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
- 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 | 2014-11-17T15:58:31-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET 9TH FLOOR | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | FAIRFIELD | City |
| State | CA | State |
| ZIP Code | 94533 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ARTHUR E DENIO | PersonNm |
| Person Title | VP/CFO | PersonTitleTxt |
| Phone | 7076463110 | PhoneNum |
| Signature | 2014-11-12 | 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 | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ARTHUR E DENIO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CTR DR | AddressLine1 |
| City | FAIRFIELD | City |
| State | CA | State |
| ZIP Code | 94534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $428,567,340 | 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 ANY FACILITIES AND/OR ASSETS NECESSARY TO IMPROVE THE HEALTH CARE STATUS OF THE PUBLIC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2069 | TotalEmployeeCnt |
| Total Volunteers | 180 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,141,309 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,222,574 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $337,868,399 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $393,173,560 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$11,124,797 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,821,459 | CYInvestmentIncomeAmt |
| PY Other Revenue | $933,891 | PYOtherRevenueAmt |
| CY Other Revenue | $1,513,039 | CYOtherRevenueAmt |
| PY Total Revenue | $328,818,802 | PYTotalRevenueAmt |
| CY Total Revenue | $398,730,632 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $275,613 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $311,252 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $156,394,704 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $172,699,505 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $165,526,891 | PYOtherExpensesAmt |
| CY Other Expenses | $195,711,409 | CYOtherExpensesAmt |
| PY Total Expenses | $322,197,208 | PYTotalExpensesAmt |
| CY Total Expenses | $368,722,166 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,621,594 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $30,008,466 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $281,885,355 | TotalAssetsBOYAmt |
| Total Assets EOY | $356,584,887 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $122,249,974 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $162,149,352 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $159,635,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $194,435,535 | 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 | $342,791,071 | ExpenseAmt |
| Grant | $311,252 | GrantAmt |
| Revenue | $393,173,560 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $342,791,071 | 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 | 510 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2069 | 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 | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 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 | 0 | 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 |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7076463110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 BUSINESS CENTER DRIVE | AddressLine1 |
| City | FAIRFIELD | City |
| State | CA | State |
| ZIP Code | 94534 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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) | $12,755 | $0 | $0 | ||
| MARK SIEVERS | |||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $19,803 | $0 | $0 | ||
| WAYNE SENALIK | |||||||||
| SECRETARY/TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DONALD DOYLE MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $13,396 | $0 | $0 | ||||
| THERESA HITE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $7,350 | $0 | $0 | ||||
| GWENDOLYN RUNNELS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DENISE SUIHKONEN | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $12,805 | $0 | $0 | ||||
| MURRAY WOOLF MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $18,899 | $0 | $0 | ||||
| GARY PASSAMA | |||||||||
| CEO | 13.00 | 27.00 | Yes (X) | $0 | $849,963 | $41,616 | |||
| DEBORAH SUGIYAMA | |||||||||
| NBHG PRESIDENT | 36.00 | 4.00 | Yes (X) | $0 | $572,646 | $87,345 | |||
| ARTHUR DENIO | |||||||||
| VP & CFO | 25.00 | 15.00 | Yes (X) | $0 | $477,794 | $49,925 | |||
| KATHLEEN RICHERSON | |||||||||
| V/P CHF NURSING OFF'R | 40.00 | $0 | $388,232 | $34,796 | Yes (X) | ||||
| ANTOINETTE NAVARRO | |||||||||
| CLINICAL COORDINATOR | 53.10 | $286,604 | $0 | $5,372 | Yes (X) | ||||
| JOANNE JACOB | |||||||||
| CLINICAL NURSE III | 48.50 | $274,905 | $0 | $17,934 | Yes (X) | ||||
| THERESA BARTOLI | |||||||||
| CLINICAL COORDINATOR | 49.20 | $273,707 | $0 | $14,306 | Yes (X) | ||||
| RHONDA MARTIN | |||||||||
| AVP NURSING OPERATIONS | 40.00 | $269,153 | $0 | $12,438 | Yes (X) | ||||
| DANIEL HARTLEY | |||||||||
| NURSE PRACTIONER/RNFA | 47.20 | $258,136 | $0 | $22,852 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,447,513 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,288,635 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $286,584 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 529 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELPHI OF TEAM HEALTH | |||||
| 265 BROOKVIEW CENTRE WAY STE 400 | KNOXVILLE | TN | 37919 | PHYSICIAN GROUP | $5,713,392 |
| SOUND INPATIENT PHYSICIANS | |||||
| 1123 PACIFIC AVE | TACOMA | WA | 98402 | PHYSICIAN GROUP | $3,036,972 |
| EMERGENCY & ACUTE MEDICAL CORP | |||||
| 440 STEVENS AVE STE 150 | SOLANA BEACH | CA | 92075 | PHYSICIAN GROUP | $2,401,762 |
| SOLANO DIAGNOSTIC IMAGING | |||||
| PO BOX 39000 DEPT 34591 | SAN FRANCISCO | CA | 94139 | PHYSICIAN GROUP | $1,694,723 |
| TOTAL RENAL CARE | |||||
| PO BOX 8500-1607 | PHILADELPHIA | PA | 19178 | MEDICAL SERVICE | $941,912 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,019,135 | RelatedOrganizationsAmt |
| All Other Contributions | $203,439 | AllOtherContributionsAmt |
| Noncash Contributions | $173,292 | NoncashContributionsAmt |
| Total Contributions | $1,222,574 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621400 | $392,287,562 | $392,287,562 |
| CAPITATION REVENUE | 621400 | $43,769,380 | $43,769,380 |
| OTHER REV. FROM OPS | 900099 | $3,437,889 | $3,437,889 |
| BAD DEBT PROVISION | 621400 | -$46,321,271 | -$46,321,271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $393,173,560 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,525,495 | TotalRevenueColumnAmt |
| Exclusion | $2,525,495 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $106,283 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $43,672 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $62,611 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,611 | TotalRevenueColumnAmt |
| Exclusion | $62,611 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $30,089,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,644,589 | SecuritiesAmt |
| Other | $148,447 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $444,411 | SecuritiesAmt |
| Other | -$148,447 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $295,964 | TotalRevenueColumnAmt |
| Exclusion | $295,964 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| WHA INVESTMENT INCOME | 900099 | $530,188 | $530,188 |
| AMORT OF DEFERRED REVENUE | 900099 | $493,235 | $493,235 |
| AMORT. OF GAIN ON MOB | 900099 | $460,652 | $460,652 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$33,647 | TotalRevenueColumnAmt |
| Exclusion | -$33,647 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,450,428 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $398,730,632 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $393,173,560 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,334,498 | 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 | $308,998 | TotalAmt |
| Program Services | $308,998 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,254 | TotalAmt |
| Program Services | $2,254 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,450 | TotalAmt |
| Management And General | $52,450 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,868,242 | TotalAmt |
| Program Services | $138,012,073 | ProgramServicesAmt |
| Management And General | $856,169 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,588,250 | TotalAmt |
| Program Services | $4,504,413 | ProgramServicesAmt |
| Management And General | $83,837 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,438,362 | TotalAmt |
| Program Services | $19,334,335 | ProgramServicesAmt |
| Management And General | $104,027 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,752,201 | TotalAmt |
| Program Services | $9,691,520 | ProgramServicesAmt |
| Management And General | $60,681 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690,825 | TotalAmt |
| Program Services | $690,825 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,614 | TotalAmt |
| Management And General | $410,614 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,662 | TotalAmt |
| Management And General | $29,662 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,343,529 | TotalAmt |
| Program Services | $64,379,994 | ProgramServicesAmt |
| Management And General | $1,963,535 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,667 | TotalAmt |
| Program Services | $14,667 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,817,250 | TotalAmt |
| Program Services | $8,762,962 | ProgramServicesAmt |
| Management And General | $54,288 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,727 | TotalAmt |
| Program Services | $790,492 | ProgramServicesAmt |
| Management And General | $13,235 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,945,943 | TotalAmt |
| Program Services | $7,328,480 | ProgramServicesAmt |
| Management And General | $617,463 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,423 | TotalAmt |
| Program Services | $253,036 | ProgramServicesAmt |
| Management And General | $27,387 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,758 | TotalAmt |
| Program Services | $196,809 | ProgramServicesAmt |
| Management And General | $72,949 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,515,667 | TotalAmt |
| Program Services | $2,515,667 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,561,386 | TotalAmt |
| Program Services | $8,521,900 | ProgramServicesAmt |
| Management And General | $39,486 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,251,151 | TotalAmt |
| Program Services | $1,251,151 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,089,047 | TotalAmt |
| Program Services | $722,522 | ProgramServicesAmt |
| Management And General | $366,525 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,722,166 | TotalAmt |
| Program Services | $342,791,071 | ProgramServicesAmt |
| Management And General | $25,931,095 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,666,126 | BOYAmt |
| EOY | $3,044,669 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,407,819 | BOYAmt |
| EOY | $4,817,298 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,374,952 | BOYAmt |
| EOY | $48,419,088 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,120 | BOYAmt |
| EOY | $308,386 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,547,770 | BOYAmt |
| EOY | $1,444,080 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,012,149 | BOYAmt |
| EOY | $1,632,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $190,656,836 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $112,156,508 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,307,837 | BOYAmt |
| EOY | $78,500,328 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,003,103 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,871,547 | BOYAmt |
| EOY | $5,638,435 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,320,734 | BOYAmt |
| EOY | $6,850,922 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,700 | BOYAmt |
| EOY | $83,432 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,544,498 | BOYAmt |
| EOY | $205,845,334 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,885,355 | BOYAmt |
| EOY | $356,584,887 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,863,365 | BOYAmt |
| EOY | $45,598,332 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,397,592 | BOYAmt |
| EOY | $8,539,715 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,350,281 | BOYAmt |
| EOY | $61,463,146 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,548,534 | BOYAmt |
| EOY | $26,815,258 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,090,202 | BOYAmt |
| EOY | $19,732,901 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,249,974 | BOYAmt |
| EOY | $162,149,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,567,632 | BOYAmt |
| EOY | $194,374,669 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,749 | BOYAmt |
| EOY | $60,866 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,635,381 | BOYAmt |
| EOY | $194,435,535 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,885,355 | BOYAmt |
| EOY | $356,584,887 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $30,008,466 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,084,212 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,292,524 | 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 | $29,662 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $29,662 | 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 | $67,746 | BeginningYearBalanceAmt |
| Contributions | $15,350 | ContributionsAmt |
| Grants Or Scholarships | $22,233 | GrantsOrScholarshipsAmt |
| End Year Balance | $60,863 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $58,119 | BeginningYearBalanceAmt |
| Contributions | $29,952 | ContributionsAmt |
| Grants Or Scholarships | $6,780 | GrantsOrScholarshipsAmt |
| End Year Balance | $81,291 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $55,020,466 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,999,507 | DepreciationAmt |
| Book Value | $28,020,959 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,001,923 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,781,755 | DepreciationAmt |
| Book Value | $3,220,168 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,056,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,661,862 | DepreciationAmt |
| Book Value | $28,394,565 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,710,867 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,713,384 | DepreciationAmt |
| Book Value | $8,997,483 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $78,500,328 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $205,845,334 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,732,901 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $398,644,000 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$74,591 | OtherRevenueAmt |
| Revenue Not Reported | -$74,591 | RevenueNotReportedAmt |
| Revenue Subtotal | $398,718,591 | RevenueSubtotalAmt |
| Other Revenues Not Included | $12,041 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $12,041 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $398,730,632 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $368,683,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$73,930 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$73,930 | ExpensesNotReportedAmt |
| Expenses Subtotal | $368,756,930 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$34,764 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$34,764 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $368,722,166 | 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 -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
| 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 | 0 | ExpensesExceedBudgetInd |
| 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 | $12,589,083 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,589,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,267,743 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83,825,130 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,442,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06630 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,088,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,953,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,135,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,945,423 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $91,778,639 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,166,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,549,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,421,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,128,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,156 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,156 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,001 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $164,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,793,610 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,421,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,372,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01450 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $157,739,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $98,199,650 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,539,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16140 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $40,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1500 | PersonsServedCnt |
| Total Community Benefit Expns | $29,140 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 27 | PersonsServedCnt |
| Total Community Benefit Expns | $32,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $22,385 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 30 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 40 | PersonsServedCnt |
| Total Community Benefit Expns | $80,156 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,156 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 36 | ActivitiesOrProgramsCnt |
| Persons Served | 1567 | PersonsServedCnt |
| Total Community Benefit Expns | $209,181 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $209,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,613,726 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $65,349,074 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $98,760,225 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$33,411,151 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 | Yes (X) | Yes (X) | Yes (X) | OUTPATIENT CLINICS | A |
| VACAVALLEY HOSPITAL | |||||||||
| 2 | 1000 NUT TREE ROAD | VACAVILLE | CA | 95687 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.NORTHBAY.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTHBAY HEALTHCARE GROUP | PART 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 GROUP | PART 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 GROUP | PART V, SECTION B, LINE 4: SUTTER SOLANO AND KAISER PERMANENTE VALLEJO/VACAVILLE |
| NORTHBAY HEALTHCARE GROUP | PART 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 GROUP | PART 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 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 | 28 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| ABC CLINIC | ||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 945333552 | A BABY IS COMING OUTPATIENT CLINIC |
| 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 |
| 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 |
| EMERGENCY | ||||
| 1000 NUT TREE ROAD | VACAVILLE | CA | 956874100 | HOSPITAL EMERGENCY SERVICES |
| EMERGENCY | ||||
| 1200 B GALE WILSON BLVD | FAIRFIELD | CA | 945333552 | HOSPITAL EMERGENCY 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 |
| INFUSION CENTER | ||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| LACTATION SERVICES | ||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| MEDICAL ONCOLOGY | ||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| NEUROSURGERY CLINIC | ||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| OCCUPATIONAL HEALTH | ||||
| 1101 B GALE WILSON BLVD | FAIRFIELD | CA | 945333552 | OUTPATIENT OCCUPATIONAL HEALTH CLINIC |
| ORTHOPAEDICS | ||||
| 1010 NUT TREE ROAD | VACAVILLE | CA | 956874100 | OUTPATIENT SERVICES |
| ORTHOPAEDICS | ||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| PEDIATRIC OT | ||||
| 1101 B GALE WILSON BLVD | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| PHYSICAL THERAPY | ||||
| 3250 RANCHO SOLANO PARKWAY | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| PSYCHIATRIC CLINIC | ||||
| 421 NUT TREE ROAD | VACAVILLE | CA | 956874100 | OUTPATIENT SERVICES |
| SPECIALTY CARE | ||||
| 1860 PENNSYLVANIA AVENUE | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| SPEECH THERAPY | ||||
| 1101 B GALE WILSON BLVD | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| SPORTS REHAB RANCHO SOLANO | ||||
| 3250 RANCHO SOLANO PARKWAY | FAIRFIELD | CA | 945333552 | OUTPATIENT SERVICES |
| SPORTS REHAB VACAVILLE | ||||
| 3446 BROWNS VALLEY ROAD | VACAVILLE | CA | 956874100 | OUTPATIENT SERVICES |
| WOUND CARE CENTER | ||||
| 1010 NUT TREE ROAD | VACAVILLE | CA | 956874100 | OUTPATIENT WOUND CARE CLINIC |
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 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 STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| NORTHBAY HEALTHCARE FOUNDATION | |||||||
| 4500 BUSINESS CTR DR | FAIRFIELD | CA | 94534 | 942995085 | 501(C)(3) | $268,375 | GENERAL SUPPORT |
| NORTHBAY HEALTH ADVANTAGE | |||||||
| 4500 BUSINESS CTR DR | FAIRFIELD | CA | 94534 | 942495998 | 501(C)(3) | $20,644 | 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 | $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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE 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 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 | BusinessNameLine1 |
| 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 | $3,370 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,230,826 | IssuanceCostsFromProceedsAmt |
| Unspent | $34,729,243 | 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 | 0 | 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 | $173,292 | 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 (8 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: 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 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 IX, LINE 11G | OTHER 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 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |