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          <AddressLine2>RESTRICTED</AddressLine2>
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          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherActivitiesInd>true</OtherActivitiesInd>
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        <ExplanationTxt>NORTHWEST HEALTH SERVICES PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE MISSOURI PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES; HOWEVER, THE SPECIFIC AMOUNT IS UNKNOWN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1 ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR MISSION IS SUPPORTED BY OUR VALUES WHICH ARE: PATIENT CENTERED - THE PATIENTS WE SERVE ARE THE REASON WE EXIST AND ARE THE CENTER OF ALL THAT WE DO. WE RECOGNIZE AND RESPOND TO THE NEEDS OF WHOLE PERSON AND FOSTER A SPIRIT OF COMMUNITY. PROVIDING OUR PATIENTS AND THEIR FAMILIES WITH THE HIGHEST QUALITY CARE IN AN ENVIRONMENT THAT IS SAFE AND COMPASSIONATE IS OUR PRIORITY. PURSUIT OF EXCELLENCE - AS INDIVIDUALS AND COLLECTIVELY WE STRIVE FOR EXCELLENCE. WE PROMOTE INNOVATION, DEVELOP PROGRAMS AND PROCESSES TO MEASURE AND CONTINUALLY IMPROVE QUALITY, ENCOURAGE CONTINUOUS LEARNING AND EMPOWERMENT BOTH FOR STAFF AND THE PATIENTS WE SERVE. COLLABORATION - WE PROVIDE AN ENVIRONMENT THAT PROMOTES TEAMWORK AND MUTUAL RESPECT BY RECOGNIZING THAT TOGETHER WE ARE STRONGER THAN WE ARE ALONE, BY BOTH FORMALLY AND INFORMALLY RECOGNIZING CONTRIBUTIONS OF INDIVIDUALS, TEAMS, AND PARTNERING AGENCIES AND BY CREATING AN INCLUSIVE WORK ENVIRONMENT THAT ENABLES THE DELIVERY OR RESPECTFUL AND CULTURALLY APPROPRIATE CARE. COMMUNITY DRIVEN - WE ARE COMMITTED TO UNDERSTANDING AND REACHING OUT TO THE COMMUNITIES WE SERVE. THROUGH THE CONSIDERATION OF CULTURE, ECONOMIC AND EDUCATIONAL STATUS, TRADITIONS, AND OTHER SOCIO-CULTURAL NEEDS WE PROVIDE SERVICES THAT POSITIVELY IMPACT COMMUNITY HEALTH. CONTINUITY OF CARE - IT IS THROUGH COORDINATION AND INTEGRATION THAT WE SUPPORT OUR PATIENTS AND THEIR FAMILIES AS THEY NAVIGATE THE MULTIPLE SYSTEMS OF CARE. CARING HAND-OFFS BETWEEN DIFFERENT PROVIDERS AND ENTITIES THROUGHOUT THE COMMUNITY CREATE A SHARED ENVIRONMENT OF RESPONSIBILITY AND ACCOUNTABILITY FOR THE HEALTHCARE TEAM AND THE PATIENTS BEING SERVED. DEMONSTRATING THAT THE TRUST EXTENDED TO US BY OUR PATIENTS, FUNDERS AND PARTNERS IS WELL PLACED. WE PROVE THE EFFECTIVENESS OF OUR WORK THROUGH MEASURABLE RESULTS. PROVIDING ACCESS TO QUALITY MEDICAL, DENTAL, BEHAVIORAL HEALTH, PHARMACEUTICAL, AND HEALTH EDUCATION IS HOW NORTHWEST HEALTH SERVICES ACHIEVES THIS MISSION. COMMUNITY OUTREACH AND EDUCATION ARE ALSO A MEANS TO ACCOMPLISH THE MISSION. OUR COMMUNITY-LED BOARD OF DIRECTORS REPRESENTS THE AREAS WE SERVE AND GUIDES THE ORGANIZATION TO PROVIDING THE BEST CARE POSSIBLE BASED ON THE NEEDS OF THE COMMUNITIES. AS A COMMUNITY HEALTH CENTER, NORTHWEST HEALTH SERVICES IS PROUD TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part I, Line 6 VOLUNTEERS</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 935,824 including grants of $ 0)(Revenue $ 1,168,024) THE ORGANIZATION INTEGRATES BEHAVIORAL HEALTH SERVICES INTO DISEASE MANAGEMENT, PRIMARY, AND PREVENTIVE CARE. BEHAVIORAL HEALTH SERVICES INCLUDE ASSESSMENT AND PRIVATE CONSULTATION, GROUP THERAPY, PHARMACOLOGICAL SUPPORTS, FAMILY COUNSELING, AND REFERRALS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A TENTATIVE DRAFT IS INITIALLY REVIEWED BY MANAGEMENT. AFTER THIS REVIEW, THE FINANCE COMMITTEE THEN REVIEWS THE FORM 990 AT THEIR MEETING BEFORE PRESENTING IT TO THE FULL BOARD AT THEIR MONTHLY MEETING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY MONITORS COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY BY REQUESTING MANAGERS AND STAFF TO REPORT ANY CHANGES IN THEIR CONFLICT OF INTEREST. ANY CONFLICTS ARE SENT TO THE CORPORATE COMPLIANCE COMMITTEE. IF A CONFLICT OF INTEREST IS IDENTIFIED WITH A BOARD MEMBER, THEY ABSTAIN FORM VOTING ON ANY MATTERS RELATED TO THE CONFLICT OR MAY BE REMOVED FROM THE BOARD OF DIRECTORS, DEPENDING ON THE NATURE OF THE CONFLICT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>A market analysis is completed on positions by human resources, once human resources completes the analysis and provides a recommendation of salary ranges, an analysis is then completed on each person in the title, human resources uses the employees compa-ratio to identify which employees salaries may need to be adjusted, once this is done it is submitted for approval. This was last completed in 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST FOR VIEWING AT THE ADMINISTRATIVE OFFICES OF NORTHWEST HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY FEES - Total Expense: 1017454, Program Service Expense: 1017454, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 662743, Program Service Expense: 643543, Management and General Expenses: 19200, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 474201, Program Service Expense: 219287, Management and General Expenses: 254914, Fundraising Expenses: ; OTHER PROFESSIONAL SERVICES - Total Expense: 207050, Program Service Expense: 15027, Management and General Expenses: 192023, Fundraising Expenses: ; BILLING FEES - Total Expense: 118199, Program Service Expense: , Management and General Expenses: 118199, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 58140, Program Service Expense: , Management and General Expenses: 58140, Fundraising Expenses: ; PAYROLL SERVICES - Total Expense: 88156, Program Service Expense: , Management and General Expenses: 88156, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>