2021-07-01T12:51:22-07:00 2020-08-31 351719602 Bradley & Associates Inc 201 S Capitol Ave Ste 700 Indianapolis IN 46225 990 2019-09-01 352028588 NORTHSHORE HEALTH CENTERS INC NORT 2197646052 PO BOX 1430 PORTAGE IN 46368 DAVID HALL CEO 2021-07-01 true SKANDER NASSER III P00236505 3172375500 2019 2022-09-23 18:48:47Z PO BOX 1430 PORTAGE IN 46368 37299501 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. 13 13 418 0 4208476 5721843 33123943 30761146 25477 15271 1224568 801241 38582464 37299501 0 0 24602784 25116855 0 0 10215163 10660663 34817947 35777518 3764517 1521983 28592657 44130608 13990913 28006881 14601744 16123727 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. true false 24088216 28485360 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. 1653777 2275786 The Center provides for the pharmaceutical needs of the under and uninsured community. 801241 The Center receives miscellaneous revenue including pay for performance. 25741993 true false 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 true true false false false false false false false false false true X 41 0 true 418 true true false false false false false false false 0 false false false false false false false X 13 13 false false false false 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 Keith Ramsey OB/GYN 30.00 0.00 500596 0 10800 Frank Weilnhammer Urgent Care 40.00 0.00 381954 0 10800 JANICE WILSON CEO (to 1/2020) 40.00 0.00 X 378079 0 10800 Kimberly Hess OB/GYN 40.00 0.00 359256 0 0 Oluwamuylma Bolonduro OB/GYN 40.00 0.00 332960 0 10800 Fernando Rivera OB/GYN 40.00 0.00 304408 0 0 ANDI ARNAUTOVIC CMO 40.00 0.00 X 283288 0 7780 DAVID HALL CAO/CEO 40.00 0.00 X 230084 0 8936 JOSEPH WINTERHALER CFO 40.00 0.00 X 191673 0 7773 BRETT MONTGOMERY CIO 40.00 0.00 X 158893 0 6599 TODD ELLIOTT CSO 40.00 0.00 X 156800 0 6190 TOM CRIPLIVER MEMBER 1.00 0.00 X 0 0 0 DENNEESE CONCEPCION MEMBER 1.00 0.00 X 0 0 0 ROMAN BRONSON MEMBER 1.00 0.00 X 0 0 0 DAN ROSZKOWSKI 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 MELISSA A BOROM Member 1.00 0.00 X 0 0 0 TOM ALDRICH President 1.00 0.00 X 0 0 0 JAMES VANDERLIN MEMBER 1.00 0.00 X 0 0 0 BILL POE MEMBER 1.00 0.00 X 0 0 0 SCOTT FRITZ MEMBER 1.00 0.00 X 0 0 0 STEVE C DISNEY Chairman 1.00 0.00 X 0 0 0 TOM MOSLEY MEMBER 1.00 0.00 X 0 0 0 LAUREN TRUMBO Vice Chair 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 3277991 80478 48 false true false Leonard Ostrowski 145 Guilford Circle Valparaiso IN 46385 Urgent Care MD 281383 Jennifer Murphy 85 E US-6 Frontage Road 330 Valpariso IN 46383 Hospital Call Service 103220 In-Touch Physician 7402 Hollister Avenue Santa Barbara CA 93117 Telepsychiatry 215600 Optimus Hospital 900 Jorie Blvd 186 Oak Brook IL 60523 Pediatric Hospital Cvrge 100000 Porter Neonatal Group 2304 Kossuth St Lafayette IN 47904 Pediatric Hospital Cvrge 120000 5 4212 5617103 100528 5721843 PATIENT SERVICE REVENUE 621110 28485360 28485360 PHARMACY 621110 2275786 2275786 30761146 15271 15271 0 0 0 0 0 0 0 CLINIC SERVICE REVENUE 900099 239184 239184 MISC REVENUE 900099 56576 56576 PAY FOR PERFORMANCE 900099 446670 446670 58811 58811 801241 37299501 31562387 15271 0 0 0 0 1606207 225769 1380438 0 19936213 16265518 3670695 429698 357899 71799 1645472 1270208 375264 1499265 1150235 349030 0 204291 204291 92619 92619 0 0 0 3011606 2634697 376909 958729 790299 168430 844185 355459 488726 573691 470701 102990 0 1174421 210630 963791 139636 107931 31705 0 50958 32462 18496 480203 9865 470338 0 1151987 99012 1052975 0 Medical/Dental Supplies 1515237 1515237 Community Outreach 102656 101010 1646 Licenses 100888 96346 4542 Employee Relations 95838 1706 94132 163718 47009 116709 35777518 25741993 10035525 0 977349 3902081 4515419 6725305 2777957 4622212 4146720 2912327 0 0 0 121866 108845 207939 308328 35987718 10436208 15845407 25551510 0 0 0 0 0 28592657 44130608 2838338 2778275 2075829 3729992 8847481 20666816 229265 831798 13990913 28006881 X 14601744 16123727 14601744 16123727 28592657 44130608 1521983 X false true X true true true X 1766083 1766083 22108055 2808946 19299109 1227031 865066 361965 10886549 6762196 4124353 25551510 Capital Lease 174716 THIRD PARTY SETTLEMENTS 657082 831798 X 37419501 120000 120000 37299501 37299501 35897518 120000 120000 35777518 35777518 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 $1,000 of unrelated business income during the year ended August 31, 2020, 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 ANDI ARNAUTOVIC CMO 270330 11088 1870 7780 291068 BRETT MONTGOMERY CIO 155282 2600 1011 6599 165492 DAVID HALL CAO/CEO 223097 6691 296 8936 239020 Fernando Rivera OB/GYN 299302 4117 989 304408 Frank Weilnhammer Urgent Care 375636 3601 2717 10800 392754 JANICE WILSON CEO (to 1/2020) 321101 23880 33098 10800 388879 JOSEPH WINTERHALER CFO 185284 5152 1237 7773 199446 Keith Ramsey OB/GYN 471206 25199 4191 10800 511396 Kimberly Hess OB/GYN 353271 4632 1353 359256 Oluwamuylma Bolonduro OB/GYN 328879 3602 479 10800 343760 TODD ELLIOTT CSO 154483 2039 278 6190 162990 Sherry Hall CEO/CAO's Family 94598 Compensation false Michael Wilson CEO's Family 78473 Compensation false Patrick Winterhaler CFO's Family 61166 Compensation false Rhame Elwood CEO's Family 204882 Legal Fees false Tricia Hall CEO/CAO's Family 89827 Compensation false Elizabeth Marcotte CEO/CAO's Family 205444 Compensation false Crislyn Wilson CEO's Family 46726 Compensation false Skillman Group Board Member 6440965 Construction Services false Form 990, Part III, Line 2: New Services During FY 2020, NorthShore began providing chiropractic services at its Portage location. NorthShore hired two (2) local chiropractors. Form 990, Part V, Line 3b: Reason For Not Filing Form 990-T Northshore started renting out 8 acres of land to a farmer for $1000/year. This land was bought with cash. As the land is not debt financed, Northshore will not be required to file a Form 990T. 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.