2023-05-13T15:07:52-04:00 2022-12-31 050537984 Liberty Tax Service 720 S Washington St Grand Forks ND 582014328 990 2022-01-01 450226472 NORTHWOOD DEACONESS HEALTH CENTER NORT PO BOX 190 NORTHWOOD ND 58267 PETE ANTONSON CEO 7015876459 2023-05-07 false PETE ANTONSON XXX-XX-XXXX Brad Ness CPA P00341625 7017461750 2023-05-13 0 00 AAL2 IAL1 2022 2023-04-26 12:10:37Z 20388108 false X X 1902 ND Serve as a local access to a full range of health care services. continue as a leader in primary care for the whole family, in care of the elderly, and in emergency services. Function as a focal point for health education and wellness. 9 9 210 25 0 0 421697 853168 15297956 19518573 14891 16367 0 15734544 20388108 0 0 9395719 9964296 0 0 4951108 5447481 14346827 15411777 1387717 4976331 11795273 15024741 5777722 4030859 6017551 10993882 Serve as a local access to a full range of health care services. continue as a leader in primary care for the whole family, in care of the elderly, and in emergency services. Function as a focal point for health education and wellness. false false 9522752 15196506 2,042 days of acute and swing bed care569 emergency room visits6,9245 clinic visits154 ambulance calls4,694 outpatient therapy visits 3636101 4218605 10,038 days of nursing home care 96080 103462 89 months occupied rentals by tenants 13254933 true true false false false false false false false false true false false false false false true false false false false false false false false false true true false false true false false false false false false false false true false false false false false false false false false true 13 0 210 true false false false false false false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false ND X X Pete Antonson CEO 7015876459 PO Box 190 4 N Park St Northwood ND 58267 X Erika Stein Family Practice Physician 40.00 0.00 X 361882 0 16950 Condetta Ness Nurse Practioner 40.00 0.00 X 342006 0 18227 Brian Twete Nurse Practioner 40.00 0.00 X 259779 0 24645 Eric Burke Nurse Practioner 40.00 0.00 X 207260 0 14230 Jennifer Metz Pharmacy Manager 32.00 0.00 X 125029 0 18579 Tina Swartz Clinic Manager 40.00 0.00 X 108693 0 14837 Peggy Nelson Laboratory Manager 40.00 0.00 X 114161 0 5272 Ann Larson Quality Manager 40.00 0.00 X 112331 0 5224 Katie Huus Nursing Manager 40.00 0.00 X 111975 0 5229 Kris Bilden Rehab Manager 40.00 0.00 X 111691 0 5182 Cynthia Pic Director 1.00 0.00 X 0 0 0 Patrick Askew Director 1.00 0.00 X 0 0 0 Greg McMahon Director 1.00 0.00 X 0 0 0 Robert Bilden Director 1.00 0.00 X 0 0 0 Judy Engen Director 1.00 0.00 X 0 0 0 Lonney Eastvold Director 1.00 0.00 X 0 0 0 Keith Groven President 1.00 0.00 X X 0 0 0 Gary Rankin Vice President 1.00 0.00 X X 0 0 0 Joan Thompson Secretary 1.00 0.00 X X 0 0 0 1854807 0 128375 10 false true false 853168 140000 853168 Hospital 621400 15196506 15196506 Skilled Nursing Facilit 623000 4218605 4218605 Apartments 623990 103462 103462 19518573 16367 16367 20388108 19534940 0 0 8320928 7950898 370030 211085 201698 9387 863556 825154 38402 568727 543436 25291 596760 147950 448810 1795 1795 37425 37425 11125 11125 46807 46807 343227 343227 61635 50621 11014 71358 66913 4445 681182 681182 129108 129108 Utilities 318416 318416 RepairsMaintenance 259660 259660 Food 136781 136781 SuppliesMisc 2752202 2072224 679978 15411777 13254933 2156844 0 2526998 2717485 3092721 1462310 1173179 4656203 50566 40937 18769730 12621924 4951809 6147806 11795273 15024741 3648482 2517151 2129240 1513708 5777722 4030859 X 6017551 10993882 6017551 10993882 11795273 15024741 4976331 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 70510 70510 14518322 10066545 4451777 4180898 2555379 1625519 6147806 20388108 20388108 20388108 15411777 15411777 15411777 true true true X true X true true true false true true 1 37628 37628 1 512241 449816 62425 2 549869 449816 100053 3 47840 2296 45544 3 21292 9128 12164 1 2120 2120 7 71252 11424 59828 9 621121 461240 159881 true 120000 6321679 6523973 -202294 X true true 1 1 Northwood Deaconess Health Center PO Box 190 at 4 N Park Street Northwood ND 58267 X 1 Northwood Deaconess Health Center 1 false false true X X X X X X X X 22 true false false true X www.ndhc.net X true 22 true www.ndhc.net false true X 100.00 200.00 X X X true true X X X true X www.ndhc.net X www.ndhc.net X www.ndhc.net X X X X X true X false true false false Facility Group Part V line 5 The organization reviews its community health needs assessment regularly. The stratigic planning process takes the assessment into consideration when setting plans, priorities, initiatives and directions. 6 Northwood Deaconess Health Cen Towner Avenue Larimore ND 58251 Medical Clinic Northwood Deaconess Health Cen Main St Binford ND 58416 Medical Clinic Northwood Deaconess Health Cen 4 N Park St Northwood ND 58267 Medical Clinic Northwood Deaconess Health Cen PO Box 190 at 4 N Park St Northwood ND 58267 37 Bed Skilled Nursing Facility Northwood Deaconess Health Cen PO Box 190 at 4 N Park St Northwood ND 58267 6 Units Assisted Living Apartments Northwood Deaconess Health Cen PO Box 190 at 4 N Park St Northwood ND 58267 10 Units Independent Living Apartments 01. Related organization annual community benefit report (Part I, line 6a) The community benefit report was posted on the website, published locally, and a copy available upon request at no charge. 02. Needs assessment (Part VI, line 2) As a church owned organization, we maintain contact and communication with our owner churchs through newsletters, meetings, and other various interactions. 03. Patient education (Part VI, line 3) As a church owned organization, we maintain contact and communication with our owner churchs through newsletters, meetings, and other various interactions. 04. Community information (Part VI, line 4) We serve the southwest portion of Grand Forks County, eastern Nelson County, and parts of Steele, Traill and Griggs Counties. The entire area is by definition rural with a total population of approximately 9,600. 05. Promoting community health (Part VI, line 5) We participate in health fairs for the public on health issues. Due to Covid 19, these were not help this past year. We hold wellness clinics for both men and women specializing in their individual needs. We maintain a community fitness centerat a fee that is subsidized to the patrons in order to ensure it is affordable and accessible. Access to the fitness center was limited for significant parts of the year due to Covid 19 pandemic. 06. Collection practices (Part III, line 9b) The Health Center offers a charity care financial assistance program and make it known to clients. If clients do not qualify or apply they can make payments on account. After 180 days, accounts with no payment activity are turned over to collection agency. 07. Subsidized health services costs (Part I, line 7g) Fitness Center revenue $2296 expenses $10903 net loss $8607Foot Care revenue $1605 expenses $2307 net loss $702Medicare Alert Units revenue $10640 expenses $13495 net loss $2855 08. Costing methodology explanation (Part I, line 7) The Health Center uses an audited cost accounting system to accumulated costs associated with other community benefit programs. 09. Part III, line 2 Patient and resident accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Health Center analyzes its past history and identifies trends for each of its major payor sources to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with self pay patients, the Health Center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill that is self pay. 10. Allowable Medicare costing methodology (Part III, line 8) The Health Center uses an audited cost accounting system to accumulated costs associated with Medicare billings. 11. Other charity care criteria description (Part I, line 3c) The Health Center uses FPG in determining eligibilty for free or discounted care. false false false false false false Eric Burke Nurse Practioner 207260 6442 7788 221490 Condetta Ness Nurse Practioner 342006 9150 9077 360233 Brian Twete Nurse Practioner 259779 7905 16740 284424 Erika Stein Family Practice Physician 361882 9150 7800 378832 X 1 140000 FMV Form 990 governing body review Part VI line 11 The tax return is provided to all members of the governing board with related schedules prior to the return beign filed. The return is on the agendaof a regularly scheduled board meeting, mailed one week prior to the meeting, and reviewed at the board meeting. Conflict of interest policy compliance Part VI line 12c The policy is reviewed by the board of directors and management team annually. Examples of what a conflict of interest or conflicted person are reviewed. Each person must sign and acknowladge understandingof the policy. CEO executive director top management comp Part VI line 15a We are managed by Sanford Health with the CEO being employed by Sanford Health. Sanford Health uses regional salary data to set their scale and suggests salary for the CEO to the board of directors. Other officer or key employee compensation Part VI line 15b The facility uses statewide data surveyed by the ND Hospital Association and the ND Long Term Care Association when administering salaries. Policy is to be competitive regionally. Governing documents etc available to public Part VI line 19 The financial statements, conflict of interest policy and governing documents are available upon request.