STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

NORTHBAY HEALTHCARE CORPORATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
NORTHBAY HEALTHCARE CORPORATION (EIN 68-0046750)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201503209349311280
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T15:20:24-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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
Phone7076463110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 BUSINESS CTR DRAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94534ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARTHUR E DENIOPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone7076463110PhoneNum
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRENIE BURBANKPreparerPersonNm
PTINP00159653PTIN
Phone4159561500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARTHUR E DENIOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 BUSINESS CTR DRAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94534ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$53,243,020GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHBAY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE CORPORATION IS ORGANIZED TO SUPPORT, ACT FOR THE BENEFIT OF, PERFORM FUNCTIONS OF, AND CARRY OUT THE PURPOSES OF NORTHBAY HEALTHCARE GROUP, NORTHBAY HEALTH ADVANTAGE, AND NORTHBAY HEALTHCARE FOUNDATION, ALL OF WHICH ARE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3), AND ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR (2) OF THE INTERNAL REVENUE CODE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee362TotalEmployeeCnt
Total Volunteers37TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$28,110PYContributionsGrantsAmt
CY Contributions Grants$26,443CYContributionsGrantsAmt
PY Program Service Revenue$44,760,438PYProgramServiceRevenueAmt
CY Program Service Revenue$52,349,659CYProgramServiceRevenueAmt
PY Investment Income$90PYInvestmentIncomeAmt
CY Investment Income$4,238CYInvestmentIncomeAmt
PY Other Revenue$70,536PYOtherRevenueAmt
CY Other Revenue$473,324CYOtherRevenueAmt
PY Total Revenue$44,859,174PYTotalRevenueAmt
CY Total Revenue$52,853,664CYTotalRevenueAmt
PY Grants And Similar Paid$187,225PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$152,955CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,972,271PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,602,966CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$82,641CYTotalFundraisingExpenseAmt
PY Other Expenses$20,444,987PYOtherExpensesAmt
CY Other Expenses$23,711,439CYOtherExpensesAmt
PY Total Expenses$44,604,483PYTotalExpensesAmt
CY Total Expenses$49,467,360CYTotalExpensesAmt
PY Revenues Less Expenses$254,691PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,386,304CYRevenuesLessExpensesAmt
Total Assets BOY$18,377,133TotalAssetsBOYAmt
Total Assets EOY$21,293,171TotalAssetsEOYAmt
Total Liabilities BOY$10,367,912TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,187,275TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,009,221NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,105,896NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,270,903ExpenseAmt
Grant$70,330GrantAmt
Revenue$52,135,855RevenueAmt
DescSEE SCHEDULE ONORTHBAY 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. UPON DISSOLUTION, ALL ASSETS (AFTER PAYMENT FOR DEBT/LIABILITY) WILL BE DISTRIBUTED TO NORTHBAY HEALTHCARE GROUP OR AN ENTITY ORGANIZED AND OPERATED NOT FOR PECUNIARY GAIN OR PROFITS. NBHC IS NOT ORGANIZED NOR OPERATED FOR PECUNIARY GAIN OR PROFITS, NBHC IS DEDICATED IRREVOCABLY TO THE CHARITABLE PURPOSES SET FORTH IN THE ARTICLES OF INCORPORATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$175,815ExpenseAmt
Grant$82,625GrantAmt
Revenue$213,804RevenueAmt
DescSEE SCHEDULE ONORTHBAY GUILD IS THE VOLUNTEER GROUP FOR NORTHBAY HEALTHCARE GROUP. THE PURPOSE OF THE NORTHBAY GUILD IS TO SUPPORT AND HELP CARRY OUT THE PURPOSE AND FUNCTIONS OF NORTHBAY HEALTHCARE GROUP. THIS IS ACCOMPLISHED THROUGH PROVIDING FUNDRAISING SUPPORT TO THE NON-PROFIT HOSPITALS AND OTHER RELATED COMMUNITY HEALTHCARE PROGRAMS. UPON DISSOLUTION, ALL ASSETS (AFTER PAYMENT FOR DEBT/LIABILITY) WILL BE DISTRIBUTED TO NORTHBAY HEALTHCARE GROUP OR AN ENTITY ORGANIZED AND OPERATED NOT FOR PECUNIARY GAIN OR PROFITS. NORTHBAY GUILD IS NOT ORGANIZED NOR OPERATED FOR PECUNIARY GAIN OR PROFITS. NORTHBAY GUILD IS DEDICATED IRREVOCABLY TO THE CHARITABLE PURPOSES SET FORTH IN ARTICLES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$27,446,718TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Employee362EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 Line1ARTHUR E DENIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7076463110PhoneNum

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
BEN HUBER
CHAIRMAN1.001.00Yes (X)Yes (X)$13,832$0$0
STEPHEN POWER
VICE CHAIRMAN1.00Yes (X)Yes (X)$13,910$0$0
MARY MANCINI MD
SECRETARY/TREASURER1.00Yes (X)Yes (X)$20,593$0$0
GARY FALATI
DIRECTOR1.00Yes (X)$7,534$0$0
ARCHIE HUMPREY
DIRECTOR1.001.00Yes (X)$13,860$0$0
JAMES MCMAHON MD
DIRECTOR1.00Yes (X)$5,775$0$0
MARK SIEVERS
DIRECTOR1.001.00Yes (X)$13,910$0$0
MURRAY WOOLF MD
DIRECTOR1.00Yes (X)$20,593$0$0
GARY PASSAMA
PRESIDENT AND CEO20.0020.00Yes (X)$901,372$0$42,594
DEBORAH SUGIYAMA
PRESIDENT HEALTHCARE GROUP4.0036.00Yes (X)$826,515$0$72,989
ARTHUR DENIO
VICE PRESIDENT AND CFO8.0032.00Yes (X)$534,413$0$44,591
PAUL ALCALA THROUGH 123114
CHIEF INFORMATION OFFICER40.00$502,349$0$32,088Yes (X)
MITESH PATEL THRU 21314
VP CHIEF MEDICAL OFFICER40.00$214,416$0$30,326Yes (X)
MARGARET WALBOLT THRU 5114
VP AMBULATORY SERVICES40.00$188,435$0$20,305Yes (X)
ELNORA CAMERON
VP STRATEGIC DEVELOPMENT40.00$399,705$0$41,154Yes (X)
KENNETH MCCOLLUM
VP HUMAN RESOURCES40.00$322,801$0$30,825Yes (X)
STEVEN HUDDLESTON
VP PUBLIC AFFAIRS40.00$301,309$0$58,479Yes (X)
BRETT JOHNSON
PRESIDENT, FOUNDATION38.002.00$286,038$0$60,612Yes (X)
STEPHANIE TARTER
ASSISTANT VICE PRESIDENT40.00$236,243$0$27,573Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,823,603TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$461,536TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K64IndivRcvdGreaterThan100KCnt
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
PRICEWATERHOUSE COOPERS LLP
PO BOX 514038LOS ANGELESCA900514038CONSULTING SERVICES$734,703
LATHAM AND WATKINS
PO BOX 894284LOS ANGELESCA901894284LEGAL SERVICES$574,632
CAIN BROTHERS AND COMPANY LLC
360 MADISON AVENUE 5TH FLOORNEW YORKNY10017CONSULTING SERVICES$574,168
TOYON ASSOCIATES INC
1800 SUTTER STREET STE 600CONCORDCA94520CONSULTING SERVICES$439,807
THE CAMDEN GROUP INC
100 N SEPULVEDA BLVDEL SEGUNDOCA90245CONSULTING SERVICES$121,525
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
All Other Contributions$26,443AllOtherContributionsAmt
Total Contributions$26,443TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMGMT AND ADMIN FEESDesc
Business900099BusinessCd
Total Revenue Column$52,349,659TotalRevenueColumnAmt
Related Or Exempt Func Income$52,349,659RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$52,349,659TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,238TotalRevenueColumnAmt
Exclusion$4,238ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$123,206RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$305,472RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$182,266RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$182,266TotalRevenueColumnAmt
Exclusion-$182,266ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$216,850GrossSalesOfInventoryAmt
Cost Of Goods Sold$83,884CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,966TotalRevenueColumnAmt
Exclusion$132,966ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
INCOME FROM NBPSC, LLC900099$286,198$286,198
OTHER OPERATING REVENUE900099$237,527$237,527
OTHER NON-OPR. REVENUE900099-$1,101-$1,101
FieldValueIRS element (for citing)
Other Revenue Total$522,624OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,853,664TotalRevenueColumnAmt
Related Or Exempt Func Income$52,349,659RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$477,562ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$152,955TotalAmt
Program Services$152,955ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,520,403TotalAmt
Management And General$3,520,403ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,412,720TotalAmt
Program Services$5,560,299ProgramServicesAmt
Management And General$9,852,421ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,475,674TotalAmt
Program Services$609,868ProgramServicesAmt
Management And General$865,806ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,052,138TotalAmt
Program Services$2,571,858ProgramServicesAmt
Management And General$1,480,280ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,142,031TotalAmt
Program Services$682,492ProgramServicesAmt
Management And General$459,539ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$568,768TotalAmt
Management And General$568,768ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$120,540TotalAmt
Management And General$120,540ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$240,049TotalAmt
Management And General$240,049ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$56,702TotalAmt
Management And General$56,702ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,953,203TotalAmt
Program Services$10,587,291ProgramServicesAmt
Management And General$2,365,912ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$249,515TotalAmt
Program Services$220,755ProgramServicesAmt
Management And General$28,760ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,563,489TotalAmt
Program Services$1,385,603ProgramServicesAmt
Management And General$177,886ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$392,836TotalAmt
Program Services$356,048ProgramServicesAmt
Management And General$36,788ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,265,860TotalAmt
Program Services$2,905,193ProgramServicesAmt
Management And General$301,087ManagementAndGeneralAmt
Fundraising$59,580FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$139,912TotalAmt
Program Services$82,478ProgramServicesAmt
Management And General$57,434ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$203,490TotalAmt
Program Services$147,969ProgramServicesAmt
Management And General$55,409ManagementAndGeneralAmt
Fundraising$112FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,641,409TotalAmt
Program Services$1,495,529ProgramServicesAmt
Management And General$145,880ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$76,898TotalAmt
Management And General$76,898ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DUES & SUBSCRIPTIONS$642,240$233,407$408,833
RECRUITING$552,841$145,115$407,726
PUBLIC RELATIONS$392,482$134,044$258,438
TAXES/LICENSES$12,111$9,632$2,479

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$639,094TotalAmt
Program Services$166,182ProgramServicesAmt
Management And General$449,963ManagementAndGeneralAmt
Fundraising$22,949FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,467,360TotalAmt
Program Services$27,446,718ProgramServicesAmt
Management And General$21,938,001ManagementAndGeneralAmt
Fundraising$82,641FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$194,695BOYAmt
EOY$204,385EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,837,183BOYAmt
EOY$2,359,540EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$126,395BOYAmt
EOY$112,192EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,404,188BOYAmt
EOY$1,845,507EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,562,523LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,441,542LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,702,838BOYAmt
EOY$5,120,981EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,446,379BOYAmt
EOY$1,026,692EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,665,255BOYAmt
EOY$10,623,674EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,377,133BOYAmt
EOY$21,293,171EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,511,836BOYAmt
EOY$7,175,951EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,738,725BOYAmt
EOY$2,973,229EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,351BOYAmt
EOY$38,095EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,367,912BOYAmt
EOY$10,187,275EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,009,201BOYAmt
EOY$11,105,876EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,009,221BOYAmt
EOY$11,105,896EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,377,133BOYAmt
EOY$21,293,171EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,386,304ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,511NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$286,118OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 Line1NB HLTHCARE GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN941458282EIN
Organization Type3OrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$63,297SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$63,297SupportSumAmt

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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SECTION A, LINE 1:NORTHBAY HEALTHCARE CORPORATION (NBHC) AND ITS AFFILIATES, D.B.A. NORTHBAY HEALTHCARE SYSTEM (THE "SYSTEM"), IS A HEALTHCARE DELIVERY SYSTEM LOCATED IN FAIRFIELD, SOLANO COUNTY, CALIFORNIA, WHICH PROVIDES SERVICES TO RESIDENTS OF FAIRFIELD, VACAVILLE, AND SURROUNDING CITIES WITHIN SOLANO COUNTY. THE INDIVIDUAL AFFILIATES OF THE SYSTEM INCLUDE NORTHBAY HEALTHCARE GROUP (NBHG), NORTHBAY HEALTHCARE FOUNDATION (NBHF), AND NORTHBAY HEALTH ADVANTAGE (NBHA). NBHC IS THE SOLE CORPORATE MEMBER OF THESE NOT-FOR-PROFIT AFFILIATES IN NORTHBAY HEALTHCARE SYSTEM. NBHC, TYPE II, SUPPORTING ORGANIZATION HAS HISTORICAL AND CONTINUING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION, NORTHBAY HEALTHCARE GROUP (NBHG). NBHG IS RESPONSIBLE FOR THE OPERATIONS OF TWO NONPROFIT HOSPITALS: NORTHBAY MEDICAL CENTER IN FAIRFIELD, CALIFORNIA AND VACAVALLEY HOSPITAL IN VACAVILLE, CALIFORNIA. NBHC SUPPORTS AND CARRIES OUT THE PURPOSES AND FUNCTIONS OF EACH ENTITY IN THE SYSTEM.
SECTION C:NBHC IS THE SOLE CORPORATE MEMBER OF THESE NOT-FOR-PROFIT AFFILIATES IN NORTHBAY HEALTHCARE SYSTEM. NBHC SERVES AS THE PARENT AND SUPPORTS AND CARRIES OUT THE PURPOSES AND FUNCTIONS OF EACH ENTITY IN THE SYSTEM. NBHC, TYPE II, SUPPORTING ORGANIZATION HAS HISTORICAL AND CONTINUING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION, NORTHBAY HEALTHCARE GROUP (NBHG).

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$240,049OtherActivitiesAmt
Total Lobbying Expenditures$240,049TotalLobbyingExpendituresAmt
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 AMERICAN HOSPITAL ASSOCIATION & 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$14,615BeginningYearBalanceAmt
Grants Or Scholarships$14,595GrantsOrScholarshipsAmt
End Year Balance$20EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$30,995ContributionsAmt
Grants Or Scholarships$16,380GrantsOrScholarshipsAmt
End Year Balance$14,615EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$275,824OtherCostOrOtherBasisAmt
Depreciation$206,968DepreciationAmt
Book Value$68,856BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,629,356OtherCostOrOtherBasisAmt
Depreciation$1,099,071DepreciationAmt
Book Value$530,285BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,959,986OtherCostOrOtherBasisAmt
Depreciation$26,564,048DepreciationAmt
Book Value$3,395,938BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,697,357OtherCostOrOtherBasisAmt
Depreciation$571,455DepreciationAmt
Book Value$1,125,902BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,120,981TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM SDIDesc
Book Value$10,623,674BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,623,674TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO NBHADesc
Amt$38,095Amt
FieldValueIRS element (for citing)
Total Liability$38,095TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$49,292,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,511NetUnrealizedGainsInvstAmt
Revenue Not Reported-$3,511RevenueNotReportedAmt
Revenue Subtotal$49,295,511RevenueSubtotalAmt
Other Revenues Not Included$3,558,153OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,558,153RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$52,853,664TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$49,292,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$455OtherExpensesIncludedAmt
Expenses Not Reported$455ExpensesNotReportedAmt
Expenses Subtotal$49,291,545ExpensesSubtotalAmt
Other Expenses Not Included$175,815OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$175,815ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$49,467,360TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE USE OF THE ENDOWMENT FUNDS ARE TO SUPPORT CERNER USER GROUP ANNUAL TRAINING AND EDUCATION CONFERENCE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INCOME FROM NORTHBAY PHYSICIANS SURGERY CENTER K-1 286,198. TOTAL REVENUE ATTRIBUTABLE TO GUILD 213,804. RECLASSIFICATION OF INTERCOMPANY TRANSFERS TO REVENUE 3,058,151.
PART XII, LINE 2D - OTHER ADJUSTMENTS:AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 455.
PART XII, LINE 4B - OTHER ADJUSTMENTS:TOTAL EXPENSE ATTRIBUTABLE TO GUILD 175,815.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CTR DRFAIRFIELDCA94534942995085501(C)(3)$82,625GENERAL SUPPORT
NORTHBAY HEALTHCARE GROUP
1200 B GALE WILSON BLVDFAIRFIELDCA94533941458282501(C)(3)$63,297GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNORTHBAY GUILD GRANTS FUNDS TO NORTHBAY HEALTHCARE FOUNDATION AND NORTHBAY HEALTHCARE GROUP TO ASSIST WITH THEIR DAILY OPERATIONS. NBHC DOES NOT MONITOR THE USE OF THE GRANT FUNDS; HOWEVER, THEY HAVE PROCEDURES TO DETERMINE THE AMOUNT OF GRANT FUNDS ISSUED TO NORTHBAY HEALTHCARE FOUNDATION & NORTHBAY HEALTHCARE GROUP. NORTHBAY GUILD ALSO GRANTS FUNDS TO LOCAL COLLEGES AND UNIVERSITIES FOR A TEEN VOLUNTEER SCHOLARSHIP PROGRAM. TEEN VOLUNTEER SCHOLARSHIP APPLICATION FORMS TO APPLY FOR COLLEGE SCHOLARSHIPS ARE SUBMITTED EACH YEAR. RECIPIENTS ARE SELECTED FROM THE POOL OF APPLICATIONS SUBMITTED BY THE HOSPITAL GUILD BOARD. EACH GRANT/ASSISTANCE REQUEST REQUIRES DOCUMENTATION AS TO THE USE OF THE FUNDS AND THE DISBURSEMENT OF THOSE FUNDS MUST BE APPROVED BY THE NORTHBAY GUILD MEMBERS AND AUXILLARY DIRECTOR.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
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 OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
GARY PASSAMA
PRESIDENT AND CEO$593,001$0$185,964$0$122,407$0$26,500$0$16,094$0$943,966$0$0$0
DEBORAH SUGIYAMA
PRESIDENT HEALTHCARE GROUP$455,827$0$113,274$0$257,414$0$48,100$0$24,889$0$899,504$0$0$0
ARTHUR DENIO
VICE PRESIDENT AND CFO$373,406$0$95,811$0$65,196$0$13,185$0$31,406$0$579,004$0$0$0
PAUL ALCALA THROUGH 123114
CHIEF INFORMATION OFFICER$362,183$0$69,459$0$70,707$0$22,892$0$9,196$0$534,437$0$0$0
MITESH PATEL THRU 21314
VP CHIEF MEDICAL OFFICER$62,592$0$0$0$151,824$0$20,028$0$10,298$0$244,742$0$0$0
MARGARET WALBOLT THRU 5114
VP AMBULATORY SERVICES$94,211$0$52,064$0$42,160$0$17,194$0$3,111$0$208,740$0$0$0
ELNORA CAMERON
VP STRATEGIC DEVELOPMENT$292,106$0$60,990$0$46,609$0$23,960$0$17,194$0$440,859$0$0$0
KENNETH MCCOLLUM
VP HUMAN RESOURCES$234,117$0$48,881$0$39,803$0$15,615$0$15,210$0$353,626$0$0$0
STEVEN HUDDLESTON
VP PUBLIC AFFAIRS$240,861$0$49,318$0$11,130$0$33,412$0$25,067$0$359,788$0$0$0
BRETT JOHNSON
PRESIDENT, FOUNDATION$238,728$0$41,899$0$5,411$0$38,053$0$22,559$0$346,650$0$0$0
STEPHANIE TARTER
ASSISTANT VICE PRESIDENT$216,050$0$19,568$0$625$0$6,015$0$21,558$0$263,816$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1BPAUL ALCALA, CHIEF INFORMATION OFFICER, RECEIVED AN ANNUAL HOUSING ALLOWANCE AS PART OF HIS EMPLOYMENT TERMS. THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY FOR PAYMENT. HOWEVER, THE CEO AND BOARD OF DIRECTORS DETERMINED THE AMOUNT OF HIS HOUSING ALLOWANCE AND APPROVED IT AT THE TIME OF HIS EMPLOYMENT WITH THE ORGANIZATION. THE HOUSING ALLOWANCE IS PART OF HIS TAXABLE INCOME AND IS INCLUDED ON HIS FORM W-2.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: GARY J. PASSAMA - $85,554 DEBORAH A. SUGIYAMA - $260,472 ARTHUR E. DENIO - $44,319 PAUL C. ALCALA - $42,999 KENNETH D. MCCOLLUM - $18,622 MARGARET E. WALBOLT - $8,018 STEVE C. HUDDLESTON - $18,788 BRETT N. JOHNSON - $18,622 MITESH PATEL - $13,770 ELNORA CAMERON - $24,263 KATHLEEN RICHERSON - $23,113
PART I, LINE 6PART OF A SENIOR MANAGEMENT INCENTIVE PROGRAM AND MANAGEMENT ACCOUNTABILITIES WHICH INCLUDE SPECIFIC CRITERIA IN ORDER FOR THEM TO RECEIVE ADDITIONAL COMPENSATION.
SCHEDULE J, LINE 4AMITESH PATEL RECEIVED SEVERANCE OF $101,712. SEVERANCE IS PART OF TAXABLE INCOME AND IS INCLUDED ON FORM W-2

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND WILL BE PRESENTED TO THE BOARD OF DIRECTORS OF NORTHBAY HEALTHCARE CORPORATION. A HARDCOPY OF THE FORM 990 WILL BE SENT VIA US POSTAL SERVICE TO ALL VOTING MEMBERS FOR THEIR REVIEW AND COMMENTS AFTER FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUESTS ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO SELF-MONITOR COMPLIANCE; IN ADDITION EACH OFFICER AND DIRECTOR MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15AN AD HOC COMPENSATION COMMITTEE OF THE HEALTH SYSTEM BOARD REVIEWS EXECUTIVE COMPENSATION; THEY ARE ASSISTED BY INDEPENDENT CONSULTANTS. THE ORGANIZATION USES INDEPENDENT LOCAL SURVEYS AS A MEANS TO SUBSTANTIATE COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 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 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 10,587,291. MANAGEMENT AND GENERAL EXPENSES 2,365,912. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,953,203.
FORM 990, PART XI, LINE 9:INCOME FROM NORTHBAY PHYSICIANS SURGERY CENTER K-1 -286,198. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 80.
FORM 990, PART XII, LINE 2CAUDIT COMMITTEE AND OVERSIGHT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.

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 CTR DRFAIRFIELDCA94534942495998MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATESCA501(C)(3)11-IINORTHBAY HEALTHCARE CORPORATIONYes (1)
NORTHBAY HEALTHCARE GROUP
1200 B GALE WILSON BLVDFAIRFIELDCA94533941458282OPERATES TWO NONPROFIT HOSPITALSCA501(C)(3)3NORTHBAY HEALTHCARE CORPORATIONYes (1)
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CTR DRFAIRFIELDCA94534942995085PROVIDES FUNDRAISING FOR NORTHBAY HEALTHCARE GROUP & AFFILIATESCA501(C)(3)11-IINORTHBAY HEALTHCARE CORPORATIONYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
NORTHBAY PHYSICIANS SURGERY CENTER LLC
1006 NUT TREE ROADVACAVILLECA95687203502901MEDICAL SERVICECANORTHBAY HEALTHCARE CORPORATIONUNRELATED$409,748$597,656000.93510
SOLANO DIAGNOSTIC PARTNERS
1101 B GALE WILSON BLVDFAIRFIELDCA94533931013774DIAGNOSTIC IMAGINGCANORTHBAY HEALTH ADVANTAGERELATEDYes (1)00.05000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 Org0PerformOfServicesForOthOrgInd
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 OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHBAY HEALTHCARE FOUNDATION
P$136,140BOOK VALUE
NORTHBAY HEALTHCARE FOUNDATION
O$307,533BOOK VALUE
SOLANO DIAGNOSTIC PARTNERS
Q$1,985,007BOOK VALUE
NORTHBAY PHYSICIANS SURGERY CENTER
A$22,125BOOK VALUE
NORTHBAY HEALTH ADVANTAGE
Q$79,256BOOK VALUE
NORTHBAY HEALTHCARE GROUP
P$2,922,011BOOK VALUE
NORTHBAY HEALTHCARE FOUNDATION
N$25,465BOOK VALUE
NORTHBAY HEALTHCARE GROUP
O$70,851BOOK VALUE