2022-07-13T11:42:03-07:00 2021-08-31 351719602 Bradley & Associates Inc 201 S Capitol Ave Ste 700 Indianapolis IN 46225 990 2020-09-01 352028588 NORTHSHORE HEALTH CENTERS INC NORT 2197646052 PO BOX 1430 PORTAGE IN 46368 DAVID HALL CEO 2022-07-13 true DAVID HALL 999009999 SKANDER NASSER III P00236505 3172375500 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z PO BOX 1430 PORTAGE IN 46368 47405181 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 13 442 0 5721843 13500625 30761146 33195261 15271 -412816 801241 700098 37299501 46983168 0 0 25116855 29094074 0 0 10660663 13195526 35777518 42289600 1521983 4693568 44130608 50361240 28006881 29543945 16123727 20817295 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 false 29133168 30293652 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. 2264392 2901609 The Center provides for the pharmaceutical needs of the under and uninsured community. 700098 The Center receives miscellaneous revenue including pay for performance. 31397560 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 true true true false false false false false false false false true X 40 0 true 442 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 40.00 0.00 505782 0 11400 Kimberly Hess OB/GYN 40.00 0.00 369646 0 0 Frank Weilnhammer Family Practice 40.00 0.00 350964 0 11400 ANDI ARNAUTOVIC CMO 40.00 0.00 X 329864 0 11400 MATTHEW TIPTON OB/GYN 40.00 0.00 319129 0 9471 FERNANDO RIVERA Family Practice 40.00 0.00 312617 0 11400 DAVID HALL CEO 40.00 0.00 X 261583 0 10070 JOSEPH WINTERHALER CFO 40.00 0.00 X 200129 0 8051 RACHEL MULLINS COO 40.00 0.00 X 129529 0 3866 DENNEESE CONCEPCION MEMBER 1.00 0.00 X 0 0 0 TOM CRIPLIVER MEMBER 1.00 0.00 X 0 0 0 DAN ROSZKOWSKI MEMBER 1.00 0.00 X 0 0 0 ROMAN BRONSON 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 TOM ALDRICH MEMBER 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 VICE CHAIRMAN 1.00 0.00 X 0 0 0 LAUREN TRUMBO PRESIDENT/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 2779243 77058 50 false true false Leonard Ostrowski 145 Guilford Circle Valparaiso IN 46385 FAMILY PRACTICE 280839 Jennifer Murphy 85 E US-6 Frontage Road 330 Valparaiso IN 46383 OB/GYN 118560 2 13267737 232888 66000 13500625 PATIENT SERVICE REVENUE 621110 30293652 30293652 PHARMACY 621110 2901609 2901609 33195261 9197 9197 0 0 0 422013 -422013 -422013 -422013 0 0 0 CLINIC SERVICE REVENUE 900099 294475 294475 MISC REVENUE 900099 297910 297910 PAY FOR PERFORMANCE 900099 64281 64281 43432 43432 700098 46983168 33473346 9197 0 0 0 0 950852 84365 866487 0 24275291 20258473 4016818 552843 472367 80476 1556645 1265432 291213 1758443 1420170 338273 0 134335 134335 142100 142100 0 0 0 2810725 2197340 613385 1089057 1016706 72351 1151842 638532 513310 631578 499662 131916 0 1303622 258249 1045373 96725 68857 27868 0 54830 18537 36293 827021 11360 815661 0 1377151 89757 1287394 20048 20048 Medical/Dental/Pharmacy Supply 2721469 2721469 Licenses 411670 242309 169361 DUES & SUBSCRIPTIONS 134670 53432 81238 MISC 123295 27725 95570 165388 52818 112570 42289600 31397560 10892040 0 3902081 1991285 6725305 6904162 4622212 10003333 2912327 3853257 0 0 0 108845 150156 308328 534431 38471771 11547155 25551510 26924616 0 0 0 0 0 44130608 50361240 2778275 4182872 3729992 9648981 20666816 15618696 831798 93396 28006881 29543945 X 16123727 20817295 16123727 20817295 44130608 50361240 4693568 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1766083 1766083 23439969 3186151 20253818 1892148 917184 974964 11373571 7443820 3929751 26924616 Capital Lease 93396 93396 X 47106078 122910 122910 46983168 46983168 42412510 122910 122910 42289600 42289600 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 years ended August 31, 2021 and 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 303691 24117 2056 11400 341264 DAVID HALL CEO 246287 15000 296 10070 271653 FERNANDO RIVERA Family Practice 307511 4117 989 11400 324017 Frank Weilnhammer Family Practice 346190 2057 2717 11400 362364 JOSEPH WINTERHALER CFO 192710 6182 1237 8051 208180 Keith Ramsey OB/GYN 496912 4679 4191 11400 517182 Kimberly Hess OB/GYN 363661 4632 1353 369646 MATTHEW TIPTON OB/GYN 315610 3120 399 9471 328600 Crislyn Wilson Former CEO's Fam 53393 Compensation false Sherry Hall CEO's Family 97630 Compensation false Michael Wilson Former CEO's Fam 76937 Compensation false Patrick Winterhaler CFO's Family 60506 Compensation false Rhame Elwood Former CEO's Fam 131382 Legal Fees false Tricia Hall CEO's Family 94823 Compensation false Elizabeth Marcotte CEO's Family 210140 Compensation false X 1 66000 FMV false false false Form 990, Part V, Line 3b: Reason For Not Filing Form 990-T NorthShore rented 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 time 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 Board members have reviewed it, 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.