NORTHSHORE HEALTH CENTERS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE HEALTH CENTERS INC (EIN 35-2028588)
Tax period
2013-09-01 to 2014-08-31
Filed
2015-06-30
IRS object ID
201541819349300024
Schema version
2013v4.0
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)
Return2015-06-30T09:41:38-07:00ReturnTs
Tax Period End2014-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Bradley & Associates IncBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 S Capitol Ave Ste 700AddressLine1
CityIndianapolisCity
StateINState
ZIP Code46225ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352028588EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHSHORE HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone2197646052PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1430AddressLine1
CityPORTAGECity
StateINState
ZIP Code46368ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANICE WILSONPersonNm
Person TitleCEOPersonTitleTxt
Signature2015-06-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSKANDER NASSER IIIPreparerPersonNm
PTINP00236505PTIN
Phone3172375500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$23,022,489GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee322TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,629,654PYContributionsGrantsAmt
CY Contributions Grants$2,991,118CYContributionsGrantsAmt
PY Program Service Revenue$17,001,653PYProgramServiceRevenueAmt
CY Program Service Revenue$19,653,378CYProgramServiceRevenueAmt
PY Investment Income$233PYInvestmentIncomeAmt
CY Investment Income$639CYInvestmentIncomeAmt
PY Other Revenue$376,364PYOtherRevenueAmt
CY Other Revenue$377,354CYOtherRevenueAmt
PY Total Revenue$20,007,904PYTotalRevenueAmt
CY Total Revenue$23,022,489CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,752,121PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,090,328CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,783,611PYOtherExpensesAmt
CY Other Expenses$6,805,607CYOtherExpensesAmt
PY Total Expenses$19,535,732PYTotalExpensesAmt
CY Total Expenses$22,895,935CYTotalExpensesAmt
PY Revenues Less Expenses$472,172PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$126,554CYRevenuesLessExpensesAmt
Total Assets BOY$12,505,830TotalAssetsBOYAmt
Total Assets EOY$14,113,124TotalAssetsEOYAmt
Total Liabilities BOY$8,156,796TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,756,690TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,349,034NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,356,434NetAssetsOrFundBalancesEOYAmt
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$15,379,424ExpenseAmt
Revenue$17,750,562RevenueAmt
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$1,103,503ExpenseAmt
Revenue$284,961RevenueAmt
DescThe Center provides x-ray, ultrasound, mammography, bone density, and lab services to the under and uninsured community.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,066,693ExpenseAmt
Revenue$1,617,855RevenueAmt
DescThe Center provides for the pharmaceutical needs of the under and uninsured community.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$17,549,620TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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
Employee322EmployeeCnt
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
Excess Business HoldingsfalseExcessBusinessHoldingsInd
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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
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 1430AddressLine1
CityPORTAGECity
StateINState
ZIP Code46368ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 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
SEC/TREAS1.000.00Yes (X)$0$0$0
JAMES VANDERLIN
VICE CHAIR1.000.00Yes (X)$0$0$0
CONNIE RUDD
Chairman1.000.00Yes (X)$0$0$0
SCOTT CHERRY
MEMBER1.000.00Yes (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
SCOTT FRITZ
MEMBER1.000.00Yes (X)$0$0$0
SHIRLEY WADDING
MEMBER1.000.00Yes (X)$0$0$0
JOSEPH CALHOUN
MEMBER1.000.00Yes (X)$0$0$0
JANICE WILSON
CEO40.000.00$254,204$0$13,181Yes (X)
KAMALJEET GIRN
CMO40.000.00$303,106$0$9,500Yes (X)
CHRISTIE LOVINGS
CFO40.000.00$47,404$0$1,991Yes (X)
RHONDA MENDOZA
COO40.000.00$102,393$0$3,262Yes (X)
JOSEPH WINTERHALER
CFO40.000.00$37,149$0$0Yes (X)
Deborah McCullough
Ob/Gyn MD40.000.00$328,403$0$10,200Yes (X)
Frank Weilnhammer
MD40.000.00$328,498$0$10,200Yes (X)
Keith Ramsey
Ob/Gyn MD36.000.00$342,407$0$10,200Yes (X)
Daniel Lott
Ob/Gyn MD40.000.00$270,521$0$0Yes (X)
Queen Marsh
Ob/Gyn MD40.000.00$245,187$0$10,200Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,259,272TotalReportableCompFromOrgAmt
Total Other Compensation$68,734TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
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 OstrowskiBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1145 Guilford CircleAddressLine1
CityValparaisoCity
StateINState
ZIP Code46385ZIPCode
FieldValueIRS element (for citing)
ServicesUrgent Care ProviderServicesDesc
Compensation$227,042CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$4,167FederatedCampaignsAmt
Government Grants$2,920,948GovernmentGrantsAmt
All Other Contributions$66,003AllOtherContributionsAmt
Total Contributions$2,991,118TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LAB/XRAY/MAMMO SERVICES621110$284,961$284,961
PATIENT SERVICE REVENUE621110$17,750,562$17,750,562
PHARMACY621110$1,617,855$1,617,855
FieldValueIRS element (for citing)
Total Program Service Revenue$19,653,378TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$639TotalRevenueColumnAmt
Exclusion$639ExclusionAmt

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
ALL OTHER REVENUE900099$75,947$75,947
EHR INCENTIVE900099$157,250$157,250
PAY FOR PERFORMANCE900099$74,768$74,768

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,389TotalRevenueColumnAmt
Related Or Exempt Func Income$69,389RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$377,354OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,022,489TotalRevenueColumnAmt
Related Or Exempt Func Income$20,030,732RelatedOrExemptFuncIncomeAmt
Exclusion$639ExclusionAmt

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$920,005TotalAmt
Program Services$214,986ProgramServicesAmt
Management And General$705,019ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,948,334TotalAmt
Program Services$11,293,149ProgramServicesAmt
Management And General$1,655,185ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$284,814TotalAmt
Program Services$254,058ProgramServicesAmt
Management And General$30,756ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,041,246TotalAmt
Program Services$867,301ProgramServicesAmt
Management And General$173,945ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$895,929TotalAmt
Program Services$745,991ProgramServicesAmt
Management And General$149,938ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$127,580TotalAmt
Management And General$127,580ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$152,288TotalAmt
Management And General$152,288ManagementAndGeneralAmt

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$1,874,510TotalAmt
Program Services$1,735,000ProgramServicesAmt
Management And General$139,510ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$202,071TotalAmt
Program Services$66,774ProgramServicesAmt
Management And General$135,297ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$746,191TotalAmt
Program Services$447,948ProgramServicesAmt
Management And General$298,243ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$474,548TotalAmt
Program Services$59,619ProgramServicesAmt
Management And General$414,929ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$567,419TotalAmt
Program Services$412,796ProgramServicesAmt
Management And General$154,623ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$80,187TotalAmt
Program Services$37,445ProgramServicesAmt
Management And General$42,742ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,280TotalAmt
Program Services$24,182ProgramServicesAmt
Management And General$28,098ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$144,089TotalAmt
Program Services$59,108ProgramServicesAmt
Management And General$84,981ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$975,010TotalAmt
Program Services$282,839ProgramServicesAmt
Management And General$692,171ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,070TotalAmt
Program Services-$6,211ProgramServicesAmt
Management And General$57,281ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical/Dental Supplies$598,629$598,629
MISCELLANEOUS$229,539$77,609$151,930
Bad Debt$176,069$176,069
Community Outreach$172,636$159,098$13,538

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$181,491TotalAmt
Program Services$43,230ProgramServicesAmt
Management And General$138,261ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,895,935TotalAmt
Program Services$17,549,620ProgramServicesAmt
Management And General$5,346,315ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$144,502BOYAmt
EOY$311,344EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$633,531BOYAmt
EOY$137,078EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$885,202BOYAmt
EOY$1,021,743EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,223,841BOYAmt
EOY$2,323,130EOYAmt

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$101,011BOYAmt
EOY$144,118EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$240,808BOYAmt
EOY$130,996EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,970,136LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,992,883LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,186,044BOYAmt
EOY$9,977,253EOYAmt

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$90,891BOYAmt
EOY$67,462EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,505,830BOYAmt
EOY$14,113,124EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,249,473BOYAmt
EOY$1,437,997EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$785,930BOYAmt
EOY$936,582EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,920,000BOYAmt
EOY$5,205,825EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$561,173BOYAmt
EOY$163,987EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$640,220BOYAmt
EOY$2,012,299EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,156,796BOYAmt
EOY$9,756,690EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,349,034BOYAmt
EOY$4,356,434EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,349,034BOYAmt
EOY$4,356,434EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,505,830BOYAmt
EOY$14,113,124EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$126,554ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$119,154OtherChangesInNetAssetsAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$495,910OtherCostOrOtherBasisAmt
Book Value$495,910BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,139,199OtherCostOrOtherBasisAmt
Depreciation$1,203,579DepreciationAmt
Book Value$6,935,620BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,043,739OtherCostOrOtherBasisAmt
Depreciation$443,335DepreciationAmt
Book Value$600,404BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,291,288OtherCostOrOtherBasisAmt
Depreciation$3,345,969DepreciationAmt
Book Value$1,945,319BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,977,253TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Capital Leases$713,462
Financing Obligation$202,500
Interest Rate Swap Obligation$119,154
Line of Credit$977,183
FieldValueIRS element (for citing)
Total Liability$2,012,299TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,022,489TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$23,022,489RevenueSubtotalAmt
Total Revenue Per Form990$23,022,489TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$23,015,089TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$119,154OtherExpensesIncludedAmt
Expenses Not Reported$119,154ExpensesNotReportedAmt
Expenses Subtotal$22,895,935ExpensesSubtotalAmt
Total Expenses Per Form990$22,895,935TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteThe Center has been granted exemption from taxation as a not-for-profit organization under Section 501(c)(3) of the U.S. 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. No expense has been recognized for income taxes in the accompanying financial statements.The Center has evaluated its tax position for all open tax years. Currently, the tax years open and subject to examination by the Internal Revenue Service are 2010, 2011, 2012, 2013, and 2014. However, the Center is not currently under audit, not has it been contacted by any jurisdictions. Based on the evaluations of the Center's tax positions, management believes all tax positions taken would be upheld under examination. Therefore, no provision for the effects of uncertain tax positions have been recorded for the years ended August 31, 2014 and 2013.
Part XII, Line 2d: Other expenses and losses per audited F/SLoss on Interest Rate Swap $119154

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
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 OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
Daniel Lott
Ob/Gyn MD$266,577$3,088$856$270,521
Deborah McCullough
Ob/Gyn MD$322,397$2,600$3,406$338,603$10,200
Frank Weilnhammer
MD$324,608$3,200$690$338,698$10,200
JANICE WILSON
CEO$217,449$26,098$10,657$267,385$8,181$5,000
KAMALJEET GIRN
CMO$297,575$4,640$891$312,606$9,500
Keith Ramsey
Ob/Gyn MD$337,209$3,639$1,559$352,607$10,200
Queen Marsh
Ob/Gyn MD$240,250$2,133$2,804$255,387$10,200

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerInd
Indiana Finance Authority
A35160231645470HAB42008-07-01$5,595,000Buildingfalsefalse
Indiana Finance Authority
B3516023162014-06-19$5,220,000Buildingfalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmt
A$5,595,000$5,595,000$111,900$4,475,000$1,008,1002008falsefalseYes (true)Yes (true)
B$5,220,000$68,605$5,151,3952014Yes (true)falseYes (true)Yes (true)$14,175

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalseYes (true)falseYes (true)
BfalsefalsefalsefalseYes (true)falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd
AfalsefalsefalseYes (true)
BfalsefalsefalseYes (true)false

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Handlon-Poe Partnership
Board Member$100,753Lease Paymentsfalse
Poe Associates Inc
Board Member$952,973Insurance Premiumsfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe tax return will be approved by the Board of Directors before filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEach board member completes a conflict of interest form annually. These are reviewed by an attorney, who also reports all conflicts to the board of directors in aggregate.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe CEO's salary is set and approved by the executive board based on salary data. All other key employees reviews and salaries are done by the CEO whom utilized independent consultants and publications on appropriate salaries for duties. Salary increases are reviewed and approved by the board on an annual basis.
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 = -$119154

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