2020-06-24T10:09:24-07:00 2019-08-31 351719602 Bradley & Associates Inc 201 S Capitol Ave Ste 700 Indianapolis IN 46225 990 2018-09-01 352028588 NORTHSHORE HEALTH CENTERS INC NORT 2197646052 PO BOX 1430 PORTAGE IN 46368 DAVID HALL CEO 2020-06-24 true SKANDER NASSER III P00236505 3172375500 2018 2020-11-06 18:47:13Z PO BOX 1430 PORTAGE IN 46368 38582464 false false X WWW.NORTHSHOREHEALTH.ORG X 1997 IN The 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. 14 14 394 0 4287056 4208476 30919722 33123943 9925 25477 1042293 1224568 36258996 38582464 0 0 24199048 24602784 0 0 9369450 10215163 33568498 34817947 2690498 3764517 19893074 28592657 9055847 13990913 10837227 14601744 X The 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. false true 23938364 31448778 The Center operates health care facilities which provide comprehensive primary health, dental, x-ray, lab, and behavior care services for the medically under-served and eligible populations. 1536662 1675165 The Center provides for the pharmaceutical needs of the under and uninsured community. 25475026 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false true true false false false false false false false false false true 25 0 true 394 true false false false false false false false false 0 false false false false false false false false false false false false X 14 14 false false false true false false false true true false false true true true true true true true true false IN X DAVID HALL 2197646052 PO BOX 1430 PORTAGE IN 46368 MELISSA A BOROM MEMBER 1.00 0.00 X 0 0 0 DENNEESE CONCEPCION MEMBER 1.00 0.00 X 0 0 0 BILL POE MEMBER 1.00 0.00 X 0 0 0 DAN ROSZKOWSKI MEMBER 1.00 0.00 X 0 0 0 JAMES VANDERLIN MEMBER 1.00 0.00 X 0 0 0 CONNIE RUDD MEMBER 1.00 0.00 X 0 0 0 SCOTT V CHERRY MEMBER 1.00 0.00 X 0 0 0 SHIRLEY WADDING MEMBER 1.00 0.00 X 0 0 0 TOM ALDRICH President 1.00 0.00 X 0 0 0 SCOTT FRITZ MEMBER 1.00 0.00 X 0 0 0 STEVE C DISNEY MEMBER 1.00 0.00 X 0 0 0 TOM MOSLEY MEMBER 1.00 0.00 X 0 0 0 LAUREN TRUMBO Vice Chairman 1.00 0.00 X 0 0 0 WILMA VAZQUEZ MEMBER 1.00 0.00 X 0 0 0 JENA BELLEZZA MEMBER 1.00 0.00 X 0 0 0 JANICE WILSON CEO 40.00 0.00 X 370121 0 10800 DAVID HALL CAO 40.00 0.00 X 226613 0 8656 ANDI ARNAUTOVIC CMO 40.00 0.00 X 33896 0 0 KAMALJEET GIRN CMO 40.00 0.00 X 177335 0 6435 JOSEPH WINTERHALER CFO 40.00 0.00 X 187664 0 7498 Keith Ramsey OB/GYN 30.00 0.00 X 464306 0 10800 Deborah McCullough OB/GYN 40.00 0.00 X 353010 0 10800 Frank Weilnhammer Urgent Care 40.00 0.00 X 368675 0 10800 Oluwamuylma Bolonduro OB/GYN 40.00 0.00 X 323282 0 10800 Kimberly Hess OB/GYN 40.00 0.00 X 358048 0 0 2862950 76589 44 false true false Leonard Ostrowski 145 Guilford Circle Valparaiso IN 46385 URGENT CARE MD 259044 1 4148320 60156 4208476 LAB/XRAY/MAMMO SERVICES 621110 PATIENT SERVICE REVENUE 621110 31448778 31448778 PHARMACY 621110 1675165 1675165 33123943 25477 25477 0 0 0 0 0 0 0 CLINIC SERVICE REVENUE 900099 277144 277144 EHR INCENTIVE 900099 93500 93500 PAY FOR PERFORMANCE 900099 754697 754697 99227 99227 1224568 38582464 34373988 0 0 0 0 1169480 57456 1112024 0 19504900 15824670 3680230 462958 379875 83083 2091889 1619603 472286 1373557 1057349 316208 0 83322 83322 86315 86315 0 0 0 3062289 2693127 369162 842472 560479 281993 771642 325319 446323 730484 511402 219082 0 943860 159368 784492 172746 128223 44523 0 82281 -44344 126625 243582 6167 237415 0 923731 87890 835841 9897 9897 Medical/Dental Supplies 1660915 1660915 Licenses 231055 224973 6082 Community Outreach 130319 95826 34493 Employee Relations 90214 90214 150039 36514 113525 34817947 25475026 9342921 0 1441983 977349 3226425 4515419 1713826 2777957 3542342 4146720 0 0 0 141539 121866 193445 207939 25136680 9291273 9633514 15845407 0 0 0 0 0 19893074 28592657 2568466 2838338 1707672 2075829 4420187 8847481 359522 229265 9055847 13990913 X 10837227 14601744 10837227 14601744 19893074 28592657 3764517 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1363835 1363835 15042412 2342079 12700333 1105836 810848 294988 7624597 6138346 1486251 15845407 Capital Lease 215913 Deferred Lease Benefit 13352 229265 X 38702464 120000 120000 38582464 38582464 34937947 120000 120000 34817947 34817947 Part X : FIN48 Footnote The Center is recognized as a tax-exempt organization under Section 501(c) (3) of the Internal Revenue Code and a similar provision of state law. In addition, the Center has been determined by the Internal Revenue Service not to be a "private foundation" within the meaning of Section 509(a) of the Internal Revenue Code. The Center has no unrelated business income during the years ended August 31, 2019 and 2018, and therefore, no provision for federal or state income taxes has been made in the accompanying financial statements. X X X X X false false false false false true false false false false DAVID HALL CAO 216404 9923 286 8656 235269 Deborah McCullough OB/GYN 336134 3072 13804 10800 363810 Frank Weilnhammer Urgent Care 363491 3584 1600 10800 379475 JANICE WILSON CEO 312835 23185 34101 10800 380921 JOSEPH WINTERHALER CFO 179660 6811 1193 7498 195162 KAMALJEET GIRN CMO 177235 100 6435 183770 Keith Ramsey OB/GYN 436731 15120 12455 10800 475106 Kimberly Hess OB/GYN 352882 4608 558 358048 Oluwamuylma Bolonduro OB/GYN 319401 3584 297 10800 334082 Handlon-Poe Partnership Board Member 119875 Lease Payments false Sherry Hall CEO's Family 91977 Compensation false Michael Wilson CEO's Family 73800 Compensation false Patrick Winterhaler CFO's Family 57171 Compensation false Rhame Elwood CEO's Family 106054 Legal Fees false Tricia Hall CAO's Family 89618 Compensation false Skillman Group Board Member 2234047 Construction Services false Elizabeth Marcotte CAO's Family 203822 Compensation false Nicholas Elwood CEO's Family 22388 Compensation false Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services The Center merged with Frontline Foundations, Inc., during the year and absorbed its programs, which specialized in providing substance abuse treatment services. Form 990, Part VI, Line 5: Description of Material Diversion of Assets In or around August 2019, NorthShore became aware of a discrepancy regarding checks issued to United Healthcare (UHC) and these same checks being received by UHC. Since NorthShores relationship with UHC began, checks were being sent to NorthShores insurance agent (Agent) whose responsibility it was to upload these funds to UHC. Upon learning of the discrepancy and after consulting with UHCs billing and internal legal teams, NorthShore hired special counsel and worked with UHC in an investigation into the issue. UHC, by and through their counsel, has revealed that its investigation has confirmed that funds collected by the Agent for said premiums were diverted and were not paid to UHC. The total amount of diverted funds is approximately $170,000. Form 990, Part VI, Line 11b: Form 990 Review Process Prior to submitting the Form 990 to the IRS, NorthShore will make available to all of its Board members a draft copy of the 990. The Board members are given two weeks to review the Form 990. Any questions or concerns are then sent to the Chief Executive Officer or his/her designee for response or resolution. After the two week period has lapsed, the Form 990 is then filed. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts At the beginning of each calendar year, a Conflict of Interest (COI) disclosure is sent to all Board members. The Board members submit their disclosure forms to the corporate attorney. The attorney summarizes all conflicts and informs the Board of any conflicts. COI disclosures are also sent to all NorthShore employees. The completed COI forms are sent to the Chief Executive Officer for review and action, if necessary. Any Board member or NorthShore employee who is new to the organization throughout the remainder of the year must complete a COI disclosure at the time of election to the Board or at the time of employment, whichever is applicable. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Both the CEO and other key employees of NorthShore are compensated based on the market rate of comparable positions within organizations of comparable sizes. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees NorthShore routinely participates in and obtains salary surveys that it uses as a guideline to assist in determining appropriate salaries for its employees. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organization's governing documents, policies, and financial statements are not made available to the public.