NORTHBAY HEALTHCARE GROUP: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: NORTHBAY HEALTHCARE GROUP (EIN 94-1458282)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202333189349308748
Schema version: 2022v5.0
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 H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T13:01:10-06:00	ReturnTs
Tax Period End	2022-12-31	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	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941458282	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHBAY HEALTHCARE GROUP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	7076465000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 B GALE WILSON BOULEVARD	AddressLine1Txt
City	FAIRFIELD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94533	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH D'ANGINA	PersonNm
Person Title	VICE PRESIDENT AND CFO	PersonTitleTxt
Phone	7076463111	PhoneNum
Signature	2023-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOSEPH	PersonFirstNm
Person Last	DANGINA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	B KONARD JONES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4500 BUSINESS CTR DR	AddressLine1Txt
City	FAIRFIELD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94534	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$713,289,955	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	1954	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	HEALTH CARE SERVICES (INCLUDING HOSPITAL AND PHYSICIAN SERVICES) WITHIN SOLANO COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	1	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,564,723	PYContributionsGrantsAmt
CY Contributions Grants	$2,500,454	CYContributionsGrantsAmt
PY Program Service Revenue	$675,399,468	PYProgramServiceRevenueAmt
CY Program Service Revenue	$691,645,258	CYProgramServiceRevenueAmt
PY Investment Income	$6,360,551	PYInvestmentIncomeAmt
CY Investment Income	$17,456,051	CYInvestmentIncomeAmt
PY Other Revenue	$1,218,838	PYOtherRevenueAmt
CY Other Revenue	$1,688,192	CYOtherRevenueAmt
PY Total Revenue	$685,543,580	PYTotalRevenueAmt
CY Total Revenue	$713,289,955	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$27,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$290,784,512	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$299,597,999	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$401,645,470	PYOtherExpensesAmt
CY Other Expenses	$432,429,333	CYOtherExpensesAmt
PY Total Expenses	$692,479,982	PYTotalExpensesAmt
CY Total Expenses	$732,054,832	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,936,402	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$18,764,877	CYRevenuesLessExpensesAmt
Total Assets BOY	$886,687,386	TotalAssetsBOYAmt
Total Assets EOY	$800,719,097	TotalAssetsEOYAmt
Total Liabilities BOY	$461,156,410	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$468,715,995	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$425,530,976	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$332,003,102	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	COMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$692,968,234	ExpenseAmt
Grant	$27,500	GrantAmt
Revenue	$691,645,258	RevenueAmt
Desc	NORTHBAY HEALTHCARE GROUP OPERATES TWO NON-PROFIT HOSPITALS WITHIN SOLANO COUNTY: NORTHBAY MEDICAL CENTER AND VACAVALLEY HOSPITAL. NORTHBAY MEDICAL CENTER, A 132-BED ACUTE-CARE HOSPITAL, IS COMMITTED TO MEETING THE CHANGING HEALTH NEEDS OF LOCAL RESIDENTS, MAKING STATE-OF-THE-ART SERVICES AVAILABLE CLOSE TO HOME. THESE SERVICES INCLUDE: A 24-HOUR EMERGENCY DEPARTMENT AND STEMI RECEIVING CENTER, A LEVEL II TRAUMA CENTER, AN ACCREDITED CHEST PAIN CENTER WITH PCI, A PRIMARY STROKE CENTER, A MODERN MATERNITY UNIT WITH PRIVATE BIRTHING SUITES, A NEWBORN INTENSIVE CARE UNIT FOR PREMATURE AND CRITICALLY ILL NEWBORNS, STATE-OF-THE-ART CRITICAL CARE UNITS, COMPREHENSIVE DIAGNOSTIC IMAGING SERVICES, SURGICAL SERVICES, A CARDIAC CATHETERIZATION LAB, THE NORTHBAY HEART & VASCULAR CENTER, AND A CANCER CENTER ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS.VACAVALLEY HOSPITAL IS A 50-BED, NON-PROFIT HOSPITAL PROVIDING A WIDE RANGE OF MEDICAL SERVICES TO THE RESIDENTS OF VACAVILLE AND SURROUNDING COMMUNITIES OF NORTHERN SOLANO COUNTY. VACAVALLEY HOSPITAL PROVIDES A 24-HOUR EMERGENCY DEPARTMENT, 44 MEDICAL-SURGICAL BEDS, A SIX-BED CRITICAL CARE UNIT FOR HIGH-LEVEL INTENSIVE CARE, TWO SURGERY SUITES, A FULL-SERVICE LABORATORY, AND DIAGNOSTIC IMAGING SERVICES WITH A FULLY EQUIPPED RADIOLOGY DEPARTMENT INCLUDING CT SCANNER.	Desc
Total Program Service Expenses	$692,968,234	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
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	585	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
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	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	0	CompensationProcessCEOInd
Compensation Process Other	0	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

Field	Value	IRS element (for citing)
Person	JOSEPH D'ANGINA	PersonNm
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 (26 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
ARCHIE HUMPHREY
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$17,095	$0	$0
WAYNE SENALIK
VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$16,755	$0	$0
DENISE SUIHKONEN
SECRETARY - TREASURER	1.00	0.00	Yes (X)	Yes (X)	$16,774	$0	$0
DONALD DOYLE MD
DIRECTOR	1.00	0.00	Yes (X)		$16,774	$0	$0
THERESA HITE
DIRECTOR	1.00	0.00	Yes (X)		$1,080	$0	$0
B KONARD JONES
DIRECTOR / PRESIDENT & CEO	13.00	37.00	Yes (X)	Yes (X)	$0	$1,241,415	$422,171
JAMES LONG MD
DIRECTOR	1.00	0.00	Yes (X)		$24,940	$0	$0
GWENDOLYN RUNNELS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
MARK SIEVERS
DIRECTOR	1.00	1.00	Yes (X)		$16,898	$0	$0
MICHELE BOUIT
VP FINANCE & CFO THRU 11/2022	35.00	15.00		Yes (X)	$0	$519,394	$83,794
TIMOTHY MAURICE
INT VP, FINANCE & CFO START 11/2022	35.00	15.00		Yes (X)	$0	$145,386	$10
SCOTT DAVIS
VP CHIEF STRAT OFFICER THRU 8/2022	35.00	15.00			$0	$803,881	$94,351	Yes (X)
CHRISTOPHER TIMBERS
VP CHIEF INFORMATION OFFICER	40.00	10.00			$0	$515,565	$139,297	Yes (X)
SETH KAUFMAN
CHIEF MED OFFICER & CHIEF QUAL OFFICER	50.00	0.00			$0	$496,437	$114,544	Yes (X)
JIM ANDERSEN
VP HUMAN RESOURCES	45.00	5.00			$0	$412,618	$103,723	Yes (X)
WAYNE GIETZ
PRESIDENT NBHG THRU 4/2022	45.00	5.00			$0	$469,159	$44,405	Yes (X)
SHENIECE SMITH ESQ FACHE
VP CAO & GENERAL COUNSEL	45.00	5.00			$0	$419,888	$78,989	Yes (X)
TRACY GEDDIS
VP OPERATIONS	45.00	5.00			$0	$361,596	$64,588	Yes (X)
STEVE HUDDLESTON
VP PUBLIC AFAIRS THRU 12/2022	45.00	5.00			$0	$314,860	$75,449	Yes (X)
HEATHER RESSEGER
VP CHIEF NURSING OFFICER START 6/2022	50.00	0.00			$0	$338,792	$42,110	Yes (X)
TRACI DUNCAN
VP CHIEF NURSING OFFICER THRU 6/2022	50.00	0.00			$0	$173,755	$52,756	Yes (X)
AROLD NELSON
CLINICAL NURSE SUPERVISOR	40.00	0.00			$0	$416,879	$56,013		Yes (X)
JUAN ORIAS
CLINICAL NURSE II	40.00	0.00			$0	$438,582	$31,760		Yes (X)
THERESA BARTOLI
CLINICAL COORDINATOR	40.00	0.00			$0	$367,533	$54,523		Yes (X)
PETER DHALIWAL
CLINICAL NURSE II	40.00	0.00			$0	$369,465	$38,799		Yes (X)
JOANNE JACOB
CLINICAL NURSE II	40.00	0.00			$0	$348,346	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$110,316	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,153,551	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,497,282	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
RIGHTSOURCING INC
PO BOX 515743	LOS ANGELES	CA	900515118	PROFESSIONAL RECRUITING SERVICES	$7,520,345
SACSOLANO ANESTHESIA EXCHANGE
3315 WATT AVE	SACRAMENTO	CA	95821	ANESTHESIA SERVICES	$7,399,019
PACIFIC RADIATION ONCOLOGY
133 RANCHO BONITA WAY	SONOMA	CA	95476	ONCOLOGY SERVICES	$2,788,081
SNAPNURSE
675 PONCE DE LEON AVE STE 8500	ATLANTA	GA	30308	CONTRACTED LABOR	$2,017,554
DPR CONSTRUCTION INC
1801 J STREET SUITE 200	SACRAMENTO	CA	95811	GENERAL CONSTRUCTION	$1,984,785

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	199	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,496,500	GovernmentGrantsAmt
All Other Contributions	$3,954	AllOtherContributionsAmt
Total Contributions	$2,500,454	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621400	$569,795,786	$569,795,786
CAPITATION REVENUE	621400	$106,799,181	$106,799,181
PHARMACY REVENUE	621400	$9,403,576	$9,403,576
REINSURANCE RECOVERIES	621400	$4,053,771	$4,053,771
RENTAL REVENUE - RELATED ORGS	621400	$1,006,620	$1,006,620

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$586,324	TotalRevenueColumnAmt
Related Or Exempt Func Income	$586,324	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$691,645,258	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,515,312	TotalRevenueColumnAmt
Exclusion	$6,515,312	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$453,545	TotalRevenueColumnAmt
Exclusion	$453,545	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$268,226	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$268,226	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$268,226	TotalRevenueColumnAmt
Exclusion	$268,226	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$9,980,316	SecuritiesAmt
Other	$506,878	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,980,316	SecuritiesAmt
Other	$506,878	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,487,194	TotalRevenueColumnAmt
Exclusion	$10,487,194	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722514	$852,210	$852,210
MISCELLANEOUS REVENUE	900099	$551,003	$551,003
VENDING MACHINES	722515	$16,753	$16,753

Field	Value	IRS element (for citing)
Other Revenue Total	$1,419,966	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$713,289,955	TotalRevenueColumnAmt
Related Or Exempt Func Income	$691,645,258	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$19,144,243	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	$27,500	TotalAmt
Program Services	$27,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$722,214	TotalAmt
Program Services	$610,981	ProgramServicesAmt
Management And General	$111,233	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$239,237,220	TotalAmt
Program Services	$232,532,400	ProgramServicesAmt
Management And General	$6,704,820	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,964,596	TotalAmt
Program Services	$8,690,359	ProgramServicesAmt
Management And General	$274,237	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,614,728	TotalAmt
Program Services	$32,787,190	ProgramServicesAmt
Management And General	$827,538	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,059,241	TotalAmt
Program Services	$16,615,439	ProgramServicesAmt
Management And General	$443,802	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$159,723	TotalAmt
Program Services	$49,408	ProgramServicesAmt
Management And General	$110,315	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$265,627,622	TotalAmt
Program Services	$263,512,548	ProgramServicesAmt
Management And General	$2,115,074	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,009	TotalAmt
Program Services	$3,846	ProgramServicesAmt
Management And General	$163	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,032,911	TotalAmt
Program Services	$7,825,075	ProgramServicesAmt
Management And General	$207,836	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$339,951	TotalAmt
Program Services	$339,691	ProgramServicesAmt
Management And General	$260	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,217,832	TotalAmt
Program Services	$8,161,869	ProgramServicesAmt
Management And General	$55,963	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$203,502	TotalAmt
Program Services	$197,166	ProgramServicesAmt
Management And General	$6,336	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$79,277	TotalAmt
Program Services	$75,695	ProgramServicesAmt
Management And General	$3,582	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,294,772	TotalAmt
Program Services	$14,266,243	ProgramServicesAmt
Management And General	$28,529	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,422,648	TotalAmt
Program Services	$26,632,053	ProgramServicesAmt
Management And General	$790,595	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,536,514	TotalAmt
Program Services	$3,535,898	ProgramServicesAmt
Management And General	$616	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$67,880,979	$66,898,146	$982,833
QUALITY ASSURANCE FEE	$22,811,094		$22,811,094
TAXES & LICENSES	$990,226	$556,249	$433,977
DUES & SUBSCRIPTIONS	$468,628	$297,986	$170,642

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,359,645	TotalAmt
Program Services	$9,352,492	ProgramServicesAmt
Management And General	$3,007,153	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$732,054,832	TotalAmt
Program Services	$692,968,234	ProgramServicesAmt
Management And General	$39,086,598	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,196,984	BOYAmt
EOY	$24,119,050	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$53,722,570	BOYAmt
EOY	$48,030,007	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$154,045,083	BOYAmt
EOY	$121,241,831	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$657	BOYAmt
EOY	$656	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,455,059	BOYAmt
EOY	$5,468,532	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,026,622	BOYAmt
EOY	$2,875,537	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$542,583,978	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$266,846,880	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$293,080,935	BOYAmt
EOY	$275,737,098	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$285,144,234	BOYAmt
EOY	$250,545,598	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,252,996	BOYAmt
EOY	$3,971,861	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$69,762,246	BOYAmt
EOY	$68,728,927	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$886,687,386	BOYAmt
EOY	$800,719,097	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,714,385	BOYAmt
EOY	$25,307,326	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$39,807,820	BOYAmt
EOY	$6,530,537	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$258,042,910	BOYAmt
EOY	$253,861,930	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$44,186,740	BOYAmt
EOY	$41,635,845	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$81,404,555	BOYAmt
EOY	$141,380,357	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$461,156,410	BOYAmt
EOY	$468,715,995	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	$425,381,974	BOYAmt
EOY	$331,850,575	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,002	BOYAmt
EOY	$152,527	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$425,530,976	BOYAmt
EOY	$332,003,102	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$886,687,386	BOYAmt
EOY	$800,719,097	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$18,764,877	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$45,192,465	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,570,532	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$50,804	OtherActivitiesAmt
Total Lobbying Expenditures	$50,804	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 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA; 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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,867,153	OtherCostOrOtherBasisAmt
Book Value	$9,867,153	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$194,944,877	OtherCostOrOtherBasisAmt
Depreciation	$63,250,117	DepreciationAmt
Book Value	$131,694,760	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,724,161	OtherCostOrOtherBasisAmt
Depreciation	$17,915,154	DepreciationAmt
Book Value	$11,809,007	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$282,212,931	OtherCostOrOtherBasisAmt
Depreciation	$174,178,541	DepreciationAmt
Book Value	$108,034,390	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,834,856	OtherCostOrOtherBasisAmt
Depreciation	$11,503,068	DepreciationAmt
Book Value	$14,331,788	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$275,737,098	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$24,731,770
HOSPITAL QUALITY ASSURANCE FEE RECEIVABLE	$3,539,125
OPERATING LEASE RIGHT-OF-USE ASSETS	$40,379,372
DUE FROM RELATED ORGANIZATIONS	$78,660

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$68,728,927	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
MALPRACTICE LIABILITY	$6,051,296
REFUNDS DUE TO PATIENTS & INS CO.	$4,907,514
OPERATING LEASE LIABILITY	$45,744,865
AMOUNTS DUE TO 3RD PARTY PAYORS	$11,029,829
LOAN PAYABLE TO NBHA	$8,496,895
DUE TO RELATED ORGANIZATIONS	$54,921,113
REFERRAL CLAIMS IBNR	$8,712,682
OTHER LIABILITIES	$1,516,163

Field	Value	IRS element (for citing)
Total Liability	$141,380,357	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	138.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,004,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,004,377	NetCommunityBenefitExpnsAmt
Total Expense	0.04100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$258,364,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$209,683,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,681,793	NetCommunityBenefitExpnsAmt
Total Expense	0.06650	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$288,369,288	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$209,683,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,686,170	NetCommunityBenefitExpnsAmt
Total Expense	0.10750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,455,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,963,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,492,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,105	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$187,105	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,642,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,963,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,679,374	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$296,011,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$214,646,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,365,544	NetCommunityBenefitExpnsAmt
Total Expense	0.11120	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,578	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,578	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,147,250	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$129,099,522	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$174,438,231	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$45,338,709	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
NORTHBAY MEDICAL CENTER
1	1200 B GALE WILSON BLVD	FAIRFIELD	CA	94533	WWW.NORTHBAY.ORG	110000093	Yes (X)	Yes (X)	Yes (X)	OUTPATIENT CLINICS	A
NORTHBAY VACAVALLEY HOSPITAL
2	1000 NUT TREE ROAD	VACAVILLE	CA	95687	WWW.NORTHBAY.ORG	110000093	Yes (X)	Yes (X)	Yes (X)	OUTPATIENT CLINICS	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.NORTHBAY.ORG/COMMUNITY/PUBLIC-REPORTS.CFM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.NORTHBAY.ORG/COMMUNITY/PUBLIC-REPORTS.CFM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	138.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.NORTHBAY.ORG/PATIENTS-VISITORS/FORMS-DOCUMENTS.CFM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.NORTHBAY.ORG/PATIENTS-VISITORS/FORMS-DOCUMENTS.CFM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.NORTHBAY.ORG/PATIENTS-VISITORS/FORMS-DOCUMENTS.CFM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: NORTHBAY MEDICAL CENTER, - FACILITY 2: NORTHBAY VACAVALLEY HOSPITAL
GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 5:	A BROAD RANGE OF COMMUNITY MEMBERS, TOTALING TO 125 TOTAL PARTICIPANTS, PROVIDED INPUT THROUGH KEY INFORMANT INTERVIEWS (EIGHT IN TOTAL) AND GROUP INTERVIEWS/FOCUS GROUPS (3 IN TOTAL). WE CONSULTED INDIVIDUALS WITH KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NONPROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS. IN ADDITION, WE GATHERED INPUT FROM COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING PEOPLE WHO ARE MEDICALLY UNDERSERVED, LOW INCOME OR WHO FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS). KEY INFORMANT AND GROUP INTERVIEWS WERE HELD WITH INDIVIDUALS WHO REPRESENT ALDEA CHILDREN & FAMILY SERVICES (8/11/2021), CAMINAR (8/30/2021), COMMUNITY MEDICAL CENTERS (8/17/2021), NAPA COMMUNITY HEALTH INITIATIVE (8/12/2021), NAPA/SOLANO AREA AGENCY ON AGING (8/11/2021), OLE HEALTH (8/24/2021), RIO VISTA CARE (8/18/2021), SOLANO COUNTY OFFICE OF EDUCATION (8/2/2021), SOLANO COUNTY PUBLIC HEALTH (8/12/2021 AND 9/1/2021), SOLANO FAMILY JUSTICE CENTER (8/18/2021), AND THE LEAVEN (8/13/2021).
GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 11:	THE FOLLOWING HEALTH NEEDS WERE DETERMINED TO BE SIGNIFICANT (IN PRIORITIZED ORDER) IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO CARE2. HOUSING3. INCOME & EMPLOYMENT4. MENTAL & BEHAVIORAL HEALTH5. COMMUNITY SAFETY6. TRANSPORTATIONTO ADDRESS THE HEALTH NEED OF ACCESS TO CARE, NORTHBAY HEALTH HAS UNDERTAKEN THE FOLLOWING INITIATIVES: 1. COVID-19 VACCINE CLINICS: NORTHBAY DONATED VACCINES AND PROVIDED STAFFING AND ADMINISTRATIVE SUPPORT TO LARGE-SCALE AND NEIGHBORHOOD VACCINE CLINICS ACROSS THE COUNTY TO PREVENT THE SPREAD OF THE CORONAVIRUS. IN 2022, NORTHBAY SHIFTED ITS FOCUS FROM COMMUNITY CLINICS TO OFFERING VACCINATIONS TO THE PUBLIC AT LARGE THROUGH REGISTRATION AT MYTURN.CA.GOV, A STATE-WIDE ACCESS SITE. IN ADDITION, NORTHBAY HEALTH CONTINUED OFFERING VACCINATIONS AND BOOSTER SHOTS TO ITS PATIENTS AT PRIMARY CARE FACILITIES.2. OLE HEALTH PARTNERSHIP: NORTHBAY HEALTH AND OLE HEALTH, A FEDERALLY QUALIFIED HEALTH CENTER, HAVE PARTNERED TO WORK TOGETHER TO INCREASE ACCESS TO CARE TO THE MOST VULNERABLE POPULATION OF UNDERINSURED AND NON-INSURED RESIDENTS OF FAIRFIELD. THROUGH A COMMUNITY BENEFIT GRANT PROGRAM, NORTHBAY HEALTH PROVIDES 2,700 SQUARE FEET OF CLINIC SPACE TO OLE HEALTH ON THE CAMPUS OF NORTHBAY MEDICAL CENTER, A CENTRAL LOCATION IN PROXIMITY TO THE AT-RISK POPULATION. IN 2022, UTILIZATION OF THE CENTER NEARLY DOUBLED YEAR OVER YEAR, WITH 10,776 PATIENT VISITS RECORDED, COMPARED TO 5,530 VISITS IN 2021. ADDITIONALLY, NORTHBAY ASSISTED OLE HEALTH WITH LOCATING ADDITIONAL SPACE TO INCREASE ITS ABILITY TO REACH MORE PATIENTS IN NEED OF PREVENTIVE AND PRIMARY CARE SERVICES. THE VALUE OF CLINIC SPACE PROVIDED BY NORTHBAY WAS $70,587, AND DOES NOT INCLUDE CLINICAL CONSULTATIONS AND COLLABORATION WITH OUR NORTHBAY MEDICAL STAFF.3. CHARITY CARE: IN 2022, NORTHBAY HEALTH PROVIDED FREE CARE TO 4,588 PATIENTS WHO RECEIVED THE BENEFIT OF NORTHBAY'S FINANCIAL ASSISTANCE PROGRAM; THE UNREIMBURSED COST OF CHARITY CARE PROVIDED TO THESE PATIENTS WAS $7,447,172.4. HOSPICE & BEREAVEMENT SERVICES: NORTHBAY'S HOSPICE AND BEREAVEMENT SERVICES ARE OFFERED TO ANYONE, REGARDLESS OF INSURANCE OR ABILITY TO PAY, WHETHER IN THE HOME, HOSPITAL, NURSING HOME OR BOARD-AND-CARE FACILITY. THE MULTIDISCIPLINARY STAFF INCLUDES A MEDICAL DIRECTOR, SPECIALLY TRAINED NURSES, HOME HEALTH AIDES, SOCIAL WORKERS, CHAPLAINS, VOLUNTEERS, AND A BEREAVEMENT COORDINATOR. IN 2022, THE VOLUME OF HOSPICE IN THE NORTHBAY HEALTH PROGRAM GREW AND THE PROGRAM SUSTAINED ITS 91% SATISFACTION RATING AMONG FAMILIES SERVED.TO ADDRESS THE HEALTH NEED OF HOUSING, NORTHBAY HEALTH HAS UNDERTAKEN THE FOLLOWING INITIATIVES:1. NOMADIC SHELTERING PROGRAM: NORTHBAY HEALTH CONTINUED TO SUPPORT THE SOLANO DREAM CENTER (WHICH IS A NOMADIC SHELTERING PROGRAM TAKING IN HOMELESS INDIVIDUALS AND PROVIDING SHELTER, FOOD AND PERSONAL HYGIENE SERVICES) UNTIL JUNE 2022, WHEN THE MOU WAS TERMINATED TO CONCERNS FOR PATIENT SAFETY.2. OPPORTUNITY HOUSE: IN 2022, NORTHBAY HEALTH PROVIDED A $30,000 GRANT TO OPPORTUNITY HOUSE, WHICH PROVIDES TEMPORARY HOUSING AND SOBER WORK-TO-HOUSING PROGRAM. IN ADDITION, NORTHBAY HEALTH ALSO SUPPORTED THE DAILY OPERATION OF THE ADULT SHELTER BY PROVIDING DRUG SCREENING KITS TO TEST NEW ARRIVALS, A CONDITION OF THE SOBER WORK-TO-HOUSING PROGRAM. TOTAL COST OF THE 500 DONATED KITS WAS $3,067.3. VALLEJO NAVIGATION CENTER: THIS SHELTER IS A PROVIDER OF HOMELESS WRAP-AROUND SERVICES. NORTHBAY WILL PROVIDE A $50,000 GRANT FOR FUNDING, WHICH WAS WITHHELD FOR THE PROGRAM AFTER THE CITY OF VALLEJO ENCOUNTERED HURDLES IN ACQUIRING THE SELECTED SITE. NORTHBAY REMAINS COMMITTED TO MAKING ITS FINAL $50,000 DONATION TO OPERATE THE CENTER ONCE IT IS CONSTRUCTED AND OPEN. IT WOULD BE THE FINAL INSTALLMENT OF A $200,000 GRANT TO ADDRESS HOMELESSNESS IN SOUTH SOLANO COUNTY.TO ADDRESS THE HEALTH NEED OF INCOME & EMPLOYMENT, NORTHBAY HEALTH HAS UNDERTAKEN THE FOLLOWING INITIATIVES:1. SUPPORT OF THE SOLANO ECONOMIC DEVELOPMENT CORP.: NORTHBAY HEALTH IS A LEADING FINANCIAL SUPPORTER OF THIS ORGANIZATION, AND PARTICIPATES ON THE BOARD OF DIRECTORS AND SOLANO EDC ADVOCACY COUNCIL (VP OF PUBLIC AFFAIRS STEVE HUDDLESTON SERVED OF THE BOARD OF DIRECTORS AND EXECUTIVE COMMITTEE UNTIL HIS RETIREMENT IN JULY 2022). THE AIM OF THIS ORGANIZATION IS TO INCREASE THE EMPLOYMENT BASE FOR ALL SECTORS OF THE COMMUNITY, ASSIST EXISTING EMPLOYERS TO REMAIN IN THE COMMUNITY AND INCREASE THE NUMBER OF JOBS AVAILABLE TO LOCAL RESIDENTS, AND CREATE PARTNERSHIPS THAT LINK EDUCATIONAL INSTITUTIONS TO WORKFORCE DEVELOPMENT. DURING 2022, NORTHBAY HEALTH'S MEMBERSHIP INVESTMENT OF $25,000 MADE IT ONE OF THE LEADING PRIVATE-SECTOR SUPPORTERS.2. SUPPORT OF CHAMBERS OF COMMERCE: AS A FINANCIAL SUPPORTER AND THROUGH PARTICIPATION ON THE BOARDS OF DIRECTORS OF MOST OF THE 10 CHAMBERS OF COMMERCE IN SOLANO COUNTY, NORTHBAY HEALTH HELPS THE LOCAL BUSINESS COMMUNITY FLOURISH AND RETAIN EXISTING JOBS. NORTHBAY INVESTED A TOTAL OF $22,000 IN THE 10 LOCAL CHAMBERS OF COMMERCE IN ITS SERVICE AREA.3. BACK TO SCHOOL RESOURCE FAIR: NORTHBAY HEALTH STAFF DISTRIBUTED AND FITTED 500 BICYCLE SAFETY HELMETS TO YOUTH AND EDUCATED PARENTS ON PREVENTING HARMFUL ACCIDENTS IN THE HOME. THE FAIR HAS AN INTENDED OUTCOME OF PROVIDING FAMILIES WITH HEALTH CARE EDUCATION, LINKS TO COMMUNITY HEALTH RESOURCES, BICYCLE SAFETY HELMETS, AND INFANT CAR SEAT INSTRUCTIONS.4. SUPPORT OF SALVATION ARMY KROC CENTER OF SUISUN CITY: THE KROC CENTER SUPPORTS LOW-INCOME NEIGHBORHOODS OF SUISUN CITY OPERATED BY THE SALVATION ARMY, AND PROVIDES FAMILIES WITH RECREATION OPPORTUNITIES, HEALTH EDUCATION, FOOD DISTRIBUTION AND SUPPORT THE CHRISTMAS RED KETTLE PROGRAM. NORTHBAY HEALTH PROVIDED THE KROC CENTER WITH A $1,000 DONATION IN 2022.TO ADDRESS THE HEALTH NEED OF MENTAL & BEHAVIORAL HEALTH, NORTHBAY HEALTH HAS UNDERTAKEN THE FOLLOWING INITIATIVES:1. NORTHBAY HEALTH IS WORKING WITH SOLANO COUNTY HEALTH & SOCIAL SERVICES AS IT CONSTRUCTS A NEW MENTAL HEALTH SERVICES UNIT ON BECK AVENUE IN FAIRFIELD. THE UNIT WILL PROVIDE A SEAMLESS TRANSITION OF HOMELESS PATIENTS IN NEED OF MENTAL HEALTH SERVICES UPON DISCHARGE FROM NORTHBAY HEALTH'S TWO HOSPITALS. REPRESENTATIVES OF NORTHBAY HEALTH SERVED ON AN ADVISORY GROUP DESIGNING A RESIDENTIAL TREATMENT FACILITY, WHICH IS PROJECTED TO OPEN IN JANUARY 2023.2. SUPPORT OF VACAVILLE NEIGHBORHOOD BOYS & GIRLS CLUB: DURING 2022, NORTHBAY HEALTH PROVIDED $1,000 TO HELP WITH PROGRAMS THAT ASSIST LOW-INCOME FAMILIES BY PROVIDING AN OUT-OF-SCHOOL PLACE THAT OFFERS LIFE-ENHANCING EXPERIENCES, INCLUDING HEALTHY MEALS AND ACTIVITIES.3. NORTHBAY HEALTH BEHAVIORAL HEALTH TEAM: THE NORTHBAY HEALTH BEHAVIORAL HEALTH TEAM ADDRESSES THE BEHAVIORAL HEALTH NEEDS OF PATIENTS SEEN IN THE EMERGENCY DEPARTMENTS, AND THOSE ADMITTED TO THE TWO HOSPITALS. AMID THE PANDEMIC, DUE TO STAFFING SHORTAGES AND THE RESIGNATION OF THE DIRECTOR OF BEHAVIORAL HEALTH, SOME INITIATIVES WERE DELAYED IN 2022. HOWEVER, A BEHAVIORAL HEALTH TASK FORCE COMMITTEE WAS CONVENED TO ENSURE VARIOUS PROJECTS DID NOT CEASE. THEY INCLUDED IMPLEMENTING THE COLUMBIA SUICIDE SEVERITY RATING SCALE AND THE INITIATIVE THE VAC (VIOLENCE ASSESSMENT CHECKLIST IN THE EMERGENCY DEPARTMENT), ALL EFFORTS TO IMPROVE SERVICES AND THE SAFETY OF OUR BEHAVIORAL HEALTH PATIENTS. SOCIAL WORKERS PROVIDED SUPPORT FOR 1,363 PATIENTS IN THE TWO HOSPITALS IN 2022, MOST IN THE EMERGENCY DEPARTMENT (1,257). IT REPRESENTED AN 18% INCREASE OVER 2021. THE TEAM ALSO SUPPORTED 1,682 PATIENTS IN 2022, PROVIDING CONNECTIONS TO COMMUNITY RESOURCES. OF THEM, 163 WERE PROVIDED SHELTER THROUGH A COMMUNITY NOMADIC SHELTER PROGRAM FINANCIALLY SUPPORTED BY NORTHBAY HEALTH.TO ADDRESS THE HEALTH NEED OF COMMUNITY SAFETY, NORTHBAY HEALTH CONTINUES TO SUPPORT OF THE LEAVEN, A NONPROFIT ORGANIZATION WHICH WORKS WITH MEMBERS OF THE LOCAL COMMUNITY TO BRING AFTER-SCHOOL MENTORING AND TUTORING PROGRAMS AS A REVITALIZATION TOOL TO STRUGGLING NEIGHBORHOODS, WHERE DROP-OUT RATES ARE OUT OF CONTROL AND GANGS THREATEN THE PEACE OF THE COMMUNITY. THE LEAVEN OPERATES CENTERS IN TROUBLED NEIGHBORHOODS IN FAIRFIELD. IN 2022, THE LEAVEN OPERATED THE YOUTH CENTER ON DANA DRIVE IN FAIRFIELD, ADJACENT TO THE CAMPUS OF NORTHBAY MEDICAL CENTER. NORTHBAY'S TOTAL CONTRIBUTION TO THE LEAVEN WAS $25,000 IN 2022, IN ADDITION TO THE IN-KIND DONATION OF FREE RENT IN A NORTHBAY OWNED DUPLEX ON DANA DRIVE.TRANSPORTATION HAS NOT BEEN ADDRESSED IN THE MOST RECENTLY COMPLETED IMPLEMENTATION STRATEGY, BUT WILL BE ADDRESSED IN FUTURE IMPLEMENTATION STRATEGY'S AND/OR COMMUNITY BENEFIT REPORTS.
GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 13B:	BANKRUPTCY AND DECEASED PATIENTS WITH NO ESTATE.
GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 16J:	THE POLICY IS POSTED ON THE CALIFORNIA OSHPD WEBSITE.
GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 20E:	INFORMATION FROM THE PREDICTIVE MODEL MAY BE USED TO GRANT PRESUMPTIVE ELIGIBILITY OR TO SATISFY THE DOCUMENTATION REQUIREMENTS FOR PATIENTS IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED BY THE PATIENT AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY.
GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 21C:	AGB (AMOUNTS GENERALLY BILLED) DISCOUNTS ARE CALCULATED BASED ON HISTORICAL PAYMENT RATES USING A BLENDED AVERAGE FOR MEDICARE AND COMMERCIAL PAYERS.

Field	Value	IRS element (for citing)
Facility	49	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - PRIMARY CARE AMERICAN CANYON
416 NAPA JUNCTION	AMERICAN CANYON	CA	94503	OUTPATIENT PRIMARY CARE
2 - PRIMARY CARE FAIRFIELD
2458 HILBORN ROAD	FAIRFIELD	CA	94534	OUTPATIENT PRIMARY CARE
3 - PRIMARY CARE GREEN VALLEY
4520 BUSINESS CENTER DRIVE	FAIRFIELD	CA	94534	OUTPATIENT PRIMARY CARE
4 - PRIMARY CARE VACAVILLE
421 NUT TREE ROAD	VACAVILLE	CA	95687	OUTPATIENT PRIMARY CARE
5 - BREAST CANCER PROGRAM
1020 NUT TREE ROAD	VACAVILLE	CA	95687	CANCER HEALTH CENTER
6 - CANCER CENTER MEDICAL ONCOLOGY
1020 NUT TREE ROAD SUITE 390	VACAVILLE	CA	95687	CANCER HEALTH CENTER
7 - CANCER CENTER RADIATION ONCOLOGY
1020 NUT TREE ROAD SUITE 190	VACAVILLE	CA	95687	CANCER HEALTH CENTER
8 - CARDIAC & PULMONARY REHABILITATION
1020 NUT TREE ROAD SUITE 250	VACAVILLE	CA	95687	CARDIAC & PULMONARY CARE HEALTH CENTER
9 - DIAGNOSTIC IMAGING FAIRFIELD
1101 B GALE WILSON BLVD	FAIRFIELD	CA	94533	DIAGNOSTIC IMAGING HEALTH CENTER
10 - DIAGNOSTIC IMAGING VACAVILLE
1020 NUT TREE ROAD SUITE 150	VACAVILLE	CA	95687	DIAGNOSTIC IMAGING HEALTH CENTER
11 - EAR NOSE & THROAT
1860 PENNSYLVANIA AVE SUITE 305	FAIRFIELD	CA	94533	EAR, NOSE & THROAT HEALTH CENTER
12 - GASTROENTEROLOGY FAIRFIELD
4520 BUSINESS CENTER DRIVE	FAIRFIELD	CA	94534	GASTROENTEROLOGY HEALTH CENTER
13 - GASTROENTEROLOGY VACAVILLE
1010 NUT TREE ROAD SUITE 100	VACAVILLE	CA	95687	GASTROENTEROLOGY HEALTH CENTER
14 - HEALTHSPRING FITNESS
1020 NUT TREE ROAD SUITE 100	VACAVILLE	CA	95687	FITNESS CENTER
15 - HEART & VASCULAR CENTER FAIRFIELD
1860 PENNSYLVANIA AVE SUITE 120	FAIRFIELD	CA	94533	HEART & VASCULAR HEALTH CENTER
16 - HEART & VASCULAR CENTER GREEN VALLEY
4520 BUSINESS CENTER DRIVE SUITE	FAIRFIELD	CA	94534	HEART & VASCULAR HEALTH CENTER	200
17 - HEART & VASCULAR CENTER VACAVILLE
1020 NUT TREE ROAD SUITE 290	VACAVILLE	CA	95687	HEART & VASCULAR HEALTH CENTER
18 - HOSPICE & BEREAVEMENT
2470 HILBORN ROAD SUITE 240	FAIRFIELD	CA	94534	HOSPICE HEALTH CENTER
19 - INFECTIOUS DISEASE
1010 NUT TREE ROAD SUITE 100B	VACAVILLE	CA	95687	INFECTIOUS DISEASE HEALTH CENTER
20 - LACTATION SUPPORT
1860 PENNSYLVANIA AVENUE SUITE 310	FAIRFIELD	CA	94533	LACTATION SUPPORT HEALTH CENTER
21 - NEUROSCIENCE & SPINE
1010 NUT TREE ROAD SUITE 100-B	VACAVILLE	CA	95687	NEUROSCIENCE & SPINE HEALTH CENTER
22 - OCCUPATIONAL MEDICINE FAIRFIELD
2470 HILBORN ROAD SUITE 100	FAIRFIELD	CA	94534	OCCUPATIONAL MEDICINE HALTH CENTER
23 - OCCUPATIONAL MEDICINE VACAVILLE
1679 E MONTE VISTA AVENUE SUITE 104	VACAVILLE	CA	95688	OCCUPATIONAL MEDICINE HALTH CENTER
24 - ORTHOPEDICS FAIRFIELD
2500 HILBORN ROAD	VACAVILLE	CA	94534	ORTHOPEDICS HEALTH CENTER
25 - ORTHOPEDICS & REHABILITATION
2500 HILBORN ROAD	VACAVILLE	CA	94534	ORTHOPEDICS HEALTH CENTER
26 - ORTHOPEDICS VACAVILLE
1010 NUT TREE ROAD SUITE 200	VACAVILLE	CA	95687	ORTHOPEDICS HEALTH CENTER
27 - PAIN MANAGEMENT FAIRFIELD
1860 PENNSYLVANIA AVENUE SUITE 310	FAIRFIELD	CA	94533	PAIN MANAGEMENT HEALTH CENTER
28 - PAIN MANAGEMENT VACAVILLE
1020 NUT TREE ROAD SUITE 270	VACAVILLE	CA	95687	PAIN MANAGEMENT HEALTH CENTER
29 - PODIATRY FAIRFIELD
2500 HILBORN ROAD	FAIRFIELD	CA	94534	PODIATRY HEALTH CENTER
30 - PODIATRY VACAVILLE
1010 NUT TREE ROAD	VACAVILLE	CA	95687	PODIATRY HEALTH CENTER
31 - PULMONOLOGY FAIRFIELD
1860 PENNSYLVANIA AVENUE SUITE 200	FAIRFIELD	CA	94533	PULMONOLOGY HEALTH CENTER
32 - PULMONOLOGY SLEEP MEDICINE CLINIC
2458 HILBORN ROAD	FAIRFIELD	CA	94534	PULMONOLOGY HEALTH CENTER
33 - PULMONOLOGY VACAVILLE
1010 NUT TREE ROAD SUITE 100	VACAVILLE	CA	95687	REHABILITATION SERVICES HEALTH CENTER
34 - REHABILITATION SERVICES FAIRFIELD
2500 HILBORN ROAD	FAIRFIELD	CA	94534	REHABILITATION SERVICES HEALTH CENTER
35 - REHABILITATION SERVICES VACAVILLE
1020 NUT TREE ROAD SUITE 260	VACAVILLE	CA	95687	REHABILITATION SERVICES HEALTH CENTER
36 - RHEUMATOLOGY
1010 NUT TREE ROAD SUITE 200	VACAVILLE	CA	95687	RHEUMATOLOGY HEALTH CENTER
37 - SPECIALTY PHARMACY
1020 NUT TREE ROAD	VACAVILLE	CA	95687	SPECIALTY PHARMACY
38 - SPECIALTY PRACTICES FAIRFIELD
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	94533	SPECIALTY PRACTICES HEALTH CENTER
39 - SPECIALTY PRACTICES VACAVILLE
1010 NUT TREE ROAD	VACAVILLE	CA	95687	SPECIALTY PRACTICES HEALTH CENTER
40 - SURGERY CENTER AT VACAVALLEY
1006 NUT TREE ROAD	VACAVILLE	CA	95687	SURGERY CENTER
41 - URGENT CARE FAIRFIELD
1320 TRAVIS BLVD SUITE C	FAIRFIELD	CA	94533	URGENT CARE
42 - URGENT CARE VACAVILLE
1679 E MONTE VISTA AVE SUITE 104	VACAVILLE	CA	95688	URGENT CARE
43 - UROLOGY FAIRFIELD
1860 PENNSYLVANIA AVENUE SUITE 200	FAIRFIELD	CA	94533	UROLOGY HEALTH CENTER
44 - UROLOGY NAPA
3250 BEARD ROAD	NAPA	CA	94558	UROLOGY HEALTH CENTER
45 - VACAVALLEY HEALTH PLAZA
1010 NUT TREE ROAD	VACAVILLE	CA	95687	HEALTH PLAZA
46 - WOMEN'S DIAGNOSTIC IMAGING FAIRFIELD
1101 B GALE WILSON BLVD	FAIRFIELD	CA	94533	WOMEN'S DIAGNOSTIC IMAGING HEALTH CENTER
47 - WOMEN'S DIAGNOSTIC IMAGING VACAVILLE
1020 NUT TREE ROAD SUITE 150	VACAVILLE	CA	95687	WOMEN'S DIAGNOSTIC IMAGING HEALTH CENTER
48 - WOMEN'S SERVICES
1860 PENNSYLVANIA AVENUE SUITE 300	FAIRFIELD	CA	94533	WOMEN'S SERVICES HEALTH CENTER
49 - WOUND CARE
1010 NUT TREE ROAD SUITE 100	VACAVILLE	CA	95687	WOUND CARE HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A COST TO CHARGE RATIO WAS USED TO DETERMINE AMOUNTS ON SCHEDULE H, PART I, LINES 7A AND 7B. THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS UTILIZED TO DETERMINE AMOUNTS ON LINE 7E.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT - THE ORGANIZATION PROVIDES SUPPORT TO SEVEN LOCAL CHAMBERS OF COMMERCE (AMERICAN CANYON, BENICIA, DIXON, FAIRFIELD-SUISUN, RIO VISTA, VACAVILLE, AND VALLEJO), ALONG WITH PROVIDING SUPPORT TO THE SOLANO ECONOMIC DEVELOPMENT CORPORATION. TOGETHER, NORTHBAY AND THESE ORGANIZATIONS WORK TO ENHANCE THE LOCAL ECONOMY, EMPLOYMENT, QUALITY OF LIFE, AND EDUCATIONAL PROGRAMS.COMMUNITY SUPPORT - THE ORGANIZATION PROVIDES SUPPORT TO VARIOUS ORGANIZATIONS, INCLUDING ADOPT-A-SCHOOL AND SALVATION ARMY KROC CENTER, BOTH OF WHICH COMPRISE A NETWORK OF SUPPORT FOR VULNERABLE POPULATIONS IN OUR COMMUNITY. SERVICES MADE POSSIBLE BY NORTHBAY'S SUPPORT INCLUDE A HAVEN FOR ABUSED AND ABANDONED CHILDREN, EARLY CHILDHOOD EDUCATION, AND AN AFTER-SCHOOL MENTORING PROGRAM FOR CHILDREN LIVING IN UNDERSERVED NEIGHBORHOODS AND SHELTER.
PART III, LINE 2:	IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS ON A CONSOLIDATED BASIS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WITH THIRD-PARTY INSURANCE COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTABLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (THOSE WITHOUT THIRD-PARTY INSURANCE COVERAGE) AND RECEIVABLES REPRESENTING DEDUCTIBLES AND COPAYMENTS REQUIRED FROM PATIENTS BY THEIR INSURANCE PLANS, THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS HISTORICALLY COLLECTED AFTER ALL REASONABLE COLLECTIONS HAVE BEEN EXHAUSTED IS THE ESTIMATED UNCOLLECTABLE RATE. THIS RATE IS APPLIED TO EXISTING ACCOUNTS TO RECORD AN ESTIMATE FOR UNCOLLECTABLE ACCOUNTS.
PART III, LINE 3:	A COST-TO-CHARGE RATIO (WHICH IS UTILIZED FOR CALCULATING CHARITY CARE COSTS ON SCHEDULE H, PART I, LINE 7A) WAS APPLIED TO TOTAL BAD DEBT EXPENSE TO ARRIVE AT THE ESTIMATED AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DOES NOT CONTAIN A SEPARATE FOOTNOTE ADDRESSING "BAD DEBT EXPENSE". HOWEVER, THE FOOTNOTE THAT ADDRESSES "PATIENTS ACCOUNTS RECEIVABLE" CAN BE FOUND ON PAGES 10 AND 27-30 OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE, EXPENSES ARE DISALLOWED BASED ON PRIOR YEARS' COST REPORTS AUDITS AND STANDARD MEDICARE NON-REIMBURSABLE EXPENSES, AS DIRECTED BY THE MEDICARE PROGRAM. THE MEDICARE COST REPORT AND ITS RULES OF ALLOWABLE COSTS TO WERE USED AS THE COSTING METHODOLOGY TO DETERMINE THE AMOUNT ON SCHEDULE H, PART III, LINE 6.IT IS THE HOSPITAL'S BELIEF THAT THE SHORTFALL REFLECTED ON PART III, LINE 7 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN THE HOSPITAL'S COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS.
PART III, LINE 9B:	NORTHBAY HEALTHCARE'S COLLECTION POLICIES OUTLINE THE TYPES OF COLLECTION EFFORTS THAT CONTRACTED COLLECTION AGENCIES MAY OR MAY NOT TAKE TO COLLECT ON PAST-DUE ACCOUNTS. IT IS RECOGNIZED THAT AS PART OF THE FINANCIAL ASSISTANCE PROCESS, PATIENTS MAY FROM TIME TO TIME BREAK THEIR PROMISE TO PAY MADE ON THE FINANCIAL ASSISTANCE APPLICATION. IN THESE INSTANCES, PATIENTS WITH PAST-DUE FINANCIAL ASSISTANCE OBLIGATIONS MAY BE REFERRED TO COLLECTION IN THE SAME MANNER AS ANY OTHER PATIENT WITH AN UNPAID PAST-DUE ACCOUNT. HOWEVER, IN NO INSTANCE WILL ANY PATIENT RECEIVING FINANCIAL ASSISTANCE UNDER THIS POLICY BE SUBJECT TO ABUSIVE TELEPHONE COLLECTION PRACTICES, LIENS BEING PLACED ON THEIR PRIMARY RESIDENCE, WAGE GARNISHMENTS, OR INVOLUNTARY COURT HOLD ORDERS.
PART VI, LINE 2:	HEALTH NEEDS WERE IDENTIFIED THROUGH TWO PATHWAYS. FIRST, A HEALTH NEED COULD BE IDENTIFIED THROUGH PRIMARY OR SECONDARY (QUANTITATIVE) INDICATORS IF THERE WAS AT LEAST ONE RELATED INDICATOR THAT WAS WORSE THAN ESTABLISHED BENCHMARKS, SHOWED SIGNIFICANT EVIDENCE OF RACIAL/ETHNIC DISPARITIES, OR PERFORMED WORSE THAN A STATED EXTERNAL GOAL. SECOND, A HEALTH NEED COULD BE IDENTIFIED THROUGH PRIMARY OR SECONDARY (QUALITATIVE) DATA IF IT WAS A THEME IN KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, AND FOCUS GROUPS. FOLLOWING IDENTIFICATION, HEALTH NEEDS WERE PRIORITIZED VIA TWO ROUNDS OF IN-PERSON RANKING BY RESIDENTS, HEALTH OFFICIALS, AND COMMUNITY ORGANIZATIONAL LEADERS FROM THE VACAVILLE AND VALLEJO KAISER FOUNDATION HOSPITAL SERVICE AREAS AND ONE ROUND OF ONLINE RANKING EXCLUSIVELY BY SOLANO COUNTY STAKEHOLDERS. IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, NORTHBAY OPERATES MANY SEMINARS, SUPPORT GROUPS, AND COMMUNITY EVENTS WHICH ALLOWS IT TO FURTHER ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:	NORTHBAY HEALTHCARE POSTS NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL PATIENT REGISTRATION AREAS IN ALL PATIENT AREAS, IN PATIENT HANDBOOKS, AT ITS PATIENT BUSINESS SERVICES DEPARTMENT, AND ON ITS WEBSITE. NOTICES ARE POSTED IN ENGLISH AND SPANISH. PATIENTS ARE ALSO PROVIDED WITH INFORMATION REGARDING THE CHARITY CARE AND DISCOUNT POLICY AT THE POINT OF ACCESS. IF A PATIENT FEELS THAT THEY MAY BE ELIGIBLE UNDER THE POLICY, HE/SHE IS REFERRED TO NORTHBAY FINANCIAL COUNSELING FOR FURTHER ASSISTANCE. A FINAL DETERMINATION IS MADE WITHIN 30 DAYS OF A COMPLETE APPLICATION AND ALL REQUESTED DOCUMENTATION BEING SUBMITTED. ONCE A DECISION IS MADE FOR THE APPROVAL OR DENIAL OF FINANCIAL ASSISTANCE, A LETTER IS SENT TO THE PATIENT AS NOTIFICATION OF THE DECISION.
PART VI, LINE 4:	NORTHBAY'S SERVICE AREA ENCOMPASSES SOLANO COUNTY, WHICH IS LOCATED APPROXIMATELY 45 MILES SOUTHWEST OF SACRAMENTO AND 45 MILES NORTHEAST OF SAN FRANCISCO. THE COUNTY'S MAIN CITIES AND TOWNS ARE BENICIA, BIRDS LANDING, DIXON, FAIRFIELD, ELMIRA, RIO VISTA, VACAVILLE, AND VALLEJO. ALL WALKS OF LIFE ARE REPRESENTED AND MORE THAN ONE-THIRD OF THE COUNTY'S RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THIS COMPARES TO A RATE OF JUST 21 PERCENT FOR THE UNITED STATES POPULATION.THE KAISER PERMANENTE COMMUNITY HEALTH DATA PLATFORM ESTIMATES A POPULATION OF ABOUT 445,432 IN SOLANO COUNTY, AND NEARLY 15.3% OF THE POPULATION INCLUDES PEOPLE AGE 65 YEARS AND OVER. THE COMMUNITY IS HIGHLY DIVERSE IN SOCIOECONOMIC STATUS AND ETHNICITY. WITHIN NORTHBAY'S SERVICE AREA, 48.8% OF THE POPULATION IDENTIFIES AS WHITE, 27.1% AS HISPANIC, 15.7% ASIAN, 14.5% AS AFRICAN-AMERICAN, 8.2% AS MULTI-RACE, .8% AS HAWAIIAN/PACIFIC ISLANDER, .8% AS AMERICAN INDIAN/ALASKA NATIVE, AND 11.3% AS AN OTHER RACE. WITHIN THE SERVICE AREA, 7.9% OF THE POPULATION LIVES IN POVERTY (ALTHOUGH A SUB-SET OF 10.5% OF CHILDREN LIVE IN POVERTY), 14.7% ARE UNEMPLOYED, 4.6% ARE UNINSURED, AND 12.3% ARE ADULTS WITH NO HIGH SCHOOL DIPLOMA.
PART VI, LINE 5:	NORTHBAY CONTINUALLY PROMOTES PUBLIC HEALTH THROUGH DOZENS OF PROGRAMS, FROM FREE PRENATAL CARE TO LOW-INCOME PREGNANT WOMEN, TO FREE HOSPICE AND BEREAVEMENT SERVICES. A SUBSIDIZED DEMENTIA DAY CARE FACILITY AND A TRANSITIONAL CARE FACILITY FOR THE HOMELESS WHO REQUIRE POST-DISCHARGE CONTINUITY OF CARE ARE ALSO PROVIDED. MANY PUBLIC EDUCATION PROGRAMS -- HEALTH FAIRS, FREE SCREENINGS, DRIVE-THROUGH FLU VACCINATIONS, INJURY PREVENTION DEMONSTRATIONS, DRUNKEN DRIVING PREVENTION PROGRAMS AT LOCAL SCHOOLS AND DIABETES AWARENESS -- ARE CONDUCTED EVERY YEAR IN COMMUNITY FACILITIES CLOSE TO THOSE WHO CAN BENEFIT FROM THEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOLANO DREAM CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	743 E TABOR AVENUE	AddressLine1Txt
City	FAIRFIELD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94533	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	832407160	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$27,500	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	GENERAL SUPPORT FOR HOMELESS COMMUNITY BENEFIT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	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	MONITORING PROPER USE OF THE AMOUNTS GRANTED TO SOLANO DREAM CENTER, INC. IS ACHIEVED BY WITNESSING THE WORK PERFORMED AND IMPACT ACHIEVED IN COMBATTING HOMELESSNESS WITHIN THE SOLANO COUNTY COMMUNITY. ADDITIONALLY, ACCESS TO SAFE, SECURE, AND AFFORDABLE HOUSING WAS OUTLINED AS A HEALTH NEED IN THE 2022 NORTHBAY HEALTHCARE GROUP COMMUNITY HEALTH NEEDS ASSESSMENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	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	0	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
DIRECTOR / PRESIDENT & CEO	$0	$955,902	$0	$0	$0	$285,513	$0	$380,198	$0	$41,973	$0	$1,663,586	$0	$0
SCOTT DAVIS
VP CHIEF STRAT OFFICER THRU 8/2022	$0	$286,192	$0	$0	$0	$517,689	$0	$50,656	$0	$43,695	$0	$898,232	$0	$0
CHRISTOPHER TIMBERS
VP CHIEF INFORMATION OFFICER	$0	$416,138	$0	$0	$0	$99,427	$0	$64,757	$0	$74,540	$0	$654,862	$0	$0
SETH KAUFMAN
CHIEF MED OFFICER & CHIEF QUAL OFFIC	$0	$441,650	$0	$0	$0	$54,787	$0	$50,571	$0	$63,973	$0	$610,981	$0	$0
MICHELE BOUIT
VP FINANCE & CFO THRU 11/2022	$0	$451,818	$0	$0	$0	$67,576	$0	$66,506	$0	$17,288	$0	$603,188	$0	$0
JIM ANDERSEN
VP HUMAN RESOURCES	$0	$360,924	$0	$0	$0	$51,694	$0	$56,888	$0	$46,835	$0	$516,341	$0	$0
WAYNE GIETZ
PRESIDENT NBHG THRU 4/2022	$0	$192,692	$0	$0	$0	$276,467	$0	$29,416	$0	$14,989	$0	$513,564	$0	$0
SHENIECE SMITH ESQ FACHE
VP CAO & GENERAL COUNSEL	$0	$401,851	$0	$0	$0	$18,037	$0	$55,153	$0	$23,836	$0	$498,877	$0	$0
AROLD NELSON
CLINICAL NURSE SUPERVISOR	$0	$398,079	$0	$0	$0	$18,800	$0	$12,514	$0	$43,499	$0	$472,892	$0	$0
JUAN ORIAS
CLINICAL NURSE II	$0	$419,782	$0	$0	$0	$18,800	$0	$1,025	$0	$30,735	$0	$470,342	$0	$0
TRACY GEDDIS
VP OPERATIONS	$0	$339,641	$0	$0	$0	$21,955	$0	$29,769	$0	$34,819	$0	$426,184	$0	$0
THERESA BARTOLI
CLINICAL COORDINATOR	$0	$360,460	$0	$0	$0	$7,073	$0	$16,676	$0	$37,847	$0	$422,056	$0	$0
PETER DHALIWAL
CLINICAL NURSE II	$0	$364,239	$0	$0	$0	$5,226	$0	$8,310	$0	$30,489	$0	$408,264	$0	$0
STEVE HUDDLESTON
VP PUBLIC AFAIRS THRU 12/2022	$0	$198,788	$0	$0	$0	$116,072	$0	$46,700	$0	$28,749	$0	$390,309	$0	$25,267
HEATHER RESSEGER
VP CHIEF NURSING OFFICER START 6/202	$0	$307,100	$0	$0	$0	$31,692	$0	$10,373	$0	$31,737	$0	$380,902	$0	$0
JOANNE JACOB
CLINICAL NURSE II	$0	$348,346	$0	$0	$0	$0	$0	$0	$0	$0	$0	$348,346	$0	$0
TRACI DUNCAN
VP CHIEF NURSING OFFICER THRU 6/2022	$0	$109,801	$0	$12,000	$0	$51,954	$0	$21,841	$0	$30,915	$0	$226,511	$0	$14,997

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE PRESIDENT OF NORTHBAY HOSPITAL GROUP IS A PAID EMPLOYEE OF NORTHBAY HEALTHCARE CORPORATION, A RELATED ORGANIZATION. NORTHBAY HEALTHCARE CORPORATION UTILIZES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE PRESIDENT: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

PART I, LINES 4A-B

DURING THE 2022 CALENDAR YEAR, SCOTT DAVIS RECEIVED A $433,000 SEVERANCE PAYMENT FROM A RELATED ORGANIZATION AND WAYNE GIETZE RECEIVED A $149,600 SEVERANCE PAYMENT FROM A RELATED ORGANIZATION. BOTH PAYMENTS WERE TAXABLE COMPENSATION TO THE INDIVIDUALS, AND REPORTED WITHIN SCHEDULE J, PART II, COLUMN (B)(III). THE FOLLOWING INDIVIDUALS PARTICIPATED IN A RELATED ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN DURING THE 2022 CALENDAR YEAR ARE AS FOLLOWS, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): B. KONARD JONES - $367,998 SCOTT DAVIS - $41,991 CHRISTOPHER TIMBERS - $54,573 SETH KAUFMAN, MD - $39,755 MICHELE BOUIT - $60,406 JIM ANDERSEN - $47,032 WAYNE GIETZ - $17,216 SHENIECE SMITH, ESQ., FACHE - $52,001 TRACY GEDDIS - $26,399 STEVE HUDDLESTON - $27,116 TRACI DUNCAN - $16,524 ADDITIONALLY, DUE TO VESTING OF THE 457(F) RETIREMENT PLAN, THE FOLLOWING INDIVIDUALS RECOGNIZED TAXABLE COMPENSATION IN THE FOLLOWING AMOUNTS, WHICH HAS BEEN REPORTED AS "OTHER REPORTABLE COMPENSATION" IN SCHEDULE J, PART II, COLUMN (B)(III) AND "COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990" IN SCHEDULE J, PART II, COLUMN (F): STEVE HUDDLESTON - $25,267 TRACI DUNCAN - $14,997

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
A	201563466	13048TVG5	2015-04-30	$34,809,259	CONSTRUCTION COSTS FOR EXPANSION OF NORTHBAY MEDICAL CENTER	0	0	0
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
B	201563466	13048TZY2	2016-08-04	$39,829,633	PARTIALLY REFUND BOND DATED 10/23/2013	0	0	0
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
C	201563466	13048TP49	2017-01-11	$210,294,259	CONSTRUCTION COSTS FOR EXPANSION OF NORTHBAY MEDICAL CENTER	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt
A	$4,080,000	$35,106,625	$2,185,336	$696,185	$32,225,104	2016	0	Yes (1)	Yes (1)
B	$15,540,000	$40,773,481	$3,637,994	$796,405			Yes (1)	Yes (1)	Yes (1)	$36,338,468	$614
C	$300,000	$216,694,521	$15,026,139	$3,561,472	$178,386,054		0	Yes (1)	Yes (1)		$19,720,856

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	0		Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CALIFORNIA MUNICIPAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2020 ISSUER NAME: CALIFORNIA MUNICIPAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2021 ISSUER NAME: CALIFORNIA MUNICIPAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2021
PART I, COLUMN (E) AND PART II, LINE 3:	THE DIFFERENCE BETWEEN THE TOTAL ISSUE PRICE REPORTED IN SCHEDULE K, PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF ISSUE IN SCHEDULE K, PART II, LINE 3 REPRESENTS INVESTMENT EARNINGS ON UNSPENT BOND PROCEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 2A:	ALL FORM W-2S FOR NORTHBAY HEALTH SYSTEM WERE FILED BY NORTHBAY HEALTHCARE CORPORATION, A RELATED ORGANIZATION OF NORTHBAY HEALTHCARE GROUP, WHICH IS THE BASIS FOR THE REPORTING OF "ZERO" AS THE NUMBER OF EMPLOYEES REPORTED ON FORM 990, PART V, LINE 2A.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS ONE SOLE MEMBER, NORTHBAY HEALTHCARE CORPORATION, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	NORTHBAY HEALTHCARE CORPORATION, THE ORGANIZATION'S SOLE MEMBER, HAS THE POWER TO ELECT ALL DIRECTORS FROM A PANEL OF QUALIFIED INDIVIDUALS NOMINATED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS OF NORTHBAY HEALTHCARE GROUP.
FORM 990, PART VI, SECTION A, LINE 7B	NORTHBAY HEALTHCARE CORPORATION, THE ORGANIZATION'S SOLE MEMBER, HAS THE RIGHT TO REMOVE ANY DIRECTOR. IN ADDITION, THE FOLLOWING POWERS ARE RESERVED TO THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER, AND MAY BE EXERCISED WITHOUT ANY ACTION OR APPROVAL BY THE BOARD OF NORTHBAY HEALTHCARE GROUP: (I) ELECTION OF DIRECTORS FROM A PANEL OF QUALIFIED NOMINEES; AND (II) DISSOLUTION OF THE CORPORATION. THE FOLLOWING ACTIONS MAY BE TAKEN BY NORTHBAY HEALTHCARE GROUP ONLY IF ADOPTED BY THE BOARD AND APPROVED BY THE MEMBER: (I) ADOPT OR IMPLEMENT THE ANNUAL OPERATING AND CAPITAL BUDGET; (II) EFFECTUATE ANY PURCHASES OR FINANCING, HOWEVER STRUCTURED, IN AN AMOUNT EQUAL TO OR EXCEEDING ONE MILLION DOLLARS; (III) AMEND THE ARTICLES OF INCORPORATION OR THE BYLAWS; (IV) IMPLEMENT ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE ACTIVITY, OR ALLIANCE BETWEEN THE CORPORATION AND ANY OTHER ENTITY; (V) ESTABLISH OR PROMULGATE CORPORATE POLICY AND GOALS; (VI) ESTABLISH OR PROMULGATE LONG-RANGE AND STRATEGIC PLANS; (VII) ESTABLISH GENERAL POLICY WITH RESPECT TO EMPLOYEE BENEFIT PLANS; (VIII) UNDERTAKE OR MANAGE ANY FINANCING ACTIVITIES THAT ARE IN EXCESS OF ONE YEAR; (IX) DETERMINE ANY COMPENSATION OR REIMBURSEMENT TO BE PAID TO DIRECTORS; (X) ADJUST THE TERM OF ANY DIRECTOR; AND (XI) FORMATION BY THE CORPORATION OF ANY NEW CORPORATION, OR TAKING ANY OWNERSHIP OF ANY CORPORATION OR ENTITY AS A SHAREHOLDER, MEMBER, PARTNER, OR JOINT VENTURER.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED BY THE VICE PRESIDENT AND CFO AND PRESENTED TO THE BOARD OF DIRECTORS OF THE PARENT COMPANY, NORTHBAY HEALTHCARE CORPORATION. A COPY OF THE FORM 990 IS ALSO DISTRIBUTED TO ALL VOTING MEMBERS GOVERNING BODY OF NORTHBAY HEALTHCARE GROUP 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, KEY EMPLOYEES AND MEMBERS COMMITTEES APPOINTED BY THE BOARD OF DIRECTORS TO SELF-MONITOR COMPLIANCE; 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, EMPLOYEES, AND MEDICAL STAFF ARE REQUIRED TO SELF-DISCLOSE THE CONFLICT TO THE CORPORATE COMPLIANCE OFFICER OR MEDICAL CHIEF OF STAFF. PROCESSES AND PROCEDURES ARE IN PLACE TO EVALUATE AND DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. IF 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	THE ORGANIZATION DID NOT DIRECTLY COMPENSATE ANY OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES; THESE INDIVIDUALS ARE COMPENSATED BY NORTHBAY HEALTHCARE CORPORATION, A RELATED ORGANIZATION. AS SUCH, FORM 990, PART VI, SECTION A, LINES 15A AND 15B HAVE BEEN MARKED "NO", AS MANDATED BY THE FORM 990 INSTRUCTIONS. HOWEVER, IN DETERMINING COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES OF NORTHBAY HEALTHCARE GROUP: AN AD HOC COMPENSATION COMMITTEE OF THE NORTHBAY HEALTHCARE CORPORATION BOARD REVIEWS COMPENSATION. THEY ARE ASSISTED BY INDEPENDENT CONSULTANTS, AND INDEPENDENT LOCAL SURVEYS AS A MEANS TO SUBSTANTIATE COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE DIGITAL ASSURANCE CORPORATION WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENT ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES - MEDICAL: PROGRAM SERVICE EXPENSES 94,431,525. MANAGEMENT AND GENERAL EXPENSES 500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,432,025. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 28,065,353. MANAGEMENT AND GENERAL EXPENSES 1,049,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,115,311. CORPORATE MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 94,912,147. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,912,147. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 46,103,523. MANAGEMENT AND GENERAL EXPENSES 1,064,616. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,168,139.
FORM 990, PART XI, LINE 9:	RELIEF OF INTERCOMPANY RECEIVABLES -29,570,532.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHBAYPHYSICIAN SURGERY CENTER LLC	BusinessNameLine1Txt

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)
EIN	203502901	EIN
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$7,082,510	TotalIncomeAmt
End Of Year Assets	$8,996,306	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHBAY HEALTHCARE GROUP	BusinessNameLine1Txt

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTHBAY HEALTHCARE CORPORATION
4500 BUSINESS CENTER DRIVE	FAIRFIELD	CA	94534	680046750	TO SUPPORT THE OPERATION OF NORTHBAY HEALTHCARE GROUP & AFFILIATES	CA	501(C)(3)	LINE 12B, II	N/A	0
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		0	NORTHBAY HEALTHCARE CORPORATION
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		0	NORTHBAY HEALTHCARE CORPORATION

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 CENTER	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

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	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	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