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NORTHBAY HEALTHCARE GROUP: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NORTHBAY HEALTHCARE GROUP (EIN 94-1458282)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201423219349309867
Schema version
2013v3.0
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)
Return2014-11-17T15:58:31-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET 9TH FLOORAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941458282EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHBAY HEALTHCARE GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone7076463110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 B GALE WILSON BOULEVARDAddressLine1
CityFAIRFIELDCity
StateCAState
ZIP Code94533ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARTHUR E DENIOPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone7076463110PhoneNum
Signature2014-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRENIE BURBANKPreparerPersonNm
PTINP00159653PTIN
Phone4159561500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARTHUR E DENIOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 BUSINESS CTR DRAddressLine1
CityFAIRFIELDCity
StateCAState
ZIP Code94534ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$428,567,340GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHBAY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE PRIMARY PURPOSE OF THE CORPORATION IS TO PROVIDE HEALTH CARE SERVICES, WHICH INCLUDE HOSPITAL AND PHYSICIAN SERVICES, AND OPERATE ANY FACILITIES AND/OR ASSETS NECESSARY TO IMPROVE THE HEALTH CARE STATUS OF THE PUBLIC.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2069TotalEmployeeCnt
Total Volunteers180TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,141,309PYContributionsGrantsAmt
CY Contributions Grants$1,222,574CYContributionsGrantsAmt
PY Program Service Revenue$337,868,399PYProgramServiceRevenueAmt
CY Program Service Revenue$393,173,560CYProgramServiceRevenueAmt
PY Investment Income-$11,124,797PYInvestmentIncomeAmt
CY Investment Income$2,821,459CYInvestmentIncomeAmt
PY Other Revenue$933,891PYOtherRevenueAmt
CY Other Revenue$1,513,039CYOtherRevenueAmt
PY Total Revenue$328,818,802PYTotalRevenueAmt
CY Total Revenue$398,730,632CYTotalRevenueAmt
PY Grants And Similar Paid$275,613PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$311,252CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$156,394,704PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$172,699,505CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$165,526,891PYOtherExpensesAmt
CY Other Expenses$195,711,409CYOtherExpensesAmt
PY Total Expenses$322,197,208PYTotalExpensesAmt
CY Total Expenses$368,722,166CYTotalExpensesAmt
PY Revenues Less Expenses$6,621,594PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,008,466CYRevenuesLessExpensesAmt
Total Assets BOY$281,885,355TotalAssetsBOYAmt
Total Assets EOY$356,584,887TotalAssetsEOYAmt
Total Liabilities BOY$122,249,974TotalLiabilitiesBOYAmt
Total Liabilities EOY$162,149,352TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$159,635,381NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$194,435,535NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$342,791,071ExpenseAmt
Grant$311,252GrantAmt
Revenue$393,173,560RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$342,791,071TotalProgramServiceExpensesAmt
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 HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document510IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2069EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARTHUR E DENIOBusinessNameLine1
FieldValueIRS element (for citing)
Phone7076463110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 BUSINESS CENTER DRIVEAddressLine1
CityFAIRFIELDCity
StateCAState
ZIP Code94534ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ARCHIE HUMPHREY
CHAIRMAN1.001.00Yes (X)Yes (X)$12,755$0$0
MARK SIEVERS
VICE CHAIRMAN1.001.00Yes (X)Yes (X)$19,803$0$0
WAYNE SENALIK
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
DONALD DOYLE MD
DIRECTOR1.00Yes (X)$13,396$0$0
THERESA HITE
DIRECTOR1.00Yes (X)$7,350$0$0
GWENDOLYN RUNNELS
DIRECTOR1.00Yes (X)$0$0$0
DENISE SUIHKONEN
DIRECTOR1.00Yes (X)$12,805$0$0
MURRAY WOOLF MD
DIRECTOR1.00Yes (X)$18,899$0$0
GARY PASSAMA
CEO13.0027.00Yes (X)$0$849,963$41,616
DEBORAH SUGIYAMA
NBHG PRESIDENT36.004.00Yes (X)$0$572,646$87,345
ARTHUR DENIO
VP & CFO25.0015.00Yes (X)$0$477,794$49,925
KATHLEEN RICHERSON
V/P CHF NURSING OFF'R40.00$0$388,232$34,796Yes (X)
ANTOINETTE NAVARRO
CLINICAL COORDINATOR53.10$286,604$0$5,372Yes (X)
JOANNE JACOB
CLINICAL NURSE III48.50$274,905$0$17,934Yes (X)
THERESA BARTOLI
CLINICAL COORDINATOR49.20$273,707$0$14,306Yes (X)
RHONDA MARTIN
AVP NURSING OPERATIONS40.00$269,153$0$12,438Yes (X)
DANIEL HARTLEY
NURSE PRACTIONER/RNFA47.20$258,136$0$22,852Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,447,513TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,288,635TotReportableCompRltdOrgAmt
Total Other Compensation$286,584TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K529IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
DELPHI OF TEAM HEALTH
265 BROOKVIEW CENTRE WAY STE 400KNOXVILLETN37919PHYSICIAN GROUP$5,713,392
SOUND INPATIENT PHYSICIANS
1123 PACIFIC AVETACOMAWA98402PHYSICIAN GROUP$3,036,972
EMERGENCY & ACUTE MEDICAL CORP
440 STEVENS AVE STE 150SOLANA BEACHCA92075PHYSICIAN GROUP$2,401,762
SOLANO DIAGNOSTIC IMAGING
PO BOX 39000 DEPT 34591SAN FRANCISCOCA94139PHYSICIAN GROUP$1,694,723
TOTAL RENAL CARE
PO BOX 8500-1607PHILADELPHIAPA19178MEDICAL SERVICE$941,912
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K63CntrctRcvdGreaterThan100KCnt
Related Organizations$1,019,135RelatedOrganizationsAmt
All Other Contributions$203,439AllOtherContributionsAmt
Noncash Contributions$173,292NoncashContributionsAmt
Total Contributions$1,222,574TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621400$392,287,562$392,287,562
CAPITATION REVENUE621400$43,769,380$43,769,380
OTHER REV. FROM OPS900099$3,437,889$3,437,889
BAD DEBT PROVISION621400-$46,321,271-$46,321,271
FieldValueIRS element (for citing)
Total Program Service Revenue$393,173,560TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,525,495TotalRevenueColumnAmt
Exclusion$2,525,495ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$106,283RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$43,672RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$62,611RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,611TotalRevenueColumnAmt
Exclusion$62,611ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$30,089,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$29,644,589SecuritiesAmt
Other$148,447OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$444,411SecuritiesAmt
Other-$148,447OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$295,964TotalRevenueColumnAmt
Exclusion$295,964ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
WHA INVESTMENT INCOME900099$530,188$530,188
AMORT OF DEFERRED REVENUE900099$493,235$493,235
AMORT. OF GAIN ON MOB900099$460,652$460,652

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$33,647TotalRevenueColumnAmt
Exclusion-$33,647ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,450,428OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$398,730,632TotalRevenueColumnAmt
Related Or Exempt Func Income$393,173,560RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,334,498ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$308,998TotalAmt
Program Services$308,998ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,254TotalAmt
Program Services$2,254ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$52,450TotalAmt
Management And General$52,450ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$138,868,242TotalAmt
Program Services$138,012,073ProgramServicesAmt
Management And General$856,169ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,588,250TotalAmt
Program Services$4,504,413ProgramServicesAmt
Management And General$83,837ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,438,362TotalAmt
Program Services$19,334,335ProgramServicesAmt
Management And General$104,027ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,752,201TotalAmt
Program Services$9,691,520ProgramServicesAmt
Management And General$60,681ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$690,825TotalAmt
Program Services$690,825ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$410,614TotalAmt
Management And General$410,614ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,662TotalAmt
Management And General$29,662ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$66,343,529TotalAmt
Program Services$64,379,994ProgramServicesAmt
Management And General$1,963,535ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,667TotalAmt
Program Services$14,667ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,817,250TotalAmt
Program Services$8,762,962ProgramServicesAmt
Management And General$54,288ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$803,727TotalAmt
Program Services$790,492ProgramServicesAmt
Management And General$13,235ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,945,943TotalAmt
Program Services$7,328,480ProgramServicesAmt
Management And General$617,463ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$280,423TotalAmt
Program Services$253,036ProgramServicesAmt
Management And General$27,387ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$269,758TotalAmt
Program Services$196,809ProgramServicesAmt
Management And General$72,949ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,515,667TotalAmt
Program Services$2,515,667ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,561,386TotalAmt
Program Services$8,521,900ProgramServicesAmt
Management And General$39,486ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,251,151TotalAmt
Program Services$1,251,151ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CORPORATE MGMT FEES$43,803,096$43,803,096
MEDICAL SUPPLIES$31,438,863$31,438,659$204
QUALITY ASSURANCE FEE$21,013,812$21,013,812
DUES & SUBSCRIPTIONS$431,989$267,218$164,771

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,089,047TotalAmt
Program Services$722,522ProgramServicesAmt
Management And General$366,525ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$368,722,166TotalAmt
Program Services$342,791,071ProgramServicesAmt
Management And General$25,931,095ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,666,126BOYAmt
EOY$3,044,669EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,407,819BOYAmt
EOY$4,817,298EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,374,952BOYAmt
EOY$48,419,088EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$612,120BOYAmt
EOY$308,386EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,547,770BOYAmt
EOY$1,444,080EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,012,149BOYAmt
EOY$1,632,915EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$190,656,836LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$112,156,508LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,307,837BOYAmt
EOY$78,500,328EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,003,103BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,871,547BOYAmt
EOY$5,638,435EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,320,734BOYAmt
EOY$6,850,922EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$216,700BOYAmt
EOY$83,432EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$131,544,498BOYAmt
EOY$205,845,334EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$281,885,355BOYAmt
EOY$356,584,887EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,863,365BOYAmt
EOY$45,598,332EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,397,592BOYAmt
EOY$8,539,715EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,350,281BOYAmt
EOY$61,463,146EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$27,548,534BOYAmt
EOY$26,815,258EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,090,202BOYAmt
EOY$19,732,901EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,249,974BOYAmt
EOY$162,149,352EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$159,567,632BOYAmt
EOY$194,374,669EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$67,749BOYAmt
EOY$60,866EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,635,381BOYAmt
EOY$194,435,535EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$281,885,355BOYAmt
EOY$356,584,887EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$30,008,466ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,084,212NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,292,524OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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$29,662OtherActivitiesAmt
Total Lobbying Expenditures$29,662TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationNORTHBAY 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$81,291BeginningYearBalanceAmt
Contributions$19,797ContributionsAmt
Grants Or Scholarships$15,388GrantsOrScholarshipsAmt
End Year Balance$85,700EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$58,119BeginningYearBalanceAmt
Contributions$29,952ContributionsAmt
Grants Or Scholarships$6,780GrantsOrScholarshipsAmt
End Year Balance$81,291EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,020,466OtherCostOrOtherBasisAmt
Depreciation$26,999,507DepreciationAmt
Book Value$28,020,959BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,001,923OtherCostOrOtherBasisAmt
Depreciation$4,781,755DepreciationAmt
Book Value$3,220,168BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,056,427OtherCostOrOtherBasisAmt
Depreciation$73,661,862DepreciationAmt
Book Value$28,394,565BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,710,867OtherCostOrOtherBasisAmt
Depreciation$6,713,384DepreciationAmt
Book Value$8,997,483BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$78,500,328TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
FUNDED DEPRECIATION$202,503,407
DEFERRED FINANCING COSTS$1,807,819
LONG TERM WORKERS COMP RECEIVABLE$237,701
LONG TERM MALPRACTICE RECEIVABLE$1,296,407
FieldValueIRS element (for citing)
Total Book Value Other Assets$205,845,334TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
HEALTH INSURANCE PRGM PAYABLE$10,648,828
DUE TO NORTHBAY HEALTH ADVANTAGE$588,898
WORKERS COMP RESERVE$1,321,133
DUE TO NBMC$101,788
NET DUE TO SDI$6,168,889
SWAP CONTRACTS$903,364
DUE TO NORTHBAY HEALTHCARE CORPORATION$1
FieldValueIRS element (for citing)
Total Liability$19,732,901TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$398,644,000TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$74,591OtherRevenueAmt
Revenue Not Reported-$74,591RevenueNotReportedAmt
Revenue Subtotal$398,718,591RevenueSubtotalAmt
Other Revenues Not Included$12,041OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$12,041RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$398,730,632TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$368,683,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$73,930OtherExpensesIncludedAmt
Expenses Not Reported-$73,930ExpensesNotReportedAmt
Expenses Subtotal$368,756,930ExpensesSubtotalAmt
Other Expenses Not Included-$34,764OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$34,764ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$368,722,166TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 -73,242. AUDITED FINANCIAL STATEMENT ROUNDING -1,349.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION FROM NBHC FOR OFFICERS COMPENSATION 52,450. CONTRIBUTIONS RECLASSIFIED FROM TEMPORARILY RESTRICTED NET ASSETS 15,350. CONTRIBUTIONS RECLASSIFIED FROM OTHER CHANGES NET ASSETS 92,688. LOSS ON SALE OF PROPERTY RECLASSIFIED FROM EXPENSES -148,447.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENT REVENUE RECLASSIFIED TO REVENUES -73,242. AUDITED FINANCIAL STATEMENT ROUNDING -688.
PART XII, LINE 4B - OTHER ADJUSTMENTS:DISTRIBUTIONS RECLASSIFIED FROM TEMPORARILY RESTRICTED NET ASSETS 22,233. LOSS ON SALE OF PROPERTY RECLASSIFIED TO REVENUES -148,447. OFFICERS COMPENSATION PAID BY NORTHBAY HEALTHCARE CORPORATION 52,450. ADDITIONAL EXPENSES RECLASSED FROM OTHER CHANGES IN NET ASSETS 39,000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,589,083TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,589,083NetCommunityBenefitExpnsAmt
Total Expense0.03410TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,267,743TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$83,825,130DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,442,613NetCommunityBenefitExpnsAmt
Total Expense0.06630TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,088,597TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,953,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,135,088NetCommunityBenefitExpnsAmt
Total Expense0.04650TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$145,945,423TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$91,778,639DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,166,784NetCommunityBenefitExpnsAmt
Total Expense0.14690TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,549,453TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,421,011DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,128,442NetCommunityBenefitExpnsAmt
Total Expense0.01390TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,156TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$80,156NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$164,001TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$164,001NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,793,610TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,421,011DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,372,599NetCommunityBenefitExpnsAmt
Total Expense0.01450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$157,739,033TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$98,199,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,539,383NetCommunityBenefitExpnsAmt
Total Expense0.16140TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$40,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1500PersonsServedCnt
Total Community Benefit Expns$29,140TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,140NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served27PersonsServedCnt
Total Community Benefit Expns$32,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$22,385TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,385NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served40PersonsServedCnt
Total Community Benefit Expns$80,156TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$80,156NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs36ActivitiesOrProgramsCnt
Persons Served1567PersonsServedCnt
Total Community Benefit Expns$209,181TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$209,181NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$12,613,726BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$65,349,074ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$98,760,225CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$33,411,151MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDescFacility Reporting GroupFacilityReportingGroupCd
NORTHBAY MEDICAL CENTER
11200 B GALE WILSON BLVDFAIRFIELDCA94533Yes (X)Yes (X)Yes (X)OUTPATIENT CLINICSA
VACAVALLEY HOSPITAL
21000 NUT TREE ROADVACAVILLECA95687Yes (X)Yes (X)Yes (X)OUTPATIENT CLINICSB

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHBAY HEALTHCARE GROUPBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.NORTHBAY.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit LawsuitYes (X)PermitLawsuitInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTHBAY HEALTHCARE GROUPPART V, SECTION B, LINE 1J: 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 GROUPPART V, SECTION B, LINE 3: 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 GROUPPART V, SECTION B, LINE 4: SUTTER SOLANO AND KAISER PERMANENTE VALLEJO/VACAVILLE
NORTHBAY HEALTHCARE GROUPPART V, SECTION B, LINE 6I: NORTHBAY RECRUITED A SECOND ENDOCRINOLOGIST TO HANDLE THE INCREASE IN DIABETES, SPONSORED COMMUNITY EVENTS FOCUSING ON HEALTH EATING HABITS, HEART HEALTHY DIETS, ETC, AND HOSTED IN ITS FACILITIES VARIOUS COMMUNITY EDUCATION SEMINARS ON STROKE, CANCER AND OTHER PREVENTION INITIATIVES
NORTHBAY HEALTHCARE GROUPPART V, SECTION B, LINE 7: 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 BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: NORTHBAY MEDICAL CENTER
PART V, SECTION BFACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:- FACILITY 2: VACAVALLEY HOSPITAL
FieldValueIRS element (for citing)
Facility28FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
ABC CLINIC
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552A BABY IS COMING OUTPATIENT CLINIC
CENTER FOR PAIN MANAGEMENT
1101 B GALE WILSON BLVDFAIRFIELDCA945333552OUTPATIENT PAIN CLINIC
CENTER FOR WOMEN'S HEALTH
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT WOMEN'S HEALTH CLINIC
COUMADIN CLINIC
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT SERVICES
CPC CLINIC - FAIRFIELD
2458 HILBORN ROADFAIRFIELDCA945333552OUTPATIENT SERVICES
CPC CLINIC - GREEN VALLEY
4520 BUSINESS CENTER DRIVEFAIRFIELDCA945346888OUTPATIENT PRIMARY CARE CLINIC
CPC CLINIC - NTN
421 NUT TREE ROADVACAVILLECA956874100OUTPATIENT PRIMARY CARE CLINIC
CPC CLINIC - VVHP
1010 NUT TREE ROADVACAVILLECA956874100OUTPATIENT PRIMARY CARE CLINIC
EMERGENCY
1000 NUT TREE ROADVACAVILLECA956874100HOSPITAL EMERGENCY SERVICES
EMERGENCY
1200 B GALE WILSON BLVDFAIRFIELDCA945333552HOSPITAL EMERGENCY SERVICES
ENDOCRINOLOGY
1010 NUT TREE ROADVACAVILLECA956874100OUTPATIENT SERVICES
FUNCTIONAL MEDICINE
1010 NUT TREE ROADVACAVILLECA956874100OUTPATIENT SERVICES
GASTROENTEROLOGY CLINIC
4520 BUSINESS CENTER DRIVEFAIRFIELDCA945346888OUTPATIENT SERVICES
INFUSION CENTER
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT SERVICES
LACTATION SERVICES
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT SERVICES
MEDICAL ONCOLOGY
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT SERVICES
NEUROSURGERY CLINIC
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT SERVICES
OCCUPATIONAL HEALTH
1101 B GALE WILSON BLVDFAIRFIELDCA945333552OUTPATIENT OCCUPATIONAL HEALTH CLINIC
ORTHOPAEDICS
1010 NUT TREE ROADVACAVILLECA956874100OUTPATIENT SERVICES
ORTHOPAEDICS
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT SERVICES
PEDIATRIC OT
1101 B GALE WILSON BLVDFAIRFIELDCA945333552OUTPATIENT SERVICES
PHYSICAL THERAPY
3250 RANCHO SOLANO PARKWAYFAIRFIELDCA945333552OUTPATIENT SERVICES
PSYCHIATRIC CLINIC
421 NUT TREE ROADVACAVILLECA956874100OUTPATIENT SERVICES
SPECIALTY CARE
1860 PENNSYLVANIA AVENUEFAIRFIELDCA945333552OUTPATIENT SERVICES
SPEECH THERAPY
1101 B GALE WILSON BLVDFAIRFIELDCA945333552OUTPATIENT SERVICES
SPORTS REHAB RANCHO SOLANO
3250 RANCHO SOLANO PARKWAYFAIRFIELDCA945333552OUTPATIENT SERVICES
SPORTS REHAB VACAVILLE
3446 BROWNS VALLEY ROADVACAVILLECA956874100OUTPATIENT SERVICES
WOUND CARE CENTER
1010 NUT TREE ROADVACAVILLECA956874100OUTPATIENT WOUND CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO THE FORM.
PART II, COMMUNITY BUILDING ACTIVITIES:PHYSICAL IMPROVEMENTS AND HOUSING: NORTHBAY CONTRIBUTES TO A TRANSITIONAL CARE PROGRAM VIA THE SOLANO COALITION FOR BETTER HEALTH, WHICH PROVIDES HOUSING FOR VULNERABLE POPULATIONS UPON DISCHARGE. THE COALITION PROVIDES CASE MANAGEMENT SERVICES, I.E. COUNSELING, ASSISTANCE FINDING MORE PERMANENT HOUSING, ASSISTANCE WITH SUBSTANCE ISSUES, SOME TRANSPORTION ASSISTANCE. IT IS DESIGNED TO HELP UNDERPRIVILEGED PATIENTS FROM BOUNCING BACK TO THE HOSPITAL WHILE TRYING TO HELP THEM ESTABLISH A MORE STABLE ENVIRONMENT.COMMUNITY SUPPORT: 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.LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: TWO CHAMBERS OF COMMERCE -- VACAVILLE AND FAIRFIELD-SUISUN CONDUCT COMMUNITY LEADERSHIP TRAINING PROGRAMS EACH YEAR. "LEADERSHIP TODAY" COMPRISES ONE IS MANAGED BY THE VACAVILLE CHAMBER OF COMMERCE; THE OTHER BY FAIRFIELD-SUISUN CHAMBER OF COMMERCE. NORTHBAY UNDERWRITES OVERHEAD AND ADMINISTRATIVE COSTS TO EXPOSE 27 LOCAL RESIDENTS, WHO HAVE BEEN IDENTIFIED AS POTENTIAL "FUTURE COMMUNITY LEADERS" FOR BOARDS, COMMISSIONS AND COUNCILS, TO A VARIETY OF COMMUNITY AND PUBLIC AGENCIES. NORTHBAY HOSTS "HEALTH CARE DAY" AND PROVIDES TOURS AND EDUCATION IN OUR TWO HOSPITALS, EXPLAINING HOS HEALTH CARE IS DELIVERED IN SOLANO COUNTY, ITS CHALLENGES AND ITS FUTURE IN A QUICKLY CHANGING HEALTHCARE LANDSCAPE. TUITION FOR FIVE LEADERSHIP CLASS PARTICIPANTS ($7,500) WAS ALSO DONATED.COALITION BUILDING: THE SOLANO COALITION FOR BETTER HEALTH IS A COLLABORATIVE COMPOSED OF COMMUNITY HEALTH ORGANIZATIONS COMMITTED TO ENSURING ACCESS TO HEALTHCARE SERVICES FOR LOW INCOME AND UNDERINSURED RESIDENTS OF SOLANO COUNTY. IN ADDITION TO ADDRESSING SYSTEMS ISSUES THAT AFFECT ACCESS, THE SCBH ACTIVELY ENROLLS ELIGIBLE CHILDREN AND ADULTS INTO PUBLIC AND PRIVATE HEALTH INSURANCE FOR WHICH THEY QUALIFY.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: EACH YEAR, UP TO 30 COMMUNITY HEALTH FAIRS, EDUCATIONAL WORKSHOPS, LECTURES AND INJURY PREVENTION CLASSES ARE CONDUCTED AT VARIOUS COMMUNITY VENUES. SERVICES PROVIDED INCLUDED FREE FLU VACCINATIONS, TO BLOOD PRESSURE CHECKS, TO VARIOUS HEALTH SCREENINGS.WORKFORCE DEVELOPMENT: NORTHBAY PROVIDES A NURSE ACADEMY PROGRAM DURING THE SUMMER TO LOCAL HIGH SCHOOL STUDENTS. THIS INSTRUCTIONAL AND INSPIRATIONAL INSIDERS' VIEW DEMONSTRATES THE SKILLS FOR PROVIDING PATIENT CARE TO THESE YOUNG ADULTS.
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, 2013 AND 2012. IN ADDITION, THE SYSTEM'S SELF-PAY WRITE-OFFS WERE $87,129,000 AND $81,095,000 FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, RESPECTIVELY. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE YEARS ENDED DECEMBER 2013 AND 2012. 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 2013 WAS $34,409,548 AND THE AMOUNT OF NET REVENUES RECEIVED FOR THIS MCR MANAGED CARE PROGRAM WAS $32,236,081, SHORTFALL OF 2013 IS $2,173,467. NONE OF THESE COSTS AND REVENUES ARE INCLUDED IN THE MEDICARE 2013 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:COMMUNITY HEALTH 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 STATESCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CTR DRFAIRFIELDCA94534942995085501(C)(3)$268,375GENERAL SUPPORT
NORTHBAY HEALTH ADVANTAGE
4500 BUSINESS CTR DRFAIRFIELDCA94534942495998501(C)(3)$20,644GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNORTHBAY 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

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
CEO$0$555,941$0$174,426$0$119,596$0$26,125$0$15,491$0$891,579$0$0
DEBORAH SUGIYAMA
NBHG PRESIDENT$0$441,116$0$115,001$0$16,529$0$82,300$0$5,045$0$659,991$0$0
ARTHUR DENIO
VP & CFO$0$335,717$0$80,506$0$61,571$0$15,339$0$34,586$0$527,719$0$0
KATHLEEN RICHERSON
V/P CHF NURSING OFF'R$0$282,108$0$53,293$0$52,831$0$33,240$0$1,556$0$423,028$0$0
ANTOINETTE NAVARRO
CLINICAL COORDINATOR$285,827$0$0$0$777$0$5,052$0$320$0$291,976$0$0$0
JOANNE JACOB
CLINICAL NURSE III$274,655$0$250$0$0$0$5,264$0$12,670$0$292,839$0$0$0
THERESA BARTOLI
CLINICAL COORDINATOR$273,707$0$0$0$0$0$4,639$0$9,667$0$288,013$0$0$0
RHONDA MARTIN
AVP NURSING OPERATIONS$245,352$0$23,024$0$777$0$11,512$0$926$0$281,591$0$0$0
DANIEL HARTLEY
NURSE PRACTIONER/RNFA$248,136$0$0$0$10,000$0$3,677$0$19,175$0$280,988$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN THE RELATED ORGANIZATION'S 457(F) PLAN: GARY J. PASSAMA, DEBORAH A SUGIYAMA, ARTHUR E. DENIO, AND KATHLEEN RICHERSON.
PART I, LINE 6PART 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA MUNICIPAL FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN201563466BondIssuerEIN
CUSIP13048TQQ9CUSIPNum
Bond Issued2013-10-24BondIssuedDt
Issue Price$61,541,322IssuePriceAmt
PurposeTO FUND CAPITAL ACQUISITIONS & TO DEFEASE THE 1998 BONDS.PurposeDesc
DefeasedYes (1)DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Bond Defeased$19,581,253BondDefeasedAmt
Total Proceeds$61,541,322TotalProceedsAmt
In Reserve Fund$6,000,000InReserveFundAmt
Capitalized Interest$3,370CapitalizedInterestAmt
Issuance Costs From Proceeds$1,230,826IssuanceCostsFromProceedsAmt
Unspent$34,729,243UnspentAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEQUIPMENTDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$173,292NoncashContributionsRptF990Amt
Method Of Determining RevenuesBOOK VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4AEXEMPT 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: 36,779; DISCHARGES: 8,797; OBSTETRICAL DELIVERIES: 1,349; INPATIENT SURGICAL PROCEDURES: 1,866; CAPITATED MEMBER MONTHS: 524,069. NORTHBAY MEDICAL CENTER & VACAVALLEY HOSPITAL - OUTPATIENT ACTIVITY: TOTAL ER VISITS: 63,160; OUTPATIENT SURGERIES: 975; PRIMARY CARE MEDICAL CLINIC VISITS: 50,170.
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 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 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 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 AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE DIGITAL ASSURANCE CORPORATION WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENT ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 64,379,994. MANAGEMENT AND GENERAL EXPENSES 1,963,535. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,343,529.
FORM 990, PART XI, LINE 9:INTERCOMPANY RECEIVABLES/PAYABLES -2,292,524.
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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTHBAY HEALTHCARE CORPORATION
4500 BUSINESS CTR DRFAIRFIELDCA94534680046750TO SUPPORT THE OPERATION OF NORTHBAY HEALTHCARE GROUP & AFFILIATESCA501(C)(3)11-IIN/A0
NORTHBAY HEALTHCARE FOUNDATION
4500 BUSINESS CTR DRFAIRFIELDCA94534942995085PROVIDES FUNDRAISING FOR NORTHBAY HEALTHCARE GROUP & AFFILIATESCA501(C)(3)11-I0NORTHBAY HEALTHCARE CORPORATION
NORTHBAY HEALTH ADVANTAGE
4500 BUSINESS CTR DRFAIRFIELDCA94534942495998MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATESCA501(C)(3)11-II0NORTHBAY HEALTHCARE CORPORATION
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd