St Clair Darden Health System Inc, Healthwin Hospital in South Bend, Indiana (IN)

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St Clair Darden Health System Inc, Healthwin Hospital
Employer Identification Number (EIN)351905251
Name of OrganizationSt Clair Darden Health System Inc
Secondary NameHealthwin Hospital
In Care of NameBill Quig
Address20531 Darden Rd, South Bend, IN 46637-2915
ActivitiesNursing or convalescent home
SubsectionCharitable Organization
Ruling Date05/1994
DeductibilityContributions are deductible
FoundationOrganization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$10,000,000 to $49,999,999
Income$10,000,000 to $49,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$22,257,160
Amount of Income$16,103,043
Form 990 Revenue Amount$16,103,043
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Nursing, Convalescent Facilities


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Amount of income in 2013: $16,103,043 (it was $17,470,292 in 2012)
St Clair Darden Health System Inc, Healthwin Hospital: 

 $16,103,043
Other organizations performing similar types of work: 

 $4,850,977

Assets in 2013: $22,257,160 (it was $21,339,875 in 2012)
St Clair Darden Health System Inc, Healthwin Hospital: 

 $22,257,160
Other organizations performing similar types of work: 

 $4,393,216

Expenses in 2013: $15,266,892
St Clair Darden Health System Inc, Healthwin Hospital: 

 $15,266,892
Other organizations performing similar types of work: 

 $4,758,809

Income to expenses ratio in 2013: 1.1
St Clair Darden Health System Inc, Healthwin Hospital: 

 1.1
Other organizations performing similar types of work: 

 1.1

Number of employees in 2013: 428
St Clair Darden Health System Inc, Healthwin Hospital: 

 428
Other organizations performing similar types of work: 

 135

Employees paid over $100,000 in 2013: 0.9%
This organization: 

 0.9%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.0%
This organization: 

 0.0%
Other organizations performing similar types of work: 

 0.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoYes
Is the organization required to complete Schedule B, Schedule of Contributors?NoNo
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?YesYes
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?YesYes
Was the organization included in consolidated, independent audited financial statements for the tax year?NoNo
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?NoYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?NoNo
Did the organization have a controlled entity within the meaning of section 512(b)(13)?NoNo
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10962019
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return402428
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesNoNo
Has it filed a Form 990-T for this year?NoNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$413,221$501,144
Total reportable compensation from related organizations$0$0
Total estimated amount of other compensation from the organization and related organizations$0$2,110
Total number of individuals who received more than $100,000 of reportable compensation from the organization33
Total number of independent contractors who received more than $100,000 of compensation from the organization01
Statement of Revenue
201120122013
Total revenue$16,381,449$17,470,292$16,103,043
Contributions, Gifts, Grants and Other Similar Amounts$1,895$8,385$2,685
Program Service Revenue$16,474,324$16,228,748$15,354,576
623000$16,228,748$15,354,576
All other program service revenue$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$-100,886$1,221,124$743,235
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$0$0$0
Net gain/loss from sales of assets other than inventory$0$0$0
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$6,116$12,035$2,547
623000$12,035$2,547
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$14,208,096$14,229,942$15,266,892
Grants and other assistance to domestic organizations and domestic governments$0$0
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$122,136$0$0
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$8,247,325$8,903,977$9,360,553
Pension plan accruals and contributions$30,691$32,568
Other employee benefits$657,178$692,431
Payroll taxes$614,909$651,477$670,715
Fees for services (non-employees)
Management$0$0
Legal$10,774$1,517
Accounting$118,267$99,959
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$460,332$344,325
Advertising and promotion$65,975$69,706
Office expenses$118,812$92,293
Information technology$72,495$110,634
Royalties$0$0
Occupancy$576,745$645,946
Travel$40,451$45,023
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$0$0
Interest$89,861$89,326
Payments to affiliates$0$0
Depreciation, depletion, and amortization$321,792$675,138
Insurance$81,403$80,904
Other expenses$687,667$599,432
Other expenses$536,897$593,214
Other expenses$326,808$484,394
Other expenses$268,485$314,119
Other expenses$209,855$264,695
Balance Sheet
201120122013
Total assets$18,026,299$21,339,875$22,257,160
Cash - non-interest-bearing$934,151$874,385
Savings and temporary cash investments$0$0
Pledges and grants receivable, net$0$0
Accounts receivable, net$1,137,044$1,158,421
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$25,737$26,776
Prepaid expenses and deferred charges$181,170$171,095
Land, buildings, and equipment: cost or other basis$8,499,778$9,668,910
Investments - publicly traded securities$0$0
Investments - other securities$9,658,995$9,401,974
Investments - program-related$0$0
Intangible assets$0$0
Other assets$903,000$955,599
Total liabilities$2,993,031$3,066,257$3,147,391
Accounts payable and accrued expenses$914,370$970,770
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$2,151,887$2,176,621
Total net assets or fund balances$15,033,268$18,273,618$19,109,769
Unrestricted net assets$18,258,251$19,101,902
Temporarily restricted net assets$15,367$7,867
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
2009 - 2013 Total
Public support$78,929,961
Subtotal$78,929,961
Gifts, grants, contributions, and membership fees received$36,026
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$78,893,935
Gross receipts from activities that are not an unrelated trade or business under section 513$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Less$0
Amounts received from disqualified persons$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support$0
Total support$81,263,241
Public support$78,929,961
Subtotal$2,311,769
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$2,311,769
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$0
Net income from unrelated business activities, whether or not the business is regularly carried on$0
Other income$21,511
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2Rutland Nursing Home Inc585 Schenectady Avenue, Brooklyn, NY 11203-1851NY1969-10$79,025,005
3Seven Acres Jewish Senior Care Services Inc6200 N Braeswood Blvd, Houston, TX 77074-7536TX1944-07$35,681,897
4St Johnland Nursing Center Inc395 Sunken Meadow Rd, Kings Park, NY 11754-1000NY1992-07$35,227,379
5Recovery Health Services Inc, Byron Health Center12101 Lima Rd, Fort Wayne, IN 46818-8903IN1991-05$33,028,865
6University Extended Care Inc1350 Walton Way, Augusta, GA 30901-2612GA1985-01$32,676,609
7Shores At Wesley Manor Inc3311 State Route 33, Neptune, NJ 07753-3440NJ1991-06$25,651,110
8Sisters Of St Mary Of Oregon Maryville Corporation14645 Sw Farmington Rd, Beaverton, OR 97007-2727OR1946-03$21,640,351
9Valley Health Services Inc690 W German St, Herkimer, NY 13350-2135NY1984-11$16,791,350
10Sacred Heart Home359 Summer St, New Bedford, MA 02740-5519MA1946-03$16,696,072
11St Clair Darden Health System Inc, Healthwin Hospital20531 Darden Rd, South Bend, IN 46637-2915IN1994-05$16,103,043
12The Bronx Lebanon Highbridge Woodycrest Center936 Woodycrest Ave, Bronx, NY 10452-5503NY1989-09$15,294,217
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14Visiting Nurse And Hospice Home Inc5910 Homestead Rd, Fort Wayne, IN 46814-4202IN1987-10$13,795,471
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16Golden Years Homestead Inc8300 Maysville Rd, Fort Wayne, IN 46815-6619IN1970-02$9,913,743
17Alpha Home Association Of Greater Indianapolis Inc2640 Cold Spring Rd, Indianapolis, IN 46222-2272IN1954-04$2,292,677
18Freelandville Community Home IncPO BOX 288, Freelandville, IN 47535-0288IN1965-12$1,717,545
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Number of organizations performing similar types of work
Alaska1
Alabama5
Arkansas6
Arizona5
California27
Colorado5
Connecticut12
Delaware3
Florida13
Georgia10
Hawaii1
Iowa27
Idaho2
Illinois27
Indiana10
Kansas18
Kentucky5
Louisiana8
Massachusetts35
Maryland18
Maine6
Michigan15
Minnesota26
Missouri24
Mississippi3
Montana2
North Carolina9
North Dakota12
Nebraska9
New Hampshire3
New Jersey9
New Mexico3
New York67
Ohio20
Oklahoma6
Oregon4
Pennsylvania34
Rhode Island6
South Carolina5
South Dakota9
Tennessee11
Texas28
Utah1
Virginia14
Vermont2
Washington10
Wisconsin15
West Virginia7
Wyoming3
Total601

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