NORTHBAY HEALTHCARE CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHBAY HEALTHCARE CORPORATION (EIN 68-0046750)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201313199349307266
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T13:49:15-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET 9TH FLOOR | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680046750 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHBAY HEALTHCARE CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 7076463110 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CTR DR | AddressLine1 |
| City | FAIRFIELD | City |
| State | CA | State |
| ZIP Code | 94534 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ARTHUR E DENIO | Name |
| Title | VP/CFO | Title |
| Phone | 7076463110 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RENIE BURBANK | Name |
| PTIN | P00159653 | PTIN |
| Phone | 4159561500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ARTHUR E DENIO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CTR DR | AddressLine1 |
| City | FAIRFIELD | City |
| State | CA | State |
| ZIP Code | 94534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 44877243 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NORTHBAY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | THE CORPORATION IS ORGANIZED TO SUPPORT, ACT FOR THE BENEFIT OF, PERFORM FUNCTIONS OF, AND CARRY OUT THE PURPOSES OF NORTHBAY HEALTHCARE GROUP, NORTHBAY HEALTH ADVANTAGE, AND NORTHBAY HEALTHCARE FOUNDATION, ALL OF WHICH ARE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3), AND ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR (2) OF THE INTERNAL REVENUE CODE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 309 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 20722 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 28809 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 43177166 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 44481950 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2520 | InvestmentIncomePriorYear |
| Investment Income Current Year | 60 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -1103338 | OtherRevenuePriorYear |
| Other Revenue Current Year | 78932 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 42097070 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44589751 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 208015 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 196238 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 22812354 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22736367 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 58982 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 20195994 | OtherExpensePriorYear |
| Other Expenses Current Year | 21532688 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 43216363 | TotalExpensesPriorYear |
| Total Expenses Current Year | 44465293 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1119293 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 124458 | RevenuesLessExpensesCY |
| Total Assets BOY | 16512548 | TotalAssetsBOY |
| Total Assets EOY | 16644896 | TotalAssetsEOY |
| Total Liabilities BOY | 9562160 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9674243 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6950388 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6970653 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 24237434 | Expense |
| Grants | 63363 | Grants |
| Revenue | 44350939 | Revenue |
| Description | 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 SERVICE AREAS (E.G. GERONTOLOGY, LITHOTRIPSY, SKILLED NURSING FACILITIES), MANAGING PAYOR CONTRACTS BETWEEN PROVIDERS AND PAYORS, AND FINANCING. UPON DISSOLUTION, ALL ASSETS (AFTER PAYMENT FOR DEBT/LIABILITY) WILL BE DISTRIBUTED TO NORTHBAY HEALTHCARE GROUP OR AN ENTITY ORGANIZED AND OPERATED NOT FOR PECUNIARY GAIN OR PROFITS. NBHC IS NOT ORGANIZED NOR OPERATED FOR PECUNIARY GAIN OR PROFITS, NBHC IS DEDICATED IRREVOCABLY TO THE CHARITABLE PURPOSES SET FORTH IN THE ARTICLES OF INCORPORATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 132875 | Expense |
| Grants | 132875 | Grants |
| Description | NORTHBAY GUILD IS THE VOLUNTEER GROUP FOR NORTHBAY HEALTHCARE GROUP. THE PURPOSE OF THE NORTHBAY GUILD IS TO SUPPORT AND HELP CARRY OUT THE PURPOSE AND FUNCTIONS OF NORTHBAY HEALTHCARE GROUP. THIS IS ACCOMPLISHED THROUGH PROVIDING FUNDRAISING SUPPORT TO THE NON-PROFIT HOSPITALS AND OTHER RELATED COMMUNITY HEALTHCARE PROGRAMS. UPON DISSOLUTION, ALL ASSETS (AFTER PAYMENT FOR DEBT/LIABILITY) WILL BE DISTRIBUTED TO NORTHBAY HEALTHCARE GROUP OR AN ENTITY ORGANIZED AND OPERATED NOT FOR PECUNIARY GAIN OR PROFITS. NORTHBAY GUILD IS NOT ORGANIZED NOR OPERATED FOR PECUNIARY GAIN OR PROFITS. NORTHBAY GUILD IS DEDICATED IRREVOCABLY TO THE CHARITABLE PURPOSES SET FORTH IN ARTICLES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 24370309 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 309 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARTHUR E DENIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7076463110 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CENTER DRIVE | AddressLine1 |
| City | FAIRFIELD | City |
| State | CA | State |
| ZIP Code | 94534 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| BEN HUBER | |||||||||
| BOARD CHAIRMAN | 1.00 | 1.00 | X | 12346 | 0 | 0 | |||
| STEPHEN POWER | |||||||||
| VICE CHAIRMAN | 1.00 | X | 12441 | 0 | 0 | ||||
| MARY MANCINI | |||||||||
| SECRETARY/TREASURER | 1.00 | X | 18358 | 0 | 0 | ||||
| GARY FALATI | |||||||||
| DIRECTOR | 1.00 | X | 6764 | 0 | 0 | ||||
| ARCHIE HUMPHREY | |||||||||
| DIRECTOR | 1.00 | 1.00 | X | 12392 | 0 | 0 | |||
| JAMES MCMAHON | |||||||||
| DIRECTOR | 1.00 | X | 12392 | 0 | 0 | ||||
| MARK SIEVERS | |||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| GARY PASSAMA | |||||||||
| PRESIDENT & CEO | 20.00 | 20.00 | 593713 | 0 | 41168 | X | |||
| DEBORAH SUGIYAMA | |||||||||
| PRESIDENT-NB HEALTHCARE GR | 4.00 | 36.00 | 414090 | 0 | 93934 | X | |||
| ARTHUR DENIO | |||||||||
| VP & CFO | 8.00 | 32.00 | 359925 | 0 | 45399 | X | |||
| PAUL ALCALA | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 418961 | 0 | 28572 | X | ||||
| MARGARET WALBOLT | |||||||||
| VP-AMBULATORY SERVICES | 40.00 | 251638 | 0 | 43631 | X | ||||
| KENNETH MCCOLLUM | |||||||||
| VP-HUMAN RESOURCES | 40.00 | 252853 | 0 | 28556 | X | ||||
| STEVEN HUDDLESTON | |||||||||
| VP-PUBLIC AFFAIRS | 40.00 | 211771 | 0 | 54840 | X | ||||
| BRETT JOHNSON | |||||||||
| PRESIDENT NBHFOUNDATION | 38.00 | 2.00 | 204873 | 0 | 50481 | X | |||
| MITESH PATEL | |||||||||
| VP-MEDICAL AFFAIRS | 40.00 | 362661 | 0 | 87346 | X | ||||
| ELNORA CAMERON | |||||||||
| VP-FACILITIES DEVELOPMENT | 39.00 | 1.00 | 317190 | 0 | 43388 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3462368 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 517315 | TotalOtherCompensation |
| Number Individuals GT100 K | 54 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TOYON ASSOCIATES INC | |||||
| 1800 SUTTER STREET STE 600 | CONCORD | CA | 94520 | CONSULTING SERVICES | 573516 |
| CAIN BROTHERS & COMPANY INC | |||||
| 360 MADISON AVENUE | NEW YORK | NY | 10017 | CONSULTING SERVICES | 448992 |
| KURT SALMONS ASSOCIATES INC | |||||
| PO BOX 31193 | ATLANTA | GA | 31193 | CONSULTING SERVICES | 237138 |
| LATHAM AND WATKINS | |||||
| PO BOX 894284 | LOS ANGELES | CA | 90189 | LEGAL SERVICES | 237064 |
| PRICEWATERHOUSE COOPERS LLP | |||||
| PO BOX 514038 | LOS ANGELES | CA | 90051 | CONSULTING SERVICES | 227552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| All Other Contributions | 28809 | AllOtherContributions |
| Total Contributions | 28809 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MGMT AND ADMIN FEES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 44481950 | TotalRevenueColumn |
| Related Or Exempt Function Income | 44481950 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 44481950 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60 | TotalRevenueColumn |
| Exclusion | $60 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 102529 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 233540 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -131011 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -131011 | TotalRevenueColumn |
| Related Or Exempt Function Income | -131011 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 188890 | GrossSalesOfInventory |
| Cost Of Goods Sold | 53952 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 134938 | TotalRevenueColumn |
| Exclusion | $134,938 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| INCOME FROM NBPSC, LLC | 900099 | 90225 | $90,225 |
| OTHER NON-OPR. REVENUE | 900099 | 4213 | $4,213 |
| OTHER OPERATING REV | 900099 | -19433 | -$19,433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 75005 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44589751 | TotalRevenueColumn |
| Related Or Exempt Function Income | 44350939 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $210,003 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196238 | Total |
| Program Services | 196238 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2365722 | Total |
| Management And General | 2365722 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14530940 | Total |
| Program Services | 4413626 | ProgramServices |
| Management And General | 10117314 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 960312 | Total |
| Program Services | 433479 | ProgramServices |
| Management And General | 526833 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3687934 | Total |
| Program Services | 2428692 | ProgramServices |
| Management And General | 1259242 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1191459 | Total |
| Program Services | 696675 | ProgramServices |
| Management And General | 494784 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 369687 | Total |
| Management And General | 369687 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133000 | Total |
| Management And General | 133000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22344 | Total |
| Management And General | 22344 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52000 | Total |
| Management And General | 52000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7431281 | Total |
| Program Services | 4472666 | ProgramServices |
| Management And General | 2958615 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311512 | Total |
| Program Services | 303900 | ProgramServices |
| Management And General | 7612 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1347086 | Total |
| Program Services | 1104773 | ProgramServices |
| Management And General | 237928 | ManagementAndGeneral |
| Fundraising | 4385 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4522298 | Total |
| Program Services | 4477983 | ProgramServices |
| Management And General | 44315 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2556903 | Total |
| Program Services | 2241710 | ProgramServices |
| Management And General | 273773 | ManagementAndGeneral |
| Fundraising | 41420 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133220 | Total |
| Program Services | 69284 | ProgramServices |
| Management And General | 63936 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223460 | Total |
| Program Services | 154932 | ProgramServices |
| Management And General | 66617 | ManagementAndGeneral |
| Fundraising | 1911 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2975596 | Total |
| Program Services | 2876582 | ProgramServices |
| Management And General | 99014 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108452 | Total |
| Management And General | 108452 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DUES & SUBSCRIPTIONS | 454651 | 187192 | 267459 |
| PUBLIC RELATIONS | 248860 | 104805 | 144055 |
| RECRUITING | 150512 | 33626 | 116886 |
| TAXES/LICENSES | 59054 | 57034 | 2020 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 432772 | Total |
| Program Services | 117112 | ProgramServices |
| Management And General | 304394 | ManagementAndGeneral |
| Fundraising | 11266 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44465293 | Total |
| Program Services | 24370309 | ProgramServices |
| Management And General | 20036002 | ManagementAndGeneral |
| Fundraising | 58982 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267880 | BOY |
| EOY | 210949 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1358601 | BOY |
| EOY | 1545951 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100 | BOY |
| EOY | 100 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93490 | BOY |
| EOY | 94143 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1394122 | BOY |
| EOY | 1294885 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30356354 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24970846 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7372739 | BOY |
| EOY | 5385508 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 821473 | BOY |
| EOY | 1184515 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100 | BOY |
| EOY | 100 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5204043 | BOY |
| EOY | 6928745 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16512548 | BOY |
| EOY | 16644896 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7540979 | BOY |
| EOY | 7189398 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2021181 | BOY |
| EOY | 2395812 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 89033 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9562160 | BOY |
| EOY | 9674243 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6950368 | BOY |
| EOY | 6970633 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20 | BOY |
| EOY | 20 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6950388 | BOY |
| EOY | 6970653 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16512548 | BOY |
| EOY | 16644896 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 124458 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -104193 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NB HLTHCARE GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941458282 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $63,363 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 63363 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $22,344 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 22344 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | NORTHBAY HEALTHCARE CORPORATION SUPPORTS CERTAIN INITIATIVES AND ISSUES THAT ARE HEALTHCARE RELATED AND CONSISTENT WITH ITS MISSION OF PROMOTING HEALTHCARE IN ITS COMMUNITY. EXPENDITURES INCURRED TO SUPPORT THESE INITIATIVES MAY BE CONSIDERED TO BE LOBBYING EXPENDITURES. AN INDIRECT EXPENDITURE OF A PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION & CALIFORNIA HOSPITAL ASSOCIATION WERE USED FOR LOBBYING EXPENDITURES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20 | BeginningOfYearBalance |
| End Of Year Balance | 20 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14615 | BeginningOfYearBalance |
| Grants Or Scholarships | 14595 | GrantsOrScholarships |
| End Of Year Balance | 20 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 30995 | Contributions |
| Grants Or Scholarships | 16380 | GrantsOrScholarships |
| End Of Year Balance | 14615 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 193574 | OtherCostOrOtherBasis |
| Depreciation | 170173 | Depreciation |
| Book Value | 23401 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1629356 | OtherCostOrOtherBasis |
| Depreciation | 922396 | Depreciation |
| Book Value | 706960 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27129603 | OtherCostOrOtherBasis |
| Depreciation | 23474104 | Depreciation |
| Book Value | 3655499 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1403821 | OtherCostOrOtherBasis |
| Depreciation | 404173 | Depreciation |
| Book Value | 999648 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5385508 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM SDI | Description |
| Book Value | 6928745 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6928745 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO NBHA | Description |
| Amount | $89,033 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 89033 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 44268000 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 472 | OtherRevenues |
| Revenue Not Rptd F990 | 472 | RevenueNotRptdF990 |
| Revenue Subtotal | 44267528 | RevenueSubtotal |
| Other Revenues Not Included | 322223 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 322223 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 44589751 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 44268000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 472 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 472 | ExpensesNotRptdF990 |
| Expenses Subtotal | 44267528 | ExpensesSubtotal |
| Other Expenses Not Included | 197765 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 197765 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 44465293 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE USE OF THE ENDOWMENT FUNDS ARE TO SUPPORT CERNER USER GROUP ANNUAL TRAINING AND EDUCATION CONFERENCE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | ROUNDING ADJUSTMENT 472. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INCOME FROM NORTHBAY PHYSICIANS SURGERY CENTER K-1 90,225. TOTAL REVENUE ATTRIBUTABLE TO GUILD 231,998. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ROUNDING ADJUSTMENT 472. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | TOTAL EXPENSE ATTRIBUTABLE TO GUILD 197,765. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| NORTHBAY HEALTHCARE GROUP | |||||||
| 1200 B GALE WILSON BLVD | FAIRFIELD | CA | 94533 | 941458282 | 501(C)(3) | 63363 | GENERAL SUPPORT |
| NORTHBAY HEALTHCARE FOUNDATION | |||||||
| 4500 BUSINESS CTR DR | FAIRFIELD | CA | 94533 | 942995085 | 501(C)(3) | 127975 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: NORTHBAY GUILD GRANTS FUNDS TO NORTHBAY HEALTHCARE FOUNDATION AND NORTHBAY HEALTHCARE GROUP TO ASSIST WITH THEIR DAILY OPERATIONS. NBHC DOES NOT MONITOR THE USE OF THE GRANT FUNDS; HOWEVER, THEY HAVE PROCEDURES TO DETERMINE THE AMOUNT OF GRANT FUNDS ISSUED TO NORTHBAY HEALTHCARE FOUNDATION & NORTHBAY HEALTHCARE GROUP. NORTHBAY GUILD ALSO GRANTS FUNDS TO LOCAL COLLEGES AND UNIVERSITIES FOR A TEEN VOLUNTEER SCHOLARSHIP PROGRAM. TEEN VOLUNTEER SCHOLARSHIP APPLICATION FORMS TO APPLY FOR COLLEGE SCHOLARSHIPS ARE SUBMITTED EACH YEAR. RECIPIENTS ARE SELECTED FROM THE POOL OF APPLICATIONS SUBMITTED BY THE HOSPITAL GUILD BOARD. EACH GRANT/ASSISTANCE REQUEST REQUIRES DOCUMENTATION AS TO THE USE OF THE FUNDS AND THE DISBURSEMENT OF THOSE FUNDS MUST BE APPROVED BY THE NORTHBAY GUILD MEMBERS AND AUXILLARY DIRECTOR. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY PASSAMA | ||||||||||||||
| PRESIDENT & CEO | 499741 | 0 | 93972 | 0 | 0 | 0 | 25750 | 0 | 15418 | 0 | 634881 | 0 | 0 | 0 |
| DEBORAH SUGIYAMA | ||||||||||||||
| PRESIDENT-NB HEALTHCARE GR | 392779 | 0 | 21311 | 0 | 0 | 0 | 71526 | 0 | 22408 | 0 | 508024 | 0 | 0 | 0 |
| ARTHUR DENIO | ||||||||||||||
| VP & CFO | 307970 | 0 | 51955 | 0 | 0 | 0 | 13750 | 0 | 31649 | 0 | 405324 | 0 | 0 | 0 |
| PAUL ALCALA | ||||||||||||||
| CHIEF INFORMATION OFFICER | 322459 | 0 | 96502 | 0 | 0 | 0 | 20739 | 0 | 7833 | 0 | 447533 | 0 | 0 | 0 |
| MARGARET WALBOLT | ||||||||||||||
| VP-AMBULATORY SERVICES | 235934 | 0 | 15704 | 0 | 0 | 0 | 36124 | 0 | 7507 | 0 | 295269 | 0 | 0 | 0 |
| KENNETH MCCOLLUM | ||||||||||||||
| VP-HUMAN RESOURCES | 216236 | 0 | 36617 | 0 | 0 | 0 | 14632 | 0 | 13924 | 0 | 281409 | 0 | 0 | 0 |
| STEVEN HUDDLESTON | ||||||||||||||
| VP-PUBLIC AFFAIRS | 203199 | 0 | 8572 | 0 | 0 | 0 | 29408 | 0 | 25432 | 0 | 266611 | 0 | 0 | 0 |
| BRETT JOHNSON | ||||||||||||||
| PRESIDENT NBHFOUNDATION | 200407 | 0 | 4466 | 0 | 0 | 0 | 32934 | 0 | 17547 | 0 | 255354 | 0 | 0 | 0 |
| MITESH PATEL | ||||||||||||||
| VP-MEDICAL AFFAIRS | 349560 | 0 | 13101 | 0 | 0 | 0 | 37001 | 0 | 50345 | 0 | 450007 | 0 | 0 | 0 |
| ELNORA CAMERON | ||||||||||||||
| VP-FACILITIES DEVELOPMENT | 277709 | 0 | 39481 | 0 | 0 | 0 | 23210 | 0 | 20178 | 0 | 360578 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1B | PAUL ALCALA, CHIEF INFORMATION OFFICER, RECEIVED AN ANNUAL HOUSING ALLOWANCE AS PART OF HIS EMPLOYMENT TERMS. THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY FOR PAYMENT. HOWEVER, THE CEO AND BOARD OF DIRECTORS DETERMINED THE AMOUNT OF HIS HOUSING ALLOWANCE AND APPROVED IT AT THE TIME OF HIS EMPLOYMENT WITH THE ORGANIZATION. THE HOUSING ALLOWANCE IS PART OF HIS TAXABLE INCOME AND IS INCLUDED ON HIS FORM W-2. |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: GARY J. PASSAMA, DEBORAH A. SUGIYAMA, ARTHUR E. DENIO, PAUL C. ALCALA, KENNETH D. MCCOLLUM, MARGARET E. WALBOLT, STEVE C. HUDDLESTON, BRETT N. JOHNSON, MITESH PATEL, AND ELNORA L. CAMERON. |
| PART I, LINE 6 | PART OF A SENIOR MANAGEMENT INCENTIVE PROGRAM AND MANAGEMENT ACCOUNTABILITIES WHICH INCLUDE SPECIFIC CRITERIA IN ORDER FOR THEM TO RECEIVE ADDITIONAL COMPENSATION. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | TERMINATED MEMBERSHIP OPTION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND BY THE BOARD OF DIRECTORS OF NORTHBAY HEALTHCARE CORPORATION. A HARDCOPY OF THE FORM 990 IS SENT VIA US POSTAL SERVICE TO ALL VOTING MEMBERS FOR THEIR REVIEW AND COMMENTS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUESTS ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO SELF-MONITOR COMPLIANCE; IN ADDITION EACH OFFICER AND DIRECTOR MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | AN AD HOC COMPENSATION COMMITTEE OF THE SYSTEM BOARD REVIEWS EXECUTIVE COMPENSATION; 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 | OTHER FEES FOR SERVICES : PROGRAM SERVICE EXPENSES 4,472,666. MANAGEMENT AND GENERAL EXPENSES 2,958,615. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,431,281. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | INCOME FROM NORTHBAY PHYSICIANS SURGERY CENTER K-1 -90,225. INTERCOMPANY RECEIVABLES/PAYABLES 693,907. PRIOR PERIOD ADJUSTMENT -707,875. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. | AUDIT COMMITTEE AND OVERSIGHT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHBAY HEALTH ADVANTAGE | ||||||||||
| 4500 BUSINESS CTR DR | FAIRFIELD | CA | 94534 | 942495998 | MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES | CA | 501(C)(3) | 11-II | NORTHBAY HEALTHCARE CORPORATION | 1 |
| NORTHBAY HEALTHCARE GROUP | ||||||||||
| 1200 B GALE WILSON BLVD | FAIRFIELD | CA | 94533 | 941458282 | OPERATES TWO NONPROFIT HOSPITALS | CA | 501(C)(3) | 3 | NORTHBAY HEALTHCARE CORPORATION | 1 |
| NORTHBAY HEALTHCARE FOUNDATION | ||||||||||
| 4500 BUSINESS CTR DR | FAIRFIELD | CA | 94534 | 942995085 | PROVIDES FUNDRAISING FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES | CA | 501(C)(3) | 11-I | NORTHBAY HEALTHCARE CORPORATION | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHBAY PHYSICIANS SURGERY CENTER LLC | |||||||||||||
| 1006 NUT TREE ROAD | VACAVILLE | CA | 95687 | 203502901 | MEDICAL SERVICE | CA | NORTHBAY HEALTHCARE CORPORATION | UNRELATED | 148043 | 1357808 | 0 | 0 | 0.67000 |
| SOLANO DIAGNOSTIC PARTNERS | |||||||||||||
| 1101 B GALE WILSON BLVD | FAIRFIELD | CA | 94533 | 931013774 | DIAGNOSTIC IMAGING | CA | NORTHBAY HEALTH ADVANTAGE | RELATED | 1 | 0 | 0.05000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NORTHBAY HEALTHCARE FOUNDATION | ||
| P | 209471 | BOOK VALUE |
| NORTHBAY HEALTHCARE FOUNDATION | ||
| O | 344540 | BOOK VALUE |
| NORTHBAY HEALTHCARE GROUP | ||
| Q | 222438 | BOOK VALUE |
| SOLANO DIAGNOSTIC PARTNERS | ||
| Q | 1727058 | BOOK VALUE |
| NORTHBAY PHYSICIANS SURGERY CENTER | ||
| A | 20855 | BOOK VALUE |
| NORTHBAY HEALTH ADVANTAGE | ||
| E | 89033 | BOOK VALUE |
| SOLANO DIAGNOSTIC PARTNERS | ||
| D | 6928745 | BOOK VALUE |
| NORTHBAY HEALTH ADVANTAGE | ||
| P | 91389 | BOOK VALUE |
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