STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

NORTHBAY HEALTHCARE CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
NORTHBAY HEALTHCARE CORPORATION (EIN 68-0046750)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202013189349308126
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T13:51:38-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET SUITE 900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680046750EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHBAY HEALTHCARE CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone7076463400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 BUSINESS CENTER DRIVEAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94534ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE BOUITPersonNm
Person TitleVP, FINANCE/CFOPersonTitleTxt
Phone7076463400PhoneNum
Signature2020-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL LUMSDENPreparerPersonNm
PTINP01262236PTIN
Phone4159561500PhoneNum
Preparation2020-11-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address76.14.38.113IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-08IPDt
IP Tm13:21:40IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id00C4359F54289D19625D58AABAD73364CEA05A5FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerB KONARD JONESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 BUSINESS CENTER DRIVEAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94534ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$76,466,462GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHBAY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionMANAGEMENT AND OTHER SUPPORT SERVICES FOR NORTHBAY HEALTHCARE AFFILIATED ORGANIZATIONS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee404TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,644PYContributionsGrantsAmt
CY Contributions Grants$14,970CYContributionsGrantsAmt
PY Program Service Revenue$73,756,607PYProgramServiceRevenueAmt
CY Program Service Revenue$76,148,982CYProgramServiceRevenueAmt
PY Investment Income-$16,252PYInvestmentIncomeAmt
CY Investment Income$2,172CYInvestmentIncomeAmt
PY Other Revenue$263,049PYOtherRevenueAmt
CY Other Revenue$185,364CYOtherRevenueAmt
PY Total Revenue$74,012,048PYTotalRevenueAmt
CY Total Revenue$76,351,488CYTotalRevenueAmt
PY Grants And Similar Paid$199,846PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$381,865CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,767,344PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,633,353CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$35,964,446PYOtherExpensesAmt
CY Other Expenses$35,366,296CYOtherExpensesAmt
PY Total Expenses$73,931,636PYTotalExpensesAmt
CY Total Expenses$76,381,514CYTotalExpensesAmt
PY Revenues Less Expenses$80,412PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$30,026CYRevenuesLessExpensesAmt
Total Assets BOY$11,984,483TotalAssetsBOYAmt
Total Assets EOY$23,101,221TotalAssetsEOYAmt
Total Liabilities BOY$17,864,358TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,999,295TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,879,875NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,898,074NetAssetsOrFundBalancesEOYAmt
MissionCOMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$53,227,262ExpenseAmt
Grant$244,865GrantAmt
Revenue$76,148,982RevenueAmt
DescNORTHBAY HEALTHCARE CORPORATION (NBHC) IS THE PARENT ORGANIZATION OF THREE CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATIONS. ONE OF THOSE CORPORATIONS, NORTHBAY HEALTHCARE GROUP, OWNS AND OPERATES NON-PROFIT COMMUNITY HOSPITALS IN FAIRFIELD AND VACAVILLE. THE PURPOSE OF NBHC IS TO SUPPORT AND HELP CARRY OUT THE PURPOSES AND FUNCTIONS OF NORTHBAY HEALTHCARE GROUP, NORTHBAY HEALTH ADVANTAGE, AND NORTHBAY HEALTHCARE FOUNDATION. THIS IS ACCOMPLISHED THROUGH PROVIDING COORDINATION, MANAGEMENT, AND OTHER SUPPORT SERVICES TO THE NON-PROFIT HOSPITALS AND OTHER RELATED COMMUNITY HEALTHCARE PROGRAMS. THESE SERVICES INCLUDE MARKETING, RESEARCH OF NEW CLINICAL SERVICE AREAS, MANAGING CONTRACTS BETWEEN PROVIDERS AND PAYORS, AND FINANCING.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$137,000ExpenseAmt
Grant$137,000GrantAmt
Revenue$0RevenueAmt
DescNORTHBAY GUILD IS THE VOLUNTEER GROUP FOR NORTHBAY HEALTHCARE GROUP. THE PURPOSE OF THE NORTHBAY GUILD IS TO SUPPORT AND HELP CARRY OUT THE PURPOSE AND FUNCTIONS OF NORTHBAY HEALTHCARE GROUP IN PROMOTING THE HEALTH OF THE COMMUNITY. THIS IS ACCOMPLISHED THROUGH PROVIDING FUNDRAISING SUPPORT TO THE NORTHBAY HEALTHCARE FOUNDATION, AS WELL AS SCHOLARSHIPS TO MEMBERS OF THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$53,364,262TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee404EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELE BOUITBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7076463400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 BUSINESS CENTER DRIVEAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94534ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK SIEVERS
CHAIR1.001.00Yes (X)Yes (X)$0$16,055$0
STEPHEN POWER
VICE CHAIR1.000.00Yes (X)Yes (X)$0$16,055$0
MARY MANCINI MD
SECRETARY-TREASURER1.000.00Yes (X)Yes (X)$0$23,697$0
GARY FALATI
DIRECTOR1.001.00Yes (X)$0$8,634$0
G BEN HUBER
DIRECTOR THROUGH 3/20191.000.00Yes (X)$0$0$0
ARCHIE HUMPHREY
DIRECTOR1.001.00Yes (X)$0$16,055$0
CHRISTOPHER SWEENEY
DIRECTOR START 3/20191.000.00Yes (X)$0$23,697$0
MURRAY WOOLF MD
DIRECTOR1.000.00Yes (X)$0$15,991$0
B KONARD JONES
DIRECTOR/PRESIDENT & CEO30.0020.00Yes (X)Yes (X)$998,864$0$377,010
JIM STRONG
INT. VP, FINANCE/CFO THROUGH 11/20198.0042.00Yes (X)$0$0$0
THEO RALLIS
INT. VP, FINANCE/CFO START 11/20198.0042.00Yes (X)$259,354$0$42,806
AIMEE BREWER
PRESIDENT, NORTHBAY HEALTHCARE GROUP0.0050.00$877,234$0$100,917Yes (X)
CHRISTOPHER TIMBERS
VP, CHIEF INFORMATION OFFICER10.0040.00$441,176$0$82,161Yes (X)
JIM ANDERSEN
VP, HUMAN RESOURCES5.0045.00$360,223$0$57,784Yes (X)
STEVE HUDDLESTON
VP, PUBLIC AFFAIRS5.0045.00$457,253$0$44,553Yes (X)
NICOLE BRACATO
VP, CHIEF QUALITY OFFICER0.0050.00$429,579$0$56,709Yes (X)
ELNORA CAMERON
INTERIM MANAGER40.0010.00$384,076$0$26,593Yes (X)
BRETT JOHNSON
PRESIDENT, NORTHBAY HEALTHCARE FOUNDATION0.0050.00$372,203$0$59,696Yes (X)
WAYNE GIETZ
VP, AMBULATORY DIVISION0.0050.00$370,308$0$62,373Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,950,270TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$120,184TotReportableCompRltdOrgAmt
Total Other Compensation$910,602TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K107IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE RATCLIFF ARCHITECTS
5856 DOYLE STREETEMERYVILLECA94608ARCHITECTS$1,566,257
KING & SPAULDING LLP
PO BOX 116133ATLANTAGA303686133LEGAL SERVICES$1,390,985
WIPFLI LLP
PO BOX 3160MILWAUKEEWI532013160CONSULTING SERVICES$756,413
ERNST & YOUNG LLP
PO BOX 846793LOS ANGELESCA900846793CONSULTING SERVICES$686,559
LATHAM & WATKINS
PO BOX 894256LOS ANGELESCA901894256LEGAL SERVICES$486,813
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
All Other Contributions$14,970AllOtherContributionsAmt
Total Contributions$14,970TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT & ADMIN FEES541900$76,032,083$76,032,083
REBATES & REFUNDS900099$116,899$116,899
FieldValueIRS element (for citing)
Total Program Service Revenue$76,148,982TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,172TotalRevenueColumnAmt
Exclusion$2,172ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$48,910RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$48,910RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,910TotalRevenueColumnAmt
Exclusion$48,910ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$202,317GrossSalesOfInventoryAmt
Cost Of Goods Sold$114,974CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,343TotalRevenueColumnAmt
Exclusion$87,343ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$49,111TotalRevenueColumnAmt
Exclusion$49,111ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$49,111OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,351,488TotalRevenueColumnAmt
Related Or Exempt Func Income$76,148,982RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$187,536ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$379,865TotalAmt
Program Services$379,865ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$2,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,570,478TotalAmt
Program Services$20,819,223ProgramServicesAmt
Management And General$10,751,255ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,905,996TotalAmt
Program Services$1,115,236ProgramServicesAmt
Management And General$790,760ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,273,662TotalAmt
Program Services$4,066,179ProgramServicesAmt
Management And General$1,207,483ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,883,217TotalAmt
Program Services$1,395,850ProgramServicesAmt
Management And General$487,367ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,544,994TotalAmt
Program Services$162,925ProgramServicesAmt
Management And General$2,382,069ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$98,649TotalAmt
Management And General$98,649ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,401TotalAmt
Management And General$13,401ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$67,771TotalAmt
Management And General$67,771ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,760,708TotalAmt
Program Services$10,452,229ProgramServicesAmt
Management And General$5,308,479ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$439,777TotalAmt
Program Services$439,641ProgramServicesAmt
Management And General$136ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,112,346TotalAmt
Program Services$952,041ProgramServicesAmt
Management And General$160,305ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,950,100TotalAmt
Program Services$6,917,367ProgramServicesAmt
Management And General$32,733ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,093,194TotalAmt
Program Services$2,798,843ProgramServicesAmt
Management And General$294,351ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$166,324TotalAmt
Program Services$121,191ProgramServicesAmt
Management And General$45,133ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$141,471TotalAmt
Program Services$108,667ProgramServicesAmt
Management And General$32,804ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,496TotalAmt
Program Services$7,244ProgramServicesAmt
Management And General$1,252ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,803,476TotalAmt
Program Services$2,759,028ProgramServicesAmt
Management And General$44,448ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$121,934TotalAmt
Program Services$121,934ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RECRUITING$882,921$277,154$605,767
DUES & SUBSCRIPTIONS$381,679$216,986$164,693
TAXES/LICENSES$28,948$4,902$24,046
MEDICAL SUPPLIES$10,356$9,188$1,168

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$739,751TotalAmt
Program Services$236,569ProgramServicesAmt
Management And General$503,182ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$76,381,514TotalAmt
Program Services$53,364,262ProgramServicesAmt
Management And General$23,017,252ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$182,348BOYAmt
EOY$176,137EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,705BOYAmt
EOY$23,702EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$173,402BOYAmt
EOY$177,537EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,865,331BOYAmt
EOY$3,061,080EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,908,349LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,276,156LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,735,631BOYAmt
EOY$6,632,193EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,962,097BOYAmt
EOY$2,460,160EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt
EOY$100EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$57,869BOYAmt
EOY$10,570,312EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,984,483BOYAmt
EOY$23,101,221EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,999,314BOYAmt
EOY$12,242,794EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$92,036BOYAmt
EOY$236,131EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,773,008BOYAmt
EOY$12,520,370EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,864,358BOYAmt
EOY$24,999,295EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$5,879,895BOYAmt
EOY-$1,898,094EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20BOYAmt
EOY$20EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,879,875BOYAmt
EOY-$1,898,074EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,984,483BOYAmt
EOY$23,101,221EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$30,026ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,011,827OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTHBAY HEALTHCARE GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN941458282EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, SECTION C, LINE 1:FormAndLineReferenceDesc
ExplanationNORTHBAY HEALTHCARE CORPORATION (NBHC) IS THE SOLE CORPORATE MEMBER OF NORTHBAY HEALTHCARE GROUP (NBHG), AS WELL AS NBHG'S OTHER SUPPORTING ORGANIZATIONS (NORTHBAY HEALTH ADVANTAGE AND NORTHBAY HEALTHCARE FOUNDATION). NBHC SERVES AS THE PARENT AND SUPPORTS AND CARRIES OUT THE PURPOSES AND FUNCTIONS OF NBHG. NBHC, A TYPE II SUPPORTING ORGANIZATION, HAS A HISTORICAL AND CONTINUING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION, NBHG, IN THAT TWO MEMBERS OF NBHC'S BOARD AND THE CEO OF NBHC SERVES AS A VOTING DIRECTOR OF NBHG, THUS ENSURING NBHC WILL BE RESPONSIVE TO THE NEEDS OF NBHG.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,401OtherActivitiesAmt
Total Lobbying Expenditures$13,401TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationNORTHBAY HEALTHCARE CORPORATION SUPPORTS CERTAIN INITIATIVES AND ISSUES THAT ARE HEALTHCARE RELATED AND CONSISTENT WITH ITS MISSION OF PROMOTING HEALTHCARE IN ITS COMMUNITY. EXPENDITURES INCURRED TO SUPPORT THESE INITIATIVES MAY BE CONSIDERED TO BE LOBBYING EXPENDITURES. AN INDIRECT EXPENDITURE OF A PORTION OF THE MEMBERSHIP DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION WERE USED FOR LOBBYING EXPENDITURES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20BeginningYearBalanceAmt
End Year Balance$20EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20BeginningYearBalanceAmt
End Year Balance$20EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20BeginningYearBalanceAmt
End Year Balance$20EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20BeginningYearBalanceAmt
End Year Balance$20EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20BeginningYearBalanceAmt
End Year Balance$20EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$710,938OtherCostOrOtherBasisAmt
Depreciation$681,955DepreciationAmt
Book Value$28,983BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,596,202OtherCostOrOtherBasisAmt
Depreciation$1,024,942DepreciationAmt
Book Value$571,260BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,722,425OtherCostOrOtherBasisAmt
Depreciation$36,798,811DepreciationAmt
Book Value$4,923,614BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,878,784OtherCostOrOtherBasisAmt
Depreciation$770,448DepreciationAmt
Book Value$1,108,336BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,632,193TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
WORKERS COMP RECEIVABLE$57,869
OPERATING LEASE RIGHT-OF-USE ASSETS$10,512,443
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,570,312TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
WORKERS COMP RESERVE$569,535
OPERATING LEASE LIABILITIES$11,950,835
FieldValueIRS element (for citing)
Total Liability$12,520,370TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE USE OF THE ENDOWMENT FUNDS ARE TO SUPPORT THE CERNER USER GROUP ANNUAL TRAINING AND EDUCATION CONFERENCE.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CENTER DRIVEFAIRFIELDCA94534942995085501(C)(3)$135,000GENERAL SUPPORT
CALIFORNIA DENTAL ASSOCIATION FOUNDATION
1201 K STREET 14TH FLOORSACRAMENTOCA95814680411536501(C)(3)$10,000SPONSORSHIP FOR FREE DENTAL CLINIC
CHRIS CAMMISA TENNIS AND EDUCATION FOUNDATION
1007 VIA PALO LINDAFAIRFIELDCA945341557473537715501(C)(3)$20,000SPONSORSHIP FOR MEN'S PRO CHALLENGER GOLF TOURNAMENT
END 68 HOURS OF HUNGER
1273 NEEDHAM DRIVEVACAVILLECA95687450998251501(C)(3)$10,000GENERAL SUPPORT FOR CHILDREN'S NUTRITION AND LUNCH PROGRAM
FAIRFIELD FIRE DEPARTMENT
1200 KENTUCKY STREETFAIRFIELDCA94533946000331CITY OF FAIRFIELD$20,000GENERAL SUPPORT
FAIRFIELD-SUISUN CHAMBER OF COMMERCE
1111 WEBSTER STREETFAIRFIELDCA94533941059185501(C)(6)$13,180SPONSORSHIP AND GENERAL SUPPORT
THE LEAVEN PROGRAM
2220 BOYNTON AVENUE SUITE AFAIRFIELDCA94533263653717501(C)(3)$28,600GENERAL SUPPORT
MERRIMENT ON MAIN INC
190 S ORCHARD AVENUE SUITE B123VACAVILLECA95688822736840501(C)(3)$5,060SPONSORSHIP OF TRAVIS AIR EXPO-WINGS OVER SOLANO
SOLANO COMMUNITY COLLEGE
4000 SUISUN VALLEY ROADFAIRFIELDCA94534371530205STATE OF CA$7,500SPONSORSHIP
SOLANO COUNTY LIBRARY FOUNDATION
601 KENTUCKY STREETFAIRFIELDCA94533680342423501(C)(3)$18,500SPONSORSHIP OF REACH OUT AND READ AND WOMEN'S HISTORY MONTH
SOLANO ECONOMIC DEVELOPMENT CORPORATION
5050 BUSINESS CENTER DRIVE SUITEFAIRFIELDCA94534942912759501(C)(3)$25,000GENERAL SUPPORT200
SOLANO LAND TRUST
700 MAIN STREET SUITE 210SUISUN CITYCA94585943015363501(C)(3)$12,425SPONSORSHIP FOR OUTDOOR EDUCATION PROGRAMS AND ACTIVE LIVING
TOURO UNIVERSITY OF CALIFORNIA
1310 CLUB DRIVEVALLEJOCA94592133838740501(C)(3)$11,000SPONSORSHIP AND GENERAL SUPPORT
VACAVILLE CHAMBER OF COMMERCE
300 MAIN STREETVACAVILLECA95688941111162501(C)(6)$11,600SPONSORSHIP AND GENERAL SUPPORT
VACAVILLE SOCIAL SERVICES CORPORATION
PO BOX 6593VACAVILLECA95696680364021501(C)(3)$10,000GENERAL SUPPORT
WILDCAT NIGHT BOOSTER CLUB
998 MARSHALL ROADVACAVILLECA95687273086982501(C)(3)$7,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNORTHBAY HEALTHCARE CORPORATION GRANTS FUNDS TO NORTHBAY HEALTHCARE FOUNDATION AND OTHER LOCAL NON-PROFITS AND COMMUNITY ORGANIZATIONS TO ASSIST WITH THEIR FUNDRAISING ENDEAVORS. NBHC DOES NOT MONITOR USE OF THESE GRANT FUNDS, AS GRANT FUNDS ARE UNRESTRICTED. NORTHBAY HEALTHCARE CORPORATION ALSO GRANTS FUNDS TO LOCAL COLLEGE AND UNIVERSITY STUDENTS. TEEN VOLUNTEER SCHOLARSHIP APPLICATION FORMS TO APPLY FOR THE SCHOLARSHIP ARE SUBMITTED EACH YEAR. RECIPIENTS ARE SLECTED FROM THE POOL OF APPLICATIONS SUBMITTED BY MEMBERS OF THE NORTHBAY HOSPITAL GUILD (A DIVISION OF NORTHBAY HEALTHCARE CORPORATION). EACH GRANT/ASSISTANCE REQUEST REQUIRES DOCUMENTATION AS TO THE USE OF THE FUNDS AND THE DISBURSEMENT OF THOSE FUNDS MUST BE APPROVED BY THE NORTHBAY GUILD VOLUNTEERS AND AUXILIARY DIRECTOR.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
B KONARD JONES
DIRECTOR/PRESIDENT & CEO$694,409$0$260,615$0$43,840$0$359,200$0$17,810$0$1,375,874$0$0$0
THEO RALLIS
INT. VP, FINANCE/CFO START 11/2019$228,018$0$24,336$0$7,000$0$16,470$0$26,336$0$302,160$0$0$0
AIMEE BREWER
PRESIDENT, NORTHBAY HEALTHCARE GROUP$520,580$0$145,236$0$211,418$0$74,101$0$26,816$0$978,151$0$0$0
CHRISTOPHER TIMBERS
VP, CHIEF INFORMATION OFFICER$354,776$0$73,406$0$12,994$0$55,887$0$26,274$0$523,337$0$0$0
JIM ANDERSEN
VP, HUMAN RESOURCES$309,480$0$45,063$0$5,680$0$43,271$0$14,513$0$418,007$0$0$0
STEVE HUDDLESTON
VP, PUBLIC AFFAIRS$298,746$0$73,112$0$85,395$0$13,775$0$30,778$0$501,806$0$22,714$0
NICOLE BRACATO
VP, CHIEF QUALITY OFFICER$338,544$0$82,914$0$8,121$0$40,167$0$16,542$0$486,288$0$0$0
ELNORA CAMERON
INTERIM MANAGER$273,473$0$75,704$0$34,899$0$20,510$0$6,083$0$410,669$0$14,072$0
BRETT JOHNSON
PRESIDENT, NORTHBAY HEALTHCARE FOUND$297,746$0$65,801$0$8,656$0$39,906$0$19,790$0$431,899$0$0$0
WAYNE GIETZ
VP, AMBULATORY DIVISION$301,448$0$64,896$0$3,964$0$36,293$0$26,080$0$432,681$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN DURING THE 2019 CALENDAR YEAR ARE AS FOLLOWS, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): B. KONARD JONES - $348,000 AIMEE BREWER - $64,230 CHRISTOPHER TIMBERS - $44,687 JIM ANDERSEN - $40,171 STEVE HUDDLESTON - $3,200 NICOLE BROCATO - $28,967 BRETT JOHNSON - $25,423 WAYNE GIETZ - $26,372 ADDITIONALLY, DUE TO VESTING OF THE 457(F) PLAN, ELNORA CAMERON RECOGNIZED $14,072 OF TAXABLE INCOME AND STEVEN HUDDLESTON RECOGNIZED $22,714 OF TAXABLE INCOME, WHICH HAS BEEN RECORDED WITHIN SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS SCHEDULE J, PART II, COLUMN (F).
PART I, LINE 7THE SENIOR MANAGEMENT INCENTIVE PROGRAM INCLUDES SPECIFIC CRITERIA WHICH MUST BE MET IN ORDER FOR SUCH INDIVIDUALS TO RECEIVE ADDITIONAL COMPENSATION; SOME OF THIS CRITERIA REQUIRES AN INDIVIDUAL TO EXERCISE DISCRETION WHEN CALCULATING THE AMOUNT OF PAYMENT OR DECIDING WHETHER TO MAKE SUCH A PAYMENT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3DURING 2019, JIM STRONG, A CONTRACTOR WITH WIPFLI LLP, FULFILLED THE ROLE OF INTERIM VICE PRESIDENT, FINANCE/CFO. COMPENSATION PAID TO WIPFLI IN EXCHANGE FOR JIM STRONG'S SERVICES TOTALED $605,000 DURING THE 2019 CALENDAR YEAR.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE VICE PRESIDENT/CHIEF FINANCIAL OFFICER; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUESTS ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND MEMBERS OF COMMITTEES APPOINTED BY THE BOARD OF DIRECTORS TO SELF-MONITOR COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY; IN ADDITION EACH OFFICER AND BOARD MEMBERS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND ALL RESPONSES FILED. IF A POTENTIAL CONFLICT ARISES, BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SELF-DISCLOSE THE CONFLICT TO THE CORPORATE COMPLIANCE OFFICER. PROCESSES AND PROCEDURES ARE IN PLACE TO EVALUATE AND DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WILL PRESENT RELEVANT INFORMATION TO THE BOARD. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15AN AD HOC COMPENSATION COMMITTEE OF THE HEALTH SYSTEM BOARD REVIEWS EXECUTIVE COMPENSATION, INCLUDING THAT OF THE ORGANIZATION'S CEO, OTHER OFFICERS, AND KEY EMPLOYEES; THEY ARE ASSISTED BY INDEPENDENT CONSULTANTS. THE ORGANIZATION USES INDEPENDENT LOCAL SURVEYS AS A MEANS TO SUBSTANTIATE COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE DIGITAL ASSURANCE CORPORATION WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GTEMPORARY LABOR: PROGRAM SERVICE EXPENSES 1,423,611. MANAGEMENT AND GENERAL EXPENSES 719,934. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,143,545. PROFESSIONAL FEES - MEDICAL: PROGRAM SERVICE EXPENSES 212,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,975. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,716,207. MANAGEMENT AND GENERAL EXPENSES 1,995,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,711,372. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 106,685. MANAGEMENT AND GENERAL EXPENSES 126,904. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 233,589. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 6,992,751. MANAGEMENT AND GENERAL EXPENSES 2,466,476. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,459,227.
FORM 990, PART XI, LINE 9:RELIEF OF DUE TO/DUE FROM RELATED ORGANIZATIONS 4,011,827.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORTHBAY HEALTH ADVANTAGE
4500 BUSINESS CENTER DRIVEFAIRFIELDCA94534942495998MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATESCA501(C)(3)LINE 12B, IINORTHBAY HEALTHCARE CORPORATIONYes (1)
NORTHBAY HEALTHCARE GROUP
1200 B GALE WILSON BOULEVARDFAIRFIELDCA94533941458282OPERATES TWO NONPROFIT HOSPITALSCA501(C)(3)LINE 3NORTHBAY HEALTHCARE CORPORATIONYes (1)
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CENTER DRIVEFAIRFIELDCA94534942995085PROVIDES FUNDRAISING FOR NORTHBAY HEALTHCARE GROUP & AFFILIATESCA501(C)(3)LINE 12B, IINORTHBAY HEALTHCARE CORPORATIONYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOLANO DIAGNOSTIC PARTNERSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 B GALE WILSON BLVDAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94533ZIPCd
FieldValueIRS element (for citing)
EIN931013774EIN
Primary ActivitiesDIAGNOSTIC IMAGINGPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTHBAY HEALTH ADVANTAGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$15,721ShareOfTotalIncomeAmt
Share Of EOY Assets$227,318ShareOfEOYAssetsAmt
Disproportionate AllocationsYes (1)DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.05000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHBAY HEALTHCARE FOUNDATION
B$135,000BOOK VALUE
NORTHBAY HEALTH ADVANTAGE
L$309,867BOOK VALUE
NORTHBAY HEALTHCARE GROUP
L$74,776,358BOOK VALUE
SOLANO DIAGNOSTIC PARTNERS
L$996,940BOOK VALUE