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        <BusinessNameLine1>NORTHWOOD HEALTH SYSTEMS INC</BusinessNameLine1>
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        <AddressLine1>PO Box 6400</AddressLine1>
        <City>Wheeling</City>
        <State>WV</State>
        <ZIPCode>26003</ZIPCode>
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      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>12043781</BOY>
        <EOY>12750867</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="990C"></IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
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        <OtherCostOrOtherBasis>366019</OtherCostOrOtherBasis>
        <BookValue>366019</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>3374294</OtherCostOrOtherBasis>
        <Depreciation>1248035</Depreciation>
        <BookValue>2126259</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>688662</OtherCostOrOtherBasis>
        <Depreciation>382654</Depreciation>
        <BookValue>306008</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>3792290</OtherCostOrOtherBasis>
        <Depreciation>1933222</Depreciation>
        <BookValue>1859068</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>4657354</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Long Term Commitments</Description>
        <Amount>343000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RNA Group Home</Description>
        <Amount>109723</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>452723</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="990H">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>false</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1605896</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1605896</NetCommunityBenefitExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>1605896</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1605896</NetCommunityBenefitExpense>
      </TotalCharityCare>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2682925</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2682925</NetCommunityBenefitExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>514405</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>514405</NetCommunityBenefitExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>3197330</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>3197330</NetCommunityBenefitExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>4803226</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>4803226</NetCommunityBenefitExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>163955</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>163955</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <Total>
        <TotalCommunityBuildingExpense>163955</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>163955</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>102000</BadDebtExpenseAmount>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Northwood Health Systems</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>111 19th Street</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </Address>
        <Other>Behavioral Health Center</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Ritz Ave ICFMR</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2302 Ritz Avenue</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </Address>
        <Other>Intermediate Care Facility for the Mentally Retarded</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Raven Avenue ICFMR</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>26 Raven Avenue</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </Address>
        <Other>Intermediate Care Facility for the Mentally Retarded</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Riverview ICFMR</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>102 12th Street</AddressLine1>
          <City>McMechen</City>
          <State>WV</State>
          <ZIPCode>26040</ZIPCode>
        </Address>
        <Other>Intermediate Care Facility for the Mentally Retarded</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Russell Nesbitt Apartments</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>501 North Main Street</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </Address>
        <Other>Intermediate Care Facility for the Mentally Retarded</Other>
      </Form990ScheduleHPartV>
    </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>Pete Radakovich</NamePerson>
        <BaseCompensationFilingOrg>369793</BaseCompensationFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21998</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>369793</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>21998</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steve Corder</NamePerson>
        <BaseCompensationFilingOrg>240456</BaseCompensationFilingOrg>
        <NontaxableBenefitsRelatedOrgs>22311</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>240456</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>22311</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard D Stockley</NamePerson>
        <BaseCompensationFilingOrg>183654</BaseCompensationFilingOrg>
        <NontaxableBenefitsRelatedOrgs>12826</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183654</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>12826</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>01. Form 990 governing body review (Part VI, line 11)</Identifier>
        <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>02. Conflict of interest policy compliance (Part VI, line 12c)</Identifier>
        <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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>03. CEO, executive director, top management comp (Part VI, line 15a)</Identifier>
        <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 A voting member of the Board who receives compensation from Northwood is precluded from voting on matters pertaiing to that members compensation</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>04. Other officer or key employee compensation (Part VI, line 15b</Identifier>
        <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 A voting member of the Board who receives compensation from Northwood is precluded from voting on matters pertaiing to that members compensation</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>05. Governing documents, etc, available to public (Part VI, line 19)</Identifier>
        <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>06. Audited by an independent accountant (Part XI, line 2b)</Identifier>
        <Explanation>An audit was completed by an independent CPA firm using the guidance of OMB Circular A-133</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>07. Not undergone required audits or steps for audit (part XI, line 3b)</Identifier>
        <Explanation>We completed the required audits under the guidance of OMB Circular A-133</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>
        <PublicCharityStatus>Hospital</PublicCharityStatus>
        <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 disabilities</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 disabilities</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 disabilities</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>
      <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>