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      <ActivityOrMissionDesc>NORTH SHORE COMMUNITY HEALTH'S (NSCH) MISSION IS TO BUILD HEALTHY COMMUNITIES BY PROVIDING EXCEPTIONAL CARE TO ALL.</ActivityOrMissionDesc>
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      <Desc>MEDICAL SERVICES - MEDICAL SERVICES ARE PROVIDED TO THE RESIDENTS OF THE NORTH SHORE AND CAPE ANN, BUT WE WILL CARE FOR ANYONE WHO PRESENTS TO US REGARDLESS OF WHERE THEY LIVE. MEDICAL SERVICES ARE PROVIDED TO BOTH ADULTS AND CHILDREN, AND INCLUDE:-PRIMARY CARE-MAT (MEDICATION ASSISTED TREATMENT): SERVICES OFFERED INCLUDE EDUCATION FOR DISEASE AND OVERDOSE PREVENTION, NARCAN (NALOXONE) TRAINING AND COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. THERE WERE 62,537 MEDICAL VISITS DURING THE TAX YEAR.</Desc>
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        <Desc>DENTAL SERVICES - DENTAL SERVICES PROVIDED PRIMARILY TO THE RESIDENTS OF THE NORTH SHORE AND CAPE ANN, BUT WE WILL CARE FOR ANYONE WHO PRESENTS TO US REGARDLESS OF WHERE THEY LIVE. THERE WERE 14,403 DENTAL VISITS DURING THE TAX YEAR.</Desc>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2025. THE CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2024, NSCH LAUNCHED ITS CLINICAL OUTREACH PROGRAM WITH THE MISSION TO ENGAGE MARGINALIZED POPULATIONS FACING SIGNIFICANT BARRIERS TO HIGH-QUALITY HEALTHCARE PARTICULARLY THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. THE FORMER MEDICAL DIRECTOR FOR GLOUCESTER FAMILY HEALTH CENTER/MAT DIRECTOR STEPPED INTO THE ROLE OF DIRECTOR OF CLINICAL INNOVATION AND INTEGRATION. USING INNOVATIVE STRATEGIES, HIGH-INTENSITY CARE NAVIGATION, AND A DIRECT PRIMARY CARE MODEL, WE'RE MEETING PATIENTS WHERE THEY ARE REGARDLESS OF CHALLENGES SUCH AS LACK OF HOUSING, INSURANCE, TRANSPORTATION, TECHNOLOGY ACCESS, OR SOCIAL SUPPORT. SINCE BEGINNING IN MAY 2024, WE'VE ESTABLISHED OUR FIRST OUTREACH CLINIC AT LIFEBRIDGE OF THE NORTH SHORE IN SALEM, OPERATING WEEKLY. BY THE END OF 2025, WE AIM TO EXPAND TO ADDITIONAL SITES IN GLOUCESTER AND PEABODY. IN ADDITION TO PRIMARY CARE, WOMEN'S HEALTH, AND CHRONIC DISEASE MANAGEMENT, WE ALSO PROVIDE TELEHEALTH-BASED PSYCHOPHARMACOLOGY AND BEHAVIORAL HEALTH AS WELL AS RECOVERY SERVICES, HIV AND HEPATITIS C TREATMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 INITIAL COMPLETION IS DONE BY OUR AUDITORS. THE FORM 990 IS THEN SENT TO THE NORTH SHORE COMMUNITY HEALTH MANAGEMENT TEAM AND THEN FORWARDED TO THE MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE ABLE TO SUBMIT ANY QUESTIONS, COMMENTS, OR OBSERVATIONS THAT THEY HAVE. THEN MANAGEMENT DISCUSSES ANY CHANGES THEY ARE GOING TO MAKE TO THE 990 FORM. IF CHANGES ARE DEEMED NECESSARY, THEY ARE MADE IMMEDIATELY. THE FORM 990 IS THEN APPROVED FOR SUBMISSION BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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        <ExplanationTxt>EACH EMPLOYEE, VOLUNTEER, AND BOARD MEMBER WILL ACKNOWLEDGE THAT THEY HAVE READ AND UNDERSTAND NORTH SHORE COMMUNITY HEALTH'S CONFLICT OF INTEREST POLICY UPON BEGINNING THEIR EMPLOYMENT OR TENURE WITH NORTH SHORE COMMUNITY HEALTH BY SIGNING AN ACKNOWLEDGEMENT FORM. THIS IS UPDATED ON A YEARLY BASIS.</ExplanationTxt>
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        <ExplanationTxt>THE COMPENSATION OF THE HEALTH CENTER'S OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE BOARD OF DIRECTORS UTILIZING A SALARY SURVEY. THE EXECUTIVE DIRECTOR SETS THE OTHER EMPLOYEES' SALARIES BASED ON A SALARY SURVEY IN ACCORDANCE WITH THE HEALTH CENTER'S BUDGET PARAMETERS.</ExplanationTxt>
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        <ExplanationTxt>NORTH SHORE COMMUNITY HEALTH, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS AVAILABLE TO THE GENERAL PUBIC THROUGH WWW.GUIDESTAR.ORG.</ExplanationTxt>
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      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>