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        <ProgramServicesAmt>21466207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3193863</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>120057</BOYAmt>
        <EOYAmt>139135</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4082614</BOYAmt>
        <EOYAmt>3964847</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>216195</BOYAmt>
        <EOYAmt>409136</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>3040223</BOYAmt>
        <EOYAmt>3360250</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>95112</BOYAmt>
        <EOYAmt>346392</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12077013</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8472661</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2982457</BOYAmt>
        <EOYAmt>3604352</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>6314291</BOYAmt>
        <EOYAmt>11576766</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1396743</BOYAmt>
        <EOYAmt>670881</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>18247692</BOYAmt>
        <EOYAmt>24071759</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1860309</BOYAmt>
        <EOYAmt>2928762</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>575883</BOYAmt>
        <EOYAmt>544063</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>376647</BOYAmt>
        <EOYAmt>704926</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2812839</BOYAmt>
        <EOYAmt>4177751</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>15434853</BOYAmt>
        <EOYAmt>19441231</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>452777</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>15434853</BOYAmt>
        <EOYAmt>19894008</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18247692</BOYAmt>
        <EOYAmt>24071759</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4459155</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
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        <OtherCostOrOtherBasisAmt>535579</OtherCostOrOtherBasisAmt>
        <BookValueAmt>535579</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6935211</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5261840</DepreciationAmt>
        <BookValueAmt>1673371</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3050649</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2633578</DepreciationAmt>
        <BookValueAmt>417071</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>680599</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>577243</DepreciationAmt>
        <BookValueAmt>103356</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>874975</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>874975</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3604352</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Investment in RNA</Desc>
        <Amt>704926</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>704926</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="990H">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>1091941</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1091941</NetCommunityBenefitExpnsAmt>
      </FinancialAssistanceAtCostTyp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>1091941</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1091941</NetCommunityBenefitExpnsAmt>
      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1031014</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1031014</NetCommunityBenefitExpnsAmt>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>40098</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>40098</NetCommunityBenefitExpnsAmt>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>1071112</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1071112</NetCommunityBenefitExpnsAmt>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>2163053</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2163053</NetCommunityBenefitExpnsAmt>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <TotalCommunityBenefitExpnsAmt>20079</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>20079</NetCommunityBenefitExpnsAmt>
      </PhysicalImprvAndHousingGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>20079</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>20079</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>20000</BadDebtExpenseAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Northwood Health Systems Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>111 19th Street</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.northwoodhealth.com</WebsiteAddressTxt>
        <OtherDesc>Comprehensive Behavioral Health Center</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Northwood Health Systems Inc</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.northwoodhealth.com</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>18</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.00</FPGFamilyIncmLmtFreeCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>false</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Group A Part V line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>A total of 16 stakeholder interviews and 3 focus groups (including 35 participants) were conducted, representing individuals from throughout the service area. Stakeholders were indentified as expderts ina particular field related to their background, experience or professional position and/or someone who understood the needs of a particular underrepresented group or constituency. The interview and focus groups were condcuted across the region with various community constituencies who suffered from chronic and serious mental illness, substance abuse,homelessness and intellectual disabilities.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Group Part V line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>No other hospital facilities were included in the analysis.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Group Part V line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>None were noted.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>01. Other charity care criteria description (Part I, line 3c)</FormAndLineReferenceDesc>
        <ExplanationTxt>We provide free care to patients who do not have insurance and have an income level that is at or below 200% of the Federal Poverty Guidelines.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>02. Related organization annual community benefit report (Part I, line 6a)</FormAndLineReferenceDesc>
        <ExplanationTxt>We prepare an annual community benefit report that is posted to our website. It is alos available to the public by request. No related organizations prepare a separete community benefit report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>03. Debt expense included (Part I, line 7, col(f))</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwood did not include any bad debt expense in the calculation of the community benefit we provide.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>04. Costing methodology explanation (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt is recorded when someone, with the ability to pay, does not reimburse us for their portion of the cost of their care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>05. Community building activities (Part II)</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwood operates various programs at a substantial loss. We continue to provide these services because they are needed in the community. Reimbursement for these services is below our cost to operate the programs. The subsidy is approximately 4% of our revenue.Northwood has included the cost for the operation of our unfunded homeless shelter in this category. As indicated on Part II of Schedule H, the cost of operating our Shelter was $200,879 for the fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>06. Bad debt description footnote (Part III, line 4)</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense if recorded when a patient with the financial ability to pay does not pay the portion of the bill not covered by insurance. These patients are not eligible for free care under our charity care policy because their income exceeds 200% of the Federal Poverty Guidelines.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>07. Allowable Medicare costing methodology (Part III, line 8)</FormAndLineReferenceDesc>
        <ExplanationTxt>We have not included an amount on this line of Schedule H. We provide very few services to Medicare patients and are generally reimbursed for the service we provide. due to the minor amounts involvded, we did not report a costing methodology.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>08. Collection practices (Part III, line 9b)</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwood will seek payment from those patients who do not qualify under our charity care policy. If amounts are not collected they will be written off to bed debt. We do not turn accounts over to a collection agency. We ask patients with an outstanding balance to complete a Financial Assistance Application and after determining when a patient does not qualify under that policy, we send statements to the patient over a period of time. When we elieve we have exhausted our collection attemtps we will write the account off to bad debt.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>09. Subsidized health services costs (Part I, line 7g)</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwood operates various programs at a substantial loss. We continue to provide these services because they are needed in the community. Reimbursement for the service is below our cost. The subsidy is approximately 4% of our revenue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>10. Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>We only record bad debt when someone who does not qualify under our financial assistance/charity care policy does not pay their balance. This write of fwould only occur after attempted collection and determination that the individual did not have the ability to pay for the service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>11. Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>We do not record bad debt when an individual covered by our FAP policy does not pay their claims. These amounts are recorded as charity care.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>Mark Games</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>185000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37873</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>222873</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Corder</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>313940</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>46623</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>360563</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Stockley</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>205000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28631</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>233631</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tina Derksen</PersonNm>
        <TitleTxt>Controller</TitleTxt>
        <BaseCompensationFilingOrgAmt>121289</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>36494</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>157783</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Each board member receives a draft copy of the Form 990 in advance of the due date. They are asked to review the form and to ask questions regarding the information contained on the form.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each person covered by the conflict of interest policy is required to provide an annual update to the Board of Directors indicating their compliance with the policy. The person is also asked to review and sign a copy of the Conflict of Interest policy annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwood follows IRS guidelines and uses an independent compensation committee of the Board of Directors whose responsibility is to reveiw and approve the compensation arrangements for certain key employees. The compensation committee makes use of industry comparability data when decciding on executive compensation. The decisions are contemporaneously documented in the minutes of the meeting. A voting member of the Board who receives compensation from Northwood is precluded from voting on matters pertaining to that members compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>There is an independent compensation committee of the Board of Directors whose responsibility is to review and approve the compensation arrangements for certain key employees. The compensation committee uses industry comparability data when deciding on compensation. The decisionmaking process is contemporaneously documents in the minutes of the meeting. A voting member of the Board who receives compensation from Northwood is precluded from voting on matters pertaining to that members compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Information that is not reported on the Form 990 such as governing documents and our conflict of interest policy are generally not made available to the public. Our financial results are including on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Larkin Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 6400</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>550718164</EIN>
        <PrimaryActivitiesTxt>Housing for adults with disabilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c4</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Ash Grove Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 6400</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>550733799</EIN>
        <PrimaryActivitiesTxt>Housing for adults with disabilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c4</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwood Health Systems</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Tucker Rehab Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 6400</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>317170004</EIN>
        <PrimaryActivitiesTxt>Housing for adults with disabilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c4</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwood Health Systems</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>