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        <ManagementAndGeneralAmt>40580</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>70433</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>44760</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>461761</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>45991</ProgramServicesAmt>
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        <ProgramServicesAmt>54794</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>132482</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>343792</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RepairsMaintenance</Desc>
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        <ProgramServicesAmt>281563</ProgramServicesAmt>
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        <Desc>Food</Desc>
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        <ProgramServicesAmt>2344675</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>13917839</ProgramServicesAmt>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        </BusinessName>
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          <CityNm>Northwood</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58267</ZIPCd>
        </USAddress>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <OwnWebsiteURLTxt>www.ndhc.net</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>www.ndhc.net</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>www.ndhc.net</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>www.ndhc.net</FAPSummaryOnWebsiteURLTxt>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Group Part V line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
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      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northwood Deaconess Health Cen</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>Towner Avenue</AddressLine1Txt>
            <CityNm>Larimore</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58251</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northwood Deaconess Health Cen</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>Main St</AddressLine1Txt>
            <CityNm>Binford</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58416</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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            <CityNm>Northwood</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58267</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northwood Deaconess Health Cen</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>PO Box 190 at 4 N Park St</AddressLine1Txt>
            <CityNm>Northwood</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58267</ZIPCd>
          </USAddress>
          <FacilityTxt>22 Bed Skilled Nursing Facility</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northwood Deaconess Health Cen</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
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            <CityNm>Northwood</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58267</ZIPCd>
          </USAddress>
          <FacilityTxt>6 Units Assisted Living Apartments</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northwood Deaconess Health Cen</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>PO Box 190 at 4 N Park St</AddressLine1Txt>
            <CityNm>Northwood</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58267</ZIPCd>
          </USAddress>
          <FacilityTxt>10 Units Independent Living Apartments</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>01. Related organization annual community benefit report (Part I, line 6a)</FormAndLineReferenceDesc>
        <ExplanationTxt>The community benefit report was posted on the website, published locally, and a copy available upon request at no charge.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>02. Needs assessment (Part VI, line 2)</FormAndLineReferenceDesc>
        <ExplanationTxt>As a church owned organization, we maintain contact and communication with our owner churchs through newsletters, meetings, and other various interactions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>03. Patient education (Part VI, line 3)</FormAndLineReferenceDesc>
        <ExplanationTxt>As a church owned organization, we maintain contact and communication with our owner churchs through newsletters, meetings, and other various interactions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>04. Community information (Part VI, line 4)</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>05. Promoting community health (Part VI, line 5)</FormAndLineReferenceDesc>
        <ExplanationTxt>We participate in health fairs for the public on health issues. We hold wellness clinics for both men and women specializing in their individual needs. We maintain a community fitness center at a fee that is subsidized to the patrons in order to ensure it is affordable and accessible.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>06. Collection practices (Part III, line 9b)</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>07. Subsidized health services costs (Part I, line 7g)</FormAndLineReferenceDesc>
        <ExplanationTxt>Meals on Wheels revenue $56 expenses $115 net loss $59Foot Care revenue $1745 expenses $2815 net loss $1070Medicare Alert Units revenue $11540 expenses $21208 net loss $9668</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>08. Costing methodology explanation (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Center uses an audited cost accounting system to accumulated costs associated with other community benefit programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>09. Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>10. Allowable Medicare costing methodology (Part III, line 8)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Center uses an audited cost accounting system to accumulated costs associated with Medicare billings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>11. Other charity care criteria description (Part I, line 3c)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Center uses FPG in determining eligibilty for free or discounted care.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="990J">
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Burke</PersonNm>
        <TitleTxt>Nurse Practioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>194761</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15362</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210123</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Condetta Ness</PersonNm>
        <TitleTxt>Nurse Practioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>365130</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7509</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>372639</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Twete</PersonNm>
        <TitleTxt>Nurse Practioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>250075</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15086</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>265161</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Erika Stein</PersonNm>
        <TitleTxt>Family Practice Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>351593</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7509</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>359102</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The tax return is provided to all members of the governing board with related schedules prior to the return being filed. The return is on the agenda of a regularly scheduled board meeting, mailed one week prior to the meeting, and reviewed at the board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial statements, conflict of interest policy and governing documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
