2014-02-11T11:26:58-06:00 2013-06-30 221478099 COHNREZNICK LLP 180 GLASTONBURY BOULEVARD GLASTONBURY CT 06033 990 2012-07-01 042610447 NORTH SHORE COMMUNITY HEALTH INC NORT 9788251152 27 CONGRESS ST NO 504 SALEM MA 01970 MARGARET BRENNAN 9788251152 2014-02-10 1 PAUL BALLASY P00852868 8606333000 2012 2015-11-30 17:44:51Z MARGARET BRENNAN 27 CONGRESS ST NO 504 SALEM MA 01970 10352611 0 X WWW.NSCHI.ORG X 1977 MA 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. 12 12 117 0 0 0 4048532 3384843 6100171 6671705 8862 5223 546091 290840 10703656 10352611 0 0 0 0 5615427 7572329 0 0 0 3289909 4068578 8905336 11640907 1798320 -1288296 6933051 6315762 1439105 2073212 5493946 4242550 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. 0 0 8599697 5518316 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. 1276117 1276117 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. 145473 168112 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. 10021287 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 117 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X THOMAS DOWLEY 9788251152 27 CONGRESS ST NO 504 SALEM MA 01970 MARION WINFREY 2.00 X X 0 0 0 BEVERLY WHITE 2.00 X X 0 0 0 PAMELA PAINE 2.00 X X 0 0 0 GEORGE KAPLAN 2.00 X X 0 0 0 LUCY CORCHADO 2.00 X 0 0 0 RICKY GANAISHLAL 2.00 X 0 0 0 GABRIELLE ROSS 2.00 X 0 0 0 JACK VONDRAS 2.00 X 0 0 0 CALVIN YOUNG 2.00 X 0 0 0 MATTHEW VENO 2.00 X 0 0 0 CHARLOTTE OHANNESSIAN 2.00 X 0 0 0 JACKIE DEBERNARDI 2.00 X 0 0 0 MARGARET BRENNAN 40.00 X 180907 0 9195 GLORIA RILEY 40.00 X 89175 0 3266 KIAME MAHANIAH 40.00 X 58066 0 1271 THOMAS DOWLEY 40.00 X 19025 0 312 GABRIELLE DEMILLE 40.00 X 137910 0 6316 AZRA ALI 40.00 X 171091 0 0 JAY PANDEY 40.00 X 156625 0 4694 MARIE CONSTANT 40.00 X 167825 0 1766 RACHAEL CONSOLI 40.00 X 132624 0 1093 1113248 0 27913 6 0 1 0 NORTH SHORE PHYSICIANS GROUP TWO CORPORATE WAY SUITE 180 PEABODY MA 01960 OB/GYN PROVIDER SERVICES 187665 1 1961893 1422950 3384843 NET PATIENT SERVICE 621110 6140700 6140700 NET PHARMACY 621110 531005 531005 6671705 5223 5223 EMR INCENTIVE 621110 221000 221000 MISCELLANEOUS 621110 69840 69840 290840 10352611 6962545 0 5223 537268 171341 365927 5873951 5529853 344098 713562 711349 2213 447548 410301 37247 93495 4099 89396 46000 46000 422628 289278 133350 86336 4146 82190 105089 83343 21746 246761 71541 175220 450067 390953 59114 22115 8164 13951 32036 28928 3108 322679 302549 20130 43457 36789 6668 PROVISION FOR UNCOLLECT 731640 731640 MEDICAL SUPPLIES 676774 656071 20703 DISPENSING FEES 369033 369033 DUES AND SUBSCRIPTIONS 109872 33807 76065 310596 188102 122494 11640907 10021287 1619620 0 1408050 454276 138298 2483 676424 992347 1454021 1422905 144755 107185 5342431 2335263 3111503 3007168 329398 6933051 6315762 792875 1111108 646230 962104 1439105 2073212 X 3872805 2224684 1621141 2017866 5493946 4242550 6933051 6315762 -1288296 36900 0 X X 0 1 X 1 1 1 X 1692982 2707564 2199539 4048532 3384843 14033460 1692982 2707564 2199539 4048532 3384843 14033460 14033460 13988 12855 10234 8862 5223 51162 44714 130174 66540 121091 69840 432359 14516981 28758979 0.96670 0.96460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1415592 222793 1192799 1273920 1086492 187428 2600434 1025978 1574456 52485 52485 3007168 FIXED INCOME SECURITIES 329398 F 329398 X 9657871 36900 -731640 -694740 10352611 0 10352611 10909267 0 10909267 731640 731640 11640907 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. 1 X X X X 0 0 0 0 0 0 0 0 0 MARGARET BRENNAN 180907 0 0 0 0 0 0 0 9195 0 190102 0 0 0 AZRA ALI 171091 0 0 0 0 0 0 0 0 0 171091 0 0 0 JAY PANDEY 156625 0 0 0 0 0 0 0 4694 0 161319 0 0 0 MARIE CONSTANT 167825 0 0 0 0 0 0 0 1766 0 169591 0 0 0 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.