NORTHBAY HEALTHCARE CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- NORTHBAY HEALTHCARE CORPORATION (EIN 68-0046750)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202443209349326029
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T18:17:08-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680046750 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHBAY HEALTHCARE CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 7076463400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CENTER DRIVE | AddressLine1Txt |
| City | FAIRFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94534 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH D'ANGINA | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7076463400 | PhoneNum |
| Signature | 2024-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL LUMSDEN | PreparerPersonNm |
| PTIN | P01262236 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2024-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK BEHL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CENTER DRIVE | AddressLine1Txt |
| City | FAIRFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $98,668,407 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORTHBAY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | MANAGEMENT AND OTHER SUPPORT SERVICES FOR NORTHBAY HEALTHCARE AFFILIATED ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 3059 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $90,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $94,073,844 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $98,651,106 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,301 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,801 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,418 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $94,170,563 | PYTotalRevenueAmt |
| CY Total Revenue | $98,668,407 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $90,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $115,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,885,861 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,609,891 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $57,960,882 | PYOtherExpensesAmt |
| CY Other Expenses | $63,807,732 | CYOtherExpensesAmt |
| PY Total Expenses | $93,936,743 | PYTotalExpensesAmt |
| CY Total Expenses | $99,532,623 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $233,820 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$864,216 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $81,988,832 | TotalAssetsBOYAmt |
| Total Assets EOY | $67,209,935 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $75,787,362 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $98,849,458 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,201,470 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$31,639,523 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $71,180,959 | ExpenseAmt |
| Grant | $115,000 | GrantAmt |
| Revenue | $98,651,106 | RevenueAmt |
| Desc | NORTHBAY HEALTHCARE CORPORATION (NBHC) IS THE PARENT ORGANIZATION OF THREE CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATIONS; ONE OF THOSE CORPORATIONS, NORTHBAY HEALTHCARE GROUP, OWNS AND OPERATES NON-PROFIT COMMUNITY HOSPITALS IN FAIRFIELD AND VACAVILLE. THE PURPOSE OF NBHC IS TO SUPPORT AND HELP CARRY OUT THE PURPOSES AND FUNCTIONS OF NORTHBAY HEALTHCARE GROUP, NORTHBAY HEALTH ADVANTAGE, AND NORTHBAY HEALTHCARE FOUNDATION. THIS IS ACCOMPLISHED THROUGH PROVIDING COORDINATION, MANAGEMENT, AND OTHER SUPPORT SERVICES TO THE NON-PROFIT HOSPITALS AND OTHER RELATED COMMUNITY HEALTHCARE PROGRAMS. THESE SERVICES INCLUDE MARKETING, RESEARCH OF NEW CLINICAL SERVICE AREAS, MANAGING CONTRACTS BETWEEN PROVIDERS AND PAYORS, AND FINANCING. | Desc |
| Total Program Service Expenses | $71,180,959 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 3059 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH D'ANGINA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7076463111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CENTER DRIVE | AddressLine1Txt |
| City | FAIRFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94534 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| B KONARD JONES | ||||||||||
| PRESIDENT & CEO THROUGH 12/2023 | 30.00 | 20.00 | Yes (X) | Yes (X) | $2,316,091 | $0 | $57,834 | |||
| MARK BEHL | ||||||||||
| PRESIDENT & CEO START 10/2023 | 30.00 | 20.00 | Yes (X) | Yes (X) | $447,232 | $0 | $22,353 | |||
| MARK SIEVERS | ||||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $17,502 | $0 | |||
| STEPHEN J POWER | ||||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $17,502 | $0 | |||
| CHRIS SWEENEY | ||||||||||
| SECRETARY - TREASURER START 5/2023 | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $17,515 | $0 | |||
| GARY FALATI | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $9,364 | $0 | ||||
| ARCHIE HUMPHREY | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $17,274 | $0 | ||||
| MURRAY WOOLF MD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $17,225 | $0 | ||||
| MARY MANCINI | ||||||||||
| SECRETARY - TREASURER THROUGH 5/2023 | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $15,333 | $0 | |||
| JOSEPH D'ANGINA | ||||||||||
| CHIEF FINANCIAL OFFICER START 1/2023 | 5.00 | 45.00 | Yes (X) | $701,077 | $0 | $79,055 | ||||
| TIMOTHY MAURICE | ||||||||||
| INTERIM CFO THROUGH 1/2023 | 5.00 | 45.00 | Yes (X) | $87,232 | $0 | $0 | ||||
| TIMOTHY WILLIAMS | ||||||||||
| VP, AMBULATORY SERVICES | 0.00 | 50.00 | $247,017 | $0 | $14,659 | Yes (X) | ||||
| CHRISTOPHER TIMBERS | ||||||||||
| CHIEF INFORMATION OFFICER | 10.00 | 40.00 | $700,529 | $0 | $89,424 | Yes (X) | ||||
| JIM ANDERSEN | ||||||||||
| CHIEF HUMAN RESOURCES OFFICER | 5.00 | 45.00 | $436,552 | $0 | $154,843 | Yes (X) | ||||
| TRACY GEDDIS | ||||||||||
| CHIEF OPERATING OFFICER | 5.00 | 45.00 | $484,602 | $0 | $130,831 | Yes (X) | ||||
| HEATHER RESSEGER | ||||||||||
| CHIEF NURSING OFFICER | 0.00 | 50.00 | $463,039 | $0 | $134,844 | Yes (X) | ||||
| SETH KAUFMAN MD | ||||||||||
| CHIEF MEDICAL & QUALITY OFFICER | 0.00 | 50.00 | $568,413 | $0 | $194,292 | Yes (X) | ||||
| PAUL MCGINTY | ||||||||||
| PRES NBHF & CHIEF EXPERIENCE OFFICER | 0.00 | 50.00 | $371,817 | $0 | $144,429 | Yes (X) | ||||
| SHENIECE SMITH | ||||||||||
| CAO & GENERAL COUNSEL THRU 11/2023 | 5.00 | 45.00 | $512,567 | $0 | $130,016 | Yes (X) | ||||
| THERESA BARTOLI | ||||||||||
| CLINICAL COORDINATOR | 0.00 | 40.00 | $361,959 | $0 | $55,134 | Yes (X) | ||||
| THEO RALLIS | ||||||||||
| ASSISTANT VICE PRESIDENT, FINANCE | 5.00 | 45.00 | $353,423 | $0 | $79,290 | Yes (X) | ||||
| ANDREA FRANCIS | ||||||||||
| ROBOTIC SURGICAL SYSTEMS PROG COORD | 0.00 | 40.00 | $316,468 | $0 | $31,942 | Yes (X) | ||||
| SETH BARGER | ||||||||||
| CLINICAL COORDINATOR | 0.00 | 40.00 | $309,695 | $0 | $43,278 | Yes (X) | ||||
| DUSTIN DATOC | ||||||||||
| CERTIFIED REGISTERED NURSE FIRST ASSISTANT | 0.00 | 40.00 | $311,122 | $0 | $49,385 | Yes (X) | ||||
| SCOTT DAVIS | ||||||||||
| FORMER VP, CHIEF STRATEGY OFFICER | 0.00 | 0.00 | $130,410 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,119,245 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $111,715 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,411,609 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1102 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OPTUM360 LLC | |||||
| PO BOX 88050 | CHICAGO | IL | 606801050 | REVENUE SERVICES | $20,688,404 |
| RECEIVABLE SOLUTIONS LLC | |||||
| 800 DUTCH SQUARE BLVD 100 | COLUMBIA | SC | 29210 | COLLECTIONS SERVICES | $4,979,044 |
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 631959156 | IT SERVICES | $3,344,657 |
| ORACLE CREDIT CORPORATION | |||||
| PO BOX 412622 | BOSTON | MA | 02241 | IT SERVICES | $1,110,555 |
| CANTATA HEALTH SOLUTIONS | |||||
| PO BOX 93955 | LAS VEGAS | NV | 89193 | IT SERVICES | $665,921 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $9,500 | AllOtherContributionsAmt |
| Total Contributions | $9,500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT SERVICES REVENUE | 541900 | $98,649,573 | $98,649,573 |
| REBATES & REFUNDS | 541900 | $1,533 | $1,533 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $98,651,106 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,801 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,801 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,801 | TotalRevenueColumnAmt |
| Exclusion | $7,801 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,668,407 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $98,651,106 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,801 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,000 | TotalAmt |
| Program Services | $115,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,726,047 | TotalAmt |
| Program Services | $1,905,134 | ProgramServicesAmt |
| Management And General | $5,820,913 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,761,058 | TotalAmt |
| Program Services | $13,615,163 | ProgramServicesAmt |
| Management And General | $9,145,895 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,503,565 | TotalAmt |
| Program Services | $610,723 | ProgramServicesAmt |
| Management And General | $892,842 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,770,054 | TotalAmt |
| Program Services | $1,898,422 | ProgramServicesAmt |
| Management And General | $871,632 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,167 | TotalAmt |
| Program Services | $1,053,583 | ProgramServicesAmt |
| Management And General | -$204,416 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,795,962 | TotalAmt |
| Program Services | $1,025,756 | ProgramServicesAmt |
| Management And General | $770,206 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,003 | TotalAmt |
| Management And General | $282,003 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,934,465 | TotalAmt |
| Program Services | $38,069,082 | ProgramServicesAmt |
| Management And General | $2,865,383 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,543 | TotalAmt |
| Program Services | $15,333 | ProgramServicesAmt |
| Management And General | $431,210 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $833,008 | TotalAmt |
| Program Services | $735,738 | ProgramServicesAmt |
| Management And General | $97,270 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,595,578 | TotalAmt |
| Program Services | $2,595,578 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,434,034 | TotalAmt |
| Program Services | $4,059,158 | ProgramServicesAmt |
| Management And General | $374,876 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,043 | TotalAmt |
| Program Services | $23,259 | ProgramServicesAmt |
| Management And General | $54,784 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,869 | TotalAmt |
| Program Services | $10,417 | ProgramServicesAmt |
| Management And General | $5,452 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,256 | TotalAmt |
| Program Services | $86,556 | ProgramServicesAmt |
| Management And General | $9,700 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,377,371 | TotalAmt |
| Program Services | $3,370,045 | ProgramServicesAmt |
| Management And General | $7,326 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,424,477 | TotalAmt |
| Management And General | $3,424,477 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RECRUITING | $804,918 | $142,904 | $662,014 |
| TAXES/LICENSES | $338,675 | $278,709 | $59,966 |
| DUES & SUBSCRIPTIONS | $280,026 | $45,133 | $234,893 |
| PUBLIC RELATIONS | $80,868 | $80,868 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,989,636 | TotalAmt |
| Program Services | $1,444,398 | ProgramServicesAmt |
| Management And General | $2,545,238 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,532,623 | TotalAmt |
| Program Services | $71,180,959 | ProgramServicesAmt |
| Management And General | $28,351,664 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,446 | BOYAmt |
| EOY | $11,213,704 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,151 | BOYAmt |
| EOY | $805,775 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,139 | BOYAmt |
| EOY | $15,246 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,105,038 | BOYAmt |
| EOY | $6,102,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,106,082 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $53,586,664 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,512,949 | BOYAmt |
| EOY | $13,519,418 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100 | BOYAmt |
| EOY | $100 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,592,009 | BOYAmt |
| EOY | $35,553,631 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,988,832 | BOYAmt |
| EOY | $67,209,935 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,536,656 | BOYAmt |
| EOY | $41,979,550 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,923 | BOYAmt |
| EOY | $4,923 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,719 | BOYAmt |
| EOY | $1,953,657 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,142,064 | BOYAmt |
| EOY | $54,911,328 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,787,362 | BOYAmt |
| EOY | $98,849,458 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,190,616 | BOYAmt |
| EOY | -$31,650,377 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,854 | BOYAmt |
| EOY | $10,854 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,201,470 | BOYAmt |
| EOY | -$31,639,523 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,988,832 | BOYAmt |
| EOY | $67,209,935 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$864,216 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$36,976,777 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHBAY HEALTHCARE GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941458282 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $97,650,593 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $97,650,593 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | 0 | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, SECTION A, LINE 12G, COLUMN (VI): | THE ORGANIZATION PROVIDES COORDINATION, MANAGEMENT, AND OTHER SUPPORT SERVICES TO NORTHBAY HEALTHCARE GROUP. THESE SERVICES INCLUDE MARKETING, RESEARCH OF NEW CLINICAL SERVICE AREAS, MANAGING CONTRACTS BETWEEN PROVIDERS AND PAYORS, AND FINANCING. |
| PART IV, SECTION C, LINE 1: | NORTHBAY HEALTHCARE CORPORATION (NBHC) IS THE SOLE CORPORATE MEMBER OF NORTHBAY HEALTHCARE GROUP (NBHG), AS WELL AS NBHG'S OTHER SUPPORTING ORGANIZATIONS (NORTHBAY HEALTH ADVANTAGE AND NORTHBAY HEALTHCARE FOUNDATION). NBHC SERVES AS THE PARENT AND SUPPORTS AND CARRIES OUT THE PURPOSES AND FUNCTIONS OF NBHG. NBHC, A TYPE II SUPPORTING ORGANIZATION, HAS A HISTORICAL AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION, NBHG, IN THAT TWO MEMBERS OF NBHC'S BOARD AND THE CEO OF NBHC SERVE AS VOTING DIRECTORS OF NBHG, THUS ENSURING NBHC WILL BE RESPONSIVE TO THE NEEDS OF NBHG. |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,225 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,225 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION / CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS; A PORTION OF THOSE DUES ARE ATTRIBUTABLE TO LOBBYING, WHICH SUPPORTS CERTAIN INITIATIVES THAT ARE HEALTHCARE RELATED AND CONSISTENT WITH ITS MISSION OF PROMOTING HEALTHCARE WITHIN ITS COMMUNITY. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $710,938 | OtherCostOrOtherBasisAmt |
| Depreciation | $710,938 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,242,479 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,148,542 | DepreciationAmt |
| Book Value | $93,937 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,127,522 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,909,780 | DepreciationAmt |
| Book Value | $13,217,742 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,025,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $817,404 | DepreciationAmt |
| Book Value | $207,739 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,519,418 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT-OF-USE ASSETS | $31,675,375 |
| DEFERRED COMPENSATION PLAN INVESTMENTS | $3,878,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $35,553,631 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| WORKERS COMP RESERVE | $5,440,495 |
| OPERATING LEASE LIABILITIES | $32,336,343 |
| ADVANCED PAYMENT/SETTLEMENT LIABILITY | $13,302,685 |
| OTHER DEPOSITS | $83,423 |
| DEFERRED COMPENSATION PLAN LIABILITIES | $3,748,382 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,911,328 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| VACAVILLE SOLANO SERVICES CORPORATION | ||||||||
| PO BOX 6593 | VACAVILLE | CA | 95688 | 680364021 | 501(C)(3) | $25,000 | $0 | SPONSORSHIP AND GENERAL SUPPORT FOR OPPORTUNITY HOUSE |
| SOLANO COUNTY LIBRARY FOUNDATION | ||||||||
| 601 KENTUCKY STREET | FAIRFIELD | CA | 94533 | 680342423 | 501(C)(3) | $15,000 | $0 | SPONSORSHIP OF REACH OUT AND READ |
| SOLANO ECONOMIC DEVELOPMENT CORP | ||||||||
| 5050 BUSINESS CENTER DRIVE 200 | FAIRFIELD | CA | 94534 | 942912759 | 501(C)(3) | $50,000 | $0 | SPONSORSHIP AND GENERAL SUPPORT - SOLANO EDC GOLD CLASSIC |
| SOLANO LAND TRUST | ||||||||
| 198 DOBBINS STREET SUITE A | VACAVILLE | CA | 95688 | 943015363 | 501(C)(3) | $10,000 | $0 | SPONSORSHIP AND GENERAL SUPPORT |
| TOURO UNIVERSITY OF CALIFORNIA | ||||||||
| 1310 CLUB DRIVE | VALLEJO | CA | 94592 | 133838740 | 501(C)(3) | $15,000 | $0 | SPONSORSHIP AND GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | NBHC GRANTS FUNDS TO OTHER LOCAL NON-PROFITS AND COMMUNITY ORGANIZATIONS KNOWN TO NBHC TO ASSIST WITH THEIR FUNDRAISING ENDEAVORS. NBHC DOES NOT MONITOR USE OF THESE GRANT FUNDS, AS GRANT FUNDS ARE UNRESTRICTED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B KONARD JONES | ||||||||||||||
| PRESIDENT & CEO THROUGH 12/2023 | $1,013,240 | $0 | $784,654 | $0 | $518,197 | $0 | $15,877 | $0 | $41,957 | $0 | $2,373,925 | $0 | $492,461 | $0 |
| CHRISTOPHER TIMBERS | ||||||||||||||
| CHIEF INFORMATION OFFICER | $432,433 | $0 | $191,726 | $0 | $76,370 | $0 | $17,903 | $0 | $71,521 | $0 | $789,953 | $0 | $55,570 | $0 |
| JOSEPH D'ANGINA | ||||||||||||||
| CHIEF FINANCIAL OFFICER START 1/2023 | $600,788 | $0 | $90,000 | $0 | $10,289 | $0 | $1,600 | $0 | $77,455 | $0 | $780,132 | $0 | $0 | $0 |
| SETH KAUFMAN MD | ||||||||||||||
| CHIEF MEDICAL & QUALITY OFFICER | $503,457 | $0 | $51,000 | $0 | $13,956 | $0 | $72,117 | $0 | $122,175 | $0 | $762,705 | $0 | $0 | $0 |
| SHENIECE SMITH | ||||||||||||||
| CAO & GENERAL COUNSEL THRU 11/2023 | $447,217 | $0 | $51,000 | $0 | $14,350 | $0 | $55,979 | $0 | $74,037 | $0 | $642,583 | $0 | $0 | $0 |
| TRACY GEDDIS | ||||||||||||||
| CHIEF OPERATING OFFICER | $423,762 | $0 | $51,000 | $0 | $9,840 | $0 | $52,526 | $0 | $78,305 | $0 | $615,433 | $0 | $0 | $0 |
| HEATHER RESSEGER | ||||||||||||||
| CHIEF NURSING OFFICER | $392,039 | $0 | $71,000 | $0 | $0 | $0 | $57,521 | $0 | $77,323 | $0 | $597,883 | $0 | $0 | $0 |
| JIM ANDERSEN | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $375,119 | $0 | $51,000 | $0 | $10,433 | $0 | $61,404 | $0 | $93,439 | $0 | $591,395 | $0 | $0 | $0 |
| PAUL MCGINTY | ||||||||||||||
| PRES NBHF & CHIEF EXPERIENCE OFFICER | $333,452 | $0 | $31,000 | $0 | $7,365 | $0 | $47,693 | $0 | $96,736 | $0 | $516,246 | $0 | $0 | $0 |
| MARK BEHL | ||||||||||||||
| PRESIDENT & CEO START 10/2023 | $211,540 | $0 | $0 | $0 | $235,692 | $0 | $2,115 | $0 | $20,238 | $0 | $469,585 | $0 | $0 | $0 |
| THEO RALLIS | ||||||||||||||
| ASSISTANT VICE PRESIDENT, FINANCE | $249,463 | $0 | $103,960 | $0 | $0 | $0 | $19,253 | $0 | $60,037 | $0 | $432,713 | $0 | $0 | $0 |
| THERESA BARTOLI | ||||||||||||||
| CLINICAL COORDINATOR | $357,787 | $0 | $1,000 | $0 | $3,172 | $0 | $17,309 | $0 | $37,825 | $0 | $417,093 | $0 | $0 | $0 |
| DUSTIN DATOC | ||||||||||||||
| CERTIFIED REGISTERED NURSE FIRST ASS | $310,122 | $0 | $1,000 | $0 | $0 | $0 | $7,527 | $0 | $41,858 | $0 | $360,507 | $0 | $0 | $0 |
| SETH BARGER | ||||||||||||||
| CLINICAL COORDINATOR | $308,695 | $0 | $1,000 | $0 | $0 | $0 | $11,098 | $0 | $32,180 | $0 | $352,973 | $0 | $0 | $0 |
| ANDREA FRANCIS | ||||||||||||||
| ROBOTIC SURGICAL SYSTEMS PROG COORD | $315,468 | $0 | $1,000 | $0 | $0 | $0 | $9,158 | $0 | $22,784 | $0 | $348,410 | $0 | $0 | $0 |
| TIMOTHY WILLIAMS | ||||||||||||||
| VP, AMBULATORY SERVICES | $186,928 | $0 | $60,000 | $0 | $89 | $0 | $1,869 | $0 | $12,790 | $0 | $261,676 | $0 | $0 | $0 |
| SCOTT DAVIS | ||||||||||||||
| FORMER VP, CHIEF STRATEGY OFFICER | $0 | $0 | $0 | $0 | $130,410 | $0 | $0 | $0 | $0 | $0 | $130,410 | $0 | $130,410 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN DURING THE 2023 CALENDAR YEAR ARE AS FOLLOWS, WHICH HAS BEEN REPORTED AS "RETIREMENT AND OTHER DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): SETH KAUFMAN, MD - $58,917 SHENIECE SMITH - $49,441 TRACY GEDDIS - $45,525 HEATHER RESSEGER - $44,321 JIM ANDERSEN - $48,204 PAUL MCGINTY - $49,441 ADDITIONALLY, DUE TO VESTING OF THE 457(F) PLAN, THE FOLLOWING INDIVIDUALS RECOGNIZED THE FOLLOWING AMOUNTS AS TAXABLE COMPENSATION, WHICH HAS BEEN REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS WITHIN "COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990" ON SCHEDULE J, PART II, COLUMN F: B. KONARD JONES - $492,461 CHRISTOPHER TIMBERS - $55,570 SCOTT DAVIS - $130,410 |
| PART I, LINE 7 | THE SENIOR MANAGEMENT INCENTIVE PROGRAM INCLUDES SPECIFIC CRITERIA WHICH MUST BE MET IN ORDER FOR SUCH INDIVIDUALS TO RECEIVE ADDITIONAL COMPENSATION; SOME OF THIS CRITERIA REQUIRES SUPERVISORS AND/OR THE BOARD TO EXERCISE DISCRETION (IN PART) WHEN CALCULATING THE AMOUNT OF PAYMENT OR DECIDING WHETHER TO MAKE SUCH A PAYMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINES 1A AND 2A: | ALL FORM 1099S FOR NORTHBAY HEALTHCARE CORPORATION WERE FILED BY NORTHBAY HEALTHCARE GROUP, A RELATED ORGANIZATION. ACCORDINGLY, THE AMOUNT REPORTED ON FORM 990, PART V, LINE 1A (IN REGARDS TO THE AMOUNT REPORTED ON THE 2023 FORM 1096, BOX 3) REFLECTS ZERO. ADDITIONALLY, ALL FORM W-2S FOR NORTHBAY HEALTHCARE SYSTEM WERE FILED BY NORTHBAY HEALTHCARE CORPORATION, WHICH IS THE BASIS FOR THE NUMBER OF EMPLOYEES REPORTED ON FORM 990, PART V, LINE 2A. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT AND REVIEWED BY THE CHIEF FINANCIAL OFFICER; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUESTS ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND MEMBERS OF COMMITTEES APPOINTED BY THE BOARD OF DIRECTORS TO SELF-MONITOR COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY; IN ADDITION, EACH OFFICER AND BOARD MEMBERS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND ALL RESPONSES FILED. IF A POTENTIAL CONFLICT ARISES, BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SELF-DISCLOSE THE CONFLICT TO THE CORPORATE COMPLIANCE OFFICER. PROCESSES AND PROCEDURES ARE IN PLACE TO EVALUATE AND DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WILL PRESENT RELEVANT INFORMATION TO THE BOARD. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN AD HOC COMPENSATION COMMITTEE OF THE HEALTH SYSTEM BOARD REVIEWS EXECUTIVE COMPENSATION, INCLUDING THAT OF THE ORGANIZATION'S CEO, OTHER OFFICERS, AND KEY EMPLOYEES; THEY ARE ASSISTED BY INDEPENDENT CONSULTANTS. THE ORGANIZATION USES INDEPENDENT LOCAL SURVEYS AS A MEANS TO SUBSTANTIATE COMPENSATION DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE DIGITAL ASSURANCE CORPORATION WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 281,477. MANAGEMENT AND GENERAL EXPENSES 13,207. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 294,684. CONSULTING FEES: PROGRAM SERVICE EXPENSES 368,266. MANAGEMENT AND GENERAL EXPENSES 743,793. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,112,059. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 23,516. MANAGEMENT AND GENERAL EXPENSES 204,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 227,529. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 37,395,823. MANAGEMENT AND GENERAL EXPENSES 1,904,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,300,193. |
| FORM 990, PART XI, LINE 9: | INTERCOMPANY EQUITY TRANSFERS 18,750,860. RELIEF OF DUE FROM RELATED ORGANIZATIONS -55,727,637. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHBAY HEALTH ADVANTAGE | ||||||||||
| 4500 BUSINESS CENTER DRIVE | FAIRFIELD | CA | 94534 | 942495998 | MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES | CA | 501(C)(3) | LINE 12B, II | NORTHBAY HEALTHCARE CORPORATION | Yes (1) |
| NORTHBAY HEALTHCARE GROUP | ||||||||||
| 1200 B GALE WILSON BOULEVARD | FAIRFIELD | CA | 94533 | 941458282 | OPERATES TWO NONPROFIT HOSPITALS | CA | 501(C)(3) | LINE 3 | NORTHBAY HEALTHCARE CORPORATION | Yes (1) |
| NORTHBAY HEALTHCARE FOUNDATION | ||||||||||
| 4500 BUSINESS CENTER DRIVE | FAIRFIELD | CA | 94534 | 942995085 | PROVIDES FUNDRAISING FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES | CA | 501(C)(3) | LINE 12B, II | NORTHBAY HEALTHCARE CORPORATION | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLANO DIAGNOSTIC PARTNERS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 B GALE WILSON BLVD | AddressLine1Txt |
| City | FAIRFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931013774 | EIN |
| Primary Activities | DIAGNOSTIC IMAGING | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHBAY HEALTH ADVANTAGE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $11,140 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $210,127 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.05000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NORTHBAY HEALTH ADVANTAGE | ||
| L | $144,358 | BOOK VALUE |
| NORTHBAY HEALTHCARE GROUP | ||
| L | $97,650,593 | BOOK VALUE |
| NORTHBAY HEALTHCARE FOUNDATION | ||
| L | $99,202 | BOOK VALUE |
| SOLANO DIAGNOSTIC PARTNERS | ||
| L | $755,420 | BOOK VALUE |