NORTHWOOD HEALTH SYSTEMS INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWOOD HEALTH SYSTEMS INC (EIN 55-0540374)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-06
- IRS object ID
- 201331269349300223
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-06T11:08:49-04:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550540374 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwood Health Systems Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6400 | AddressLine1 |
| City | Wheeling | City |
| State | WV | State |
| ZIP Code | 26003 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Richard D Stockley | Name |
| Title | Chief Financial | Title |
| Phone | 3042343500 | Phone |
| Date Signed | 2013-05-06 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mark Games | NameOfPrincipalOfficerPerson |
| Gross Receipts | 23501273 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.northwoodhealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1967 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | To provide services to individuals with mental illness mental retardation and or substance abuse issues | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 565 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3036923 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3073142 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17443401 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20442399 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -50099 | InvestmentIncomePriorYear |
| Investment Income Current Year | -61607 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 177571 | OtherRevenuePriorYear |
| Other Revenue Current Year | 47339 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20607796 | TotalRevenuePriorYear |
| Total Revenue Current Year | 23501273 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12088313 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13268205 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7603791 | OtherExpensePriorYear |
| Other Expenses Current Year | 10114860 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19692104 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23383065 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 915692 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 118208 | RevenuesLessExpensesCY |
| Total Assets BOY | 12770510 | TotalAssetsBOY |
| Total Assets EOY | 13302753 | TotalAssetsEOY |
| Total Liabilities BOY | 1116327 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1530362 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11654183 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11772391 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide services to individuals with mental illness mental retardation and or substance abuse issues | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 94821 | Expense |
| 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 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10372771 | Expense |
| Description | MRDD Services - We provide a wide range of programming services to individuals who have mental retardation and or developmental disabilities Our offerings include case management day programming and residential services We offer residential serv ices at 18 separate locations within our 3 county service area These locations vary and include 4 Intermediate Care Facilities for the Mentally Retarded and various other group homesThese residential settings enable our patients to integrate themse lves into their communitiesWe 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 the m develop or maintain necessary skills to improve their ability to function within the communityThese services are overseen by a team of professionals that include Therapeutic Consultants Service Coordinators and Psychologists | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10318761 | Expense |
| 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 da y 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 3000 patients each year Th e 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 22 million dollars in ch arity 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 20786353 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 182 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 565 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Richard D Stockley | NamePerson |
| Telephone Number | 3042343500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 19th Street | AddressLine1 |
| City | Wheeling | City |
| State | WV | State |
| ZIP Code | 26003 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| Bob Jones | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| EJ Joseph | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Lary Loew | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Mark Games | ||||||||
| CEO | 60.00 | X | 145000 | 0 | 25770 | X | X | |
| Patrick Casey | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Randy Chamberlain | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Richard D Stockley | ||||||||
| Chief Financial Officer | 55.00 | 210000 | 0 | 18010 | X | X | X | |
| Steve Corder | ||||||||
| Medical Director | 50.00 | 240552 | 0 | 26282 | X | X | ||
| Tina Derksen | ||||||||
| Controller | 45.00 | 110000 | 23426 | X | ||||
| Tom Dzmura | ||||||||
| Director Information Technology | 55.00 | 109423 | 24049 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 814975 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 117537 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 3073142 | GovernmentGrants |
| Total Contributions | 3073142 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Revenue | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 20442399 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20442399 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20442399 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -61607 | TotalRevenueColumn |
| Related Or Exempt Function Income | -61607 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medical Records | 621400 | 4210 | 4210 |
| CPR Income | 621400 | 843 | 843 |
| Miscellaneous | 621400 | 42286 | 42286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 47339 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23501273 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20428131 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 595552 | Total |
| Program Services | 240552 | ProgramServices |
| Management And General | 355000 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9550728 | Total |
| Program Services | 8034416 | ProgramServices |
| Management And General | 1516312 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 419364 | Total |
| Program Services | 323576 | ProgramServices |
| Management And General | 95788 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1896732 | Total |
| Program Services | 1660939 | ProgramServices |
| Management And General | 235793 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 805829 | Total |
| Program Services | 780313 | ProgramServices |
| Management And General | 25516 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142141 | Total |
| Program Services | 142141 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29580 | Total |
| Program Services | 29580 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2946080 | Total |
| Program Services | 2946080 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95330 | Total |
| Program Services | 95330 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 611814 | Total |
| Program Services | 611814 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1379470 | Total |
| Program Services | 1206272 | ProgramServices |
| Management And General | 173198 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319372 | Total |
| Program Services | 280619 | ProgramServices |
| Management And General | 38753 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1075 | Total |
| Program Services | 1075 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 573885 | Total |
| Program Services | 421437 | ProgramServices |
| Management And General | 152448 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64298 | Total |
| Program Services | 64298 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provider Taxes and Licenses | 770943 | 770943 | |
| Charity and Donations | 3088693 | 3088693 | |
| Minor Equipment | 81829 | 77925 | 3904 |
| Miscellaneous | 10350 | 10350 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23383065 | Total |
| Program Services | 20786353 | ProgramServices |
| Management And General | 2596712 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 677228 | BOY |
| EOY | 69062 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3023120 | BOY |
| EOY | 3283661 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 247880 | BOY |
| EOY | 632477 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2236171 | BOY |
| EOY | 3656061 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20007 | BOY |
| EOY | 18003 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1241865 | BOY |
| EOY | 594342 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8696899 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4305933 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4519929 | BOY |
| EOY | 4390966 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 804310 | BOY |
| EOY | 804310 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | -146129 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12770510 | BOY |
| EOY | 13302753 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 821916 | BOY |
| EOY | 1250672 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 294411 | BOY |
| EOY | 279690 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1116327 | BOY |
| EOY | 1530362 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10941297 | BOY |
| EOY | 11088406 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 712886 | BOY |
| EOY | 683985 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11654183 | BOY |
| EOY | 11772391 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12770510 | BOY |
| EOY | 13302753 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 118208 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 384719 | OtherCostOrOtherBasis |
| Book Value | 384719 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3688472 | OtherCostOrOtherBasis |
| Depreciation | 1559960 | Depreciation |
| Book Value | 2128512 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 678831 | OtherCostOrOtherBasis |
| Depreciation | 408037 | Depreciation |
| Book Value | 270794 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3944877 | OtherCostOrOtherBasis |
| Depreciation | 2337936 | Depreciation |
| Book Value | 1606941 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4390966 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Invesment in RNA | Description |
| Book Value | -146129 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | -146129 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Long term liabilities | Description |
| Amount | $279,690 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 279690 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1721933 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1721933 | NetCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1721933 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1721933 | NetCommunityBenefitExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 959646 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 959646 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3059320 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3059320 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4018966 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4018966 | NetCommunityBenefitExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5740899 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5740899 | NetCommunityBenefitExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 152152 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 152152 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 152152 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 152152 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $39,493 | BadDebtExpenseAmount |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwood Health Systems Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 19th Street | AddressLine1 |
| City | Wheeling | City |
| State | WV | State |
| ZIP Code | 26003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Comprehensive Behavioral Healt | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwood Health Systems Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 2.000000 | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | false | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 01 Other charity care criteria description Part I line 3c | 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 |
| 02 Related organization annual community benefit report Part I line 6a | 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 |
| 03 Bad debt description footnote Part III line 4 | 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 |
| 04 Allowable Medicare costing methodology Part III line 8 | 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 |
| 05 Subsidized health services costs Part I line 7g | 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 48 of our total revenue |
| 06 Debt expense included Part I line 7 col f | Northwood did not include any debt expense in the calculation |
| 07 Costing methodology explanation Part I line 7 | Costs for the related services was based upon the direct cost of providing the service |
| 08 Collection practices Part III line 9b | 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 |
| 09 Needs assessment Part VI question 2 | Northwood did not conduct a needs assessment during the fiscal year We plan to conduct our community needs assessment during the fiscal year that begins on July 1 2012 |
| 10 Patient education Part VI question 3 | The process for educating our patients in regard to their eligibilty for charity care begins upon admission to our programs Our admissions staff will work with all uninsured patients and assist them through application process for Medicaid We contract with West Virginia Department of Health and Human Resources and pay to have a Medicaid eligibilty clerk based at our largest clincial site All uninsured patients are encouraged to apply for Medicaid Our intake staff works with the patient and assists them in completing the application process We also assist each patient in completing an application for charity care If the patient does not qualify for Medicaid and their income is at or below 200 of the poverty level then they will generally qualify under our charity care program |
| 11 Community information Part VI question 4 | Northwood Health Systems 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 persistent mental illness throughout their lives We also serve patients that suffer from mental retardationdevelopmental disabilities and substance abuse Approximately 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 |
| 12 Community building activities Part II | Northwood has included the cost for the operation of our unfunded homeless shelter |
| 13 Promoting community health Part VI question 5 | 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 959000 in subsidies to programs that were losing money The subsidies to these programs are above and beyond the 1700000 in charity care we provide |
| 14 Affiliated health care system Part VI question 6 | We are not part of an affiliated healthcare system |
| 15 State filings Part VI question 7 | We are not required to file a report with any states |
| 16 Other methods for determining amounts billed Part V question 19d | 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Games | |||||||||||||
| 145000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 25770 | 0 | 170770 | 0 | 0 | 0 |
| Steve Corder | |||||||||||||
| 240552 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 26282 | 0 | 266834 | 0 | 0 | 0 |
| Richard D Stockley | |||||||||||||
| 210000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18010 | 0 | 228010 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 01. Form 990 governing body review (Part VI, line 11) | 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 |
| 02. Conflict of interest policy compliance (Part VI, line 12c) | 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 |
| 03. CEO, executive director, top management comp (Part VI, line 15a) | 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 members compensation |
| 04. Other officer or key employee compensation (Part VI, line 15b | 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 members compensation |
| 05. Governing documents, etc, available to public (Part VI, line 19) | 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 |
| 06. Audited by an independent accountant (Part XII, line 2b) | An audit was completed by an independent CPA firm using the guidance of OMB Circular A-133 |
| 07. Not undergone required audits or steps for audit (part XII, line 3b) | We completed the required audits under the guidance of OMB Circular A-133 |
| 08. Explanation of other changes in net assets or fund balances (Part XI, line 5) | This amount represents the unrealized loss on market investments |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|
| Mid-Valley Healthcare Inc | ||||||||
| PO Box 6400 | Wheeling | WV | 26003 | 208333607 | Behavioral Healthcare | WV | 501 c 3 | Northwood Health Systems Inc |
| Ash Grove Inc | ||||||||
| PO Box 6400 | Wheeling | WV | 26003 | 550733799 | Housing for adults with disabilities | WV | 501 c 4 | Northwood Health Systems |
| Tucker Rehab Inc | ||||||||
| PO Box 6400 | Wheeling | WV | 26003 | 317170004 | Housing for persons with disabilities | WV | 501 c 4 | Northwood Health Systems |
| Larkin Inc | ||||||||
| PO Box 6400 | Wheeling | WV | 26003 | 550718164 | Housing for persons with disabilities | WV | 501 c 4 | Northwood Health Systems |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |