLE ADVANCE 625110 625110 X 5304888 0 5304888 0 5304888 5442849 0 5442849 0 5442849 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. 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. DOMINICAN SISTERS OF PEACE INC 2320 AIRPORT DRIVE COLUMBUS OH 43219 263550703 RELIGIOUS CONGREGATION OF CATHOLIC SISTERS OH 501(C)(3) N/A 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 DOMINICAN SISTERS OF PEACE INC K 120000 LEASE DOMINICAN SISTERS OF PEACE INC L 403493 PATIENT CHARGES DOMINICAN SISTERS OF PEACE INC S 2023220 SUBSIDY