2024-11-15T18:38:59-06:00 2023-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-01-01 942995085 NORTHBAY HEALTHCARE FOUNDATION NORT 7076463138 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 JOSEPH D'ANGINA CHIEF FINANCIAL OFFICER 7076463111 2024-11-15 1 0 MICHAEL LUMSDEN P01262236 4159561500 2024-11-15 2023 2024-10-15 13:58:12Z PAUL MCGINTY 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 1449562 0 X WWW.NORTHBAY.ORG/FOUNDATION X 1985 CA FUNDRAISING ACTIVITIES TO FURTHER THE CHARITABLE PURPOSES OF NORTHBAY HEALTH. 11 10 0 500 0 0 599196 1142381 0 0 116028 188561 0 -116701 715224 1214241 0 204891 0 0 651212 881063 0 0 893523 309786 209861 960998 1295815 -245774 -81574 8464696 9303918 954993 50678 7509703 9253240 TO INSPIRE COMMUNITY PARTNERSHIP THROUGH PHILANTHROPIC GIVING TO SUPPORT NORTHBAY HEALTH AS WE PROVIDE "COMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME." 0 0 204891 204891 0 NORTHBAY HEALTHCARE FOUNDATION'S PURPOSE IS TO SUPPORT NORTHBAY HEALTH BY PROVIDING AND MANAGING FUNDRAISING SERVICES, AND THE DEVELOPMENT THEREOF. THE ORGANIZATION HOLDS VARIOUS FUNDRAISING EVENTS, INCLUDING THE JUBILEE, HELD OCTOBER 27 - 28, 2023. 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. 97949 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. 302840 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 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 X 11 10 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 DIR / PRES & CEO NBHC THRU 12/2023 2.00 48.00 X 0 2316091 57834 MARK BEHL DIR / PRES & CEO NBHC START 10/2023 2.00 48.00 X 0 447232 22353 DENNIS LANDIS CHAIR 1.00 0.00 X X 0 17366 0 SCOTT REYNOLDS VICE CHAIR 1.00 0.00 X X 0 0 0 BILL FELL TREASURER 1.00 0.00 X X 0 17360 0 ALBERT SHAW SECRETARY 1.00 0.00 X X 0 17268 0 LINDA ANZALONE OD DIRECTOR 1.00 0.00 X 0 0 0 SANDY PERSON DIRECTOR 1.00 1.00 X 0 17602 0 HELEN PIERSON DIRECTOR 1.00 0.00 X 0 0 0 KEYO TOCCHINI DIRECTOR 1.00 0.00 X 0 0 0 MARK VILLALON MD DIRECTOR 1.00 0.00 X 0 0 0 J PETER ZOPFI DO DIRECTOR 1.00 0.00 X 0 0 0 PAUL MCGINTY PRESIDENT & CEO NBHF 50.00 0.00 X 0 371817 144429 JOSEPH D'ANGINA CHIEF FINANCIAL OFFICER START 1/2023 2.00 48.00 X 0 701077 79055 TIMOTHY MAURICE INTERIM CFO THROUGH 1/2023 2.00 48.00 X 0 87232 0 0 3993045 303671 0 0 1 0 0 775593 366788 19800 1142381 25888 25888 162673 0 162673 162673 162673 118620 775593 235321 -116701 -116701 1214241 0 0 71860 204891 204891 688430 70442 617988 58269 628 57641 94751 16616 78135 39613 5012 34601 99202 99202 2927 162 2765 54087 2749 51338 34573 110 34463 3260 150 3110 52 52 DUES & SUBSCRIPTIONS 3279 917 2362 REPAIRS & MAINTENANCE 2228 629 1599 TEAM BUILDING 1538 534 1004 TAXES & LICENSES 250 250 8465 8465 1295815 302840 99452 893523 1558539 645082 50000 0 4829282 5003162 1329 0 177537 0 1821340 3655674 26669 0 8464696 9303918 54019 50678 56227 0 844747 0 954993 50678 X -201746 728820 7711449 8524420 7509703 9253240 8464696 9303918 X -81574 53217 1771894 X 0 1 X 1 0 X X 1 NORTHBAY HEALTHCARE GROUP 941458282 3 1 204891 0 1 204891 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 4763838 38600 738206 4064232 5819205 134058 1189425 4763838 5734856 85349 1000 5819205 6427050 2600 38754 1000 732548 5734856 1365970 5043868 103763 86551 6427050 0.00000 0.13139 0.86861 0 0 0 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. JUBILEE / GALA 894213 775593 118620 77955 32239 86381 38746 894213 775593 118620 77955 32239 86381 38746 235321 -116701 1 NORTHBAY HEALTHCARE GROUP 1200 B GALE WILSON BOULEVARD FAIRFIELD CA 94533 941458282 501(C)(3) 204891 0 SUPPORT PROVISION OF HEALTHCARE SERVICES 1 0 PART I, LINE 2: NORTHBAY HEALTHCARE FOUNDATION PROVIDES GRANTS SOLELY TO NORTHBAY HEALTHCARE GROUP, A RELATED ORGANIZATION. MONITORING OF PROPER USE OF GRANT FUNDS IS ACCOMPLISHED THROUGH OVERLAPPING MANAGEMENT OF THE TWO ORGANIZATIONS. 0 1 0 0 0 0 0 0 0 B KONARD JONES DIR / PRES & CEO NBHC THRU 12/2023 0 1013240 0 784654 0 518197 0 15877 0 41957 0 2373925 0 492461 JOSEPH D'ANGINA CHIEF FINANCIAL OFFICER START 1/2023 0 600788 0 90000 0 10289 0 1600 0 77455 0 780132 0 0 PAUL MCGINTY PRESIDENT & CEO NBHF 0 333452 0 31000 0 7365 0 47693 0 96736 0 516246 0 0 MARK BEHL DIR / PRES & CEO NBHC START 10/2023 0 211540 0 0 0 235692 0 2115 0 20238 0 469585 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 INDIVIDUAL PARTICIPATED IN A RELATED ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN DURING THE 2023 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): PAUL MCGINTY - $42,850 ADDITIONALLY, DUE TO VESTING OF THE 457(F) RETIREMENT PLAN THE FOLLOWING INDIVIDUAL RECOGNIZED TAXABLE COMPENSATION OF THE FOLLOWING AMOUNT, WHICH HAS BEEN REPORTED AS "OTHER REPORTABLE COMPENSATION" IN SCHEDULE J, PART II, COLUMN (B)(III) AND "COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990" IN SCHEDULE J, PART II, COLUMN (F): B. KONARD JONES - $492,461 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 PREPARED BY AN INDEPENDENT TAX ACCOUNTANT AND REVIEWED BY THE CHIEF FINANCIAL OFFICER; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN 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 XI, LINE 9: EQUITY TRANSFER FROM RELATED ORGANIZATIONS 1,265,382. RELIEF OF "DUE TO" RELATED ORGANIZATIONS 506,512. 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 (9) CHARITABLE GIVING CA NORTHBAY HEALTHCARE FOUNDATION 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1