NORTHSHORE HEALTH CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE HEALTH CENTERS INC (EIN 35-2028588)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-05-15
IRS object ID
201331359349305048
Schema version
2011v1.5
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)
Timestamp2013-05-15T10:59:02-07:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 S Capitol Ave Ste 910AddressLine1
CityIndianapolisCity
StateINState
ZIP Code46225ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352028588EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHSHORE HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone2197646052Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJANICE WILSONName
TitleCEOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSKANDER NASSER IIIName
Phone3172375500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts17005544GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.NORTHSHOREHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionThe 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees238TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2762430ContributionsGrantsPriorYear
Contributions Grants Current Year2589080ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13225164ProgramServiceRevenuePriorYear
Program Service Revenue CY13732709ProgramServiceRevenueCY
Investment Income Prior Year5066InvestmentIncomePriorYear
Investment Income Current Year784InvestmentIncomeCurrentYear
Other Revenue Prior Year143305OtherRevenuePriorYear
Other Revenue Current Year682971OtherRevenueCurrentYear
Total Revenue Prior Year16135965TotalRevenuePriorYear
Total Revenue Current Year17005544TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10478540SalariesEtcPriorYear
Salaries Etc Current Year11256584SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5140659OtherExpensePriorYear
Other Expenses Current Year5651023OtherExpensesCurrentYear
Total Expenses Prior Year15619199TotalExpensesPriorYear
Total Expenses Current Year16907607TotalExpensesCurrentYear
Revenues Less Expenses Prior Year516766RevenuesLessExpensesPriorYear
Revenues Less Expenses CY97937RevenuesLessExpensesCY
Total Assets BOY12126497TotalAssetsBOY
Total Assets EOY12582833TotalAssetsEOY
Total Liabilities BOY8347572TotalLiabilitiesBOY
Total Liabilities EOY8705971TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3778925NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3876862NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe 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.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11866983Expense
Revenue12054150Revenue
DescriptionThe Center operates health care facilities which provide comprehensive primary health, dental, and behavior care services for the medically under-served and eligible populations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1346946Expense
Revenue1373635Revenue
DescriptionThe Center provides for the pharmaceutical needs of the under and uninsured community.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense291807Expense
Revenue304924Revenue
DescriptionThe Center provides x-ray, ultrasound, mammography, bone density, and lab services to the under and uninsured community.Description
FieldValueIRS element (for citing)
Total Program Service Expense13505736TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees238NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANICE WILSONNamePerson
Telephone Number2197646052TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT FRITZ
MEMBER0.50X000
TOM ALDRICH
MEMBER0.50X000
ANTHONY J STOFKO
MEMBER0.50X000
DEBORAH SODERQUIST
MEMBER0.50X000
JOHN HANNON
MEMBER0.50X000
SCOTT CHERRY
MEMBER0.50X000
CONNIE RUDD
Chairman0.50X000
JAMES VANDERLIN
VICE CHAIR0.50X000
DAN ROSZKOWSKI
Chairman0.50X000
BILL POE
MEMBER0.50X000
SHIRLEY A WADDING
SEC/TREAS0.50X000
OLGA VELAZQUEZ
VICE CHAIR0.50X000
ANDREW HALASCHAK
MEMBER0.50X000
RHONDA MENDOZA
COO40.007766902453X
CHRISTIE LOVINGS
CFO40.007127802973X
JANICE WILSON
CEO60.0023008307545X
Kamaljeet Girn
Med Director, MD40.00332539010619X
Ramachandra Rao
Pediatrician40.00289947010476X
Keith Ramsey
Ob/Gyn Dr30.00318966012350X
Daniel Lott
Ob/Gyn Dr.40.0027233400X
Queen Marsh
Ob/Gyn Dr40.00278181010618X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1870997TotalReportableCompFromOrg
Total Other Compensation57034TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Leonard OstrowskiBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1145 Guilford CircleAddressLine1
CityValparaisoCity
StateINState
ZIP Code46385ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesUrgent Care ProviderDescriptionOfServices
Compensation214432Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns10339FederatedCampaigns
Government Grants2490625GovernmentGrants
All Other Contributions88116AllOtherContributions
Total Contributions2589080TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY62111013736351373635
PATIENT SERVICE REVENUE6211101205415012054150
LAB/XRAY/MAMMO SERVICES621110304924304924
FieldValueIRS element (for citing)
Total Program Service Revenue13732709TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column784TotalRevenueColumn
Exclusion$784ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTAL REVENUE9000995730457304
MISCELLANEOUS INCOME9000999182391823
EHR INCENTIVE900099533844533844
FieldValueIRS element (for citing)
Total Other Revenue682971TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17005544TotalRevenueColumn
Related Or Exempt Function Income14415680RelatedOrExemptFunctionIncome
Exclusion$784ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total421268Total
Management And General421268ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9118909Total
Program Services7904461ProgramServices
Management And General1214448ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total243694Total
Program Services243694ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total803189Total
Program Services514115ProgramServices
Management And General289074ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total669524Total
Program Services669524ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total92848Total
Program Services1275ProgramServices
Management And General91573ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49455Total
Management And General49455ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1502598Total
Program Services992267ProgramServices
Management And General510331ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total198674Total
Program Services198674ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total977077Total
Program Services777653ProgramServices
Management And General199424ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total346430Total
Program Services346430ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total328509Total
Program Services192821ProgramServices
Management And General135688ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total46738Total
Program Services21316ProgramServices
Management And General25422ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26918Total
Program Services9807ProgramServices
Management And General17111ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total99425Total
Program Services71502ProgramServices
Management And General27923ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total807961Total
Program Services542069ProgramServices
Management And General265892ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total34537Total
Management And General34537ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Bond Fees6059060590
Community Outreach237476237476
Bad Debt257453257453
Medical/Dental Supplies431646431646

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total152688Total
Program Services32963ProgramServices
Management And General119725ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16907607Total
Program Services13505736ProgramServices
Management And General3401871ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY90374BOY
EOY38903EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY554843BOY
EOY388452EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY640439BOY
EOY643352EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1808846BOY
EOY1382122EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY87382BOY
EOY106122EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY113198BOY
EOY149367EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12953936LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3174043LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8733064BOY
EOY9779893EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY98351BOY
EOY94622EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12126497BOY
EOY12582833EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1495269BOY
EOY1213959EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY585810BOY
EOY591836EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5205000BOY
EOY5065000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY911703BOY
EOY751169EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY149790BOY
EOY1084007EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8347572BOY
EOY8705971EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3778925BOY
EOY3876862EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3778925BOY
EOY3876862EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12126497BOY
EOY12582833EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses97937ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis495910OtherCostOrOtherBasis
Book Value495910BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7186868OtherCostOrOtherBasis
Depreciation766459Depreciation
Book Value6420409BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis997040OtherCostOrOtherBasis
Depreciation268095Depreciation
Book Value728945BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4274118OtherCostOrOtherBasis
Depreciation2139489Depreciation
Book Value2134629BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9779893TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Line of Credit$400,000
Financing Obligation$40,500
Capital Lease$643,507
FieldValueIRS element (for citing)
Total Of Amounts1084007TotalOfAmounts
Total Revenue17005544TotalRevenue
Total Expenses16907607TotalExpenses
Excess Or Deficit For Year97937ExcessOrDeficitForYear
Excess Or Deficit Per FS97937ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17005544TotRevenueEtcAuditedFinclStmt
Revenue Subtotal17005544RevenueSubtotal
Total Revenue Per Form99017005544TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16907607TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16907607ExpensesSubtotal
Total Expenses Per Form99016907607TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationThe Center is recognized as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code and is exempt from federal and state income taxes on related income.The Center had no unrelated business income during the years ended August 31, 2012 and 2011; and, therefore, no provision for federal or state income taxes has been made in the accompanying financial statements. 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's years ended August 31, 2012, 2011, 2010, 2009, and 2008 remain open to examination by the IRS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Ramachandra Rao
222486108375662410476300423
Queen Marsh
2755611522109810618288799
Keith Ramsey
29028925372614012350331316
Kamaljeet Girn
28030530444919010619343158
JANICE WILSON
18931425500152697545237628
Daniel Lott
26920920291096272334

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Indiana Finance AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN351602316IssuerEIN
CUSIP Number45470HAB4CUSIPNumber
Date Issued2008-07-01DateIssued
Issue Price5595000IssuePrice
Description Of PurposeBuildingDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Poe Associates Inc
Board Member500987Insurance Premiumsfalse
Handlon-Poe Partnership
Board Member109859Lease Paymentsfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 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.
Form 990, Part VI, Line 15bForm 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 12cForm 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 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe tax return will be approved by the Board of Directors before filing.
Form 990, Part III, Line 2Form 990, Part III, Line 2: New ServicesBeginning in December of 2011, the Center began offering mammography and bone density services. In addition, on June 18, 2012, the Center opened an additional site in Merrillville, Indiana.

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