NORTHSHORE HEALTH CENTERS INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE HEALTH CENTERS INC (EIN 35-2028588)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-05-26
IRS object ID
201121469349300227
Schema version
2009v1.7
Note
A later return for the same period supersedes this one.
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)
Timestamp2011-05-26T13:48:00-07:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

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 Date2009-09-01TaxPeriodBeginDate

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 Signed2011-05-26DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSKANDER NASSER IIIName
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts14458485GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees187TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3752779ContributionsGrantsPriorYear
Contributions Grants Current Year3433195ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7753105ProgramServiceRevenuePriorYear
Program Service Revenue CY10781016ProgramServiceRevenueCY
Investment Income Prior Year26287InvestmentIncomePriorYear
Investment Income Current Year9369InvestmentIncomeCurrentYear
Other Revenue Prior Year80296OtherRevenuePriorYear
Other Revenue Current Year234905OtherRevenueCurrentYear
Total Revenue Prior Year11612467TotalRevenuePriorYear
Total Revenue Current Year14458485TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6608988SalariesEtcPriorYear
Salaries Etc Current Year9153484SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3959920OtherExpensePriorYear
Other Expenses Current Year4548030OtherExpensesCurrentYear
Total Expenses Prior Year10568908TotalExpensesPriorYear
Total Expenses Current Year13701514TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1043559RevenuesLessExpensesPriorYear
Revenues Less Expenses CY756971RevenuesLessExpensesCY
Total Assets BOY9899784TotalAssetsBOY
Total Assets EOY11144722TotalAssetsEOY
Total Liabilities BOY7394596TotalLiabilitiesBOY
Total Liabilities EOY7882563TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2505188NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3262159NetAssetsOrFundBalancesEOY
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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9799691Expense
Revenue10064394Revenue
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)
Expense595555Expense
Revenue499012Revenue
DescriptionNorthShore Health Centers provides for the pharmaceutical needs of the under and uninsured community.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense223662Expense
Revenue217610Revenue
DescriptionNorthShore Health Centers provides x-ray, ultrasound, and lab services to the under and uninsured community.Description
FieldValueIRS element (for citing)
Total Program Service Expense10618908TotalProgramServiceExpense
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
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees187NumberOfEmployees
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
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficer
TODD GORE
SEC/TREASURER2.00X000
SHIRLEY A WADDING
MEMBER2.00X000
SABRINA SZOSTEK
MEMBER2.00X000
Ramachandra Rao
PEDIATRICIAN40.0022273500X
OLGA VELAZQUEZ
MEMBER2.00X000
MILT TRIANA
VICE CHAIRMAN2.00X000
LAUREN CIARA
MEMBER2.00X000
Keith Ramsey
OB/GYN20.0026614500X
Kamalijeet Girn
MD40.0027013800X
JANICE WILSON
CEO60.0019201400X
JAMES VANDERLIN
MEMBER2.00X000
Francis Engel
MS32.0022647100X
Fernando Rivera
MD0.22547500X
DEBORAH SODERQUIST
MEMBER2.00X000
DAN ROSZKOWSKI
CHAIRMAN2.00X000
CONNIE RUDD
MEMBER2.00X000
BILL POE
MEMBER2.00X000
ANDREW HALASCHAK
MEMBER2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org1402978TotalReportableCompFromOrg
Number Individuals GT100 K12NumberIndividualsGT100K
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
Compensation225622Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns20000FederatedCampaigns
Government Grants3200089GovernmentGrants
All Other Contributions213106AllOtherContributions
Total Contributions3433195TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY621110499012499012
PATIENT SERVICE REVENUE6211101006439410064394
LAB/ XRAY SERVICE REVENUE621110217610217610
FieldValueIRS element (for citing)
Total Program Service Revenue10781016TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9369TotalRevenueColumn
Exclusion$9,369ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTAL REVENUE9000996918369183
MISCELLANEOUS INCOME900099165722165722
FieldValueIRS element (for citing)
Total Other Revenue234905TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14458485TotalRevenueColumn
Related Or Exempt Function Income11015921RelatedOrExemptFunctionIncome
Exclusion$9,369ExclusionAmount

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)
Total244999Total
Management And General244999ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7665006Total
Program Services6483758ProgramServices
Management And General1181248ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total99961Total
Program Services99961ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total586420Total
Program Services349871ProgramServices
Management And General236549ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total557098Total
Program Services557098ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total75662Total
Management And General75662ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33391Total
Management And General33391ManagementAndGeneral

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)
Total1232448Total
Program Services718088ProgramServices
Management And General514360ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total126899Total
Program Services126899ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total589761Total
Program Services317386ProgramServices
Management And General272375ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total229288Total
Program Services229288ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total282449Total
Program Services107041ProgramServices
Management And General175408ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total59763Total
Program Services16393ProgramServices
Management And General43370ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total34522Total
Program Services15854ProgramServices
Management And General18668ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total95429Total
Program Services70397ProgramServices
Management And General25032ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total630689Total
Program Services483777ProgramServices
Management And General146912ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total29949Total
Management And General29949ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Miscellaneous1075592287684683
Medical/Dental Supplies374829374829
Community Outreach204690204690
Bond Fees5890658906
Bad Debt381796381796

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13701514Total
Program Services10618908ProgramServices
Management And General3082606ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5555BOY
EOY30393EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY301124BOY
EOY331894EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY169553BOY
EOY719106EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY888736BOY
EOY1079067EOY

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)
EOY129602EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY115594BOY
EOY78009EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10473987LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1843256LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8192327BOY
EOY8630731EOY

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)
BOY226895BOY
EOY145920EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9899784BOY
EOY11144722EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY858728BOY
EOY886637EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY577215EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY856913BOY
EOY1064944EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5678955BOY
EOY5353767EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7394596BOY
EOY7882563EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2505188BOY
EOY3262159EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2505188BOY
EOY3262159EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9899784BOY
EOY11144722EOY
FieldValueIRS element (for citing)
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 Basis6315230OtherCostOrOtherBasis
Depreciation451093Depreciation
Book Value5864137BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis882753OtherCostOrOtherBasis
Depreciation101535Depreciation
Book Value781218BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2780094OtherCostOrOtherBasis
Depreciation1290628Depreciation
Book Value1489466BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8630731TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Capital Lease$13,767
Bond Issue$5,340,000
FieldValueIRS element (for citing)
Total Of Amounts5353767TotalOfAmounts
Total Revenue14458485TotalRevenue
Total Expenses13701514TotalExpenses
Excess Or Deficit For Year756971ExcessOrDeficitForYear
Excess Or Deficit Per FS756971ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14458485TotRevenueEtcAuditedFinclStmt
Revenue Subtotal14458485RevenueSubtotal
Total Revenue Per Form99014458485TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13701514TotExpensesEtcAuditedFinclStmt
Expenses Subtotal13701514ExpensesSubtotal
Total Expenses Per Form99013701514TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
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 OrgOtherCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Ramachandra Rao
1819561077930000222735
Keith Ramsey
232608753726000266145
Kamalijeet Girn
253351678710000270138
JANICE WILSON
1590171505017947192014
Francis Engel
21444212029226471
Fernando Rivera
2199385537225475

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Poe & Associates Inc Bill Poe
Board Member751237Insurance Premiumsfalse
Handlon-Poe Partnership Bill Poe
Board Member99381Lease Paymentsfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 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. All other key employees reviews and salaries are done by the CEO whom utilized independent consultants and publications. 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 ConflictsEmployees report conflicts of interest on forms. An attorney reviews the forms and all members are notified.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 will be presented to the executive and finance committee and then discussed at a full board meeting.

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