NORTHSHORE HEALTH CENTERS INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE HEALTH CENTERS INC (EIN 35-2028588)
Tax period
2017-09-01 to 2018-08-31
Filed
2019-06-27
IRS object ID
201921789349300802
Schema version
2017v2.2
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)
Return2019-06-27T11:22:16-07:00ReturnTs
Tax Period End2018-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351719602PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Bradley & Associates IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 S Capitol Ave Ste 700AddressLine1Txt
CityIndianapolisCityNm
State AbbreviationINStateAbbreviationCd
ZIP46225ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352028588EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHSHORE HEALTH CENTERS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone2197646052PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1430AddressLine1Txt
CityPORTAGECityNm
State AbbreviationINStateAbbreviationCd
ZIP46368ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANICE WILSONPersonNm
Person TitleCEOPersonTitleTxt
Signature2019-06-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSKANDER NASSER IIIPreparerPersonNm
PTINP00236505PTIN
Phone3172375500PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$36,258,996GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHSHOREHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionThe mission of NorthShore Health Centers is to establish, maintain and promote community health centers and other outpatient health care delivery facilities that will provide high quality primary health care services to the community.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee406TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,885,803PYContributionsGrantsAmt
CY Contributions Grants$4,287,056CYContributionsGrantsAmt
PY Program Service Revenue$27,580,659PYProgramServiceRevenueAmt
CY Program Service Revenue$30,919,722CYProgramServiceRevenueAmt
PY Investment Income$1,849PYInvestmentIncomeAmt
CY Investment Income$9,925CYInvestmentIncomeAmt
PY Other Revenue$1,016,851PYOtherRevenueAmt
CY Other Revenue$1,042,293CYOtherRevenueAmt
PY Total Revenue$32,485,162PYTotalRevenueAmt
CY Total Revenue$36,258,996CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,578,997PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,199,048CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,920,512PYOtherExpensesAmt
CY Other Expenses$9,369,450CYOtherExpensesAmt
PY Total Expenses$31,499,509PYTotalExpensesAmt
CY Total Expenses$33,568,498CYTotalExpensesAmt
PY Revenues Less Expenses$985,653PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,690,498CYRevenuesLessExpensesAmt
Total Assets BOY$18,045,857TotalAssetsBOYAmt
Total Assets EOY$19,893,074TotalAssetsEOYAmt
Total Liabilities BOY$10,077,704TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,055,847TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,968,153NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,837,227NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of NorthShore Health Centers is to establish, maintain and promote community health centers and other outpatient health care delivery facilities that will provide high quality primary health care services to the community.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$20,596,111ExpenseAmt
Revenue$28,656,506RevenueAmt
DescThe Center operates health care facilities which provide comprehensive primary health, dental, and behavior care services for the medically under-served and eligible populations.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,734,393ExpenseAmt
Revenue$204,274RevenueAmt
DescThe Center provides x-ray and lab services to the under and uninsured community.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,275,403ExpenseAmt
Revenue$2,058,942RevenueAmt
DescThe Center provides for the pharmaceutical needs of the under and uninsured community.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$1,042,293TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$24,605,907TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee406EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANICE WILSONPersonNm
Phone2197646052PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1430AddressLine1Txt
CityPORTAGECityNm
State AbbreviationINStateAbbreviationCd
ZIP46368ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SHIRLEY WADDING
MEMBER1.000.00Yes (X)$0$0$0
DENNEESE CONCEPCION
MEMBER1.000.00Yes (X)$0$0$0
BILL POE
MEMBER1.000.00Yes (X)$0$0$0
DAN ROSZKOWSKI
Vice Secretary1.000.00Yes (X)$0$0$0
JAMES VANDERLIN
MEMBER1.000.00Yes (X)$0$0$0
CONNIE RUDD
MEMBER1.000.00Yes (X)$0$0$0
SCOTT V CHERRY
MEMBER1.000.00Yes (X)$0$0$0
TOM ALDRICH
Vice Chairman1.000.00Yes (X)$0$0$0
SCOTT FRITZ
MEMBER1.000.00Yes (X)$0$0$0
STEVE C DISNEY
Chairman1.000.00Yes (X)$0$0$0
TOM MOSLEY
MEMBER1.000.00Yes (X)$0$0$0
LAUREN TRUMBO
Sec/Treasurer1.000.00Yes (X)$0$0$0
WILMA VAZQUEZ
MEMBER1.000.00Yes (X)$0$0$0
JENA BELLEZZA
MEMBER1.000.00Yes (X)$0$0$0
JANICE WILSON
CEO40.000.00$362,188$0$10,800Yes (X)
DAVID HALL
CAO40.000.00$211,675$0$8,250Yes (X)
KAMALJEET GIRN
CMD40.000.00$392,432$0$10,800Yes (X)
JOSEPH WINTERHALER
CFO40.000.00$176,682$0$7,210Yes (X)
Keith Ramsey
OB/GYN30.000.00$459,220$0$10,800Yes (X)
Deborah McCullough
OB/GYN40.000.00$379,474$0$10,800Yes (X)
Frank Weilnhammer
Urgent Care40.000.00$358,809$0$10,800Yes (X)
Queen Marsh
OB/GYN40.000.00$347,502$0$10,800Yes (X)
Kimberly Hess
OB/GYN40.000.00$337,387$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,025,369TotalReportableCompFromOrgAmt
Total Other Compensation$80,260TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K42IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Leonard Ostrowski
145 Guilford CircleValparaisoIN46385URGENT CARE MD$224,110
Mary Lyn Rosencranz
PO Box 1375Crown PointIN46307RADIOLOGIST$126,754
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$4,257,804GovernmentGrantsAmt
All Other Contributions$29,252AllOtherContributionsAmt
Total Contributions$4,287,056TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LAB/XRAY/MAMMO SERVICES621110$204,274$204,274
PATIENT SERVICE REVENUE621110$28,656,506$28,656,506
PHARMACY621110$2,058,942$2,058,942
FieldValueIRS element (for citing)
Total Program Service Revenue$30,919,722TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,925TotalRevenueColumnAmt
Exclusion$9,925ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINIC SERVICE REVENUE900099$238,060$238,060
MISC REVENUE900099$28,446$28,446
PAY FOR PERFORMANCE900099$718,504$718,504

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,283TotalRevenueColumnAmt
Related Or Exempt Func Income$57,283RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,042,293OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,258,996TotalRevenueColumnAmt
Related Or Exempt Func Income$31,962,015RelatedOrExemptFuncIncomeAmt
Exclusion$9,925ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,239,549TotalAmt
Program Services$67,003ProgramServicesAmt
Management And General$1,172,546ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,303,016TotalAmt
Program Services$15,872,520ProgramServicesAmt
Management And General$3,430,496ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$456,803TotalAmt
Program Services$182,788ProgramServicesAmt
Management And General$274,015ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,855,198TotalAmt
Program Services$1,549,665ProgramServicesAmt
Management And General$305,533ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,344,482TotalAmt
Program Services$1,145,509ProgramServicesAmt
Management And General$198,973ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,266TotalAmt
Management And General$118,266ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$89,759TotalAmt
Management And General$89,759ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,442,355TotalAmt
Program Services$2,263,796ProgramServicesAmt
Management And General$178,559ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$641,355TotalAmt
Program Services$488,291ProgramServicesAmt
Management And General$153,064ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$995,823TotalAmt
Program Services$329,900ProgramServicesAmt
Management And General$665,923ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$723,194TotalAmt
Program Services$23,017ProgramServicesAmt
Management And General$700,177ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$895,987TotalAmt
Program Services$611,810ProgramServicesAmt
Management And General$284,177ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$190,542TotalAmt
Program Services$64,856ProgramServicesAmt
Management And General$125,686ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$97,094TotalAmt
Program Services$43,215ProgramServicesAmt
Management And General$53,879ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$190,668TotalAmt
Program Services$10,488ProgramServicesAmt
Management And General$180,180ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$917,699TotalAmt
Program Services$255,378ProgramServicesAmt
Management And General$662,321ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,897TotalAmt
Management And General$9,897ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical/Dental Supplies$1,518,626$1,518,626
Licenses$132,220$15,685$116,535
DUES & SUBSCRIPTIONS$130,271$32,821$97,450
Community Outreach$105,951$105,451$500

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$169,743TotalAmt
Program Services$25,088ProgramServicesAmt
Management And General$144,655ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,568,498TotalAmt
Program Services$24,605,907ProgramServicesAmt
Management And General$8,962,591ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$740,466BOYAmt
EOY$1,441,983EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,886,390BOYAmt
EOY$3,226,425EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,226,411BOYAmt
EOY$1,713,826EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,095,220BOYAmt
EOY$3,542,342EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$141,525BOYAmt
EOY$141,539EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$198,462BOYAmt
EOY$193,445EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,008,858LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,375,344LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,757,383BOYAmt
EOY$9,633,514EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,045,857BOYAmt
EOY$19,893,074EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,472,864BOYAmt
EOY$2,568,466EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,176,655BOYAmt
EOY$1,707,672EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,591,650BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$246,690BOYAmt
EOY$4,420,187EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$589,845BOYAmt
EOY$359,522EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,077,704BOYAmt
EOY$9,055,847EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,968,153BOYAmt
EOY$10,837,227EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,968,153BOYAmt
EOY$10,837,227EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,045,857BOYAmt
EOY$19,893,074EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,690,498ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$178,576OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,363,835OtherCostOrOtherBasisAmt
Book Value$1,363,835BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,152,846OtherCostOrOtherBasisAmt
Depreciation$2,084,952DepreciationAmt
Book Value$6,067,894BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,076,877OtherCostOrOtherBasisAmt
Depreciation$746,034DepreciationAmt
Book Value$330,843BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,415,300OtherCostOrOtherBasisAmt
Depreciation$5,544,358DepreciationAmt
Book Value$1,870,942BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,633,514TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Capital Lease$303,272
Deferred Lease Benefit$53,348
THIRD PARTY SETTLEMENTS$2,902
FieldValueIRS element (for citing)
Total Liability$359,522TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$36,378,996TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$120,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$120,000RevenueNotReportedAmt
Revenue Subtotal$36,258,996RevenueSubtotalAmt
Total Revenue Per Form990$36,258,996TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$33,688,498TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$120,000DonatedServicesUseFcltsAmt
Expenses Not Reported$120,000ExpensesNotReportedAmt
Expenses Subtotal$33,568,498ExpensesSubtotalAmt
Total Expenses Per Form990$33,568,498TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Center is recognized as a tax-exempt organization under Section 501(c) (3) of the Internal Revenue Code and a similar provision of state law. In addition, the Center has been determined by the Internal Revenue Service not to be a private foundation within the meaning of Section 509(a) of the Internal Revenue Code. The Center has no unrelated business income during the years ended August 31, 2018 and 2017, and therefore, no provision for federal or state income taxes has been made in the accompanying financial statements.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAVID HALL
CAO$206,253$5,152$270$8,250$219,925
Deborah McCullough
OB/GYN$372,361$3,120$3,993$10,800$390,274
Frank Weilnhammer
Urgent Care$353,482$3,727$1,600$10,800$369,609
JANICE WILSON
CEO$301,245$21,855$39,088$10,800$372,988
JOSEPH WINTERHALER
CFO$172,451$3,091$1,140$7,210$183,892
KAMALJEET GIRN
CMD$386,125$4,640$1,667$10,800$403,232
Keith Ramsey
OB/GYN$452,086$4,679$2,455$10,800$470,020
Kimberly Hess
OB/GYN$332,599$4,117$671$337,387
Queen Marsh
OB/GYN$341,504$3,194$2,804$10,800$358,302

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Handlon-Poe Partnership
Board Member$116,413Lease Paymentsfalse
Sherry Hall
CEO's Family$87,920Compensationfalse
Michael Wilson
CEO's Family$71,499Compensationfalse
Patrick Winterhaler
CFO's Family$54,929Compensationfalse
Rhame Elwood
CEO's Family$123,725Legal Feesfalse
Tricia Hall
CAO's Family$82,830Compensationfalse
Elizabeth Marcotte
CAO's Family$185,017Compensationfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: The Center uses a pay for performance payment model that offers financial incentives for its physicians and other providers to achieve quality-based performance measures as they provide services. OTHER PROGRAM SERVICES 5: The Center provides convenient clinic services to the under and uninsured community. OTHER PROGRAM SERVICES 6: The Center provides a variety of other services to the under and uninsured community.
Form 990, Part VI, Line 11b: Form 990 Review ProcessPrior to submitting the Form 990 to the IRS, NorthShore will make available to all of its Board members a draft copy of the 990. The Board members are given two weeks to review the Form 990. Any questions or concerns are then sent to the Chief Executive Officer or his/her designee for response or resolution. After the two week period has lapsed, the Form 990 is then filed.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAt the beginning of each calendar year, a Conflict of Interest (COI) disclosure is sent to all Board members. The Board members submit their disclosure forms to the corporate attorney. The attorney summarizes all conflicts and informs the Board of any conflicts. COI disclosures are also sent to all NorthShore employees. The completed COI forms are sent to the Chief Executive Officer for review and action, if necessary. Any Board member or NorthShore employee who is new to the organization throughout the remainder of the year must complete a COI disclosure at the time of election to the Board or at the time of employment, whichever is applicable.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBoth the CEO and other key employees of NorthShore are compensated based on the market rate of comparable positions within organizations of comparable sizes.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesNorthShore routinely participates in and obtains salary surveys that it uses as a guideline to assist in determining appropriate salaries for its employees.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization's governing documents, policies, and financial statements are not made available to the public.
Other Changes In Net Assets Or Fund Balances - Other IncreasesGain on Interest Rate Swap = $178576

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