﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-11-11T14:58:34-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>351905251</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ST CLAIR DARDEN HEALTH SYSTEM</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>C/O HAHN WALZ</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>STCL</BusinessNameControlTxt>
      <PhoneNum>5742867190</PhoneNum>
      <USAddress>
        <AddressLine1Txt>509 W WASHINGTON</AddressLine1Txt>
        <CityNm>SOUTH BEND</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46601</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>LAUREN DAVIS</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>5742720100</PhoneNum>
      <SignatureDt>2025-10-24</SignatureDt>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990 documentId="RetDoc1" referenceDocumentId="RetDoc4">
      <AddressChangeInd>X</AddressChangeInd>
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>HEALTHWIN</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>LAUREN DAVIS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>509 W WASHINGTON AVE</AddressLine1Txt>
        <CityNm>SOUTH BEND</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46601</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>16930394</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1994</FormationYr>
      <LegalDomicileStateCd>IN</LegalDomicileStateCd>
      <ActivityOrMissionDesc>FORM 990 PART 1, LINE 1: TO CONSTRUCT, FURNISH, EQUIP, IMPROVE, REPAIR, AND MAINTAIN A HEALTHCARE SERVICES ORGANIZATION. TO PROMOTE EDUCATION AND SCIENTIFIC RESEARCH TOWARDS THE ADVANCEMENT OF THE TREATMENT OF DISEASE; TO PROMOTE PHYSICAL AND MENTAL HEALTH; AND TO AID AND PROMOTE THE CARE OF THE SICK, AGED, AND HELPLESS, THROUGH THE FACILITIES AND SERVICES OF THE ORGANIZATION. FROM 990 PART III, LINE 1, BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: TO ENHANCE AND ASSIST THOSE WE SERVE TO ACHIEVE THEIR DESIRED PHYSICAL, MENTAL, AND SPIRITUAL POTENTIAL AND TO REBUILD THROUGH COMPASSIONATE CARE, PURPOSEFUL AND MEANINGFUL LIVES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>386</TotalEmployeeCnt>
      <TotalVolunteersCnt>55</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>900</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>900</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>15132543</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>16772560</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>942642</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>137749</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>27145</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>19185</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>16103230</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>16930394</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>14388126</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>14552882</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>5345527</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>5320860</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>19733653</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>19873742</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-3630423</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-2943348</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>11472368</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>9175659</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2288871</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>2935510</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>9183497</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>6240149</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>FORM 990 PART 1, LINE 1: TO CONSTRUCT, FURNISH, EQUIP, IMPROVE, REPAIR, AND MAINTAIN A HEALTHCARE SERVICES ORGANIZATION. TO PROMOTE EDUCATION AND SCIENTIFIC RESEARCH TOWARDS THE ADVANCEMENT OF THE TREATMENT OF DISEASE; TO PROMOTE PHYSICAL AND MENTAL HEALTH; AND TO AID AND PROMOTE THE CARE OF THE SICK, AGED, AND HELPLESS, THROUGH THE FACILITIES AND SERVICES OF THE ORGANIZATION. FROM 990 PART III, LINE 1, BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: TO ENHANCE AND ASSIST THOSE WE SERVE TO ACHIEVE THEIR DESIRED PHYSICAL, MENTAL, AND SPIRITUAL POTENTIAL AND TO REBUILD THROUGH COMPASSIONATE CARE, PURPOSEFUL AND MEANINGFUL LIVES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>17939812</ExpenseAmt>
      <RevenueAmt>16772560</RevenueAmt>
      <Desc>HEALTHWIN PROVIDED MORE THAN 42,000 DAYS OF SKILLED AND INTERMEDIATE CARE NURSING AND REHABILITATION SERVICES IN 2024. THE AMOUNTS INCLUDE REVENUES AND EXPENSES FROM OUTPATIENT THERAPY SERVICES, WHICH IS CONSISTENT WITH HEALTHWIN'S MISSION. HEALTHWIN EMPLOYED 386 FULL-TIME AND PART-TIME EMPLOYEES AT A COST OF APPROXIMATELY 13 MILLION.</Desc>
      <TotalProgramServiceExpensesAmt>17939812</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc5">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc2">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc2">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc2">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc2">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc2">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc2">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc2">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc2">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc2">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc2">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc2">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc2">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc2">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc3">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>18</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>386</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <DAFExcessBusinessHoldingsInd>false</DAFExcessBusinessHoldingsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>IN</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>STEPHEN GAZDICK</PersonNm>
        <PhoneNum>5742867190</PhoneNum>
        <USAddress>
          <AddressLine1Txt>509 W WASHINGTON AVE</AddressLine1Txt>
          <CityNm>SOUTH BEND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46601</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN GAZDICK</PersonNm>
        <TitleTxt>CHIEF FNCL O</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>185807</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7222</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA SCHMIDT</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>132464</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5299</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SMITH NKOSI</PersonNm>
        <TitleTxt>NURSE</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118332</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1300</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA JAMES</PersonNm>
        <TitleTxt>REGIONAL THE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114395</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DUNCAN KARANJA</PersonNm>
        <TitleTxt>CNA</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113543</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOTTENSIA KABIRU</PersonNm>
        <TitleTxt>STAFF MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103772</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1560</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN CERGNUL</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1964</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CONNIE MCCAHILL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK DEAN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GAIL ENGLISH MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAM MILLIGAN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL URBANSKI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT WADE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN DAVIS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES ROGERS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>770277</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>17981</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHIFT KEY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 735913</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75226</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT STAFFI</ServicesDesc>
        <CompensationAmt>282454</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>900</GovernmentGrantsAmt>
      <TotalContributionsAmt>900</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>16772560</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16772560</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16772560</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>137749</TotalRevenueColumnAmt>
        <ExclusionAmt>137749</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>19185</TotalRevenueColumnAmt>
        <ExclusionAmt>19185</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>19185</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16930394</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16772560</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>156934</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>187771</TotalAmt>
        <ManagementAndGeneralAmt>187771</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12643553</TotalAmt>
        <ProgramServicesAmt>11731782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>911771</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>-5483</TotalAmt>
        <ProgramServicesAmt>-5036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-447</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>786461</TotalAmt>
        <ProgramServicesAmt>744799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41662</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>940580</TotalAmt>
        <ProgramServicesAmt>863983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76597</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>27277</TotalAmt>
        <ManagementAndGeneralAmt>27277</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>143921</TotalAmt>
        <ManagementAndGeneralAmt>143921</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>634034</TotalAmt>
        <ProgramServicesAmt>634034</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>10093</TotalAmt>
        <ManagementAndGeneralAmt>10093</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>77664</TotalAmt>
        <ManagementAndGeneralAmt>77664</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>193737</TotalAmt>
        <ManagementAndGeneralAmt>193737</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>789010</TotalAmt>
        <ProgramServicesAmt>789010</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>25255</TotalAmt>
        <ManagementAndGeneralAmt>25255</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>56543</TotalAmt>
        <ProgramServicesAmt>56543</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>923443</TotalAmt>
        <ProgramServicesAmt>892014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31429</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>194690</TotalAmt>
        <ProgramServicesAmt>194690</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/RESIDENT SUPPLIES</Desc>
        <TotalAmt>686811</TotalAmt>
        <ProgramServicesAmt>686811</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIETARY SUPPLIES</Desc>
        <TotalAmt>623677</TotalAmt>
        <ProgramServicesAmt>623677</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY SUPPLIES</Desc>
        <TotalAmt>425135</TotalAmt>
        <ProgramServicesAmt>425135</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER RESIDENT SUPPLIES</Desc>
        <TotalAmt>385472</TotalAmt>
        <ProgramServicesAmt>178272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>207200</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>124098</TotalAmt>
        <ProgramServicesAmt>124098</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>19873742</TotalAmt>
        <ProgramServicesAmt>17939812</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1933930</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>105308</BOYAmt>
        <EOYAmt>773990</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1002599</BOYAmt>
        <EOYAmt>1513938</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>27304</BOYAmt>
        <EOYAmt>27304</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>58812</BOYAmt>
        <EOYAmt>14357</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>18685856</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11880969</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7649966</BOYAmt>
        <EOYAmt>6804887</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>2043617</BOYAmt>
        <EOYAmt>41183</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>584762</BOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>11472368</BOYAmt>
        <EOYAmt>9175659</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>195281</BOYAmt>
        <EOYAmt>875805</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2093590</BOYAmt>
        <EOYAmt>2059705</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2288871</BOYAmt>
        <EOYAmt>2935510</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9175630</BOYAmt>
        <EOYAmt>6232282</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>7867</BOYAmt>
        <EOYAmt>7867</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9183497</BOYAmt>
        <EOYAmt>6240149</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11472368</BOYAmt>
        <EOYAmt>9175659</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-2943348</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1068760</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>213533</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2324</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>900</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>900</CurrentTaxYearAmt>
        <TotalAmt>1286417</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>14784209</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14279636</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13034888</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15132543</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16772560</CurrentTaxYearAmt>
        <TotalAmt>74003836</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>15852969</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14493169</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13037212</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15133443</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16773460</CurrentTaxYearAmt>
        <TotalAmt>75290253</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>75290253</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>187780</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>341118</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>429500</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>942642</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>137749</CurrentTaxYearAmt>
        <TotalAmt>2038789</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>187780</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>341118</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>429500</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>942642</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>137749</CurrentTaxYearAmt>
        <TotalAmt>2038789</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>23247</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2183883</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27604</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27145</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19185</CurrentTaxYearAmt>
        <TotalAmt>2281064</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>16063996</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17018170</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13494316</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16103230</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16930394</CurrentTaxYearAmt>
        <TotalAmt>79610106</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.94570</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94250</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME 114,324 FORGIVENESS OF PPP LOAN 2,166,740</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME IS RELATED TO THE TAX EXEMPT PURPOSE OF THE ORGANIZATION AND THE ORGANIZATION'S MISSION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1250000</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>700052</DepreciationAmt>
        <BookValueAmt>549948</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>14187540</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>8042401</DepreciationAmt>
        <BookValueAmt>6145139</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>3248316</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>3138516</DepreciationAmt>
        <BookValueAmt>109800</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6804887</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL AND RELATED BENEFITS</Desc>
        <Amt>1090978</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE PAYABLE</Desc>
        <Amt>945335</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT AGENCY FUNDS</Desc>
        <Amt>17670</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED INTEREST</Desc>
        <Amt>5722</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2059705</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN GAZDICK</PersonNm>
        <TitleTxt>CHIEF FNCL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>180556</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5251</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7222</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>193029</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 PART 1, LINE 1: TO CONSTRUCT, FURNISH, EQUIP, IMPROVE, REPAIR, AND MAINTAIN A HEALTHCARE SERVICES ORGANIZATION. TO PROMOTE EDUCATION AND SCIENTIFIC RESEARCH TOWARDS THE ADVANCEMENT OF THE TREATMENT OF DISEASE; TO PROMOTE PHYSICAL AND MENTAL HEALTH; AND TO AID AND PROMOTE THE CARE OF THE SICK, AGED, AND HELPLESS, THROUGH THE FACILITIES AND SERVICES OF THE ORGANIZATION. FROM 990 PART III, LINE 1, BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: TO ENHANCE AND ASSIST THOSE WE SERVE TO ACHIEVE THEIR DESIRED PHYSICAL, MENTAL, AND SPIRITUAL POTENTIAL AND TO REBUILD THROUGH COMPASSIONATE CARE, PURPOSEFUL AND MEANINGFUL LIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION B, LINE 13: UPON HIRE, EMPLOYEES RECEIVE A COPY AND EXPLANATION OF THE ORGANIZATION'S WHISTLEBLOWER POLICY, AS WELL AS OTHER POLICES REGARDING THE REPORTING OF SUSPECTED ABUSE OR UNETHICAL BEHAVIOR. RESIDENTS, FAMILIES, AND EMPLOYEES ARE INFORMED TO CONTACT THE INDIANA STATE DEPARTMENT OF HEALTH (ISDH) TO REPORT ISSUES AND FILE COMPLAINTS CONCERNING RESIDENT CARE OR UNETHICAL BEHAVIOR. THE ISDH IS REQUIRED TO MAINTAIN CONFIDENTIALITY WITH RESPECT TO COMPLAINTS AND THE PERSON(S) FILING THE COMPLAINT; THEREFORE, THERE IS NO RISK OF RETALIATION TO RESIDENTS, FAMILIES, OR EMPLOYEES. IN ADDITION, UPON ADMISSION, RESIDENTS AND FAMILIES RECEIVE COPIES AND EXPLANATIONS OF THE OPEN DOOR AND RESIDENT'S RIGHTS POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE THE 990 IS FILED, A DRAFT COPY IS REVIEWED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND EXECUTIVE TEAM, WHICH IS COMPRISED OF THE ADMINISTRATOR, CHIEF CLINICAL OFFICER, AND CHIEF FINANCIAL OFFICER, ARE REQUIRED TO UPDATE THE CONFLICT OF INTEREST STATEMENT ANNUALLY. THE EXECUTIVE COMMITTEE OF THE BOARD IS RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE ADMINISTRATOR, CHIEF CLINICIAL OFFICER, AND CHIEF FINANCIAL OFFICER ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD, BASED ON COMPARATIVE INFORMATION PUBLISHED BY THE INDIANA ASSOCIATION OF HOME AND SERVICES FOR THE AGING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHWIN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ANNUAL FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>