﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-04-28T11:21:26-04:00</Timestamp>
    <TaxPeriodEndDate>2013-06-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>550540374</EIN>
      <Name>
        <BusinessNameLine1>Northwood Health Systems Inc</BusinessNameLine1>
      </Name>
      <NameControl>NORT</NameControl>
      <USAddress>
        <AddressLine1>PO Box 6400</AddressLine1>
        <City>Wheeling</City>
        <State>WV</State>
        <ZIPCode>26003</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Richard D Stockley</Name>
      <Title>Chief Financial</Title>
      <Phone>3042343500</Phone>
      <DateSigned>2014-04-28</DateSigned>
    </Officer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="IRS990">
      <NameOfPrincipalOfficerPerson>Mark Games</NameOfPrincipalOfficerPerson>
      <GrossReceipts>26018510</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.northwoodhealth.com</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1967</YearFormation>
      <StateLegalDomicile>WV</StateLegalDomicile>
      <ActivityOrMissionDescription>To provide services to individuals with mental illness, intellectual and developmental disabilities, and or substance abuse issues.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>4</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>2</NbrIndependentVotingMembers>
      <TotalNbrEmployees>659</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>3073142</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>3247155</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>20442399</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>21996223</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>-61607</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>207211</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>47339</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>567921</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>23501273</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>26018510</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>13268205</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>14843913</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>10114860</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>11711771</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>23383065</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>26555684</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>118208</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-537174</RevenuesLessExpensesCY>
      <TotalAssetsBOY>13302753</TotalAssetsBOY>
      <TotalAssetsEOY>12765578</TotalAssetsEOY>
      <TotalLiabilitiesBOY>1530362</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1530361</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>11772391</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>11235217</NetAssetsOrFundBalancesEOY>
      <MissionDescription>To provide services to individuals with mental illness, intellectual and developmental disabilities, and or substance abuse issues.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>176225</Expense>
      <Revenue>191950</Revenue>
      <Description>Substance abuse services - We provide programming to individuals who suffer from substance abuse issues. Our programming consists of day treatment, outpatient services and crisis services.</Description>
      <Activity2>
        <Expense>12723130</Expense>
        <Revenue>13858424</Revenue>
        <Description>I/DD Services - We provide a wide range of programming services to individuals who have intellectual or developmental disabilities. Our offerings include case management, day programming and residential services. We offer residential services at 18 separate locations within our 3 county service area. These locations vary and include 4 Intermediate Care Facilities for the intellectually disabled and various other group homes.These residential settings enable our patients to integrate themselves into their communities.We also provide day programming for our patients and respite services for the families that care for their child in their home. Our day programming stresses continued training and habilitation for our patients, helping them develop or maintain necessary skills to improve their ability to function within the community.These services are overseen by a team of professionals that include Therapeutic Consultants, Service Coordinators, and Psychologists.</Description>
      </Activity2>
      <Activity3>
        <Expense>10987696</Expense>
        <Grants>3247155</Grants>
        <Revenue>8720981</Revenue>
        <Description>Mental health services to individuals with mental illness and substance abuse issues - We offer a wide range of programming to patients including outpatient services, community support services, residential services, crisis stabilization services, day programming, case management, psychology and psychiatric services. We cover a 3 county service area in Northern West Virginia, operating out of 6 clinical locations. Northwood Health Systems provides services to over 3,000 patients each year. The vast majority of our patients are covered by Medicaid, and many of the patients not covered by Medicaid qualify for free care through our charity care policy. In fiscal year 2011, Northwood Health Systems provided nearly $2.2 million dollars in charity care. A large portion of our service area is rural and we are able to provide our patients access to a psychiatrist and other services via telemedicine.</Description>
      </Activity3>
      <TotalProgramServiceExpense>23887051</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="990A">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments>false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="990D">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets>false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="990D">true</ReportOtherLiabilities>
      <ReportFin48Footnote>false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt>false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="990D">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital referenceDocumentId="990H">true</Hospital>
      <FinancialStmtAttached referenceDocumentId="FINANC">true</FinancialStmtAttached>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="990J">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="990R">true</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>256</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>659</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>4</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>2</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>WV</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Richard D Stockley</NamePerson>
        <TelephoneNumber>3042343500</TelephoneNumber>
        <AddressUS>
          <AddressLine1>111 19th Street</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Bob Jones</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark Games</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>145500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18755</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patrick Casey</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Randy Chamberlain</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard D Stockley</NamePerson>
        <Title>Chief Financial Officer</Title>
        <AverageHoursPerWeek>55.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>218731</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22593</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Steve Corder</NamePerson>
        <Title>Medical Director</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>241052</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24326</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Tom Dzmura</NamePerson>
        <Title>Director IT</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>157269</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18026</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>762552</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>83700</TotalOtherCompensation>
      <NumberIndividualsGT100K>4</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <GovernmentGrants>3247155</GovernmentGrants>
      <TotalContributions>3247155</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Service Revenue</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>21996223</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>21996223</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>21996223</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>207211</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>207211</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>Medical Record</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>2932</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2932</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CPR Income</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>631</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>631</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Insurance Settlement</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>564358</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>564358</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>567921</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>26018510</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>22771355</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>605283</Total>
        <ProgramServices>241052</ProgramServices>
        <ManagementAndGeneral>364231</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>10663772</Total>
        <ProgramServices>9133151</ProgramServices>
        <ManagementAndGeneral>1530621</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>435279</Total>
        <ProgramServices>364473</ProgramServices>
        <ManagementAndGeneral>70806</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2309243</Total>
        <ProgramServices>2030908</ProgramServices>
        <ManagementAndGeneral>278335</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>830336</Total>
        <ProgramServices>739963</ProgramServices>
        <ManagementAndGeneral>90373</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>496586</Total>
        <ProgramServices>496586</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>33075</Total>
        <ProgramServices>33075</ProgramServices>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>2623281</Total>
        <ProgramServices>2623281</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>115914</Total>
        <ProgramServices>115914</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>475393</Total>
        <ProgramServices>475393</ProgramServices>
      </OfficeExpenses>
      <Occupancy>
        <Total>1311345</Total>
        <ProgramServices>1132028</ProgramServices>
        <ManagementAndGeneral>179317</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>394794</Total>
        <ProgramServices>369015</ProgramServices>
        <ManagementAndGeneral>25779</ManagementAndGeneral>
      </Travel>
      <DepreciationDepletion>
        <Total>553900</Total>
        <ProgramServices>424729</ProgramServices>
        <ManagementAndGeneral>129171</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>178388</Total>
        <ProgramServices>178388</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Provider Taxes and Licenses</Description>
        <Total>641681</Total>
        <ProgramServices>641681</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Charity and Donations</Description>
        <Total>4412479</Total>
        <ProgramServices>4412479</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Minor Equipment</Description>
        <Total>221788</Total>
        <ProgramServices>221788</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>253147</Total>
        <ProgramServices>253147</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>26555684</Total>
        <ProgramServices>23887051</ProgramServices>
        <ManagementAndGeneral>2668633</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>69062</BOY>
        <EOY>502123</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3283661</BOY>
        <EOY>3867101</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>632477</BOY>
        <EOY>470375</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>3656061</BOY>
        <EOY>2921563</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>18003</BOY>
        <EOY>19569</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>594342</BOY>
        <EOY>1141403</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>8629582</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>4630360</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4390966</BOY>
        <EOY>3999222</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>804310</BOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>-146129</BOY>
        <EOY>-155778</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>13302753</BOY>
        <EOY>12765578</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1250672</BOY>
        <EOY>909892</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>279690</BOY>
        <EOY>620469</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1530362</BOY>
        <EOY>1530361</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>11088406</BOY>
        <EOY>10580133</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>683985</BOY>
        <EOY>655084</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11772391</BOY>
        <EOY>11235217</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>13302753</BOY>
        <EOY>12765578</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-537174</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <Land>
        <OtherCostOrOtherBasis>466093</OtherCostOrOtherBasis>
        <BookValue>466093</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>3576076</OtherCostOrOtherBasis>
        <Depreciation>1703152</Depreciation>
        <BookValue>1872924</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>678851</OtherCostOrOtherBasis>
        <Depreciation>440228</Depreciation>
        <BookValue>238623</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>3908562</OtherCostOrOtherBasis>
        <Depreciation>2486980</Depreciation>
        <BookValue>1421582</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3999222</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Invesment in RNA</Description>
        <BookValue>-155778</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>-155778</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Other Long term liabilities</Description>
        <Amount>620469</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>620469</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="990H">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>false</AmountsBudgetedForCharityCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1903195</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1903195</NetCommunityBenefitExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>1903195</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1903195</NetCommunityBenefitExpense>
      </TotalCharityCare>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>972511</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>972511</NetCommunityBenefitExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>4444481</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>4444481</NetCommunityBenefitExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>5416992</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>5416992</NetCommunityBenefitExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>7320187</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7320187</NetCommunityBenefitExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>166148</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>166148</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <Total>
        <TotalCommunityBuildingExpense>166148</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>166148</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>61939</BadDebtExpenseAmount>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Northwood Health System</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>P O Box 6400</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </Address>
        <WebsiteAddress>www.northwoodhealth.com</WebsiteAddress>
        <Other>Comprehensive behavioral health center</Other>
        <FacilityReportingGroup>1</FacilityReportingGroup>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Northwood Health System</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>true</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>2.0000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>3.99000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>false</NondiscrimEmergencyCarePolicy>
        <NoEmergencyCare>X</NoEmergencyCare>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>H01</Identifier>
        <ReturnReference>Other charity care criteria description Part I line 3c</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H02</Identifier>
        <ReturnReference>Related organization annual community benefit report Part I line 6a</ReturnReference>
        <Explanation>We prepare an annual community benefit report and it is available to the public by request. No related organizations prepare a separate community benefit report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H03</Identifier>
        <ReturnReference>Bad debt description footnote Part III line 4</ReturnReference>
        <Explanation>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, does not pay their bill.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H04</Identifier>
        <ReturnReference>Allowable Medicare costing methodology Part III line 8</ReturnReference>
        <Explanation>We have not included an amount on this line. We provide very few services to Medicare patients and are generally reimbursed for the services we provide.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H05</Identifier>
        <ReturnReference>Subsidized health services costs Part I line 7g</ReturnReference>
        <Explanation>Northwood operates various programs at a substantial loss. We continue to provide these services because they are needed in our community. Reimbursement for the service is below our cost to operate the programs. The subsidy equals 3.7% of our total revenue.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H06</Identifier>
        <ReturnReference>Debt expense included Part I line 7 col f</ReturnReference>
        <Explanation>Northwood did not include any debt expense in the calculation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H07</Identifier>
        <ReturnReference>Costing methodology explanation Part I line 7</ReturnReference>
        <Explanation>Costs for the related services was based upon the direct cost of providing the service.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H08</Identifier>
        <ReturnReference>Collection practices Part III line 9b</ReturnReference>
        <Explanation>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 bad debt.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H09</Identifier>
        <ReturnReference>Needs assessment Part VI question 2</ReturnReference>
        <Explanation>Individually and collectively, improving the health of the community and the region is a top priority of Northwood Health Systems. A formal Community Health Needs Assessment was conducted during this reporting period. We engaged an outside consulting firm to assist with the process. The assessment was designed to ensure compliance with current IRS guidelines and it included a detailed examiniation of the following areas: demographics; general health status and access to care; chronic/serious mental healt; drug and alchohol; youth risk behaviors; evnironmental factors and indicators impacting mental and physical health; senior care and intellectual and physicial disabilities. We gathered disease and mortality information from various sources and used this data to develop our plan.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H10</Identifier>
        <ReturnReference>Patient education Part VI question 3</ReturnReference>
        <Explanation>The process for educating our patients to their eligiblity for charity care begins upon admission to our programs. Admissions staff will work with all uninsured patients and assist them through the application process for Medicaid. We contract with West Virginia Department of Health and Human Resources and pay to have a Medicaid eligibility clerk based in our largest clincial site. All uninsured patients are encouraged to apply for Medicaid. Our intake staff work with the patient and assists them in completing the application process. We also assist each patient in completing and application for charity care. if the patient does not qualify for Medicaid and their income is at or below 200% of the poverty level they will generally qualify under our charity care programs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H11</Identifier>
        <ReturnReference>Community information Part VI question 4</ReturnReference>
        <Explanation>Northwood Health Sytems is a comprehensive community mental health center that serves the residents of Ohio, Marshall and Wetzel counties in West Virginia. Northwood treats some of the neediest and most vulnerable people in our society. Many of our patients suffer from chronic and perisistent mental illness throughout their lives. We also serve patients that suffer from intellectual and developmental disabilities and substance abuse. Approximiately 95% of our services are provided to indigent or Medicaid eligible patients. Northwood offers services at 20 different locations in our 3 county service area.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H12</Identifier>
        <ReturnReference>Community building activities Part II</ReturnReference>
        <Explanation>Northwood has included the cost for the operation of our unfunded homeless shelter.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H13</Identifier>
        <ReturnReference>Promoting community health Part VI question 5</ReturnReference>
        <Explanation>Northwood promotes community health by providing needed services to some of the most vulnerable individuals in our community. Our patients suffer from chronic and persistent mental illness throughout much of their lives. Northwood treats all patients - their ability to pay for the service is not taken into consideration. We provide many services that operate at a financial loss to the organization. In this fiscal year, we provided over $972,000 in subsidies to programs that were losing money. The subsidies to these programs are above and beyond the $1,900,000 in charity care we provide.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H14</Identifier>
        <ReturnReference>Affiliated health care system Part VI question 6</ReturnReference>
        <Explanation>We are not part of an affiliated healthcare system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H15</Identifier>
        <ReturnReference>State filings Part VI question 7</ReturnReference>
        <Explanation>We are not required to file a report with any states.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H16</Identifier>
        <ReturnReference>Community representative input Part V question 3</ReturnReference>
        <Explanation>A total of 16 stakeholder interviews and 3 focus groups (including 25 participants) were conducted representing individuals from throughout the service area. Stakeholders were identified 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 interviews and focus groups were conducted across the regions with various community constituencies. We included individuals who represented constituencies who suffered from chronic and serious mental illness, substance abuse, homelessness and intellectual disabilities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H17</Identifier>
        <ReturnReference>Other included hospital facilities Part V question 4</ReturnReference>
        <Explanation>Mid-Valley Healthcare Inc. was another facility that was a part of our Community Health Needs Assessment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>H18</Identifier>
        <ReturnReference>Other methods for determining amounts billed Part V question 20d</ReturnReference>
        <Explanation>The Medicaid rate for the service was used for billing purposes. Northwood Health Systems uses the applicable Medicaid rates when billing patients who are not covered by insurance. We use the West Virginia Medicaid rates when determining the amount to bill the patient.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Mark Games</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>145500</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>18755</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>164255</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Tom Dzmura</NamePerson>
        <Title>Director IT</Title>
        <BaseCompensationFilingOrg>157269</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>18026</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>175295</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steve Corder</NamePerson>
        <Title>Medical Director</Title>
        <BaseCompensationFilingOrg>241052</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>24326</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>265378</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard D Stockley</NamePerson>
        <Title>Chief Financial Officer</Title>
        <BaseCompensationFilingOrg>218731</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>22593</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>241324</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>O01</Identifier>
        <ReturnReference>Form 990 governing body review Part VI line 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O02</Identifier>
        <ReturnReference>Conflict of interest policy compliance Part VI line 12c</ReturnReference>
        <Explanation>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 aksed to review and sign a copy of the Conflict of Interest policy annually.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O03</Identifier>
        <ReturnReference>CEO executive director top management comp Part VI line 15a</ReturnReference>
        <Explanation>Northwood follows IRS guidelines and uses an independent compensation committee of the Board of Directors whose responsibility it is to review and approve the compensation arrangements for certain key employees. The compensation committee makes use of industry comparibility data when deciding on executive compensation. The decisions are contemporaneously documented in the minutes to the meeting. A voting member of the Board who receives compensation from Northwood is precluded from voting on matters pertaining to that member9s compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O04</Identifier>
        <ReturnReference>Other officer or key employee compensation Part VI line 15b</ReturnReference>
        <Explanation>There is an independent compensation committee of the Board of Directors whose responsibility it is to review and approve the compensation arrangements for certain key employees. The compensation committee uses industry comparability data when deciding on compensation. The decision making process is 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 member9s compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O05</Identifier>
        <ReturnReference>Governing documents etc available to public Part VI line 19</ReturnReference>
        <Explanation>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 included on the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O06</Identifier>
        <ReturnReference>Audited by an independent accountant Part XII line 2b</ReturnReference>
        <Explanation>An audit was completed by an independent CPA firm using the guidance of OMB Circular A-133.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O07</Identifier>
        <ReturnReference>Not undergone required audits or steps for audit part XII line 3b</ReturnReference>
        <Explanation>We completed the required audits under the guidance of OMB Circular A-133.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O08</Identifier>
        <ReturnReference>Explanation of other changes in net assets or fund balances Part XI line 9</ReturnReference>
        <Explanation>This amount represents the unrealized loss on market investments.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mid-Valley Healthcare Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 6400</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </AddressUS>
        <EIN>208333607</EIN>
        <PrimaryActivities>Behavioral Healthcare</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501 c 3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Northwood Health Systems Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Ash Grove Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 6400</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </AddressUS>
        <EIN>550733799</EIN>
        <PrimaryActivities>Housing for adults with disabi</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501 c 4</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Northwood Health Systems</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Tucker Rehab Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 6400</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </AddressUS>
        <EIN>317170004</EIN>
        <PrimaryActivities>Housing for persons with disab</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501 c 4</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Northwood Health Systems</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Larkin Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 6400</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </AddressUS>
        <EIN>550718164</EIN>
        <PrimaryActivities>Housing for persons with disab</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501 c 4</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Northwood Health Systems</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>