STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHWOOD HEALTH SYSTEMS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTHWOOD HEALTH SYSTEMS INC (EIN 55-0540374)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349306590
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2012-05-15T17:04:06-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550540374EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northwood Health Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 6400AddressLine1
CityWheelingCity
StateWVState
ZIP Code26003ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRichard D StockleyName
TitleChief FinancialTitle
Phone3042343500Phone
Date Signed2012-05-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark GamesNameOfPrincipalOfficerPerson
Gross Receipts20607796GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.northwoodhealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTo provide services to individuals with mental illness mental retardation and or substance abuse issuesActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees589TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2348468ContributionsGrantsPriorYear
Contributions Grants Current Year3036923ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19857625ProgramServiceRevenuePriorYear
Program Service Revenue CY17443401ProgramServiceRevenueCY
Investment Income Prior Year-35718InvestmentIncomePriorYear
Investment Income Current Year-50099InvestmentIncomeCurrentYear
Other Revenue Prior Year67974OtherRevenuePriorYear
Other Revenue Current Year177571OtherRevenueCurrentYear
Total Revenue Prior Year22238349TotalRevenuePriorYear
Total Revenue Current Year20607796TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11755377SalariesEtcPriorYear
Salaries Etc Current Year12088313SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8807241OtherExpensePriorYear
Other Expenses Current Year7603791OtherExpensesCurrentYear
Total Expenses Prior Year20562618TotalExpensesPriorYear
Total Expenses Current Year19692104TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1675731RevenuesLessExpensesPriorYear
Revenues Less Expenses CY915692RevenuesLessExpensesCY
Total Assets BOY12750867TotalAssetsBOY
Total Assets EOY12770510TotalAssetsEOY
Total Liabilities BOY1811227TotalLiabilitiesBOY
Total Liabilities EOY1116327TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10939640NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11654183NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide services to individuals with mental illness mental retardation and or substance abuse issuesMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense45819Expense
Revenue46891Revenue
DescriptionSubstance abuse services - We provide programming to individuals who suffer from substance abuse issues Our programming consists of day treatment outpatient services and crisis servicesDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9492937Expense
Revenue9715145Revenue
DescriptionMRDD 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 PsychologistsDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7505674Expense
Revenue7681365Revenue
DescriptionMental 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 telemedicineDescription
FieldValueIRS element (for citing)
Total Program Service Expense17044430TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096164NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees589NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRichard D StockleyNamePerson
Telephone Number3042343500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 19th StreetAddressLine1
CityWheelingCity
StateWVState
ZIP Code26003ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
Bob Jones
Director2.00X000
EJ Joseph
Director2.00X
Lary Loew
Director2.00X
Mark Games
CEO60.00X132349013815XX
Patrick Casey
Director3.00X000
Richard D Stockley
Chief Financial Officer55.00186354016597XXX
Steve Corder
Medical Director50.00248802019529XX
Tina Derksen
Controller45.00115002012639X
FieldValueIRS element (for citing)
Total Reportable Comp From Org682507TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation62580TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonBurns White LLCNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1106 Isabella StreetAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLegal ServicesDescriptionOfServices
Compensation105121Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants3036923GovernmentGrants
Total Contributions3036923TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service RevenueDescription
Business Code621400BusinessCode
Total Revenue Column17443401TotalRevenueColumn
Related Or Exempt Function Income17443401RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17443401TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-50099TotalRevenueColumn
Related Or Exempt Function Income-50099RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real112578Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real112578Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column112578TotalRevenueColumn
Related Or Exempt Function Income112578RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Management Fees6214001702617026
Medical Records Fees62140040934093
CPRFirst Aid621400850850

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column43024TotalRevenueColumn
Related Or Exempt Function Income43024RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue64993TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20607796TotalRevenueColumn
Related Or Exempt Function Income17570873RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total682508Total
Program Services248802ProgramServices
Management And General433706ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8651883Total
Program Services7377376ProgramServices
Management And General1274507ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total324924Total
Program Services257441ProgramServices
Management And General67483ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1498348Total
Program Services1352054ProgramServices
Management And General146294ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total930650Total
Program Services735165ProgramServices
Management And General195485ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total239639Total
Program Services239639ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26200Total
Program Services26200ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2562841Total
Program Services2562841ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total12848Total
Program Services12848ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total491707Total
Program Services312569ProgramServices
Management And General179138ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total118003Total
Program Services118003ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1269463Total
Program Services1109947ProgramServices
Management And General159516ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total312004Total
Program Services283259ProgramServices
Management And General28745ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2643Total
Program Services2643ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1674Total
Program Services1674ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total597117Total
Program Services434317ProgramServices
Management And General162800ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total153464Total
Program Services153464ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Provider Taxes386799386799
Charity and Donations12595741259574
Miscellaneous7021370213
Minor Equipment6004760047
Licenses and Taxes3955539555

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19692104Total
Program Services17044430ProgramServices
Management And General2647674ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY76492BOY
EOY677228EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3632072BOY
EOY3023120EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY58592BOY
EOY247880EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2946327BOY
EOY2236171EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19840BOY
EOY20007EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY310256BOY
EOY1241865EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8251976LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3732047LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4657354BOY
EOY4519929EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1049934BOY
EOY804310EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12750867BOY
EOY12770510EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1351958BOY
EOY821916EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6546BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY452723BOY
EOY294411EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1811227BOY
EOY1116327EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10197853BOY
EOY10941297EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY741787BOY
EOY712886EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10939640BOY
EOY11654183EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12750867BOY
EOY12770510EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses915692ReconcilationRevenueExpenses
Reconcilation Other Changes-201149ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis366019OtherCostOrOtherBasis
Book Value366019BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3443142OtherCostOrOtherBasis
Depreciation1396819Depreciation
Book Value2046323BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis678851OtherCostOrOtherBasis
Depreciation383304Depreciation
Book Value295547BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3763964OtherCostOrOtherBasis
Depreciation1951924Depreciation
Book Value1812040BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4519929TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLong Term CommitmentsDescription
Amount$294,411Amount
FieldValueIRS element (for citing)
Total Of Amounts294411TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2179163TotalCommunityBenefitExpense
Net Community Benefit Expense2179163NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2179163TotalCommunityBenefitExpense
Net Community Benefit Expense2179163NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2029706TotalCommunityBenefitExpense
Net Community Benefit Expense2029706NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1200360TotalCommunityBenefitExpense
Net Community Benefit Expense1200360NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3230066TotalCommunityBenefitExpense
Net Community Benefit Expense3230066NetCommunityBenefitExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5409229TotalCommunityBenefitExpense
Net Community Benefit Expense5409229NetCommunityBenefitExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense170218TotalCommunityBuildingExpense
Net Community Building Expense170218NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense170218TotalCommunityBuildingExpense
Net Community Building Expense170218NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$73,184BadDebtExpenseAmount
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northwood Health Systems IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1111 19th StreetAddressLine1
CityWheelingCity
StateWVState
ZIP Code26003ZIPCode
FieldValueIRS element (for citing)
OtherComprehensive Behavioral HealtOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northwood Health Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierExplanationExplanation
01 Other charity care criteria description Part I line 3cWe 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 6aWe 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 4Bad 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 8We 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 7gNorthwood 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 97 of our total revenue
06 Debt expense included Part I line 7 col fNorthwood did not include any debt expense in the calculation
07 Costing methodology explanation Part I line 7Costs for the related services was based upon the direct cost of providing the service
08 Collection practices Part III line 9bNorthwood 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 2Northwood 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 3The 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 4Northwood 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 IINorthwood has included the cost for the operation of our unfunded homeless shelter
13 Promoting community health Part VI question 5Northwood 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 2000000 in subsidies to programs that were losing money The subsidies to these programs are above and beyond the 2100000 in charity care we provide
14 Affiliated health care system Part VI question 6We are not part of an affiliated healthcare system
15 State filings Part VI question 7We are not required to file a report with any states
16 Other methods for determining amounts billed Part V question 19dThe 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Steve Corder
2488020000000195290268331000
Richard D Stockley
1863540000000165970202951000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
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 15bThere 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Mid-Valley Healthcare Inc
PO Box 6400WheelingWV26003208333607Behavioral HealthcareWV501 c 3Northwood Health Systems Inc
Ash Grove Inc
PO Box 6400WheelingWV26003550733799Housing for adults with disabilitiesWV501 c 4Northwood Health Systems
Tucker Rehab Inc
PO Box 6400WheelingWV26003317170004Housing for persons with disabilitiesWV501 c 4Northwood Health Systems
Larkin Inc
PO Box 6400WheelingWV26003550718164Housing for persons with disabilitiesWV501 c 4Northwood Health Systems
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg