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      <AdvertisingGrp>
        <TotalAmt>95721</TotalAmt>
        <ProgramServicesAmt>95721</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>640344</TotalAmt>
        <ProgramServicesAmt>458345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181999</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1364685</TotalAmt>
        <ProgramServicesAmt>1123391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>241294</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>366247</TotalAmt>
        <ProgramServicesAmt>338270</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27977</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>56217</TotalAmt>
        <ProgramServicesAmt>56217</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>417579</TotalAmt>
        <ProgramServicesAmt>417579</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>179712</TotalAmt>
        <ProgramServicesAmt>179712</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Taxes and licenses</Desc>
        <TotalAmt>334103</TotalAmt>
        <ProgramServicesAmt>334103</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Charitable Contributions</Desc>
        <TotalAmt>2574036</TotalAmt>
        <ProgramServicesAmt>2574036</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Minor Equipment</Desc>
        <TotalAmt>296559</TotalAmt>
        <ProgramServicesAmt>296559</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Misc</Desc>
        <TotalAmt>237997</TotalAmt>
        <ProgramServicesAmt>237997</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>26768048</TotalAmt>
        <ProgramServicesAmt>22993177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3774871</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>84493</BOYAmt>
        <EOYAmt>115925</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>935990</BOYAmt>
        <EOYAmt>1042489</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>727757</BOYAmt>
        <EOYAmt>387981</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5070187</BOYAmt>
        <EOYAmt>5259298</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2268740</BOYAmt>
        <EOYAmt>2636702</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11076981</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7727085</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3565822</BOYAmt>
        <EOYAmt>3349896</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4066716</BOYAmt>
        <EOYAmt>4080502</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1180428</BOYAmt>
        <EOYAmt>1102324</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>17900133</BOYAmt>
        <EOYAmt>17975117</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>960063</BOYAmt>
        <EOYAmt>774625</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>632092</BOYAmt>
        <EOYAmt>605160</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>406088</BOYAmt>
        <EOYAmt>391367</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1998243</BOYAmt>
        <EOYAmt>1771152</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>15362410</BOYAmt>
        <EOYAmt>15693386</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>539480</BOYAmt>
        <EOYAmt>510579</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>15901890</BOYAmt>
        <EOYAmt>16203965</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>17900133</BOYAmt>
        <EOYAmt>17975117</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>302075</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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>535579</OtherCostOrOtherBasisAmt>
        <BookValueAmt>535579</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6619064</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5006129</DepreciationAmt>
        <BookValueAmt>1612935</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3027315</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2171766</DepreciationAmt>
        <BookValueAmt>855549</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>895023</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>549190</DepreciationAmt>
        <BookValueAmt>345833</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3349896</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Investment in RNA</Desc>
        <Amt>391367</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>391367</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>1363195</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1363195</NetCommunityBenefitExpnsAmt>
      </FinancialAssistanceAtCostTyp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>1363195</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1363195</NetCommunityBenefitExpnsAmt>
      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>580131</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>580131</NetCommunityBenefitExpnsAmt>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>2574036</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2574036</NetCommunityBenefitExpnsAmt>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>3154167</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3154167</NetCommunityBenefitExpnsAmt>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>4517362</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4517362</NetCommunityBenefitExpnsAmt>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <TotalCommunityBenefitExpnsAmt>206372</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>206372</NetCommunityBenefitExpnsAmt>
      </PhysicalImprvAndHousingGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>206372</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>206372</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>53293</BadDebtExpenseAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Mid-Valley Healthcare Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 6400</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>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</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>A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>true</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>15</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>15</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 experts in a 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 conducted across the region with various community constituencies who suffered from chronic and serious mental illness, substance abuse, homelessness and intellecutal disabilities.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Group A Part V line 22d</FormAndLineReferenceDesc>
        <ExplanationTxt>The maximum amount that can be charged to FAP eligible individuals for medically necessary care is the Medicaid reimbursment rate for the service.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>01. Costing methodology explanation (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>Costs for the related services were based upon the direct cost of providing the service. This practice is consistent with prior years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>02. Other charity care criteria description (Part I, line 3c)</FormAndLineReferenceDesc>
        <ExplanationTxt>We provide free care to paitens 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>03. 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 separate community benefit report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>04. 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 the sercies 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. As inidcated in Part II of Schedule H, the cost of operating our homeless shelter was $206,372 during the fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>05. Debt expense included (Part I, line 7, col(f))</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwood did not include any bad debt expense in the calculation of our community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>06. Bad debt description footnote (Part III, line 4)</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense is recorded when a patient with the financial ability to pay is not eligible for free care under our charity care policy and is not covered by insurance We do not have a bad debt footnote on our audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>07. Allowable Medicare costing methodology (Part III, line 8)</FormAndLineReferenceDesc>
        <ExplanationTxt>We have not included an amount on this line. We provide very few services to Medicare patients and are generally reimbursed for the service we provide. Due to the minor amount, 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. I famounts are not collected they will be written off to bad 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 qaulify under that policy, we send statements over a period of time. When we belive we have exhausted our collection attempts 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 to operate the programs. 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 someon who does not qualify under our financial assistance/charity care policy does not pay their balance. This write off would only occur after attempted collection and determination that the individual did 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>191015</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13634</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226444</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Corder</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>282048</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>321843</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Stockley</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>233515</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16346</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15465</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>265326</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tom Dzmura</PersonNm>
        <TitleTxt>Director of IT</TitleTxt>
        <BaseCompensationFilingOrgAmt>154861</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10665</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>187321</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>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mid-Valley Healthcare Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 6400</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>208333607</EIN>
        <PrimaryActivitiesTxt>Health care services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwood Health Systems</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <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>
      <IdRelatedTaxExemptOrgGrp>
        <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>
        <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>