NORTHSHORE HEALTH CENTERS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE HEALTH CENTERS INC (EIN 35-2028588)
Tax period
2015-09-01 to 2016-08-31
Filed
2017-07-12
IRS object ID
201711939349301351
Schema version
2015v3.0
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)
Return2017-07-12T13:00:11-07:00ReturnTs
Tax Period End2016-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 Begin2015-09-01TaxPeriodBeginDt

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
Signature2017-07-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSKANDER NASSER IIIPreparerPersonNm
PTINP00236505PTIN
Phone3172375500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$30,763,978GrossReceiptsAmt
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 Employee381TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,562,420PYContributionsGrantsAmt
CY Contributions Grants$4,307,540CYContributionsGrantsAmt
PY Program Service Revenue$23,575,039PYProgramServiceRevenueAmt
CY Program Service Revenue$25,758,484CYProgramServiceRevenueAmt
PY Investment Income$135PYInvestmentIncomeAmt
CY Investment Income$283CYInvestmentIncomeAmt
PY Other Revenue$382,513PYOtherRevenueAmt
CY Other Revenue$373,671CYOtherRevenueAmt
PY Total Revenue$27,520,107PYTotalRevenueAmt
CY Total Revenue$30,439,978CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,738,335PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,022,394CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,763,901PYOtherExpensesAmt
CY Other Expenses$7,769,471CYOtherExpensesAmt
PY Total Expenses$26,502,236PYTotalExpensesAmt
CY Total Expenses$28,791,865CYTotalExpensesAmt
PY Revenues Less Expenses$1,017,871PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,648,113CYRevenuesLessExpensesAmt
Total Assets BOY$16,579,692TotalAssetsBOYAmt
Total Assets EOY$17,026,301TotalAssetsEOYAmt
Total Liabilities BOY$11,261,899TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,198,053TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,317,793NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,828,248NetAssetsOrFundBalancesEOYAmt
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$20,727,453ExpenseAmt
Revenue$23,785,949RevenueAmt
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$1,373,116ExpenseAmt
Revenue$1,784,404RevenueAmt
DescThe Center provides for the pharmaceutical needs of the under and uninsured community.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$308,131ExpenseAmt
Revenue$188,131RevenueAmt
DescThe Center provides x-ray and lab services to the under and uninsured community.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$22,408,700TotalProgramServiceExpensesAmt
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 BondsYes (true)TaxExemptBondsInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee381EmployeeCnt
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 (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TOM DABERTIN
MEMBER1.000.00Yes (X)$0$0$0
DAVETTA M HAYWOOD
MEMBER1.000.00Yes (X)$0$0$0
ART VASQUEZ
MEMBER1.000.00Yes (X)$0$0$0
BILL POE
MEMBER1.000.00Yes (X)$0$0$0
DAN ROSZKOWSKI
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 CHERRY
Chairman1.000.00Yes (X)$0$0$0
TERRELL TAYLOR
MEMBER1.000.00Yes (X)$0$0$0
TODD ELLIOTT
MEMBER1.000.00Yes (X)$0$0$0
TOM ALDRICH
MEMBER1.000.00Yes (X)$0$0$0
RUTH NEEDLEMAN
MEMBER1.000.00Yes (X)$0$0$0
SCOTT FRITZ
VICE CHAIRMAN1.000.00Yes (X)$0$0$0
STEVE C DISNEY
MEMBER1.000.00Yes (X)$0$0$0
JOSEPH CALHOUN
MEMBER1.000.00Yes (X)$0$0$0
TOM MOSLEY
MEMBER1.000.00Yes (X)$0$0$0
LAUREN TRUMBO
MEMBER1.000.00Yes (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$352,653$0$15,600Yes (X)
KAMALJEET GIRN
CMO40.000.00$397,806$0$10,600Yes (X)
RHONDA MENDOZA
COO40.000.00$141,752$0$4,507Yes (X)
JOSEPH WINTERHALER
CFO40.000.00$164,508$0$6,480Yes (X)
Deborah McCullough
Ob/Gyn MD40.000.00$365,989$0$10,600Yes (X)
Frank Weilnhammer
MD40.000.00$363,773$0$10,600Yes (X)
Keith Ramsey
Ob/Gyn MD30.000.00$424,403$0$10,600Yes (X)
Kimberly Hess
Physician40.000.00$329,360$0$0Yes (X)
Queen Marsh
Ob/Gyn MD40.000.00$328,831$0$10,600Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,869,075TotalReportableCompFromOrgAmt
Total Other Compensation$79,587TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K33IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Leonard OstrowskiBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1145 Guilford CircleAddressLine1Txt
CityValparaisoCityNm
State AbbreviationINStateAbbreviationCd
ZIP46385ZIPCd
FieldValueIRS element (for citing)
ServicesUrgent Care ProviderServicesDesc
Compensation$230,391CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$10,063FederatedCampaignsAmt
Government Grants$4,139,858GovernmentGrantsAmt
All Other Contributions$157,619AllOtherContributionsAmt
Total Contributions$4,307,540TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LAB/XRAY/MAMMO SERVICES621110$188,131$188,131
PATIENT SERVICE REVENUE621110$23,785,949$23,785,949
PHARMACY621110$1,784,404$1,784,404
FieldValueIRS element (for citing)
Total Program Service Revenue$25,758,484TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$283TotalRevenueColumnAmt
Exclusion$283ExclusionAmt

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$324,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$324,000OtherAmt

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
BREAST/CERVICAL PROGRAM900099$41,117$41,117
EHR INCENTIVE900099$174,250$174,250
PAY FOR PERFORMANCE900099$82,776$82,776

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,528TotalRevenueColumnAmt
Related Or Exempt Func Income$75,528RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$373,671OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,439,978TotalRevenueColumnAmt
Related Or Exempt Func Income$26,132,155RelatedOrExemptFuncIncomeAmt
Exclusion$283ExclusionAmt

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$1,009,265TotalAmt
Program Services$79,060ProgramServicesAmt
Management And General$930,205ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,631,489TotalAmt
Program Services$14,605,191ProgramServicesAmt
Management And General$2,026,298ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$455,689TotalAmt
Program Services$394,728ProgramServicesAmt
Management And General$60,961ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,783,425TotalAmt
Program Services$1,486,044ProgramServicesAmt
Management And General$297,381ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,142,526TotalAmt
Program Services$952,021ProgramServicesAmt
Management And General$190,505ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$129,261TotalAmt
Management And General$129,261ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$138,374TotalAmt
Management And General$138,374ManagementAndGeneralAmt

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$1,800,537TotalAmt
Program Services$1,692,983ProgramServicesAmt
Management And General$107,554ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$529,267TotalAmt
Program Services$440,371ProgramServicesAmt
Management And General$88,896ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$632,760TotalAmt
Program Services$265,419ProgramServicesAmt
Management And General$367,341ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$664,301TotalAmt
Program Services$43,942ProgramServicesAmt
Management And General$620,359ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$690,629TotalAmt
Program Services$514,497ProgramServicesAmt
Management And General$176,132ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$141,945TotalAmt
Program Services$60,449ProgramServicesAmt
Management And General$81,496ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$71,882TotalAmt
Program Services$26,772ProgramServicesAmt
Management And General$45,110ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$214,993TotalAmt
Program Services$24,749ProgramServicesAmt
Management And General$190,244ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,058,915TotalAmt
Program Services$383,056ProgramServicesAmt
Management And General$675,859ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,957TotalAmt
Management And General$57,957ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical/Dental Supplies$1,181,426$1,181,426
Community Outreach$132,352$119,212$13,140
DUES & SUBSCRIPTIONS$82,740$28,367$54,373
Licenses$75,482$34,822$40,660

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$166,650TotalAmt
Program Services$75,591ProgramServicesAmt
Management And General$91,059ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,791,865TotalAmt
Program Services$22,408,700ProgramServicesAmt
Management And General$6,383,165ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$137,536BOYAmt
EOY$649,313EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$291,478BOYAmt
EOY$1,279,524EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,554,946BOYAmt
EOY$2,304,240EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,288,258BOYAmt
EOY$2,312,633EOYAmt

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$145,460BOYAmt
EOY$138,014EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$94,809BOYAmt
EOY$205,915EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,876,815LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,740,153LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,998,199BOYAmt
EOY$10,136,662EOYAmt

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)
BOY$69,006BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,579,692BOYAmt
EOY$17,026,301EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,049,149BOYAmt
EOY$2,090,641EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,664,159BOYAmt
EOY$2,111,522EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,007,315BOYAmt
EOY$4,802,131EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$913,210BOYAmt
EOY$523,535EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,628,066BOYAmt
EOY$670,224EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,261,899BOYAmt
EOY$10,198,053EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,317,793BOYAmt
EOY$6,828,248EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,317,793BOYAmt
EOY$6,828,248EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,579,692BOYAmt
EOY$17,026,301EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,648,113ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$137,658OtherChangesInNetAssetsAmt
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$8,063,563OtherCostOrOtherBasisAmt
Depreciation$1,572,980DepreciationAmt
Book Value$6,490,583BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,063,527OtherCostOrOtherBasisAmt
Depreciation$602,410DepreciationAmt
Book Value$461,117BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,385,890OtherCostOrOtherBasisAmt
Depreciation$4,564,763DepreciationAmt
Book Value$1,821,127BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,136,662TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Capital Leases$223,555
Deferred Lease Benefit$133,340
Interest Rate Swap Obligation$313,329
FieldValueIRS element (for citing)
Total Liability$670,224TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$30,439,978TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$30,439,978RevenueSubtotalAmt
Total Revenue Per Form990$30,439,978TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,791,865TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$28,791,865ExpensesSubtotalAmt
Total Expenses Per Form990$28,791,865TotalExpensesPerForm990Amt

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, 2016 and 2015, 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 (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
Deborah McCullough
Ob/Gyn MD$360,111$3,000$2,878$10,600$376,589
Frank Weilnhammer
MD$359,942$3,000$831$10,600$374,373
JANICE WILSON
CEO$294,649$26,014$31,990$10,600$368,253$5,000
JOSEPH WINTERHALER
CFO$162,015$2,000$493$6,480$170,988
KAMALJEET GIRN
CMO$390,449$6,500$857$10,600$408,406
Keith Ramsey
Ob/Gyn MD$418,541$3,500$2,362$10,600$435,003
Kimberly Hess
Physician$325,208$3,500$652$329,360
Queen Marsh
Ob/Gyn MD$323,027$3,000$2,804$10,600$339,431

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Indiana Finance AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN351602316BondIssuerEIN
Bond Issued2014-06-19BondIssuedDt
Issue Price$5,220,000IssuePriceAmt
PurposeBuildingPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$417,869RetiredAmt
Total Proceeds$5,220,000TotalProceedsAmt
Issuance Costs From Proceeds$68,605IssuanceCostsFromProceedsAmt
Other Spent Proceeds$5,151,395OtherSpentProceedsAmt
Substantial Completion2014SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Handlon-Poe Partnership
Board Member$111,548Lease Paymentsfalse
Sherry Hall
CEO's Family$78,074Compensationfalse
Michael Wilson
CEO's Family$63,771Compensationfalse
Patrick Winterhaler
CFO's Family$49,728Compensationfalse
Tasha Kozar Mendoza
COO's Family$48,373Compensationfalse
Amanda Mendoza
COO's Family$17,975Compensationfalse
Shawn Roths
COO's Family$53,472Compensationfalse
Rhame Elwood
CEO's Family$110,288Legal Feesfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 which 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 DecreasesLoss on Interest Rate Swap = -$137658

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