2024-11-15T18:38:16-06:00 2023-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-01-01 942495998 NORTHBAY HEALTH ADVANTAGE NORT 7076463290 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 JOSEPH D'ANGINA CHIEF FINANCIAL OFFICER 7076463290 2024-11-15 1 0 MICHAEL LUMSDEN P01262236 4159561500 2024-11-15 2023 2024-10-15 13:58:12Z MARK BEHL 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 4350871 0 X WWW.NORTHBAY.ORG X 1976 CA PROMOTION OF HEALTH THROUGH OPERATION OF NON-HOSPITAL BASED HEALTH CARE DELIVERY SYSTEMS AND OTHER SUPPORT FUNCTIONS. 8 7 0 3 0 0 0 0 1105806 1711041 2578169 2639830 5726117 0 9410092 4350871 0 0 0 0 194761 45365 0 0 0 4364742 6591081 4559503 6636446 4850589 -2285575 87024408 93699690 51594696 50941823 35429712 42757867 COMPASSIONATE CARE, ADVANCED MEDICINE, CLOSE TO HOME. 0 0 2964027 0 1711041 NORTHBAY HEALTH ADVANTAGE SUPPORTS AND CARRIES-OUT THE PURPOSES AND FUNCTIONS OF NORTHBAY HEALTHCARE GROUP THROUGH SERVICES AND PRODUCTS THAT MAY BE TRADITIONAL OR INNOVATIVE, AND WHICH IMPROVES THE HEALTH OF PEOPLE SERVED BY NORTHBAY HEALTHCARE GROUP. IN FULFILLING ITS EXEMPT PURPOSE, NORTH BAY HEALTH ADVANTAGE OPERATES A HEALTH CENTER FOR THE BENEFIT OF NORTHBAY HEALTHCARE GROUP PATIENTS AND EMPLOYEES. 2964027 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 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 B KONARD JONES DIRECTOR / PRES & CEO THRU 12/2023 5.00 45.00 X X 0 2316091 57834 MARK BEHL DIRECTOR / PRES & CEO START 10/2023 5.00 45.00 X X 0 447232 22353 BEVERLY DORSETT CHAIR THRU 5/2023 / VICE CHAIR START 5/2023 1.00 0.00 X X 0 0 0 DEBORAH SUGIYAMA SECRETARY-TREASURER 1.00 0.00 X X 0 17366 0 HERKANWAL KHAIRA MD DIRECTOR 1.00 0.00 X 0 25934 0 SANDY PERSON CHAIR START 5/2023 1.00 1.00 X X 0 17602 0 GARY FALATI DIRECTOR 1.00 1.00 X 0 9364 0 CLAYBORN LEA JR PHD DIRECTOR 1.00 0.00 X 0 0 0 SEAN QUINN DIRECTOR 1.00 0.00 X 0 0 0 TIMOTHY MAURICE INTERIM CFO THROUGH 1/2023 5.00 45.00 X 0 87232 0 JOSEPH D'ANGINA CHIEF FINANCIAL OFFICER START 1/2023 5.00 45.00 X 0 701077 79055 SCOTT DAVIS FORMER PRES NBHA / VP CSO 0.00 0.00 X 0 130410 0 0 3752308 159242 0 1 1 0 0 RENTAL INCOME FROM NBHG 531390 1105806 1105806 HEALTH CENTER DUES 713940 605235 605235 1711041 2639830 2639830 4350871 1711041 0 2639830 X 37521 37521 2774 2774 2091 2091 2979 2979 1172091 1027579 144512 9924 9924 65370 65370 1786096 1786096 47 47 1924924 650 1924274 717142 35038 682104 LOSS ON INT RATE SWAP 869045 869045 MEDICAL SUPPLIES 3762 3762 42680 35608 7072 6636446 2964027 3672419 0 9814 0 5373631 14376799 119357 119357 33513609 2372878 31019003 31140731 155 155 50502448 48062648 87024408 93699690 2098 1254 51552276 50940569 40322 0 51594696 50941823 X 35429712 42757867 35429712 42757867 87024408 93699690 X -2285575 9613730 X 0 1 X 1 0 X X 1 NORTHBAY HEALTHCARE GROUP 941458282 3 1 0 1105806 1 0 1105806 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION A, LINE 6: THE ORGANIZATION OPERATES A FITNESS CENTER, WHICH WAS UTILIZED PRIMARILY BY NORTHBAY HEALTH GROUP PATIENTS WHO WERE REFERRED TO THE FITNESS CENTER THAT: (I) HAVE CHRONIC HEALTH ISSUES SUCH AS HEART DISEASE, STROKE, CANCER, ARTHRITIS, DIABETES, AND OBESITY; (II) ARE DEALING WITH OTHER MEDICAL HEALTH ISSUES SUCH AS NEUROMUSCULAR CONDITIONS, COGNITIVE DISABILITIES, MUSCULOSKELETAL CONDITIONS, AND INDIVIDUALS WITH VISUAL OR HEARING IMPAIRMENTS; (III) NEED TO GET PREPARED FOR SURGERIES THAT REQUIRE STRENGTHENING AND/OR WEIGHT LOSS; (IV) CURRENTLY ARE BEING TREATED IN PHYSICAL THERAPY OR WHO HAVE RECENTLY COMPLETED A PHYSICAL THERAPY OR CARDIAC REHABILITATION PROGRAM AND NEED A POST REHABILITATION PROGRAM; AND (V) WOULD NEED OR BENEFIT FROM A MOVEMENT AND CONDITIONING PROGRAM THAT REQUIRES ASSISTANCE OR MONITORED SUPERVISION. A PORTION OF THE FITNESS CENTER WAS ALSO OPEN TO MEMBERS OF THE GENERAL PUBLIC, WHO PAY A FEE TO JOIN THE FITNESS CENTER WITHOUT ANY REFERRAL. FEES FOR THE GYM ARE SET AT A LEVEL SUCH THAT A SUBSTANTIAL PORTION OF THE POPULATION CAN AFFORD ENROLLMENT IN THE HEALTH CENTER (THUS PROVIDING A COMMUNITY BENEFIT). ADDITIONALLY, THERE IS NO "PROFIT-MOTIVE" FOR THE HEALTH CENTER. SCHEDULE A, PART IV, SECTION C, LINE 1 CONTROL OF THE SUPPORTING ORGANIZATION, NORTHBAY HEALTH ADVANTAGE, IS VESTED IN THE SAME PERSONS THAT CONTROL OR MANAGE THE SUPPORTED ORGANIZATION, NORTHBAY HEALTHCARE GROUP, IN THAT THE SOLE MEMBER FOR BOTH (WHICH IS NORTHBAY HEALTHCARE CORPORATION) CAN ELECT OR REMOVE ALL OF THE SUPPORTING AND SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS. SCHEDULE A, PART I, LINE 12G, COLUMN (VI): THE ORGANIZATION HOLDS TITLE TO PROPERTY WHICH IT RENTS OUT TO ITS SUPPORTED ORGANIZATION, NORTHBAY HEALTHCARE GROUP. 378962 378962 32735253 2154891 30580362 399394 217987 181407 31140731 DEFERRED RENT RECEIVABLE 1071350 DUE FROM NORTHBAY HEALTHCARE GROUP 10034320 NET INVESTMENT IN LEASED ASSET FROM RELATED ORG 32099906 SWAP CONTRACT 4857072 48062648 0 1 0 0 0 0 0 0 0 B KONARD JONES DIRECTOR / PRES & CEO 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 MARK BEHL DIRECTOR / PRES & CEO START 10/2023 0 211540 0 0 0 235692 0 2115 0 20238 0 469585 0 0 SCOTT DAVIS FORMER PRES NBHA / VP CSO 0 0 0 0 0 130410 0 0 0 0 0 130410 0 130410 PART I, LINE 3 THE PRESIDENT OF NORTHBAY HEALTH ADVANTAGE 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 SUPPLEMENTAL 457(F) NONQUALIFIED RETIREMENT PLAN SPONSORED BY NORTHBAY HEALTHCARE CORPORATION, A RELATED ORGANIZATION AND PAYROLL REPORTING AGENT FOR THE HEALTH SYSTEM. DUE TO VESTING OF THE 457(F) PLAN, THE FOLLOWING INDIVIDUALS RECOGNIZED THE FOLLOWING AMOUNTS AS TAXABLE COMPENSATION FROM NORTHBAY HEALTHCARE CORPORATION, WHICH HAS BEEN REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS WITHIN "COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990" ON SCHEDULE J, PART II, COLUMN F: B. KONARD JONES - $492,461 SCOTT DAVIS - $130,410 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 (FROM A POOL OF QUALIFIED PERSONS NOMINATED BY THE REMAINING MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS) ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S MEMBER, NORTHBAY HEALTHCARE CORPORATION, HAS THE POWER TO REMOVE ANY DIRECTOR. IN ADDITION, THE MEMBER MAY ELECT DIRECTORS FROM A PANEL OF QUALIFIED NOMINEES AND DISSOLVE THE ORGANIZATION WITHOUT ANY ACTION OR APPROVAL BY THE ORGANIZATION'S BOARD. LASTLY, THE FOLLOWING ACTIONS MAY BE TAKEN BY THE ORGANIZATION ONLY IF ADOPTED BY THE BOARD AND APPROVED BY THE MEMBER: ADOPT OR IMPLEMENT THE ANNUAL OPERATING AND CAPITAL BUDGET OF THE ORGANIZATION; EFFECTUATE ANY PURCHASES OR FINANCING, HOWEVER STRUCTURED, IN AN AMOUNT EQUAL TO OR EXCEEDING ONE MILLION DOLLARS ($1,000,000); AMEND THE ARTICLES OF INCORPORATION OR THE BYLAWS; IMPLEMENT ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE ACTIVITY, OR ALLIANCE BETWEEN THE CORPORATION AND ANY OTHER ENTITY; ESTABLISH OR PROMULGATE CORPORATE POLICY AND GOALS; ESTABLISH OR PROMULGATE LONG-RANGE AND STRATEGIC PLANS; ESTABLISH GENERAL POLICY WITH RESPECT TO EMPLOYEE BENEFIT PLANS; UNDERTAKE OR MANAGE ANY FINANCING ACTIVITIES THAT ARE IN EXCESS OF ONE (1) YEAR; DETERMINE ANY COMPENSATION OR REIMBURSEMENT TO BE PAID TO DIRECTORS; ADJUST THE TERM OF ANY DIRECTOR; AND FORMATION BY THE ORGANIZATION OF ANY NEW CORPORATION, OR TAKING ANY OWNERSHIP OF ANY 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. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENT 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; IN ADDITION EACH OFFICER AND BOARD MEMBERS 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. PROCESSES AND PROCEDURES ARE IN PLACE TO EVALUATE AND DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WILL PRESENT RELEVANT INFORMATION TO THE BOARD. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS ARE 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 IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 905,532. MANAGEMENT AND GENERAL EXPENSES 154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 905,686. OTHER FEES: PROGRAM SERVICE EXPENSES 122,047. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,047. CORPORATE MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 144,358. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,358. FORM 990, PART XI, LINE 9: RELIEF OF "DUE TO" RELATED ORGANIZATIONS 40,322. EQUITY CONTRIBUTION FROM RELATED ORGANIZATION 9,573,408. NORTHBAY HEALTH ADVANTAGE LLC 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 942495998 PROPERTY HOLDING COMPANY CA 2522562 63228431 NORTHBAY HEALTH ADVANTAGE NORTHBAY HEALTH ADVANTAGE ASC LLC 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 942495998 PROPERTY HOLDING COMPANY CA 1105806 16124331 NORTHBAY HEALTH ADVANTAGE 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 HEALTHCARE FOUNDATION 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 942995085 PROVIDES FUNDRAISING 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 NORTHBAY HEALTH ADVANTAGE RELATED 211668 5255995 0 1 0.95000 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 1