NORTHBAY HEALTHCARE GROUP: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: NORTHBAY HEALTHCARE GROUP (EIN 94-1458282)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-16
IRS object ID: 201533209349311708
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-16T15:20:24-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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	7076463110	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	ARTHUR E DENIO	PersonNm
Person Title	VP/CFO	PersonTitleTxt
Phone	7076463110	PhoneNum
Signature	2015-11-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RENIE BURBANK	PreparerPersonNm
PTIN	P00159653	PTIN
Phone	4159561500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	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	$443,050,687	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	THE PRIMARY PURPOSE OF THE CORPORATION IS TO PROVIDE HEALTH CARE SERVICES, WHICH INCLUDE HOSPITAL AND PHYSICIAN SERVICES, AND OPERATE FACILITIES AND/OR ASSETS NECESSARY TO IMPROVE THE HEALTH CARE STATUS OF THE PUBLIC IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	2220	TotalEmployeeCnt
Total Volunteers	91	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,222,574	PYContributionsGrantsAmt
CY Contributions Grants	$919,820	CYContributionsGrantsAmt
PY Program Service Revenue	$393,173,560	PYProgramServiceRevenueAmt
CY Program Service Revenue	$431,354,926	CYProgramServiceRevenueAmt
PY Investment Income	$2,821,459	PYInvestmentIncomeAmt
CY Investment Income	$4,910,118	CYInvestmentIncomeAmt
PY Other Revenue	$1,513,039	PYOtherRevenueAmt
CY Other Revenue	$4,002,278	CYOtherRevenueAmt
PY Total Revenue	$398,730,632	PYTotalRevenueAmt
CY Total Revenue	$441,187,142	CYTotalRevenueAmt
PY Grants And Similar Paid	$311,252	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$345,304	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$172,699,505	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$193,382,895	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$195,711,409	PYOtherExpensesAmt
CY Other Expenses	$199,482,905	CYOtherExpensesAmt
PY Total Expenses	$368,722,166	PYTotalExpensesAmt
CY Total Expenses	$393,211,104	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,008,466	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$47,976,038	CYRevenuesLessExpensesAmt
Total Assets BOY	$356,584,887	TotalAssetsBOYAmt
Total Assets EOY	$399,177,862	TotalAssetsEOYAmt
Total Liabilities BOY	$162,149,352	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$154,298,200	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$194,435,535	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$244,879,662	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	$384,790,237	ExpenseAmt
Grant	$345,304	GrantAmt
Revenue	$431,354,926	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$384,790,237	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	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	578	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2220	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARTHUR E DENIO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7076463110	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 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
CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$13,860	$0	$0
MARK SIEVERS
VICE CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$13,910	$0	$0
WAYNE SENALIK
SECRETARY/TREASURER	2.00	2.00	Yes (X)	Yes (X)	$13,860	$0	$0
DONALD DOYLE MD
DIRECTOR	1.00	0.00	Yes (X)		$13,696	$0	$0
THERESA HITE
DIRECTOR	1.00	0.00	Yes (X)		$7,921	$0	$0
GWENDOLYN RUNNELS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DENISE SUIHKONEN
DIRECTOR	1.00	0.00	Yes (X)		$13,910	$0	$0
JAMES LONG MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
WENDY WIGMORE
DIRECTOR	1.00	0.00	Yes (X)		$7,554	$0	$0
GARY PASSAMA
CEO	13.00	27.00		Yes (X)	$0	$901,372	$42,594
DEBORAH SUGIYAMA
NBHG PRESIDENT	36.00	4.00		Yes (X)	$0	$826,515	$72,989
ARTHUR DENIO
VP & CFO	25.00	15.00		Yes (X)	$0	$534,413	$44,591
KATHLEEN RICHERSON
V/P CHF NURSING OFF'R	40.00	0.00			$0	$409,765	$36,069	Yes (X)
ANTOINETTE NAVARRO
CLINICAL COORDINATOR	49.00	0.00			$278,014	$0	$5,764		Yes (X)
JOANNE JACOB
CLINICAL NURSE III	51.70	0.00			$256,735	$0	$20,066		Yes (X)
THERESA BARTOLI
CLINICAL COORDINATOR	49.00	0.00			$278,716	$0	$27,131		Yes (X)
RHONDA MARTIN
AVP NURSING OPERATIONS	40.00	0.00			$288,015	$0	$12,554		Yes (X)
SUSAN GORNALL
DIR PERIOPERATIVE SRVCS	39.70	0.00			$259,353	$0	$15,988		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,445,544	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,672,065	TotReportableCompRltdOrgAmt
Total Other Compensation	$277,746	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	616	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
LEE BURKHART LIU INC
5510 LINCOLN BLVD STE 250	LOS ANGELES	CA	90094	ARCHITECTS	$4,828,102
SOUND INPATIENT PHYSICIANS
1123 PACIFIC AVE	TACOMA	WA	98402	PHYSICIAN GROUP	$3,910,479
EMERGENCY & ACUTE MEDICAL CORP
440 STEVENS AVE 150	SOLANA BEACH	CA	92075	PHYSICIAN GROUP	$3,630,297
SACSOLANO ANESTHESIA EXCHANGE
3315 WATT AVENUE	SACRAMENTO	CA	95821	ANESTHESIOLOGISTS	$2,580,782
ACUTE CARE SURGERY MEDICAL GROUP INC
PO BOX 502410	SAN DIEGO	CA	921502410	PHYSICIAN GROUP	$2,580,782

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	96	CntrctRcvdGreaterThan100KCnt
Related Organizations	$919,820	RelatedOrganizationsAmt
Noncash Contributions	$184,489	NoncashContributionsAmt
Total Contributions	$919,820	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621400	$383,978,973	$383,978,973
CAPITATION REVENUE	621400	$59,967,688	$59,967,688
BAD DEBT PROVISION	621400	-$12,591,735	-$12,591,735

Field	Value	IRS element (for citing)
Total Program Service Revenue	$431,354,926	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,394,011	TotalRevenueColumnAmt
Exclusion	$4,394,011	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$84,875	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$32,652	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$52,223	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,223	TotalRevenueColumnAmt
Exclusion	$52,223	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,347,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,830,893	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$516,107	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$516,107	TotalRevenueColumnAmt
Exclusion	$516,107	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER REV. FROM OPS	900099	$3,229,634	$3,229,634
AMORT. OF GAIN ON MOB	900099	$474,472	$474,472
NON-RECURRING REVENUE	900099	$341,181	$341,181

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$95,232	TotalRevenueColumnAmt
Exclusion	-$95,232	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,950,055	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$441,187,142	TotalRevenueColumnAmt
Related Or Exempt Func Income	$431,354,926	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,912,396	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	$343,387	TotalAmt
Program Services	$343,387	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,917	TotalAmt
Program Services	$1,917	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$63,297	TotalAmt
Management And General	$63,297	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$155,841,721	TotalAmt
Program Services	$155,105,134	ProgramServicesAmt
Management And General	$736,587	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,950,013	TotalAmt
Program Services	$4,930,200	ProgramServicesAmt
Management And General	$19,813	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,640,521	TotalAmt
Program Services	$21,558,573	ProgramServicesAmt
Management And General	$81,948	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,887,343	TotalAmt
Program Services	$10,844,673	ProgramServicesAmt
Management And General	$42,670	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$483,519	TotalAmt
Management And General	$483,519	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$27,602	TotalAmt
Management And General	$27,602	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$75,403,411	TotalAmt
Program Services	$73,868,439	ProgramServicesAmt
Management And General	$1,534,972	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,328	TotalAmt
Program Services	$11,328	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,680,931	TotalAmt
Program Services	$9,622,027	ProgramServicesAmt
Management And General	$58,904	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$715,509	TotalAmt
Program Services	$704,246	ProgramServicesAmt
Management And General	$11,263	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,562,197	TotalAmt
Program Services	$7,939,558	ProgramServicesAmt
Management And General	$622,639	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$317,345	TotalAmt
Program Services	$314,806	ProgramServicesAmt
Management And General	$2,539	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$243,377	TotalAmt
Program Services	$226,277	ProgramServicesAmt
Management And General	$17,100	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,376,141	TotalAmt
Program Services	$2,376,141	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,364,296	TotalAmt
Program Services	$9,324,510	ProgramServicesAmt
Management And General	$39,786	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,203,492	TotalAmt
Program Services	$1,203,492	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CORPORATE MGMT FEES	$48,485,861	$48,485,861
MEDICAL SUPPLIES	$32,989,024	$32,988,423	$601
HOSPITAL EXPENSES	$4,021,499	$4,021,499
QUALITY ASSURANCE FEE	$4,012,053		$4,012,053

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,585,320	TotalAmt
Program Services	$919,746	ProgramServicesAmt
Management And General	$665,574	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$393,211,104	TotalAmt
Program Services	$384,790,237	ProgramServicesAmt
Management And General	$8,420,867	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,044,669	BOYAmt
EOY	$5,053,960	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,817,298	BOYAmt
EOY	$14,041,554	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,419,088	BOYAmt
EOY	$52,092,944	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$308,386	BOYAmt
EOY	$13,923	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,444,080	BOYAmt
EOY	$2,558,999	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,632,915	BOYAmt
EOY	$2,757,186	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$213,272,359	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$121,110,558	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$78,500,328	BOYAmt
EOY	$92,161,801	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,638,435	BOYAmt
EOY	$5,640,338	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,850,922	BOYAmt
EOY	$6,758,597	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,432	BOYAmt
EOY	$20,858	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$205,845,334	BOYAmt
EOY	$218,077,702	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$356,584,887	BOYAmt
EOY	$399,177,862	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,598,332	BOYAmt
EOY	$43,209,036	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,539,715	BOYAmt
EOY	$8,644,033	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,463,146	BOYAmt
EOY	$58,067,744	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$26,815,258	BOYAmt
EOY	$23,798,534	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,732,901	BOYAmt
EOY	$20,578,853	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$162,149,352	BOYAmt
EOY	$154,298,200	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$194,374,669	BOYAmt
EOY	$244,820,381	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$60,866	BOYAmt
EOY	$59,281	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$194,435,535	BOYAmt
EOY	$244,879,662	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$356,584,887	BOYAmt
EOY	$399,177,862	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$47,976,038	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,449,977	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$18,112	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	0	FederalGrantAuditRequiredInd

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	$27,602	OtherActivitiesAmt
Total Lobbying Expenditures	$27,602	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. EXPENDITURES INCURRED TO SUPPORT THESE INITIATIVES MAY BE CONSIDERED TO BE LOBBYING EXPENDITURES. AN INDIRECT EXPENDITURE OF THE HOSPITAL'S MEMBERSHIP DUES PAID TO AMERICAN HOSPITAL ASSOCIATION & CALIFORNIA HOSPITAL ASSOCIATION WERE USED FOR LOBBYING EXPENDITURES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$60,863	BeginningYearBalanceAmt
Contributions	$15,594	ContributionsAmt
Grants Or Scholarships	$17,168	GrantsOrScholarshipsAmt
Administrative Expenses	$11	AdministrativeExpensesAmt
End Year Balance	$59,278	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$67,746	BeginningYearBalanceAmt
Contributions	$15,350	ContributionsAmt
Grants Or Scholarships	$22,233	GrantsOrScholarshipsAmt
End Year Balance	$60,863	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$61,960	BeginningYearBalanceAmt
Contributions	$21,868	ContributionsAmt
Grants Or Scholarships	$16,082	GrantsOrScholarshipsAmt
End Year Balance	$67,746	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$85,700	BeginningYearBalanceAmt
Contributions	$18,535	ContributionsAmt
Grants Or Scholarships	$42,275	GrantsOrScholarshipsAmt
End Year Balance	$61,960	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,291	BeginningYearBalanceAmt
Contributions	$19,797	ContributionsAmt
Grants Or Scholarships	$15,388	GrantsOrScholarshipsAmt
End Year Balance	$85,700	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	$57,080,211	OtherCostOrOtherBasisAmt
Depreciation	$28,875,345	DepreciationAmt
Book Value	$28,204,866	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,592,852	OtherCostOrOtherBasisAmt
Depreciation	$5,429,523	DepreciationAmt
Book Value	$3,163,329	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$110,493,007	OtherCostOrOtherBasisAmt
Depreciation	$79,638,691	DepreciationAmt
Book Value	$30,854,316	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,239,136	OtherCostOrOtherBasisAmt
Depreciation	$7,166,999	DepreciationAmt
Book Value	$20,072,137	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$92,161,801	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
FUNDED DEPRECIATION	$215,543,662
DEFERRED FINANCING COSTS	$1,566,571
LONG TERM WORKERS COMP RECEIVABLE	$135,510
LONG TERM MALPRACTICE RECEIVABLE	$831,959

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$218,077,702	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
HEALTH INSURANCE PRGM PAYABLE	$9,069,889
DUE TO NORTHBAY HEALTH ADVANTAGE	$524,582
WORKERS COMP RESERVE	$1,413,544
DUE TO NBMC	$101,788
NET DUE TO SDI	$8,907,452
SWAP CONTRACTS	$561,598

Field	Value	IRS element (for citing)
Total Liability	$20,578,853	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$441,063,000	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$38,305	OtherRevenueAmt
Revenue Not Reported	-$38,305	RevenueNotReportedAmt
Revenue Subtotal	$441,101,305	RevenueSubtotalAmt
Other Revenues Not Included	$85,837	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$85,837	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$441,187,142	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$389,044,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$63,247	OtherExpensesIncludedAmt
Expenses Not Reported	-$63,247	ExpensesNotReportedAmt
Expenses Subtotal	$389,107,247	ExpensesSubtotalAmt
Other Expenses Not Included	$4,103,857	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,103,857	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$393,211,104	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE 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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENT REVENUE RECLASSIFIED FROM EXPENSES -63,247. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 818. RECLASSIFIED FROM OTHER CHANGES NET ASSETS 24,124.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTION FROM NBHC FOR OFFICERS COMPENSATION 63,297. CONTRIBUTIONS RECLASSIFIED FROM TEMP RESTRICTED NET ASSETS 22,540.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENT REVENUE RECLASSIFIED TO STATEMENT OF REVENUE -63,247.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	OFFICERS COMPENSATION PAID BY NORTHBAY HEALTHCARE CORPORATION 63,297. RECLASSIFICATION HOSPITAL EXPENSES FRM TEMP RESTRICTED NET ASSETS 4,021,499. RECLASSIFICATION HERO/EMPLOYEE EMERG FRM TEMP RESTRICTED NET ASSETS 17,168. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 1,893.

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$10,996,379	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,996,379	NetCommunityBenefitExpnsAmt
Total Expense	0.02800	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,295,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,233,339	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,062,432	NetCommunityBenefitExpnsAmt
Total Expense	0.12990	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$478,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$121,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$356,506	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,770,643	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,355,326	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,415,317	NetCommunityBenefitExpnsAmt
Total Expense	0.15880	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,922,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,116,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,806,729	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$632,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$181,180	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$451,475	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,593,229	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,297,421	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,295,808	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$162,363,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$93,652,747	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,711,125	NetCommunityBenefitExpnsAmt
Total Expense	0.17480	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$49,740	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,740	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	10000	PersonsServedCnt
Total Community Benefit Expns	$5,280	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,280	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	2500	PersonsServedCnt
Total Community Benefit Expns	$65,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	24	PersonsServedCnt
Total Community Benefit Expns	$25,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	10000	PersonsServedCnt
Total Community Benefit Expns	$31,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	2000	PersonsServedCnt
Total Community Benefit Expns	$20,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	32	PersonsServedCnt
Total Community Benefit Expns	$75,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	24606	PersonsServedCnt
Total Community Benefit Expns	$271,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$268,920	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,591,734	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$65,566,808	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$105,989,112	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$40,422,304	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NORTHBAY PHYSICIANS SURGERY CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.94000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.06000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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
VACAVALLEY HOSPITAL
2	1000 NUT TREE ROAD	VACAVILLE	CA	95687	WWW.NORTHBAY.ORG	110000093	Yes (X)	Yes (X)	Yes (X)	OUTPATIENT CLINICS	B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHBAY HEALTHCARE GROUP	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
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	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	13	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	0	StrategyAttachedInd
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	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NORTHBAY HEALTHCARE GROUP	PART V, SECTION B, LINE 3J: NORTHBAY ADOPTS TWO ELEMENTARY SCHOOLS -- FAIRVIEW IN FAIRFIELD AND EUGENE PADAN IN VACAVILLE. AT CHRISTMAS TEACHERS SUBMIT CLASSROOM "WISH LISTS" FOR SUPPLIES AND PROGRAMS. CORPORATE SUPPORT INCLUDES SPONSORING 15 CLASSROOMS WHOSE NEEDS AMOUNTED TO $6,100 IN CLASSROOM SUPPLIES (COMPUTERS, PRINTERS, PAPER, PENCILS, ETC.). ANOTHER 64 CLASSROOMS (AT $360 EACH) WERE SPONSORED BY EMPLOYEE GROUPS.
NORTHBAY HEALTHCARE GROUP	PART V, SECTION B, LINE 5: FOCUS GROUPS WERE CONDUCTED AT FIVE COMMUNITY ORGANIZATIONS -- A CHURCH, A MIGRANT WORKER CENTER, A HOMELESS SHELTER, AN ETHNIC WOMEN'S CENTER AND A FAMILY RESOURCE CENTER. ADDITIONALLY, 11 KEY INFORMANTS (SOCIAL SERVICE AND COMMUNITY HEALTH CLINIC LEADERS) WERE ALSO INTERVIEWED.
NORTHBAY HEALTHCARE GROUP	PART V, SECTION B, LINE 6A: SUTTER SOLANO AND KAISER PERMANENTE VALLEJO/VACAVILLE
NORTHBAY HEALTHCARE GROUP	PART V, SECTION B, LINE 11: NORTHBAY DOES NOT YET HAVE THE EXPERTISE OR RESOURCES TO ADDRESS SUCH THINGS AS PERSONAL SAFETY, DENTAL CARE, EXERCISE/PLAY OPPORTUNITIES AND OTHER NEEDS BEYOND THE SCOPE OF HEALTHCARE DELIVERY
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: NORTHBAY MEDICAL CENTER
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 2: VACAVALLEY HOSPITAL

Field	Value	IRS element (for citing)
Facility	42	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ABC CLINIC
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	"A BABY IS COMING" OUTPATIENT CLINIC
ADULT DAY CENTER
3777 VACA VALLEY PARKWAY	VACAVILLE	CA	95688	ADULT DAY CENTER
ALZHEIMERS RESOURCE CENTER
1010 NUT TREE ROAD	VACAVILLE	CA	95687	ALZHEIMERS RESOURCE CENTER
ANTICOAGULATION SERVICES
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	94533	OUTPATIENT SERVICES
BREAST CANCER CENTER PROGRAM
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	94533	OUTPATIENT CANCER CENTER
CANCER CENTER PROGRAM
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	94533	OUTPATIENT CANCER CENTER
CENTER FOR PAIN MANAGEMENT
1101 B GALE WILSON BLVD	FAIRFIELD	CA	945333552	OUTPATIENT PAIN CLINIC
CENTER FOR WOMEN'S HEALTH
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT WOMEN'S HEALTH CLINIC
COSMETIC REFLECTIONS
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT WOMEN'S HEALTH CLINIC
COUMADIN CLINIC
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
CPC CLINIC - FAIRFIELD
2458 HILBORN ROAD	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
CPC CLINIC - GREEN VALLEY
4520 BUSINESS CENTER DRIVE	FAIRFIELD	CA	945346888	OUTPATIENT PRIMARY CARE CLINIC
CPC CLINIC - NTN
421 NUT TREE ROAD	VACAVILLE	CA	956874100	OUTPATIENT PRIMARY CARE CLINIC
CPC CLINIC - VVHP
1010 NUT TREE ROAD	VACAVILLE	CA	956874100	OUTPATIENT PRIMARY CARE CLINIC
EMPLOYEE HEALTH
2470 HILBORN ROAD	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
ENDOCRINOLOGY
1010 NUT TREE ROAD	VACAVILLE	CA	956874100	OUTPATIENT SERVICES
FUNCTIONAL MEDICINE
1010 NUT TREE ROAD	VACAVILLE	CA	956874100	OUTPATIENT SERVICES
GASTROENTEROLOGY CLINIC
4520 BUSINESS CENTER DRIVE	FAIRFIELD	CA	945346888	OUTPATIENT SERVICES
HOME HEALTH
4520 BUSINESS CENTER DRIVE	FAIRFIELD	CA	945346888	OUTPATIENT SERVICES
HOSPICE & BEREAVEMENT
4520 BUSINESS CENTER DRIVE	FAIRFIELD	CA	945346888	OUTPATIENT SERVICES
INFUSION CENTER
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
LACTATION SERVICES
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
NEUROSURGERY CLINIC
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
OCCUPATIONAL HEALTH
2470 HILBORN ROAD	FAIRFIELD	CA	945333552	OUTPATIENT OCCUPATIONAL HEALTH CLINIC
OCCUPATIONAL HEALTH
1101 B GALE WILSON BLVD	FAIRFIELD	CA	945333552	OUTPATIENT OCCUPATIONAL HEALTH CLINIC
ORTHOPAEDICS
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
ORTHOPAEDICS
1010 NUT TREE ROAD	VACAVILLE	CA	956874100	OUTPATIENT SERVICES
PAIN MANAGEMENT
1101 B GALE WILSON BLVD	FAIRFIELD	CA	945333552	OUTPATIENT PAIN CLINIC SERVICES
PEDIATRIC OT
1101 B GALE WILSON BLVD	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
PERINATAL UNIT
5141 BUSINESS CENTER DR	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
PHYSICAL THERAPY
1000 NUT TREE ROAD	VACAVILLE	CA	95687	OUTPATIENT SERVICES
PHYSICALOCCUPATIONAL THERAPY
3250 RANCHO SOLANO PARKWAY	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES - REHAB SER
PHYSICALOCCUPATIONAL THERAPY
3446 BROWNS VALLEY ROAD	VACAVILLE	CA	956874100	OUTPATIENT SERVICES
PSYCHIATRIC CLINIC
421 NUT TREE ROAD	VACAVILLE	CA	956874100	OUTPATIENT SERVICES
RADIATION THERAPY SERVICES
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
SPECIALTY CARE
1860 PENNSYLVANIA AVENUE	FAIRFIELD	CA	945333552	OUTPATIENT SERVICES
SPEECH PATHOLOGY
1200 B GALE WILSON BLVD	FAIRFIELD	CA	945333552	IN/OUTPATIENT SERVICES
SPEECH THERAPY
1101 B GALE WILSON BLVD	FAIRFIELD	CA	945333552	OUTPATIENT THERAPY SERVICES
SURGERY CENTER AT VACAVALLEY
1006 NUT TREE PARKWAY	VACAVILLE	CA	95687	OUTPATIENT SERVICES
WOMEN'S HEALTH CENTER
1860 PENNSYLVANNIA AVE	FAIRFIELD	CA	94533	OUTPATIENT WOMEN'S HEALTH CLINIC
WOMEN'S IMAGING
1101 B GALE WILSON BLVD	FAIRFIELD	CA	945333552	OUTPATIENT IMAGING SERVICES
WOUND CARE CENTER
1010 NUT TREE ROAD	VACAVILLE	CA	956874100	IN/OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	FOR MEDICARE, THE MEDICARE COST REPORT AND ITS RULES OF ALLOWABLE COSTS WERE USED. FOR ALL OTHER PAYERS, A COST TO CHARGE RATIO WAS USED. THE COST TO CHARGE RATIO USED WAS DERIVED FROM IRS SCHEDULE H WORKSHEETS.
PART II, COMMUNITY BUILDING ACTIVITIES:	NORTHBAY HEALTHCARE COLLABORATES WITH OTHER LOCAL HEALTHCARE ORGANIZATIONS TO PROVIDE TRANSITIONAL HOUSING AND CARE MANAGEMENT FOR HOMELESS PATIENTS WITH CHRONIC MEDICAL AND MENTAL HEALTH CONDITIONS WHO ARE READY FOR HOSPITAL DISCHARGE WHO NEED FOLLOWUP CARE AND CASE MANAGEMENT.NORTHBAY HEALTHCARE IS A MAJOR CONTRIBUTOR TO SOLANO ECONOMIC DEVELOPMENT CORP., A PUBLIC-PRIVATE PARTNERSHIP THAT ATTRACTS AND RETAINS JOB-PRODUCING INDUSTRIES AND BUSINESSES IN OUR COMMUNITIES. IT HOLDS A SEAT ON THE BOARD OF DIRECTORS AND A TOP EXECUTIVE SERVES ON VARIOUS COMMITTEES TO NURTURE ECONOMIC DEVELOPMENT IN SOLANO COUNTY.FINANCIAL SUPPORT PROVIDED THE LEAVEN AFTER-SCHOOL MENTORING PROGRAM IN DISADVANTAGED NEIGHBORHOODS, POLICE ACTIVITIES LEAGUE CRIME-PREVENTION PROGRAMS, TWO HOMELESS SHELTERS (OPPORTUNITY HOUSE AND MISSION SOLANO), SOLANO KIDS INSURANCE PROGRAM, CHILD HAVEN FOR ABUSED AND NEGLECTED CHILDREN AND THE CALIFORNIA DENTAL ASSOCIATION'S CDA CARES PROGRAM THAT PROVIDED A FREE TWO-DAY DENTAL CLINIC FOR THE HOMELESS AND POOR AT THE COUNTY FAIRGROUNDS.NORTHBAY UNDERWRITES PROGRAMS FOR TWO LOCAL CHAMBERS OF COMMERCE -- LEADERSHIP TODAY. GRADUATES COMPLETE A YEARLONG PROGRAM THAT EXPOSES THEM TO THE INNER WORKINGS OF GOVERNMENT, SOCIAL SERVICES, LAW ENFORCEMENT, THE MILITARY AND HEALTH CARE IN THE LOCAL COMMUNITIES. NORTHBAY CONDUCTS HEALTH CARE DAY, BRINGING LEADERSHIP CANDIDATES TO OUR TWO HOSPITALS FOR AN ENTIRE DAY OF ORIENTATION ON THE DELIVERY, COST AND CHALLENGES OF THE LOCAL HEALTHCARE SYSTEM.SOLANO COALITION FOR BETTER HEALTH IS DIRECTED BY HIGH-LEVEL EXECUTIVES FROM ALL LOCAL HEALTH ORGANIZATIONS, SCHOOL DISTRICTS AND LOCAL POLICY-MAKERS. IT FACILITATES SOLUTIONS TO PROBLEMS RELATED TO ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES THROUGH INDIRECT SERVICE INITIATIVES, FUND RAISING AND INFLUENCING POLICY DECISIONS.HEALTH EDUCATION SEMINARS AND WORKSHOPS ARE REGULARLY PROVIDED TO THE COMMUNITY, MOST ALL FREE OF CHARGE. PHYSICIANS AND PROVIDERS COVER A WIDE RANGE OF PREVENTIVE HEALTH TOPICS, FROM CANCER TO HEART DISEASE TO DIABETES AND ORTHOPEDIC INJURIES.NORTHBAY HEALTHCARE CONDUCTS A NURSE AMBASSADOR PROGRAM WHICH REACHED INTO LOCAL SCHOOLS TO DELIVER BOTH HEALTH EDUCATION, BUT ALSO WORKFORCE DEVELOPMENT, SEEKING YOUNG PEOPLE WHO ARE CONSIDERING A CAREER IN HEALTH CARE. MOST NOTABLY, THE PROGRAM ANNUALLY CONDUCTS NURSE CAMP, INVITING 32 HIGH SCHOOL JUNIORS AND SENIORS TO SPEND THREE DAYS WITH REGISTERED NURSES AND OTHER PROVIDERS OBSERVING A VARIETY OF SERVICES -- FROM THE EMERGENCY DEPARMENT TO SURGERY TO INPATIENT CARE AND LABORATORY SCIENCES. APPLICATIONS FROM STUDENTS INTERESTED IN PURSUING A HEALTHCARE CAREER FAR EXCEED THE NUMBER OF SLOTS AVAILABLE. THREE CURRENT NORTHBAY EMPLOYEES ARE GRADUATES OF NURSE CAMP IN PREVIOUS YEARS.
PART III, LINE 4:	COSTING METHOLOGY FOR BAD DEBT EXPENSE: GAAP IS USED TO CALCUATE BAD DEBT EXPENSE FOR THE FINANCIAL STATEMENTS, AND THEN THE OVERALL COST TO CHARGE RATIO IS APPLIED TO ARRIVE AT COST PERTAINING TO THE CHARGES ON THOSE PATIENT ACCOUNTS, OR PORTION THEREOF, WHICH HAVE BEEN DEEMED UNCOLLECTIBLE.IF A PAYMENT OR OTHER DISCOUNT HAD BEEN APPLIED TO A PATIENT ACCOUNT, THE AMOUNT OF GROSS CHARGES WRITTEN OFF AS A BAD DEBT WOULD HAVE BEEN REDUCED BY THAT AMOUNT, THEREBY EFFECTIVELY REDUCING BAD DEBT EXPENSE AND COST.IN CASES WHERE PATIENTS WERE NOT AVAILABLE TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND PRODUCE FINANCIAL DOCUMENTS, OUR COLLECTION AGENCIES USED TOOLS THAT SCREEN FOR PROPENSITY TO PAY AS A MEANS FOR ULTIMATELY DETERMINING THAT A PATIENT WOULD BE UNABLE TO PAY THEIR BILL.BAD DEBTS ARE INCLUDED AS COMMUNITY BENEFIT BECAUSE NORTHBAY HEALTHCARE GROUP PROVIDES SERVICES TO VULNERABLE POPULATIONS WHO ARE UNABLE TO PAY FOR THE SERVICES. THE HOSPITAL DOES NOT DENY EMERGENCY SERVICES TO ANYONE, AND EMERGENCY SERVICES COMPRISE THE MAJORITY OF THE HOSPITALS' BAD DEBTS COSTS.BAD DEBT EXPENSE FOOTNOTE: EFFECTIVE JANUARY 1, 2012, MANAGEMENT ADOPTED ASU NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954), PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES ("ASU 2011-07"), WHICH REQUIRES HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THEY DO NOT ASSESS THE PATIENT'S ABILITY TO PAY, TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ON THEIR CONSOLIDATED STATEMENTS OF OPERATIONS. ALL PERIODS PRESENTED HAVE BEEN RECLASSIFIED IN ACCORDANCE WITH THE PROVISION OF ASU 2011-07.ACCOUNTS RECEIVABLE FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. 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.THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 99% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2014 AND 2013. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE YEARS ENDED DECEMBER 2014 AND 2013. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD PARTY PAYORS.
PART III, LINE 8:	COSTING METHODOLOGY FOR MEDICARE: ALL OF THE MEDICARE SHORTFALL, WHERE THE COSTS FOR PATIENT CARE EXCEED THE REIMBURSEMENT THEREON, SHOULD BE TREATED AS A COMMUNITY BENEFIT. THROUGH SERVING THE SOLANO COUNTY POPULATION, WHICH INCLUDES A VERY LARGE PERCENTAGE IN THE 65 AND OLDER AGE GROUP, NORTHBAY HEALTHCARE OFFERS THE PEACE OF MIND THAT COMES WITH CONTINUITY OF CARE TO GIVE ITS COMMUNITY A HOSPITAL THAT IS NEAR THEIR HOME.THE AMOUNT OF MEDICARE ADVANTAGE PROGRAM COST FOR 2014 WAS $34,238,173 AND THE AMOUNT OF NET REVENUES RECEIVED FOR THIS MCR MANAGED CARE PROGRAM WAS $27,799,189, SHORTFALL OF 2014 IS $6,438,985. NONE OF THESE COSTS AND REVENUES ARE INCLUDED IN THE MEDICARE 2014 COST REPORT FIGURES.EXPENSES ARE DISALLOWED BASED ON PRIOR YEARS' COST REPORTS AUDITS AND STANDARD MEDICARE NON-REIMBURSABLE EXPENSES AS DIRECTED BY THE MEDICARE PROGRAM.FOR MEDICARE, THE MEDICARE COST REPORT AND IT RULES OF ALLOWABLE COSTS WERE USED. FOR OTHER PAYERS A COST TO CHARGE RATIO WAS USED.
PART III, LINE 9B:	COLLECTION PRACTICES: PATIENTS CAN QUALIFY FOR VARIED LEVELS OF FINANCIAL ASSISTANCE BASED UPON THEIR INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL. THE AMOUNT THAT A QUALIFIED PATIENT IS BILLED IS EITHER ZERO OR A PERCENTAGE OF THE MEDICARE FEE SCHEDULE DEPENDENT UPON THEIR INCOME.
PART VI, LINE 2:	NEEDS ASSESSMENT: IN PARTNERSHIP WITH THE SOLANO COALITION FOR BETTER HEALTH, A NEEDS ASSESSMENT WAS CONDUCTED. 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, NORTHBAY.ORG
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: NORTHBAY HEALTHCARE POSTS NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL PATIENT REGISTRATION AREAS, IN PATIENT HANDBOOKS, AT ITS PATIENT BUSINESS SERVICES DEPARTMENT, AND ON ITS WEBSITE. NOTICES ARE POSTED IN ENGLISH AND SPANISH. PATIENTS ARE 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, THEY SHALL BE REFERRED TO NORTHBAY FINANCIAL COUNSELING FOR FURTHER ASSISTANCE. A FINAL DETERMINATION WILL BE 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:	COMMUNITY INFORMATION: SOLANO COUNTY IS A RURAL EXPANSE OF 909.4 SQUARE MILES WITH A POPULATION OF 420,757 (U.S. CENSUS). THERE ARE THREE MAIN URBAN CENTERS: FAIRFIELD, VACAVILLE, AND VALLEJO/BENECIA. NORTHBAY MEDICAL CENTER IS LOCATED IN FAIRFIELD ALONG THE I-80 CORRIDOR BETWEEN THE CENTRAL BAY AREA AND THE STATE CAPITAL. NON-WHITE RESIDENTS ARE NOW A MAJORITY OF THE POPULATION, MAKING OUR CITIES SOME OF THE MOST ETHNICALLY DIVERSE IN CALIFORNIA.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: 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 DETERENCE 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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CTR DR	FAIRFIELD	CA	94534	942995085	501(C)(3)	$307,533	GENERAL SUPPORT
NORTHBAY HEALTH ADVANTAGE
4500 BUSINESS CTR DR	FAIRFIELD	CA	94534	942495998	501(C)(3)	$20,593	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	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	NORTHBAY HEALTHCARE GROUP GRANTS FUNDS TO PATIENTS AND OR THEIR FAMILIES IN NEED OF ASSISTANCE FOR PRESCRIPTIONS, DURABLE MEDICAL EQUIPMENT, TRANSPORTATION, ETC. 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 SOCIAL SERVICES STAFF AND HUMAN RESOURCES. NORTHBAY HEALTHCARE GROUP ALSO GRANTS FUNDS TO NORTHBAY HEALTHCARE FOUNDATION AND NORTHBAY HEALTH ADVANTAGE TO ASSIST WITH THEIR DAILY OPERATIONS. THERE IS NO SPECIFIC PROCEDURE IN PLACE FOR MONITORING THE USE OF GRANT FUNDS ISSUED TO NORTHBAY HEALTHCARE FOUNDATION OR NORTHBAY HEALTH ADVANTAGE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
GARY PASSAMA
CEO	$0	$593,001	$0	$185,964	$0	$122,407	$0	$26,500	$0	$16,094	$0	$943,966	$0	$0
DEBORAH SUGIYAMA
NBHG PRESIDENT	$0	$455,827	$0	$113,274	$0	$257,414	$0	$48,100	$0	$24,889	$0	$899,504	$0	$0
ARTHUR DENIO
VP & CFO	$0	$373,406	$0	$95,811	$0	$65,196	$0	$13,185	$0	$31,406	$0	$579,004	$0	$0
KATHLEEN RICHERSON
V/P CHF NURSING OFF'R	$0	$303,561	$0	$65,170	$0	$41,034	$0	$20,632	$0	$15,437	$0	$445,834	$0	$0
ANTOINETTE NAVARRO
CLINICAL COORDINATOR	$278,014	$0	$0	$0	$0	$0	$5,480	$0	$284	$0	$283,778	$0	$0	$0
JOANNE JACOB
CLINICAL NURSE III	$256,735	$0	$0	$0	$0	$0	$5,586	$0	$14,480	$0	$276,801	$0	$0	$0
THERESA BARTOLI
CLINICAL COORDINATOR	$278,716	$0	$0	$0	$0	$0	$5,968	$0	$21,163	$0	$305,847	$0	$0	$0
RHONDA MARTIN
AVP NURSING OPERATIONS	$251,082	$0	$35,574	$0	$1,359	$0	$11,451	$0	$1,103	$0	$300,569	$0	$0	$0
SUSAN GORNALL
DIR PERIOPERATIVE SRVCS	$232,155	$0	$24,426	$0	$2,772	$0	$8,586	$0	$7,402	$0	$275,341	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	THE 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 KATHLEEN RICHERSON - $23,113
PART I, LINE 6	PART OF A SENIOR MANAGEMENT INCENTIVE PROGRAM AND MANAGEMENT ACCOUNTABILITIES WHICH INCLUDES SPECIFIC CRITERIA IN ORDER FOR THEM TO RECEIVE ADDITIONAL COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA MUNICIPAL FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	201563466	BondIssuerEIN
CUSIP	13048TQQ9	CUSIPNum
Bond Issued	2013-10-24	BondIssuedDt
Issue Price	$61,541,322	IssuePriceAmt
Purpose	TO FUND CAPITAL ACQUISITIONS & TO DEFEASE THE 1998 BONDS.	PurposeDesc
Defeased	Yes (1)	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Bond Defeased	$19,581,253	BondDefeasedAmt
Total Proceeds	$61,541,322	TotalProceedsAmt
In Reserve Fund	$6,000,000	InReserveFundAmt
Capitalized Interest	$49,266	CapitalizedInterestAmt
Issuance Costs From Proceeds	$1,230,826	IssuanceCostsFromProceedsAmt
Capital Expenditures	$1,629,363	CapitalExpendituresAmt
Unspent	$33,099,880	UnspentAmt
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$184,489	NoncashContributionsRptF990Amt
Method Of Determining Revenues	BOOK VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS: NORTHBAY HEALTHCARE GROUP ("NBHG") IS ORGANIZED FOR THE PROMOTION OF HEALTH THROUGH THE OPERATION OF GENERAL ACUTE CARE HOSPITALS AND OTHER HEALTH RELATED ORGANIZATIONS AND ENTERPRISES. NBHG IS NOT ORGANIZED OR OPERATED FOR PECUNIARY GAIN. THE PROPERTY, ASSETS, AND PROFITS ARE DEDICATED IRREVOCABLY TO THE CHARITABLE PURPOSES SET FORTH IN THE ARTICLES OF INCORPORATION. IF DISSOLVED, ALL ASSETS WILL BE DISTRIBUTED TO THE NORTHBAY HEALTHCARE CORPORATION OR TO OTHER RELATED CHARITABLE ENTITIES. DIRECTOR QUALIFICATIONS INCLUDE COMMITMENT TO THE IMPROVEMENT AND DEVELOPMENT OF COMMUNITY HEALTHCARE IN SOLANO COUNTY. NORTHBAY MEDICAL CENTER & VACAVALLEY HOSPITAL - INPATIENT ACTIVITY: PATIENT DAYS: 37,000; DISCHARGES: 8,710; OBSTETRICAL DELIVERIES: 1,324; INPATIENT SURGICAL PROCEDURES: 4,076; CAPITATED MEMBER MONTHS: 651,457. NORTHBAY MEDICAL CENTER & VACAVALLEY HOSPITAL - OUTPATIENT ACTIVITY: TOTAL ER VISITS: 67,428; OUTPATIENT SURGERIES: 2,032. NORTHBAY MEDICAL GROUP - PRIMARY CARE MEDICAL CLINIC VISITS: 52,590; SPECIALTY CARE CLINIC VISITS: 93,267.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE UPDATED TO REFLECT NORTHBAY HEALTHCARE GROUP'S NEW MANAGEMENT STRUCTURE OF TWO DIVISION PRESIDENTS (PRESIDENT, AMBULATORY DIVISION AND PRESIDENT, HOSPITAL DIVISION) INSTEAD OF ONE NORTHBAY HEALTHCARE GROUP PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND WILL BE PRESENTED TO THE BOARD OF DIRECTORS OF THE PARENT COMPANY, 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 12C	THE ORGANIZATION REQUESTS ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO SELF-MONITOR COMPLIANCE; IN ADDITION EACH OFFICER AND DIRECTOR MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15	AN AD HOC COMPENSATION COMMITTEE OF THE SYSTEM BOARD REVIEWS EXECUTIVE COMPENSATION. THEY ARE ASSISTED BY INDEPENDENT CONSULTANTS. THE ORGANIZATION USES INDEPENDENT LOCAL SURVEYS AS A MEANS TO SUBSTANTIATE COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE 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 VI, LINE 4	REFERENCES TO PRESIDENT UPDATED TO REFLECT NORTHBAY HEALTHCARE GROUP'S NEW MANAGEMENT STRUCTURE OF TWO DIVISION PRESIDENTS (PRESIDENT, AMBULATORY DIVISION AND PRESIDENT, HOSPITAL DIVISION) INSTEAD OF ONE NORTHBAY HEALTHCARE GROUP PRESIDENT.
FORM 990, PART VII AND PART IX, LINE 5	COMPENSATION FOR OFFICERS AND DIRECTORS: THE OFFICERS AND DIRECTORS ARE EMPLOYED AND COMPENSATED BY NORTHBAY HEALTHCARE CORPORATION (NBHC). NBHC REPORTS 100% OF THE INDIVIDUAL'S COMPENSATION ON W-2'S ISSUED BY NBHC. HOWEVER, SOME OF THESE EMPLOYEES ARE ASSIGNED DUTIES TO OTHER RELATED ORGANIZATIONS (SEE SCHEDULE R FOR ADDITIONAL INFORMATION REGARDING THE RELATED ORGANIZATIONS). AS A RESULT OF THESE ASSIGNMENTS, WAGE AND BENEFIT COSTS ARE ALLOCATED TO RELATED ORGANIZATIONS. THE WAGE AND BENEFIT COSTS ALLOCATED TO EACH ORGANIZATION ARE REPORTED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES FOR EACH INDIVIDUAL AS BEING COMPENSATED DIRECTLY FROM THE FILING ORGANIZATION AND THE BALANCE OF COMPENSATION IS REPORTED AS COMPENSATION FROM RELATED ORGANIZATIONS.
FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 73,868,439. MANAGEMENT AND GENERAL EXPENSES 1,534,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,403,411.
FORM 990, PART XI, LINE 9:	AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 18,112.
FORM 990, PART XII, LINE 2C	AUDIT 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/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 CTR DR	FAIRFIELD	CA	94534	680046750	TO SUPPORT THE OPERATION OF NORTHBAY HEALTHCARE GROUP & AFFILIATES	CA	501(C)(3)	11-II	N/A	0
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CTR DR	FAIRFIELD	CA	94534	942995085	PROVIDES FUNDRAISING FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES	CA	501(C)(3)	11-I		0	NORTHBAY HEALTHCARE CORPORATION
NORTHBAY HEALTH ADVANTAGE
4500 BUSINESS CTR DR	FAIRFIELD	CA	94534	942495998	MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES	CA	501(C)(3)	11-II		0	NORTHBAY HEALTHCARE CORPORATION

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	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	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	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	0	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