NORTHBAY HEALTHCARE GROUP: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTHBAY HEALTHCARE GROUP (EIN 94-1458282)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202233199349326888
- Schema version
- 2021v4.2
- 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 | 2022-11-15T17:19:48-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | 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 | 2021-01-01 | 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 | MICHELE BOUIT | PersonNm |
| Person Title | VP, FINANCE/CFO | PersonTitleTxt |
| Phone | 7076463400 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHELE | PersonFirstNm |
| Person Last | BOUIT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
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 | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | $734,746,255 | 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 | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $40,052,915 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,564,723 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $599,933,947 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $675,399,468 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,115,543 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,360,551 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,203,625 | PYOtherRevenueAmt |
| CY Other Revenue | $1,218,838 | CYOtherRevenueAmt |
| PY Total Revenue | $648,306,030 | PYTotalRevenueAmt |
| CY Total Revenue | $685,543,580 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $45,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $282,883,798 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $290,784,512 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $355,621,953 | PYOtherExpensesAmt |
| CY Other Expenses | $401,645,470 | CYOtherExpensesAmt |
| PY Total Expenses | $638,551,251 | PYTotalExpensesAmt |
| CY Total Expenses | $692,479,982 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,754,779 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,936,402 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $927,133,322 | TotalAssetsBOYAmt |
| Total Assets EOY | $886,687,386 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $524,750,674 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $461,156,410 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $402,382,648 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $425,530,976 | 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 | $658,492,074 | ExpenseAmt |
| Grant | $50,000 | GrantAmt |
| Revenue | $675,399,468 | 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 CATHERIZATION 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 | $658,492,074 | 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 | Yes (1) | 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 |
| IRP Document | 667 | 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 | MICHELE BOUIT | PersonNm |
| Phone | 7076463400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CENTER DRIVE | AddressLine1Txt |
| City | FAIRFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94534 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ARCHIE HUMPHREY | |||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $16,887 | $0 | $0 | ||
| WAYNE SENALIK | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $16,699 | $0 | $0 | ||
| DENISE SUIHKONEN | |||||||||
| SECRETARY - TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $16,718 | $0 | $0 | ||
| DONALD DOYLE MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $16,718 | $0 | $0 | |||
| THERESA HITE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $1,045 | $0 | $0 | |||
| B KONARD JONES | |||||||||
| DIRECTOR / PRES. & CEO OF NBHC | 13.00 | 37.00 | Yes (X) | $0 | $1,712,261 | $408,955 | |||
| JAMES LONG MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $24,853 | $0 | $0 | |||
| GWENDOLYN RUNNELS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK SIEVERS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $16,850 | $0 | $0 | |||
| AIMEE BREWER | |||||||||
| PRESIDENT, NBHG (THROUGH 9/2021) | 45.00 | 5.00 | Yes (X) | $0 | $684,178 | $109,617 | |||
| WAYNE GIETZ | |||||||||
| PRESIDENT, NBHG (START 9/2021) | 45.00 | 5.00 | Yes (X) | $0 | $623,438 | $82,421 | |||
| MICHELE BOUIT | |||||||||
| VICE PRESIDENT & CFO | 35.00 | 15.00 | Yes (X) | $0 | $512,144 | $88,016 | |||
| CHRISTOPHER TIMBERS | |||||||||
| VP, CHIEF INFORMATION OFFICER | 40.00 | 10.00 | $0 | $484,597 | $126,816 | Yes (X) | |||
| STEVE HUDDLESTON | |||||||||
| VP, PUBLIC AFFAIRS | 45.00 | 5.00 | $0 | $418,468 | $50,130 | Yes (X) | |||
| SCOTT DAVIS | |||||||||
| VP, CHIEF STRATEGY OFFICER | 35.00 | 15.00 | $0 | $509,139 | $75,631 | Yes (X) | |||
| JIM ANDERSEN | |||||||||
| VP, HUMAN RESOURCES | 45.00 | 5.00 | $0 | $558,805 | $72,262 | Yes (X) | |||
| SETH KAUFMAN MD | |||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $0 | $456,289 | $64,713 | Yes (X) | |||
| TRACI DUNCAN | |||||||||
| VP, CHIEF NURSING OFFICER | 50.00 | 0.00 | $0 | $477,669 | $35,931 | Yes (X) | |||
| ROBERT COSCIONE | |||||||||
| VP, PAYER STRATEGY (THRU 8/2021) | 50.00 | 0.00 | $0 | $418,462 | $57,077 | Yes (X) | |||
| NICOLE BROCATO | |||||||||
| VP, OPERATIONS / CQO (THRU 8/2021) | 50.00 | 0.00 | $0 | $308,498 | $75,687 | Yes (X) | |||
| THERESA BARTOLI | |||||||||
| CLINICAL COORDINATOR | 40.00 | 0.00 | $0 | $336,318 | $65,987 | Yes (X) | |||
| AROLD NELSON | |||||||||
| CLINICAL NURSE SUPERVISOR | 40.00 | 0.00 | $0 | $339,281 | $56,680 | Yes (X) | |||
| THEO RALLIS | |||||||||
| ASSISTANT VP, FINANCE / CONTROLLER | 35.00 | 15.00 | $0 | $336,033 | $49,391 | Yes (X) | |||
| DUSTIN DATOC | |||||||||
| REGISTERED NURSE FIRST ASSISTANT | 40.00 | 0.00 | $0 | $315,833 | $56,957 | Yes (X) | |||
| JOANNE JACOB | |||||||||
| CLINICAL COORDINATOR | 40.00 | 0.00 | $0 | $321,492 | $14,784 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $109,770 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,812,905 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,491,055 | 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 |
|---|---|---|---|---|---|
| SACSOLANO ANESTHESIA EXCHANGE | |||||
| 3315 WATT AVE | SACRAMENTO | CA | 95821 | ANESTHESIA SERVICES | $6,024,088 |
| RIGHTSOURCING INC | |||||
| PO BOX 515743 | LOS ANGELES | CA | 900515118 | PROFESSIONAL RECRUITING SERVICES | $4,203,573 |
| SOUND INPATIENT PHYSICIANS | |||||
| 1709 DOCK STREET | TACOMA | WA | 98402 | PHYSICIAN SERVICES | $4,156,435 |
| TOTAL RENAL CARE | |||||
| PO BOX 781607 | PHILADELPHIA | PA | 191781607 | DIALYSIS SERVICES | $3,190,533 |
| MEDIC AMBULANCE SERVICE INC | |||||
| 1001 TEXAS ST SUITE C | FAIRFIELD | CA | 94533 | MEDICAL TRANSPORTATION SRVCS | $2,502,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 192 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $281,949 | RelatedOrganizationsAmt |
| Government Grants | $2,084,480 | GovernmentGrantsAmt |
| All Other Contributions | $198,294 | AllOtherContributionsAmt |
| Total Contributions | $2,564,723 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $554,422,305 | $554,422,305 |
| CAPITATION REVENUE | 622110 | $105,845,511 | $105,845,511 |
| PHARMACY REVENUE | 622110 | $10,441,473 | $10,441,473 |
| REINSURANCE RECOVERIES | 622110 | $3,548,888 | $3,548,888 |
| RENTAL REVENUE - RELATED ORGS | 622110 | $1,006,620 | $1,006,620 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $134,671 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $134,671 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $675,399,468 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,073,661 | TotalRevenueColumnAmt |
| Exclusion | $5,073,661 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $385,717 | TotalRevenueColumnAmt |
| Exclusion | $385,717 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $267,473 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $267,462 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $267,462 | TotalRevenueColumnAmt |
| Exclusion | $267,462 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,103,837 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,184,291 | SecuritiesAmt |
| Other | $18,373 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $919,546 | SecuritiesAmt |
| Other | -$18,373 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $901,173 | TotalRevenueColumnAmt |
| Exclusion | $901,173 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $848,811 | $848,811 |
| AMORT OF GAIN ON MOB SALE | 525990 | $100,516 | $100,516 |
| VENDING MACHINES | 722515 | $1,037 | $1,037 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,012 | TotalRevenueColumnAmt |
| Exclusion | $1,012 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $951,376 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $685,543,580 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $675,399,468 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,579,389 | 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 | $50,000 | TotalAmt |
| Program Services | $50,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $631,629 | TotalAmt |
| Program Services | $521,003 | ProgramServicesAmt |
| Management And General | $110,626 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,955,343 | TotalAmt |
| Program Services | $231,501,429 | ProgramServicesAmt |
| Management And General | $453,914 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,756,250 | TotalAmt |
| Program Services | $8,743,855 | ProgramServicesAmt |
| Management And General | $12,395 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,232,453 | TotalAmt |
| Program Services | $33,145,815 | ProgramServicesAmt |
| Management And General | $86,638 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,208,837 | TotalAmt |
| Program Services | $16,186,407 | ProgramServicesAmt |
| Management And General | $22,430 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,707 | TotalAmt |
| Program Services | $36,791 | ProgramServicesAmt |
| Management And General | $3,916 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,832 | TotalAmt |
| Management And General | $146,832 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,527,614 | TotalAmt |
| Program Services | $142,043,165 | ProgramServicesAmt |
| Management And General | $484,449 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,685 | TotalAmt |
| Management And General | $7,685 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,817,867 | TotalAmt |
| Program Services | $6,804,521 | ProgramServicesAmt |
| Management And General | $13,346 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,547 | TotalAmt |
| Program Services | $635,508 | ProgramServicesAmt |
| Management And General | $39 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,929,389 | TotalAmt |
| Program Services | $12,332,981 | ProgramServicesAmt |
| Management And General | $596,408 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,958 | TotalAmt |
| Program Services | $201,891 | ProgramServicesAmt |
| Management And General | $67 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,876 | TotalAmt |
| Program Services | $73,581 | ProgramServicesAmt |
| Management And General | $8,295 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,550,052 | TotalAmt |
| Program Services | $14,549,515 | ProgramServicesAmt |
| Management And General | $537 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,524,855 | TotalAmt |
| Program Services | $27,460,489 | ProgramServicesAmt |
| Management And General | $64,366 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,119,326 | TotalAmt |
| Program Services | $4,119,326 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CORPORATE MGMT FEES | $90,031,470 | $90,031,470 | |
| MEDICAL SUPPLIES | $73,532,382 | $67,914,764 | $5,617,618 |
| QUALITY ASSURANCE FEE | $25,720,066 | $25,720,066 | |
| TAXES & LICENSES | $733,863 | $368,610 | $365,253 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,043,981 | TotalAmt |
| Program Services | $1,770,953 | ProgramServicesAmt |
| Management And General | $273,028 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,479,982 | TotalAmt |
| Program Services | $658,492,074 | ProgramServicesAmt |
| Management And General | $33,987,908 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,581,357 | BOYAmt |
| EOY | $8,196,984 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,378,784 | BOYAmt |
| EOY | $53,722,570 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,023,297 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,694,712 | BOYAmt |
| EOY | $154,045,083 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,206 | BOYAmt |
| EOY | $657 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,376,263 | BOYAmt |
| EOY | $5,455,059 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,552,658 | BOYAmt |
| EOY | $12,026,622 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $531,543,109 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $238,462,174 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,850,696 | BOYAmt |
| EOY | $293,080,935 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,661,103 | BOYAmt |
| EOY | $285,144,234 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,620,056 | BOYAmt |
| EOY | $5,252,996 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,392,190 | BOYAmt |
| EOY | $69,762,246 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,133,322 | BOYAmt |
| EOY | $886,687,386 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,222,152 | BOYAmt |
| EOY | $37,714,385 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,183,502 | BOYAmt |
| EOY | $39,807,820 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,155,019 | BOYAmt |
| EOY | $258,042,910 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,025,233 | BOYAmt |
| EOY | $44,186,740 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,164,768 | BOYAmt |
| EOY | $81,404,555 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,750,674 | BOYAmt |
| EOY | $461,156,410 | 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 | $402,359,264 | BOYAmt |
| EOY | $425,381,974 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,384 | BOYAmt |
| EOY | $149,002 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,382,648 | BOYAmt |
| EOY | $425,530,976 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,133,322 | BOYAmt |
| EOY | $886,687,386 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,936,402 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,362,700 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $18,722,030 | 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 | $12,020 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,020 | 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 | NORTHBAY HEALTHCARE GROUP SUPPORTS CERTAIN INITIATIVES AND ISSUES THAT ARE HEALTHCARE RELATED AND CONSISTENT WITH ITS MISSION OF PROMOTING HEALTHCARE IN ITS COMMUNITY. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA; A PORTION OF THOSE DUES ARE ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,384 | BeginningYearBalanceAmt |
| Contributions | $127,768 | ContributionsAmt |
| Grants Or Scholarships | $1,483 | GrantsOrScholarshipsAmt |
| Other Expenditures | $666 | OtherExpendituresAmt |
| End Year Balance | $149,003 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,615 | BeginningYearBalanceAmt |
| Contributions | $12,169 | ContributionsAmt |
| Other Expenditures | $16,400 | OtherExpendituresAmt |
| End Year Balance | $23,384 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $51,077 | BeginningYearBalanceAmt |
| Contributions | $31,504 | ContributionsAmt |
| Grants Or Scholarships | $37,942 | GrantsOrScholarshipsAmt |
| Other Expenditures | $17,024 | OtherExpendituresAmt |
| End Year Balance | $27,615 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,131 | BeginningYearBalanceAmt |
| Contributions | $24,328 | ContributionsAmt |
| Grants Or Scholarships | $25,199 | GrantsOrScholarshipsAmt |
| Other Expenditures | $7,183 | OtherExpendituresAmt |
| End Year Balance | $51,077 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,400 | BeginningYearBalanceAmt |
| Contributions | $42,250 | ContributionsAmt |
| Grants Or Scholarships | $19,888 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,331 | OtherExpendituresAmt |
| Administrative Expenses | $300 | AdministrativeExpensesAmt |
| End Year Balance | $59,131 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
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 | $235,188,013 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,480,074 | DepreciationAmt |
| Book Value | $171,707,939 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,601,472 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,581,659 | DepreciationAmt |
| Book Value | $12,019,813 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $236,485,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $148,410,055 | DepreciationAmt |
| Book Value | $88,075,017 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,401,399 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,990,386 | DepreciationAmt |
| Book Value | $11,411,013 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $293,080,935 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $12,108,866 |
| HOSPITAL QUALITY ASSURANCE FEE RECEIVABLE | $13,185,155 |
| OPERATING LEASE RIGHT-OF-USE ASSETS | $44,468,225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $69,762,246 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| MALPRACTICE INSURANCE LIABILITY | $3,483,040 |
| REFUNDS DUE TO PATIENTS & INS CO. | $3,069,002 |
| OPERATING LEASE LIABILITY | $49,117,871 |
| AMOUNTS PAYABLE TO THIRD PARTY PAYORS | $8,609,917 |
| DEFERRED SOCIAL SECURITY TAXES | $8,627,830 |
| DUE TO NORTHBAY HEALTH ADVANTAGE | $8,496,895 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $81,404,555 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE ENDOWMENT FUNDS ARE USED TO FINANCIALLY ASSIST PATIENTS AND EMPLOYEES IN NEED WITH HOUSING, UTILITIES, MEDICATIONS, FOOD, MEDICAL EQUIPMENT, TRANSPORTATION, PERSONAL ITEMS, AND REGULAR LIFE EXPENSES. | ExplanationTxt |
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 | $32,471,743 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,471,743 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $252,511,768 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $181,368,636 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,143,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10270 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $284,983,511 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $181,368,636 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,614,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,511,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,530,962 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $980,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,511,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,530,962 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $980,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $291,494,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $186,899,598 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $104,595,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15100 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,785 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,785 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,079 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,140 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $213,004 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $53,073,586 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $7,987,574 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $117,935,793 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $178,750,551 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$60,814,758 | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.NORTHBAY.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.NORTHBAY.ORG | 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 |
| 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 (9 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 PROVIDED INPUT THROUGH KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, AND FOCUS GROUPS. 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 NON-PROFITS, 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).THERE WERE A TOTAL OF EIGHT KEY INFORMANT INTERVIEWS OCCURRING BETWEEN 8/8/2018 AND 9/7/2018 WITH REPRESENTATIVES FROM VACAVILLE FAMILY RESOURCE CENTER, WINTERS HEALTHCARE, SOLANO COUNTY BOARD OF SUPERVISORS, CAMINAR, SOLANO COUNTY DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOLANO COUNTY PUBLIC HEALTH DEPARTMENT, PARTNERSHIP HEALTHPLAN, AND SOLANO COUNTY DEPARTMENT OF HEALTH AND SOCIAL SERVICES. IN ADDITION, THERE WERE FOUR GROUP INTERVIEWS: (1) A GROUP-INTERVIEW ON 8/30/2018 WITH SEVEN INDIVIDUALS REPRESENTING FIRST 5 SOLANO PARTNER ORGANIZATIONS, INCLUDING RIO VISTA CARE, CHILD START INC., SOLANO FAMILY AND CHILDREN'S SERVICES, COUNTY OF SOLANO MENTAL HEALTH SERVICES, AND THE SOLANO COUNTY OFFICE OF EDUCATION; (2) A GROUP-INTERVIEW ON 9/20/2018 WITH TWELVE INDIVIDUALS FROM THE WORKFORCE DEVELOPMENT BOARD; (3) A GROUP INTERVIEW ON 9/20/2018 WITH FOUR INDIVIDUALS FROM THE LEAVEN; AND (4) A GROUP INTERVIEW ON 9/28/2018 WITH FIVE INDIVIDUALS FROM SENIOR SERVICE PROVIDERS OLDER AND DISABLED ADULT SERVICES, FOOD BANK OF CONTRA COSTA AND SOLANO COUNTY, NORTH BAY REGIONAL CENTER, AND BORN TO AGE. ALL FOCUS GROUPS TARGETED INDIVIDUALS WHICH WORKED WITH THE MEDICALLY-UNDERSERVED, LOW-INCOME, AND MINORITY TARGET GROUPS.LASTLY, THERE WERE SEVEN SEPARATE FOCUS GROUPS HELD (IN BOTH ENGLISH AND SPANISH) IN WHICH 63 INDIVIDUALS PARTICIPATED ON THE FOLLOWING DATES: 9/26/2018, 10/1/2018, 10/5/2018, 10/5/2018, 10/5/2018, 10/8/2018, AND 10/8/2018. ALL FOCUS GROUPS INCLUDED INDIVIDUALS FROM THE MEDICAL-UNDERSERVED, LOW-INCOME, AND MINORITY TARGET GROUPS. |
| GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 6A: | THE ORGANIZATION CONDUCTED ITS CHNA IN CONJUNCTION WITH THE SOLANO COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE (SOLANO CHNA COLLABORATIVE) WHICH INCLUDED THE FOLLOWING HOSPITAL FACILITIES (OTHER THAN THE ORGANIZATION ITSELF): (I) KAISER FOUNDATION AND (II) SUTTER HEALTH. |
| GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 6B: | THE OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES WHICH PARTNERED WITH THE ORGANIZATION TO COMPLETE THE CHNA INCLUDE: (I) SOLANO COUNTY HEALTH AND SOCIAL SERVICES AND (II) COMMUNITY HEALTH INSIGHTS. ADDITIONALLY, THE ORGANIZATION CONSULTED WITH HARDER+COMPANY COMMUNITY RESEARCH, A SOCIAL RESEARCH AND PLANNING FIRM WHICH ASSISTS IN PLANNING, EVALUATING, AND IMPROVING SERVICES FOR VULNERABLE POPULATIONS. |
| GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 7D: | THE REPORT IS ALSO AVAILABLE ON THE WEBSITES OF SOLANO COUNTY HEALTH AND SOCIAL SERVICES AS WELL AS THE SOLANO COALITION FOR BETTER HEALTH, AND CAN BE REQUESTED IN HARD COPY FROM THOSE AGENCIES. |
| GROUP A-FACILITY 1 -- NORTHBAY HEALTHCARE GROUP PART V, SECTION B, LINE 11: | FOR THE PURPOSES OF THE CHNA, NORTHBAY HEALTHCARE DEFINES A "HEALTH NEED" AS A HEALTH OUTCOME AND/OR THE RELATED CONDITIONS THAT CONTRIBUTE TO A DEFINED HEALTH NEED. HEALTH NEEDS ARE IDENTIFIED BY THE COMPREHENSIVE IDENTIFICATION, INTERPRETATION, AND ANALYSIS OF A ROBUST SET OF PRIMARY AND SECONDARY DATA.THE FOLLOWING SEVEN HEALTH NEEDS WERE DETERMINED TO BE SIGNIFICANT (IN PRIORITIZED ORDER):1. ECONOMIC SECURITY: ECONOMIC SECURITY MEANS HAVING THE FINANCIAL RESOURCES, PUBLIC SUPPORTS, CAREER AND EDUCATIONAL OPPORTUNITIES, AND HOUSING NECESSARY TO BE ABLE TO LIVE YOUR FULLEST LIFE. 2. BEHAVIORAL HEALTH: BEHAVIORAL HEALTH IS THE FOUNDATION FOR HEALTHY LIVING AND ENCOMPASSES MENTAL ILLNESS, SUBSTANCE USE AND OVERDOSES, AND ACCESS TO SERVICE PROVIDERS FOR PREVENTIVE CARE AND TREATMENT. 3. ACCESS TO CARE: ACCESS TO QUALITY HEALTH CARE INCLUDES AFFORDABLE HEALTH INSURANCE, USE OF PREVENTIVE CARE, AND ULTIMATELY REDUCED RISK OF UNNECESSARY DISABILITY AND PREMATURE DEATH. 4. HEAL: HEALTHY EATING AND ACTIVE LIVING (HEAL) RELATES TO FAIRFIELD/VACAVILLE SERVICE AREA RESIDENTS' ABILITY TO SHAPE THEIR HEALTH OUTCOMES THROUGH NUTRITION AND PHYSICAL ACTIVITY. 5. VIOLENCE AND INJURY PREVENTION: DIRECT AND INDIRECT EXPOSURE TO VIOLENCE AND INJURY, SUCH AS DOMESTIC AND COMMUNITY VIOLENCE, HAVE SIGNIFICANT EFFECTS ON WELL-BEING AND HEALTH. 6. HOUSING: ACCESS TO SAFE, SECURE, AND AFFORDABLE HOUSING IS AN IMPORTANT SOCIAL DETERMINANT OF HEALTH. FAMILIES WITH FEWER FINANCIAL RESOURCES ARE MORE LIKELY TO EXPERIENCE SUBSTANDARD HOUSING CONDITIONS AND THE ASSOCIATED RISKS. 7. MATERNAL & INFANT HEALTH: MOTHERS IN THE FAIRFIELD/VACAVILLE SERVICE AREA FACE MANY BARRIERS RELATED TO THEIR OWN WELL-BEING AND THAT OF THEIR CHILDREN.TO COMBAT THE HEALTH NEED OF ECONOMIC SECURITY, NORTHBAY HEALTHCARE INTENDS ON: (I) FURTHERING THE GOALS OF MOVING SOLANO FORWARD, A PROGRAM OPERATED BY THE SOLANO ECONOMIC DEVELOPMENT CORP., WHICH SEEKS BUSINESS ATTRACTION AND JOB CREATION, BY BEING A LEADING FINANCIAL SUPPORTER AND BY PARTICIPATING ON THE BOARD OF DIRECTORS OF THE SOLANO EDC ADVOCACY COUNCIL; (II) HELP THE LOCAL BUSINESS COMMUNITY FLOURISH AND RETAIN EXISTING JOBS BY BEING A FINANCIAL SUPPORTER AND PARTICIPATE ON THE BOARD OF DIRECTORS OF MOST OF THE NINE CHAMBERS OF COMMERCE'S IN SOLANO COUNTY AND BY CONDUCTING JOB AND RECRUITMENT FAIRS TO CONNECT THE UNEMPLOYED TO BUSINESSES THAT ARE HIRING; (III) CONDUCT A WEEKEND HEALTH AND RESOURCE FAIR FOR FAMILIES IN DISADVANTAGED NEIGHBORHOODS; (IV) FINANCIALLY SUPPORT THE PROGRAMS OF THE RAY KROC CENTER IN THE LOW-INCOME NEIGHBORHOODS OF SUISUN CITY OPERATED BY THE SALVATION ARMY; AND (V) THROUGH A COMMUNITY BENEFIT GRANT, ASSIST THE VACAVILLE NEIGHBORHOOD BOYS & GIRLS CLUB WITH PROGRAMS TO ASSIST LOW-INCOME FAMILIES BY PROVIDING AN OUT-OF-SCHOOL PLACE THAT OFFERS LIFE-ENHANCING EXPERIENCES, INCLUDING HEALTH MEALS AND ACTIVITIES.TO COMBAT THE HEALTH NEED OF BEHAVIORAL HEALTH, NORTHBAY HEALTHCARE INTENDS ON: (I) WORKING WITH SOLANO COUNTY HEALTH & SOCIAL SERVICES AS IT CONSTRUCTS A NEW MENTAL HEALTH SERVICES UNIT ON BECK AVENUE IN FAIRFIELD; (II) INCREASE THE PATIENT CONTACTS FOR BEHAVIORAL HEALTH SERVICES IN BOTH THE INPATIENT AND OUTPATIENT SETTINGS, CONNECTING THEM DIRECTLY TO COUNTY AND COMMUNITY RESOURCES; AND (III) PROVIDE A GRANT TO HORSEPLAY THERAPEUTIC RIDING CENTER, WHICH OFFERS A YEAR-ROUND RECREATIONAL RIDING PROGRAM FOR SPECIAL NEEDS CHILDREN AND ADULTS.TO COMBAT THE HEALTH NEED OF ACCESS TO CARE, NORTHBAY HEALTHCARE INTENDS ON: (I) PARTNERING WITH OLE HEALTH, A FEDERAL QUALIFIED HEALTH CENTER, BY PROVIDING 2,000 SQUARE FEET OF CLINIC SPACE TO OLE HEALTH ON THE CAMPUS OF NORTHBAY MEDICAL CENTER, WHICH WILL REDUCE UTILIZATION OF EMERGENCY ROOM RESOURCES AND RESULT IN BETTER OUTCOMES FOR PATIENTS OF OLE HEALTH WHO REQUIRE HOSPITALIZATION; (II) PROVIDE ACCESS TO CARE FOR AS MANY OF THOSE WHO CANNOT AFFORD THE COST AS POSSIBLE VIA THE ORGANIZATION'S CHARITY CARE PROGRAM; (III) INCREASE THE ADMISSION OF HOSPICE PATIENTS BY 5% IN 2020, EXTENDING THE PROGRAM'S REACH IN SOLANO COUNTY, WHILE EXPANDING THE POOL OF STAFF AND VOLUNTEERS TO ENSURE CAPACITY; AND (IV) CONTINUING TO OPERATE THE NORTHBAY ADULT DAY CENTER, WHICH OFFERS CLIENTS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS THE OPPORTUNITY TO SOCIALIZE AND PARTICIPATE IN STIMULATING ACTIVITIES.TO COMBAT THE HEALTH NEED OF HEALTHY EATING AND ACTIVE LIVING, NORTHBAY HEALTHCARE INTENDS ON: (I) CONDUCTING COMMUNITY OUTREACH INITIATIVES TO AFFECT THE PUBLIC'S BEHAVIOR IN ORDER TO REDUCE THE INCIDENCE AND PREVALENCE OF CARDIOVASCULAR DISEASES, AS WELL AS OFFERING HANDS-ONLY CPR AND AUTOMATED DEFIBRILLATION EDUCATION TO A LOCAL BUSINESS AND LOCAL SCHOOL; (II) PROVIDE FINANCIAL ASSISTANCE TO MEALS ON WHEELS, WHICH SUPPORTS SENIOR INDEPENDENCE, HEALTH, AND WELL-BEING BY REGULARLY PROVIDING NUTRITIOUS MEALS AND HUMAN CONNECTION; (III) PROVIDE GRANT FUNDING FOR THE FAIRFIELD CERTIFIED FARMERS' MARKET, WHICH WILL HELP FUND A 2-FOR-1 MATCHING PROGRAM THAT PROVIDES NEEDY FAMILIES AN ADDITIONAL $10 PER MONTH, WHICH INCREASES ACCESS TO HEALTH FOODS; AND (IV) PROVIDE A GRANT TO SOLANO LAND TRUST, WHICH WILL CONDUCT OUTDOOR EDUCATION PROGRAMS, DOCENT-LED TOURS AND COMMUNITY EVENTS TO CONNECT SCHOOL CHILDREN AND THEIR FAMILIES TO NATURE.TO COMBAT THE HEALTH NEED OF VIOLENCE AND INJURY PREVENTION, NORTHBAY HEALTHCARE INTENDS ON: (I) PROVIDING A BUILDING FACILITY FOR THE PROGRAMS OF THE LEAVEN (A NON-PROFIT ORGANIZATION WHICH BRINGS AFTER-SCHOOL MENTORING AND TUTORING PROGRAMS AS A REVITALIZATION TOOL TO STRUGGLING NEIGHBORHOODS), AS WELL AS BY COVERING ALL OPERATIONAL COSTS; (II) SUPPORTING AND PARTNERING WITH THE ROBBY POBLETE FOUNDATION, WHICH OPERATES A FIREARMS BUYBACK EVENT, WITH THE GOAL OF GETTING AT LEAST 150 WEAPONS OFF THE STREET AS WELL AS OFFERING SCHOLARSHIPS TO INDIVIDUALS SEEKING A CAREER PATHWAY AWAY FROM A LIFE OF CRIME; AND (III) PROVIDE FINANCIAL ASSISTANCE TO THE JIM CAPOOT "CHARGE ON" FOUNDATION, WHICH BRINGS YOUTH UNDER THE SUPERVISION AND POSITIVE INFLUENCE OF A LAW ENFORCEMENT AGENCY AND EXPANDS PUBLIC AWARENESS ABOUT THE ROLE OF A POLICE OFFICER AND REINFORCEMENT OF THE RESPONSIBLE VALUES AND ATTITUDES INSTILLED IN YOUNG PEOPLE BY THEIR PARENTS.TO COMBAT THE HEALTH NEED OF HOUSING, NORTHBAY HEALTHCARE INTENDS ON: (I) PROVIDING FINANCIAL SUPPORT TO SOLANO DREAM CENTER, WHICH PROVIDES HOMELESS INDIVIDUALS WITH EMERGENCY SHELTER AND CONNECTIONS TO EMPLOYMENT ASSISTANCE AND OTHER SERVICES; (II) PROVIDE COMMUNITY BENEFIT GRANT FUNDING TO SUSTAIN A PROGRAM PROVIDING A SAFE ENVIRONMENT FOR HOMELESS OR NEAR-HOMELESS PATIENTS WHO ARE READY FOR DISCHARGE, CONNECTING THEM WITH PRIMARY CARE, LONG-TERM HOUSING, AND OTHER RESOURCES; (III) PROVIDE $150,000 IN START-UP FUNDING FOR THE VALLEJO NAVIGATION CENTER, WHICH WILL PROVIDE ACCESS TO TEMPORARY HOUSING AND WRAP-AROUND SERVICES TO SUPPORT MEN AND WOMEN LIVING UNSHELTERED IN THE CITY OF VALLEJO; AND (IV) THROUGH A COMMUNITY BENEFIT GRANT, ASSIST IN THE FUNDING OF A GROUP HOUSING PROJECT IN THE CITY OF RIO VISTA FOR HOMELESS VETERANS, WHICH WILL SERVE SIX TO EIGHT HOMELESS VETERANS, CONNECTING THEM TO VA SERVICES, EMPLOYMENT ASSISTANCE, AND HEALTH CARE SERVICES.TO COMBAT THE HEALTH NEED OF MATERNAL & INFANT HEALTH, NORTHBAY HEALTHCARE WILL PARTICIPATE IN CALIFORNIA PERINATAL QUALITY CARE COLLABORATIVE (CPQCC) AND CALIFORNIA MATERNAL QUALITY CARE COLLABORATIVE (CMQCC) TO HELP ADDRESS THE OPIOID USE EPIDEMIC AS IT HAS IMPACTED FAMILIES IN SOLANO COUNTY. NORTHBAY WOMEN AND CHILDREN'S SERVICES PROVIDERS WILL ENCOURAGE NON-PHARMACOLOGIC TREATMENT FOR NEONATAL ABSTINENCE SYNDROME (NAS) WHERE APPROPRIATE BASED ON EVIDENCE DEMONSTRATING ITS SUPERIORITY.NORTHBAY HEALTHCARE, IN ITS 2020 IMPLEMENTATION STRATEGY, ADDRESSES EACH OF THE SEVEN PRIORITIZED NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 53 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (53 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - CENTER FOR PRIMARY CARE FAIRFIELD | |||||
| 2458 HILLBORN ROAD | FAIRFIELD | CA | 94534 | PRIMARY CARE CLINIC | |
| 2 - CENTER FOR PRIMARY CARE GREEN VALLEY | |||||
| 4520 BUSINESS CENTER DRIVE | FAIRFIELD | CA | 94534 | PRIMARY CARE CLINIC | |
| 3 - CENTER FOR PRIMARY CARE VACAVILLE | |||||
| 421 NUT TREE ROAD | VACAVILLE | CA | 95687 | PRIMARY CARE CLINIC | |
| 4 - BREAST CANCER PROGRAM | |||||
| 1020 NUT TREE ROAD | VACAVILLE | CA | 95687 | BREAST CANCER CENTER | |
| 5 - CANCER CENTER MEDICAL ONCOLOGY | |||||
| 1020 NUT TREE ROAD SUITE 390 | VACAVILLE | CA | 95687 | CANCER CENTER | |
| 6 - CANCER CENTER RADIATION ONCOLOGY | |||||
| 1020 NUT TREE ROAD SUITE 190 | VACAVILLE | CA | 95687 | CANCER CENTER | |
| 7 - CARDIAC & PULMONARY REHABILITATION | |||||
| 1020 NUT TREE ROAD SUITE 250 | VACAVILLE | CA | 95687 | CARDIAC REHAB CENTER | |
| 8 - CENTER FOR WOMEN'S HEALTH | |||||
| 1860 PENNSYLVANIA AVENUE SUITE 300 | FAIRFIELD | CA | 94533 | WOMEN'S HEALTH | |
| 9 - DIAGNOSTIC IMAGING FAIRFIELD | |||||
| 1101 B GALE WILSON BOULEVARD | FAIRFIELD | CA | 94533 | DIAGNOSTIC IMAGING | |
| 10 - DIAGNOSTIC IMAGING VACAVILLE | |||||
| 1020 NUT TREE ROAD SUITE 150 | VACAVILLE | CA | 95687 | DIAGNOSTIC IMAGING | |
| 11 - EAR NOSE AND THROAT | |||||
| 1860 PENNSYLVANIA AVE SUITE 305 | FAIRFIELD | CA | 94533 | OUTPATIENT CLINIC | |
| 12 - GASTROENTEROLOGY FAIRFIELD | |||||
| 4520 BUSINESS CENTER DRIVE | FAIRFIELD | CA | 94534 | OUTPATIENT CLINIC | |
| 13 - GASTROENTEROLOGY VACAVILLE | |||||
| 1010 NUT TREE ROAD SUITE 100 | VACAVILLE | CA | 95687 | OUTPATIENT CLINIC | |
| 14 - HEALTHSPRING FITNESS | |||||
| 1020 NUT TREE ROAD SUITE 100 | VACAVILLE | CA | 95687 | OUTPATIENT FITNESS CENTER | |
| 15 - HEART AND VASCULAR CENTER FAIRFIELD | |||||
| 1860 PENNSYLVANIA AVE SUITE 120 | FAIRFIELD | CA | 94533 | OUTPATIENT CLINIC | |
| 16 - HEART AND VASCULAR CENTER GREEN VALLEY | |||||
| 4520 BUSINESS CENTER DRIVE SUITE | FAIRFIELD | CA | 94534 | OUTPATIENT CLINIC | 200 |
| 17 - HEART AND VASCULAR CENTER VACAVILLE | |||||
| 1020 NUT TREE ROAD SUITE 290 | VACAVILLE | CA | 95687 | OUTPATIENT CLINIC | |
| 18 - HOME HEALTH | |||||
| 2470 HILBORN ROAD SUITE 240 | FAIRFIELD | CA | 94534 | HOME HEALTH CLINIC | |
| 19 - HOSPICE & BEREAVEMENT | |||||
| 2470 HILBORN ROAD SUITE 240 | FAIRFIELD | CA | 94534 | HOSPICE & BEREAVEMENT | |
| 20 - INFECTIOUS DISEASE | |||||
| 1010 NUT TREE ROAD SUITE 100B | VACAVILLE | CA | 95687 | INFECTIOUS DISEASE CLINIC | |
| 21 - LACTATION SUPPORT | |||||
| 1860 PENNSYLVANIA AVENUE SUITE 310 | FAIRFIELD | CA | 94533 | OUTPATIENT MATERNITY CLINIC | |
| 22 - NEUROSCIENCE FAIRFIELD | |||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 94533 | NEUROSCIENCE CLINIC | |
| 23 - NEUROSCIENCE VACAVILLE | |||||
| 1010 NUT TREE ROAD SUITE 100-B | VACAVILLE | CA | 95687 | NEUROSCIENCE CLINIC | |
| 24 - NEUROSCIENCE VACAVILLE (SPINE PROGRAM) | |||||
| 1020 NUT TREE ROAD 2ND FLOOR | VACAVILLE | CA | 95687 | NEUROSCIENCE CLINIC | |
| 25 - OCCUPATIONAL HEALTH FAIRFIELD | |||||
| 2470 HILLBORN ROAD SUITE 100 | FAIRFIELD | CA | 94534 | OCCUPATIONAL HEALTH CLINIC | |
| 26 - OCCUPATIONAL HEALTH VACAVILLE | |||||
| 1679 E MONTE VISTA AVE SUITE 104 | VACAVILLE | CA | 95688 | OCCUPATIONAL HEALTH CLINIC | |
| 27 - ORTHOPEDICS FAIRFIELD | |||||
| 2500 HILLBORN ROAD | FAIRFIELD | CA | 94534 | OUTPATIENT ORTHOPEDIC CLINIC | |
| 28 - ORTHOPEDICS VACAVILLE | |||||
| 1010 NUT TREE ROAD SUITE 200 | VACAVILLE | CA | 95687 | OUTPATIENT ORTHOPEDIC CLINIC | |
| 29 - OSTEOPATHIC MANIPULATIVE MEDICINE | |||||
| 1020 NUT TREE ROAD SUITE 290 | VACAVILLE | CA | 95687 | OSTEOPATHIC MEDICINE CLINIC | |
| 30 - PAIN MANAGEMENT FAIRFIELD | |||||
| 1860 PENNSYLVANIA AVENUE SUITE 310 | FAIRFIELD | CA | 94533 | PAIN MANAGEMENT CLINIC | |
| 31 - PAIN MANAGEMENT VACAVILLE | |||||
| 1020 NUT TREE ROAD SUITE 270 | VACAVILLE | CA | 95687 | PAIN MANAGEMENT CLINIC | |
| 32 - PHYSICALOCCUPATIONAL THERAPY FAIRFIELD | |||||
| 2500 HILLBORN ROAD | FAIRFIELD | CA | 94534 | PHYSICAL/OCCUPATIOAL THERAPY CLINIC | |
| 33 - PHYSICALOCCUPATIONAL THERAPY VACAVILLE | |||||
| 1020 NUT TREE ROAD SUITE 260 | VACAVILLE | CA | 95687 | PHYSICAL/OCCUPATIOAL THERAPY CLINIC | |
| 34 - PODIATRY FAIRFIELD | |||||
| 2500 HILLBORN ROAD | FAIRFIELD | CA | 94534 | OUTPATIENT PODIATRY CLINIC | |
| 35 - PODIATRY VACAVILLE | |||||
| 1010 NUT TREE ROAD | VACAVILLE | CA | 95687 | OUTPATIENT PODIATRY CLINIC | |
| 36 - PULMONARY MEDICINE FAIRFIELD | |||||
| 1860 PENNSYLVANIA AVENUE SUITE 200 | FAIRFIELD | CA | 94533 | PULMONARY MEDICINE CLINIC | |
| 37 - PULMONARY MEDICINE SLEEP MEDICINE CLINIC | |||||
| 2458 HILLBORN ROAD | FAIRFIELD | CA | 94534 | PULMONARY MEDICINE CLINIC | |
| 38 - PULMONARY MEDICINE VACAVILLE | |||||
| 1010 NUT TREE ROAD SUITE 100 | VACAVILLE | CA | 95687 | PULMONARY MEDICINE CLINIC | |
| 39 - RHEUMATOLOGY | |||||
| 1010 NUT TREE ROAD SUITE 200 | VACAVILLE | CA | 95687 | RHEUMATOLOGY CLINIC | |
| 40 - SPECIALTY PHARMACY | |||||
| 1020 NUT TREE ROAD | VACAVILLE | CA | 95687 | SPECIALTY PHARMACY | |
| 41 - SPECIALTY PRACTICES FAIRFIELD | |||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 94533 | SPECIALTY OUTPATIENT CLINIC | |
| 42 - SPECIALTY PRACTICES VACAVILLE | |||||
| 1010 NUT TREE ROAD | VACAVILLE | CA | 95687 | SPECIALTY OUTPATIENT CLINIC | |
| 43 - SPEECH THERAPY | |||||
| 2500 HILBORN ROAD | FAIRFIELD | CA | 94534 | SPEECH THERAPY CLINIC | |
| 44 - SPINE PROGRAM | |||||
| 1020 NUT TREE ROAD SUITE 270 | VACAVILLE | CA | 95687 | OUTPATIENT SPINE CLINIC | |
| 45 - SURGERY CENTER AT VACAVALLEY | |||||
| 1006 NUT TREE ROAD | VACAVILLE | CA | 95687 | OUTPATIENT SURGERY CENTER | |
| 46 - VACAVALLEY HEALTH PLAZA | |||||
| 1010 NUT TREE ROAD | VACAVILLE | CA | 95687 | HEALTH PLAZA | |
| 47 - URGENT CARE FAIRFIELD | |||||
| 1320 TRAVIS BLVD SUITE C | FAIRFIELD | CA | 94533 | URGENT CARE CLINIC | |
| 48 - URGENT CARE VACAVILLE | |||||
| 1679 E MONTE VISTA AVE SUITE 104 | VACAVILLE | CA | 95688 | URGENT CARE CLINIC | |
| 49 - UROLOGY FAIRFIELD | |||||
| 1860 PENNSYLVANIA AVENUE SUITE 200 | FAIRFIELD | CA | 94533 | UROLOGY CLINIC | |
| 50 - UROLOGY NAPA | |||||
| 3520 BEAR ROAD | NAPA | CA | 94558 | UROLOGY CLINIC | |
| 51 - WOMEN'S DIAGNOSTIC IMAGING FAIRFIELD | |||||
| 1101 B GALE WILSON BOULEVARD SUITE | FAIRFIELD | CA | 94533 | WOMEN'S DIAGNOSTIC IMAGING CLINIC | 100 |
| 52 - WOMEN'S DIAGNOSTIC IMAGING VACAVILLE | |||||
| 1020 NUT TREE ROAD SUITE 150 | VACAVILLE | CA | 95687 | WOMEN'S DIAGNOSTIC IMAGING CLINIC | |
| 53 - WOUND CARE | |||||
| 1010 NUT TREE ROAD SUITE 100 | VACAVILLE | CA | 95687 | WOUND CARE CLINIC | |
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: | PHYSICAL IMPROVEMENTS AND HOUSING - NORTHBAY DONATED FUNDS TO PROVIDE OR REHABILITATE HOUSING FOR VULNERABLE POPULATIONS WHICH WILL BE USED FOR NEW INITIATIVES THAT RELATE TO HOMELESSNESS. THIS INCLUDES FUNDING TO THE SOLANO DREAM CENTER, WHOSE MISSION IS TO TRANSFORM OTHERS SUFFERING FROM ADDITION, DOMESTIC, VIOLENCE, HOMELESSNESS AND TRAUMA.ECONOMIC DEVELOPMENT - SUPPORT FOR CHILD HAVEN, CHILDREN'S NETWORK, THE LEAVEN, MISSION SOLANO, WE CARE FOR CHILDREN SOLANO, AND MEALS ON WHEELS, WHICH COMPRISE A NETWORK OF SUPPORT FOR VULNERABLE POPULATIONS IN OUR COMMUNITY. SERVICES INCLUDE A HAVEN FOR ABUSED AND ABANDONED CHILDREN, EARLY CHILDHOOD EDUCATION, AN AFTER-SCHOOL MENTORING PROGRAM FOR CHILDREN LIVING IN UNDERSERVED NEIGHBORHOODS AND SHELTER AND WRAP-AROUND SERVICES FOR THE HOMELESS.COMMUNITY SUPPORT - FINANCIAL SUPPORT INCLUDES FOR ADOPT-A-SCHOOL, SALVATION ARMY KROC CENTER, VACAVILLE BOYS AND GIRLS CLUB, VACAVILLE CHRISTMAS WISH, AND THE WELLNESS CHALLENGE AT MARKHAM ELEMENTARY.COALITION BUILDING - SOLANO COALITION FOR BETTER HEALTH IS A CONSORTIUM OF LOCAL HEALTH CARE SYSTEMS, THE COUNTY, NON-PROFIT SOCIAL SERVICE AGENCIES AND COMMUNITY CLINIC NETWORKS THAT WORK TOGETHER TO ASSESS THE COMMUNITY HEALTH NEEDS AND COLLABORATE TO MEET THEM. |
| 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 9 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: | IN PARTNERSHIP WITH THE SOLANO COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE, A NEEDS ASSESSMENT WAS CONDUCTED IN 2019. IT RESULTED IN A DETAILED LIST OF PRIORITY HEALTH NEEDS, INCLUDING A DESCRIPTION OF UNWANTED HEALTH OUTCOMES AND ASSOCIATED DRIVERS. THE NEEDS ASSESSMENT IS AVAILABLE ON THE WEBSITE, WWW.NORTHBAY.ORG. 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: | THE NORTHBAY HEALTHCARE SERVICE AREA INCLUDES ALL OF SOLANO COUNTY COMMUNITIES WITH A CONCENTRATION OF RESIDENTS IN THE CENTRAL SOLANO COMMUNITIES OF FAIRFIELD, SUISUN CITY, AND VACAVILLE. NORTHBAY HEALTHCARE IS CENTRALLY LOCATED ALONG THE INTERSTATE 80 CORRIDOR IN SOLANO COUNTY.THE TOTAL POPULATION IN THE SERVICE AREA IS ESTIMATED AT 287,540; OF THIS POPULATION 43.7% IDENTIFIES AS NON-HISPANIC WHITE, 27.52% IDENTIFIES AS HISPANIC OR LATINO, 11.4% IDENTIFIES AS ASIAN, 11.1% IDENTIFIES AS BLACK OR AFRICAN AMERICAN, 5.3% IDENTIFIES WITH MULTIPLES RACES, .3% IDENTIFIES AS NATIVE AMERICAN/ALASKAN NATIVE, .8% IDENTIFIES AS HAWAIIAN/PACIFIC ISLANDER, AND .2% IDENTIFIES AS SOME OTHER RACE.WITHIN THE SERVICE AREA, 11.3% OF THE TOTAL POPULATION IS LIVING IN POVERTY (<100% FEDERAL POVERTY LEVEL), WITH 16.6% OF THE CHILDREN IN THE SERVICE AREA LIVING IN POVERTY. THE UNEMPLOYMENT RATE IS 3.9%, WITH 8.5% OF THE POPULATION UNINSURED. ADULTS WITH NO HIGH SCHOOL DIPLOMA MAKE UP 13.5% OF THE POPULATION. |
| 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. UP TO 30 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 | $50,000 | 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 2019 NORTHBAY HEALTHCARE GROUP COMMUNITY HEALTH NEEDS ASSESSMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 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 / PRES. & CEO OF NBHC | $0 | $721,606 | $0 | $946,747 | $0 | $43,908 | $0 | $372,149 | $0 | $36,806 | $0 | $2,121,216 | $0 | $0 |
| AIMEE BREWER | ||||||||||||||
| PRESIDENT, NBHG (THROUGH 9/2021) | $0 | $418,381 | $0 | $156,975 | $0 | $108,822 | $0 | $68,598 | $0 | $41,019 | $0 | $793,795 | $0 | $0 |
| WAYNE GIETZ | ||||||||||||||
| PRESIDENT, NBHG (START 9/2021) | $0 | $391,227 | $0 | $222,897 | $0 | $9,314 | $0 | $56,396 | $0 | $26,025 | $0 | $705,859 | $0 | $0 |
| JIM ANDERSEN | ||||||||||||||
| VP, HUMAN RESOURCES | $0 | $452,158 | $0 | $86,112 | $0 | $20,535 | $0 | $58,091 | $0 | $14,171 | $0 | $631,067 | $0 | $0 |
| CHRISTOPHER TIMBERS | ||||||||||||||
| VP, CHIEF INFORMATION OFFICER | $0 | $390,355 | $0 | $80,499 | $0 | $13,743 | $0 | $65,082 | $0 | $61,734 | $0 | $611,413 | $0 | $0 |
| MICHELE BOUIT | ||||||||||||||
| VICE PRESIDENT & CFO | $0 | $449,101 | $0 | $43,126 | $0 | $19,917 | $0 | $80,770 | $0 | $7,246 | $0 | $600,160 | $0 | $0 |
| SCOTT DAVIS | ||||||||||||||
| VP, CHIEF STRATEGY OFFICER | $0 | $414,897 | $0 | $80,499 | $0 | $13,743 | $0 | $24,669 | $0 | $50,962 | $0 | $584,770 | $0 | $0 |
| SETH KAUFMAN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $403,348 | $0 | $45,989 | $0 | $6,952 | $0 | $5,811 | $0 | $58,902 | $0 | $521,002 | $0 | $0 |
| TRACI DUNCAN | ||||||||||||||
| VP, CHIEF NURSING OFFICER | $0 | $348,150 | $0 | $80,075 | $0 | $49,444 | $0 | $19,191 | $0 | $16,740 | $0 | $513,600 | $0 | $27,852 |
| ROBERT COSCIONE | ||||||||||||||
| VP, PAYER STRATEGY (THRU 8/2021) | $0 | $230,179 | $0 | $80,500 | $0 | $107,783 | $0 | $49,035 | $0 | $8,042 | $0 | $475,539 | $0 | $0 |
| STEVE HUDDLESTON | ||||||||||||||
| VP, PUBLIC AFFAIRS | $0 | $173,117 | $0 | $73,913 | $0 | $171,438 | $0 | $28,150 | $0 | $21,980 | $0 | $468,598 | $0 | $24,331 |
| THERESA BARTOLI | ||||||||||||||
| CLINICAL COORDINATOR | $0 | $334,520 | $0 | $1,798 | $0 | $0 | $0 | $15,032 | $0 | $50,955 | $0 | $402,305 | $0 | $0 |
| AROLD NELSON | ||||||||||||||
| CLINICAL NURSE SUPERVISOR | $0 | $329,495 | $0 | $2,478 | $0 | $7,308 | $0 | $7,289 | $0 | $49,391 | $0 | $395,961 | $0 | $0 |
| THEO RALLIS | ||||||||||||||
| ASSISTANT VP, FINANCE / CONTROLLER | $0 | $236,133 | $0 | $98,670 | $0 | $1,230 | $0 | $17,395 | $0 | $31,996 | $0 | $385,424 | $0 | $0 |
| NICOLE BROCATO | ||||||||||||||
| VP, OPERATIONS / CQO (THRU 8/2021) | $0 | $214,768 | $0 | $79,333 | $0 | $14,397 | $0 | $27,865 | $0 | $47,822 | $0 | $384,185 | $0 | $0 |
| DUSTIN DATOC | ||||||||||||||
| REGISTERED NURSE FIRST ASSISTANT | $0 | $315,596 | $0 | $237 | $0 | $0 | $0 | $5,647 | $0 | $51,310 | $0 | $372,790 | $0 | $0 |
| JOANNE JACOB | ||||||||||||||
| CLINICAL COORDINATOR | $0 | $319,385 | $0 | $2,107 | $0 | $0 | $0 | $14,356 | $0 | $428 | $0 | $336,276 | $0 | $0 |
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, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A RELATED ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN DURING THE 2021 CALENDAR YEAR ARE AS FOLLOWS, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): B. KONARD JONES - $361,640 AIMEE BREWER - $57,838 WAYNE GIETZ - $45,292 JIM ANDERSEN - $48,777 CHRISTOPHER TIMBERS - $54,058 MICHELE BOUIT - $78,001 SCOTT DAVIS - $19,500 TRACI DUNCAN - $8,127 ROBERT COSCIONE - $43,495 STEVE HUDDLESTON - $7,277 NICOLE BROCATO - $19,413 ADDITIONALLY, DUE TO VESTING OF THE 457(F) RETIREMENT PLAN, THE FOLLOWING INDIVIDUALS RECEOGNIZED 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): TRACI DUNCAN - $27,852 STEVE HUDDLESTON - $24,331 |
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 | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,395,000 | $35,074,656 | $2,243,032 | $696,185 | $32,135,439 | 2016 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $12,780,000 | $40,703,644 | $3,749,641 | $796,405 | Yes (1) | 0 | Yes (1) | Yes (1) | $35,230,319 | $927,279 | ||
| C | $200,000 | $216,342,782 | $15,474,608 | $3,561,472 | $172,968,172 | 0 | 0 | Yes (1) | Yes (1) | $24,338,530 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 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: 11/01/2019 ISSUER NAME: CALIFORNIA MUNICIPAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2019 |
| 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 PROCEEDS (FOR EACH BOND) AS WELL AS UNSPENT PROCEEDS FROM PREVIOUSLY DEFEASED BONDS FOR THE 2016 BOND. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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/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 81,586,202. MANAGEMENT AND GENERAL EXPENSES 75,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,661,202. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 27,756,421. MANAGEMENT AND GENERAL EXPENSES 396,619. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,153,040. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 32,700,542. MANAGEMENT AND GENERAL EXPENSES 12,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,713,372. |
| FORM 990, PART XI, LINE 9: | RELIEF OF INTERCOMPANY RECEIVABLES 18,873,362. REVERSAL OF PRIOR YEAR CONTRIBUTION REVENUE -151,332. |
| FORM 990, PART V, LINE 2A: | ALL FORM W-2S FOR NORTHBAY HEALTHCARE SYSTEM WERE FILED BY NORTHBAY HEALTHCARE CORPORATION, A RELATED ORGANIZATION OF NORTHBAY HEALTHCARE CORPORATION, WHICH IS THE BASIS FOR THE REPORTING OF "ZERO" AS THE NUMBER OF EMPLOYEES REPORTED ON FORM 990, PART V, LINE 2A. |
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 | $5,962,347 | TotalIncomeAmt |
| End Of Year Assets | $1,286,750 | 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | 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 |