2023-11-14T12:50:37-06:00 2022-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-01-01 942995085 NORTHBAY HEALTHCARE FOUNDATION NORT 7076463138 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 JOSEPH D'ANGINA VP AND CFO 7076463111 2023-11-14 1 JOSEPH DANGINA 999009999 0 MICHAEL LUMSDEN P01262236 4159561500 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PAUL MCGINTY 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 715224 0 X WWW.NORTHBAY.ORG/FOUNDATION X 1985 CA FUNDRAISING ACTIVITIES TO FURTHER THE CHARITABLE PURPOSES OF NORTHBAY HEALTH. 9 6 0 4 0 0 0 599196 0 0 31288 116028 0 0 31288 715224 281949 0 0 0 163321 651212 0 0 822130 115014 309786 560284 960998 -528996 -245774 7700929 8464696 99756 954993 7601173 7509703 X TO INSPIRE COMMUNITY PARTNERSHIP THROUGH PHILANTHROPIC GIVING TO SUPPORT NORTHBAY HEALTH AS WE PROVIDE "COMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME." 1 0 0 0 0 NORTHBAY HEALTHCARE FOUNDATION'S PURPOSE IS TO SUPPORT NORTHBAY HEALTH BY PROVIDING AND MANAGING FUNDRAISING SERVICES, AND THE DEVELOPMENT THEREOF. THE ORGANIZATION HISTORICALLY HOLDS VARIOUS FUNDRAISING EVENTS (NONE OF WHICH OCCURRED DURING 2022). ALL FUNDS RAISED DURING THESE EVENTS (WHEN HELD) AND OTHER GENEROUS CONTRIBUTIONS RECEIVED THROUGHOUT THE YEAR HELPED SUPPORT THE CHARITABLE PURPOSES OF THE NORTHBAY HEALTH'S AFFILIATED ENTITIES. DURING 2022, THE FOUNDATION CONTINUED ITS TRANSFORMATION PLAN, AS A CORE GROUP OF LEADERS SPENT MUCH OF THE YEAR FINALIZING PLANS FOR A RESTRUCTURED FOUNDATION IN A POST-PANDEMIC WORLD. 0 0 0 NORTHBAY GUILD IS THE VOLUNTEER GROUP FOR NORTHBAY HEALTH. THE PURPOSE OF THE NORTHBAY GUILD IS TO SUPPORT AND HELP CARRY OUT THE PURPOSE AND FUNCTIONS OF NORTHBAY HEALTH IN PROMOTING THE HEALTH OF THE COMMUNITY. THIS IS ACCOMPLISHED THROUGH PROVIDING FUNDRAISING SUPPORT TO THE NORTHBAY HEALTHCARE FOUNDATION, AS WELL AS SCHOLARSHIPS TO MEMBERS OF THE COMMUNITY. OPERATIONS OF NORTHBAY GUILD WERE TEMPORARILY SUSPENDED DURING THE 2022 TAX YEAR DUE TO THE COVID-19 PANDEMIC. 1 1 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JOSEPH D'ANGINA 7076463400 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 X B KONARD JONES DIRECTOR / CEO OF NBHC 2.00 48.00 X 0 1241415 422171 DENNIS LANDIS CHAIR 1.00 0.00 X X 0 16761 0 SCOTT REYNOLDS VICE CHAIR 1.00 0.00 X X 0 0 0 BILL FELL TREASURER 1.00 0.00 X X 0 16755 0 ALBERT SHAW SECRETARY 1.00 0.00 X X 0 17088 0 SANDY PERSON DIRECTOR 1.00 1.00 X 0 16636 0 KEYO TOCCHINI DIRECTOR 1.00 0.00 X 0 0 0 MARK VILLALON MD DIRECTOR 1.00 40.00 X 0 1159727 0 J PETER ZOPFI DO DIRECTOR 1.00 40.00 X 0 903960 0 MICHELE BOUIT VP & CFO THROUGH 11/2022 2.00 48.00 X 0 519394 83794 TIMOTHY MAURICE INTERIM VP & CFO START 11/2022 2.00 48.00 X 0 145386 10 PAUL MCGINTY PRESIDENT, NBHF 50.00 0.00 X 0 318672 91924 0 4355794 597899 0 0 1 0 0 599196 599196 57385 57385 58643 0 58643 58643 58643 715224 0 0 116028 X 509003 509003 46583 46583 67717 67717 27909 27909 138868 138868 4350 4350 30353 30353 366 366 DUES & SUBSCRIPTIONS 11531 11531 REPAIRS & MAINTENANCE 860 860 TEAM BUILDING 421 421 TAXES & LICENSES 276 276 122761 122761 960998 0 138868 822130 1038559 1558539 50000 50000 4778938 4829282 0 1329 0 177537 0 0 1435 0 1831985 1821340 12 26669 7700929 8464696 99756 54019 0 56227 0 844747 99756 954993 X 331287 -201746 7269886 7711449 7601173 7509703 7700929 8464696 X -245774 -265896 420200 X 0 1 X 1 0 X X 1 NORTHBAY HEALTHCARE GROUP 941458282 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1: CONTROL OF THE SUPPORTING ORGANIZATION, NORTHBAY HEALTHCARE FOUNDATION, IS VESTED IN THE SAME PERSONS THAT CONTROL OR MANAGE THE SUPPORTED ORGANIZATION, NORTHBAY HEALTHCARE GROUP, IN THAT THE SOLE MEMBER FOR BOTH (NORTHBAY HEALTHCARE CORPORATION) CAN ELECT OR REMOVE ALL OF THE MEMBERS OF THE SUPPORTING AND SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3 0 28642 16797 0 0 5819205 134058 0 0 1189425 4763838 5734856 85349 1000 5819205 6427050 2600 38754 1000 732548 5734856 1365970 5043868 103763 86551 6427050 1181102 204030 -19162 1365970 0.00000 0.22500 0.77500 0 0 0 DUE TO RELATED ORGANIZATIONS 844747 844747 PART V, LINE 4: THE ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT THE PROGRAMS AND SERVICES OF NORTHBAY HEALTH IN FULFILLMENT OF ITS NON-PROFIT MISSION OF THE PROVISION OF HEALTHCARE WITHIN THE COMMUNITY. 0 1 0 0 0 0 0 0 0 B KONARD JONES DIRECTOR / CEO OF NBHC 0 955902 0 0 0 285513 0 380198 0 41973 0 1663586 0 0 MARK VILLALON MD DIRECTOR 0 1159727 0 0 0 0 0 0 0 0 0 1159727 0 0 J PETER ZOPFI DO DIRECTOR 0 903960 0 0 0 0 0 0 0 0 0 903960 0 0 MICHELE BOUIT VP & CFO THROUGH 11/2022 0 451818 0 0 0 67576 0 66506 0 17288 0 603188 0 0 PAUL MCGINTY PRESIDENT, NBHF 0 256267 0 50000 0 12405 0 40692 0 51232 0 410596 0 0 PART I, LINE 3 THE PRESIDENT OF NORTHBAY HEALTHCARE FOUNDATION IS A PAID EMPLOYEE OF NORTHBAY HEALTHCARE CORPORATION, A RELATED ORGANIZATION. NORTHBAY HEALTHCARE CORPORATION UTILIZES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE PRESIDENT: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A RELATED ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN DURING THE 2022 CALENDAR YEAR ARE AS FOLLOWS, WHICH HAS BEEN REPORTED AS "RETIREMENT AND OTHER DEFERRED COMPENSATION" FROM A RELATED ORGANIZATION ON SCHEDULE J, PART II, COLUMN (C): B. KONARD JONES - $367,998 MICHELE BOUIT - $60,406 PAUL MCGINTY - $38,050 FORM 990, PART III, LINE 2 DURING 2022, THE ACTIVITIES OF NORTHBAY HEALTHCARE GUILD (THE VOLUNTEER GROUP FOR NORTHBAY HEALTH) WAS TRANSFERRED TO NORTHBAY HEALTHCARE FOUNDATION FROM NORTHBAY HEALTHCARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, NORTHBAY HEALTHCARE CORPORATION, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBER, NORTHBAY HEALTHCARE CORPORATION, HAS THE POWER TO ELECT THE DIRECTORS OF NORTHBAY HEALTHCARE FOUNDATION FROM A POOL OF CANDIDATES NOMINATED BY A MAJORITY OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS MAY BE EXERCISED BY THE ORGANIZATION'S MEMBER, NORTHBAY HEALTHCARE CORPORATION, OR BY THE BOARD OF DIRECTORS OF NORTHBAY HEALTHCARE FOUNDATION AFTER NOTIFYING THE MEMBER: (I) DEVELOPMENT AND PROMULGATION OF OVERALL CORPORATE POLICY AND GOALS; (II) ESTABLISHMENT OF GENERAL POLICY WITH RESPECT TO EXECUTIVE BENEFIT PLANS; (III) REMOVAL OF ANY OR ALL OF THE DIRECTORS; AND (IV) SELECTION OF DIRECTORS FROM A PANEL OF QUALIFIED NOMINEES NOMINATED BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE FOLLOWING ACTIONS MAY NOT BE TAKEN BY THE BOARD OF DIRECTORS OF NORTHBAY HEALTHCARE FOUNDATION WITHOUT PRIOR APPROVAL OF THE MEMBER: (I) ADOPT OR IMPLEMENT THE ANNUAL OPERATING AND CAPITAL BUDGET, OR EFFECTUATE ANY PURCHASES OR FINANCINGS, HOWEVER STRUCTURED, IN AN AMOUNT EQUAL TO OR EXCEEDING $200,000; (II) ADOPT ANY ARTICLE OR BYLAW CHANGE; (III) IMPLEMENT ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE ACTIVITY, OR ALLIANCE BETWEEN NORTHBAY HEALTHCARE FOUNDATION AND ANY OTHER ENTITY; AND (IV) FORMATION OF ANY NEW CORPORATION, OR OTHER EQUITY PARTICIPATION IN ANY OTHER CORPORATION OR ENTITY AS A SHAREHOLDER, MEMBER, PARTNER OR JOINT VENTURER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE VP AND CFO AND WILL BE PRESENTED TO THE BOARD OF DIRECTORS OF THE ORGANIZATION'S SOLE MEMBER, NORTHBAY HEALTHCARE CORPORATION. A COPY OF THE FORM 990 IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUESTS ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND MEMBERS OF COMMITTEES APPOINTED BY THE BOARD OF DIRECTORS TO SELF-MONITOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IN ADDITION EACH OFFICER AND BOARD MEMBER MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND ALL RESPONSES FILED. IF A POTENTIAL CONFLICT ARISES, BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SELF-DISCLOSE THE CONFLICT TO THE CORPORATE COMPLIANCE OFFICER. PROCEDURES ARE IN PLACE TO EVALUATE AND DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE INDIVIDUAL WILL PRESENT RELEVANT INFORMATION TO THE BOARD. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY OF ITS OFFICERS OR OTHER INDIVIDUALS WHO PERFORM WORK FOR THE ORGANIZATION; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION. AS SUCH, PART VI, SECTION B, LINES 15A AND 15B HAVE BEEN ANSWERED NO, AS PROVIDED BY THE FORM 990 INSTRUCTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE DIGITAL ASSURANCE CORPORATION WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII: NORTHBAY HEALTHCARE CORPORATION (NBHC) AND NORTHBAY HEALTHCARE GROUP (NBHG) ARE THE PAYROLL REPORTING AGENTS FOR NORTHBAY HEALTHCARE FOUNDATION; THE OFFICERS AND DIRECTORS REFLECTED ON FORM 990, PART VII ARE EMPLOYED AND/OR COMPENSATED BY NBHC OR NBHG. NBHF REPORTS 100% OF THE INDIVIDUAL'S COMPENSATION FROM W-2S OR 1099S (AND RELATED BENEFITS) AS COMPENSATION FROM A RELATED ORGANIZATION ON FORM 990, PART VII AND SCHEDULE J, PART II. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 56,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,331. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 34,867. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,867. CORPORATE MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 47,670. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,670. FORM 990, PART XI, LINE 9: TRANSFER OF NORTHBAY GUILD NET ASSETS FROM NBHC 321,416. RELIEF OF "DUE TO/DUE FROM" RELATED ORGANIZATIONS 98,784. NORTHBAY HEALTHCARE CORPORATION 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 680046750 TO SUPPORT THE OPERATION OF NORTHBAY HEALTHCARE GROUP & AFFILIATES CA 501(C)(3) LINE 12B, II N/A 0 NORTHBAY HEALTHCARE GROUP 1200 B GALE WILSON BLVD FAIRFIELD CA 94533 941458282 OPERATES TWO NONPROFIT HOSPITALS CA 501(C)(3) LINE 3 NORTHBAY HEALTHCARE CORPORATION 0 NORTHBAY HEALTH ADVANTAGE 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 942495998 MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES CA 501(C)(3) LINE 12B, II NORTHBAY HEALTHCARE CORPORATION 0 SOLANO DIAGNOSTIC PARTNERS 1101 B GALE WILSON BLVD FAIRFIELD CA 94533 931013774 DIAGNOSTIC IMAGING CA N/A 0 0 CHARITABLE REMAINDERANNUITY TRUSTS (8) CHARITABLE GIVING CA NORTHBAY HEALTHCARE FOUNDATION 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0