NORTH SHORE COMMUNITY HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: NORTH SHORE COMMUNITY HEALTH INC (EIN 04-2610447)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-02-11
IRS object ID: 201410429349301256
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-11T11:26:58-06:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	221478099	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COHNREZNICK LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	180 GLASTONBURY BOULEVARD	AddressLine1
City	GLASTONBURY	City
State	CT	State
ZIP Code	06033	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042610447	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORTH SHORE COMMUNITY HEALTH INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	9788251152	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	27 CONGRESS ST NO 504	AddressLine1
City	SALEM	City
State	MA	State
ZIP Code	01970	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARGARET BRENNAN	Name
Title	CHIEF EXECUTIVE OFFICER	Title
Phone	9788251152	Phone
Date Signed	2014-02-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	PAUL BALLASY	Name
PTIN	P00852868	PTIN
Phone	8606333000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARGARET BRENNAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	27 CONGRESS ST NO 504	AddressLine1
City	SALEM	City
State	MA	State
ZIP Code	01970	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	10352611	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.NSCHI.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	THE HEALTH CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE PRIMARY CARE THAT IS ACCESSIBLE, CULTURALLY AND LINGUISTICALLY COMPETENT, AND COMMUNITY DIRECTED FOR ALL RESIDENTS OF MASSACHUSETTS' NORTH SHORE AND CAPE ANN COMMUNITIES REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	117	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4048532	ContributionsGrantsPriorYear
Contributions Grants Current Year	3384843	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6100171	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6671705	ProgramServiceRevenueCY
Investment Income Prior Year	8862	InvestmentIncomePriorYear
Investment Income Current Year	5223	InvestmentIncomeCurrentYear
Other Revenue Prior Year	546091	OtherRevenuePriorYear
Other Revenue Current Year	290840	OtherRevenueCurrentYear
Total Revenue Prior Year	10703656	TotalRevenuePriorYear
Total Revenue Current Year	10352611	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	5615427	SalariesEtcPriorYear
Salaries Etc Current Year	7572329	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3289909	OtherExpensePriorYear
Other Expenses Current Year	4068578	OtherExpensesCurrentYear
Total Expenses Prior Year	8905336	TotalExpensesPriorYear
Total Expenses Current Year	11640907	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1798320	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1288296	RevenuesLessExpensesCY
Total Assets BOY	6933051	TotalAssetsBOY
Total Assets EOY	6315762	TotalAssetsEOY
Total Liabilities BOY	1439105	TotalLiabilitiesBOY
Total Liabilities EOY	2073212	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5493946	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4242550	NetAssetsOrFundBalancesEOY
Mission Description	THE HEALTH CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE PRIMARY CARE THAT IS ACCESSIBLE, CULTURALLY AND LINGUISTICALLY COMPETENT, AND COMMUNITY DIRECTED FOR ALL RESIDENTS OF MASSACHUSETTS' NORTH SHORE AND CAPE ANN COMMUNITIES REGARDLESS OF ABILITY TO PAY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	8599697	Expense
Revenue	5518316	Revenue
Description	MEDICAL SERVICES - MEDICAL SERVICES PROVIDED TO THE RESIDENTS OF SALEM, PEABODY, GLOUCESTER AND SURROUNDING COMMUNITIES. SERVICES INCLUDE MEDICAL SERVICES TO ADULTS AND CHILDREN, HIV COUNSELING AND OTHER. THERE WERE 34,234 MEDICAL VISITS DURING THE TAX YEAR.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1276117	Expense
Revenue	1276117	Revenue
Description	DENTAL SERVICES - DENTAL SERVICES PROVIDED TO THE RESIDENTS OF SALEM, PEABODY, GLOUCESTER AND SURROUNDING COMMUNITIES. THERE WERE 16,344 DENTAL VISITS DURING THE TAX YEAR.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	145473	Expense
Revenue	168112	Revenue
Description	SCHOOL BASED HEALTH CENTER - HEALTH SERVICES PROVIDED TO STUDENTS AT SALEM HIGH SCHOOL. THERE WERE 564 SCHOOL BASED HEALTH CENTER VISITS DURING THE TAX YEAR.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	10021287	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	117	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS DOWLEY	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9788251152	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	27 CONGRESS ST NO 504	AddressLine1
City	SALEM	City
State	MA	State
ZIP Code	01970	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
MARION WINFREY
PRESIDENT, BOARD OF DIRECTORS	2.00	X	X	0	0	0
BEVERLY WHITE
VP, BOARD OF DIRECTORS	2.00	X	X	0	0	0
PAMELA PAINE
SECRETARY	2.00	X	X	0	0	0
GEORGE KAPLAN
TREASURER	2.00	X	X	0	0	0
LUCY CORCHADO
BOARD MEMBER	2.00	X		0	0	0
RICKY GANAISHLAL
BOARD MEMBER	2.00	X		0	0	0
GABRIELLE ROSS
BOARD MEMBER	2.00	X		0	0	0
JACK VONDRAS
BOARD MEMBER	2.00	X		0	0	0
CALVIN YOUNG
BOARD MEMBER	2.00	X		0	0	0
MATTHEW VENO
BOARD MEMBER	2.00	X		0	0	0
CHARLOTTE OHANNESSIAN
BOARD MEMBER	2.00	X		0	0	0
JACKIE DEBERNARDI
BOARD MEMBER	2.00	X		0	0	0
MARGARET BRENNAN
CEO	40.00		X	180907	0	9195
GLORIA RILEY
COO	40.00		X	89175	0	3266
KIAME MAHANIAH
CMO	40.00		X	58066	0	1271
THOMAS DOWLEY
CFO	40.00		X	19025	0	312
GABRIELLE DEMILLE
DENTAL DIRECTOR	40.00			137910	0	6316	X
AZRA ALI
FAMILY PRACTICE MD	40.00			171091	0	0	X
JAY PANDEY
FAMILY PRACTICE MD	40.00			156625	0	4694	X
MARIE CONSTANT
FAMILY PRACTICE MD	40.00			167825	0	1766	X
RACHAEL CONSOLI
OBGYN PRACTICE MD	40.00			132624	0	1093	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1113248	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	27913	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	NORTH SHORE PHYSICIANS GROUP	NamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	TWO CORPORATE WAY SUITE 180	AddressLine1
City	PEABODY	City
State	MA	State
ZIP Code	01960	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	OB/GYN PROVIDER SERVICES	DescriptionOfServices
Compensation	187665	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	1961893	GovernmentGrants
All Other Contributions	1422950	AllOtherContributions
Total Contributions	3384843	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE	621110	6140700	6140700
NET PHARMACY	621110	531005	531005

Field	Value	IRS element (for citing)
Total Program Service Revenue	6671705	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5223	TotalRevenueColumn
Exclusion	$5,223	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMR INCENTIVE	621110	221000	221000
MISCELLANEOUS	621110	69840	69840

Field	Value	IRS element (for citing)
Total Other Revenue	290840	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10352611	TotalRevenueColumn
Related Or Exempt Function Income	6962545	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$5,223	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	537268	Total
Program Services	171341	ProgramServices
Management And General	365927	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5873951	Total
Program Services	5529853	ProgramServices
Management And General	344098	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	713562	Total
Program Services	711349	ProgramServices
Management And General	2213	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	447548	Total
Program Services	410301	ProgramServices
Management And General	37247	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	93495	Total
Program Services	4099	ProgramServices
Management And General	89396	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	46000	Total
Management And General	46000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	422628	Total
Program Services	289278	ProgramServices
Management And General	133350	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	86336	Total
Program Services	4146	ProgramServices
Management And General	82190	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	105089	Total
Program Services	83343	ProgramServices
Management And General	21746	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	246761	Total
Program Services	71541	ProgramServices
Management And General	175220	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	450067	Total
Program Services	390953	ProgramServices
Management And General	59114	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	22115	Total
Program Services	8164	ProgramServices
Management And General	13951	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	32036	Total
Program Services	28928	ProgramServices
Management And General	3108	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	322679	Total
Program Services	302549	ProgramServices
Management And General	20130	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	43457	Total
Program Services	36789	ProgramServices
Management And General	6668	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR UNCOLLECT	731640	731640
MEDICAL SUPPLIES	676774	656071	20703
DISPENSING FEES	369033	369033
DUES AND SUBSCRIPTIONS	109872	33807	76065

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	310596	Total
Program Services	188102	ProgramServices
Management And General	122494	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11640907	Total
Program Services	10021287	ProgramServices
Management And General	1619620	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1408050	BOY
EOY	454276	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	138298	BOY
EOY	2483	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	676424	BOY
EOY	992347	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1454021	BOY
EOY	1422905	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	144755	BOY
EOY	107185	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5342431	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2335263	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3111503	BOY
EOY	3007168	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	329398	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6933051	BOY
EOY	6315762	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	792875	BOY
EOY	1111108	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	646230	BOY
EOY	962104	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1439105	BOY
EOY	2073212	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3872805	BOY
EOY	2224684	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1621141	BOY
EOY	2017866	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5493946	BOY
EOY	4242550	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6933051	BOY
EOY	6315762	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-1288296	ReconcilationRevenueExpenses
Reconcilation Donated Services	36900	ReconcilationDonatedServices
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1692982	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2707564	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2199539	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4048532	CurrentTaxYearMinus1Year
Current Tax Year	3384843	CurrentTaxYear
Total	14033460	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1692982	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2707564	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2199539	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4048532	CurrentTaxYearMinus1Year
Current Tax Year	3384843	CurrentTaxYear
Total	14033460	Total

Field	Value	IRS element (for citing)
Public Support Total170	14033460	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13988	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12855	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10234	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8862	CurrentTaxYearMinus1Year
Current Tax Year	5223	CurrentTaxYear
Total	51162	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	44714	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	130174	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	66540	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	121091	CurrentTaxYearMinus1Year
Current Tax Year	69840	CurrentTaxYear
Total	432359	Total

Field	Value	IRS element (for citing)
Total Support	14516981	TotalSupport
Gross Receipts From Admissions Etc	28758979	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.96670	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.96460	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1415592	OtherCostOrOtherBasis
Depreciation	222793	Depreciation
Book Value	1192799	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1273920	OtherCostOrOtherBasis
Depreciation	1086492	Depreciation
Book Value	187428	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2600434	OtherCostOrOtherBasis
Depreciation	1025978	Depreciation
Book Value	1574456	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	52485	OtherCostOrOtherBasis
Book Value	52485	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3007168	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	FIXED INCOME SECURITIES	Description
Book Value	329398	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	329398	TotalOfBookValueSecurities
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	9657871	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	36900	DonatedSrvcAndUseOfFacilities
Other Revenues	-731640	OtherRevenues
Revenue Not Rptd F990	-694740	RevenueNotRptdF990
Revenue Subtotal	10352611	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	10352611	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10909267	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	10909267	ExpensesSubtotal
Other Expenses Not Included	731640	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	731640	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	11640907	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2013 AND 2012. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2010 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE CENTER HAS UNRELATED BUSINESS INCOME TAXES, IT WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENTS OF FINANCIAL POSITION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		PROVISION FOR UNCOLLECTIBLE ACCOUNTS
PART XII, LINE 4B - OTHER ADJUSTMENTS:		PROVISION FOR UNCOLLECTIBLE ACCOUNTS
		PROVISION FOR UNCOLLECTIBLE ACCOUNTS INCLUDED ON THE STATEMENT OF FUNCTIONAL EXPENSES PER FORM 990 AND THE STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS PER THE AUDITED FINANCIAL STATEMENTS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARGARET BRENNAN
CEO	180907	0	0	0	0	0	0	0	9195	0	190102	0	0	0
AZRA ALI
FAMILY PRACTICE MD	171091	0	0	0	0	0	0	0	0	0	171091	0	0	0
JAY PANDEY
FAMILY PRACTICE MD	156625	0	0	0	0	0	0	0	4694	0	161319	0	0	0
MARIE CONSTANT
FAMILY PRACTICE MD	167825	0	0	0	0	0	0	0	1766	0	169591	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 INITIAL COMPLETION IS DONE BY OUR AUDITORS. THE FORM 990 IS THEN SENT TO THE NORTH SHORE COMMUNITY HEALTH MANAGEMENT TEAM AND THEN FORWARDED TO THE MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE GIVEN A WEEK TO SUBMIT ANY QUESTIONS, COMMENTS, OR OBSERVATIONS THAT THEY HAVE. THEN MANAGEMENT DISCUSSES ANY CHANGES THEY ARE GOING TO MAKE TO THE 990 FORM. IF CHANGES ARE DEEMED NECESSARY, THEY ARE MADE IMMEDIATELY. THE FORM 990 IS THEN APPROVED FOR SUBMISSION BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	EACH EMPLOYEE, VOLUNTEER, AND BOARD MEMBER WILL ACKNOWLEDGE THAT THEY HAVE READ AND UNDERSTAND NORTH SHORE COMMUNITY HEALTH'S CONFLICT OF INTEREST POLICY UPON BEGINNING THEIR EMPLOYMENT OR TENURE WITH NORTH SHORE COMMUNITY HEALTH BY SIGNING AN ACKNOWLEDGEMENT FORM. THIS IS UPDATED ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE HEALTH CENTER'S OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE BOARD OF DIRECTORS UTILIZING A SALARY SURVEY. THE EXECUTIVE DIRECTOR AND FINANCE COMMITTEE SET THE OTHER EMPLOYEES' SALARIES BASED ON A SALARY SURVEY IN ACCORDANCE WITH THE HEALTH CENTER'S BUDGET PARAMETERS.
FORM 990, PART VI, SECTION C, LINE 19	NORTH SHORE COMMUNITY HEALTH, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS AVAILABLE TO THE GENERAL PUBLIC THROUGH WWW.GUIDESTAR.ORG.
FORM 990, PART XII, LINE 2C:	THERE HAVE BEEN NO CHANGES TO THE ORGANIZATION'S SELECTION OR OVERSIGHT PROCESS DURING THE TAX YEAR.