2025-11-16T12:40:38-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 680046750 NORTHBAY HEALTHCARE CORPORATION NORT 7076463400 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 JOSEPH D'ANGINA CHIEF FINANCIAL OFFICER 7076463400 2025-11-14 1 1 MICHAEL LUMSDEN P01262236 4159561500 2025-11-14 2024 2025-03-06 01:10:19Z MARK BEHL 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 110599523 0 X WWW.NORTHBAY.ORG X 1984 CA MANAGEMENT AND OTHER SUPPORT SERVICES FOR NORTHBAY HEALTHCARE AFFILIATED ORGANIZATIONS. 7 6 3119 0 0 0 9500 0 98651106 110558567 7801 5150 0 35806 98668407 110599523 115000 65000 0 0 35609891 41118700 0 0 0 63807732 67050979 99532623 108234679 -864216 2364844 67209935 71327412 98849458 109366608 -31639523 -38039196 TO IMPROVE THE WELL-BEING OF OUR COMMUNITIES BY PROVIDING ACCESSIBLE HIGH-QUALITY CARE. 0 0 83674390 65000 110558567 NORTHBAY HEALTHCARE CORPORATION (NBHC) IS THE PARENT ORGANIZATION OF THREE CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATIONS; ONE OF THOSE CORPORATIONS, NORTHBAY HEALTHCARE GROUP, OWNS AND OPERATES NON-PROFIT COMMUNITY HOSPITALS IN FAIRFIELD AND VACAVILLE. THE PURPOSE OF NBHC IS TO SUPPORT AND HELP CARRY OUT THE PURPOSES AND FUNCTIONS OF NORTHBAY HEALTHCARE GROUP, NORTHBAY HEALTH ADVANTAGE, AND NORTHBAY HEALTHCARE FOUNDATION. THIS IS ACCOMPLISHED THROUGH PROVIDING COORDINATION, MANAGEMENT, AND OTHER SUPPORT SERVICES TO THE NON-PROFIT HOSPITALS AND OTHER RELATED COMMUNITY HEALTHCARE PROGRAMS. THESE SERVICES INCLUDE MARKETING, RESEARCH OF NEW CLINICAL SERVICE AREAS, MANAGING CONTRACTS BETWEEN PROVIDERS AND PAYORS, AND FINANCING. 83674390 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 3119 1 0 0 0 0 0 0 0 0 0 0 1 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JOSEPH D'ANGINA 7076463111 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 MARK BEHL PRESIDENT & CEO 30.00 20.00 X X 1181597 0 58729 MARK SIEVERS CHAIR 1.00 1.00 X X 0 18318 0 STEPHEN POWER VICE-CHAIR 1.00 0.00 X X 0 18318 0 CHRISTOPHER SWEENEY SECRETARY-TREASURER 1.00 0.00 X X 0 18331 0 GARY FALATI DIRECTOR 1.00 1.00 X 0 9773 0 ARCHIE HUMPHREY DIRECTOR 1.00 1.00 X 0 17609 0 MURRAY WOOLF MD DIRECTOR 1.00 0.00 X 0 18037 0 JOSEPH D'ANGINA EVP, CHIEF FINANCIAL OFFICER 5.00 45.00 X 906097 0 103496 SETH KAUFMAN MD FACEP EVP, CHIEF MEDICAL & QUALITY OFFICER 0.00 50.00 X 705423 0 221275 JAMES ANDERSEN SVP, CHIEF PEOPLE OFFICER 5.00 45.00 X 699997 0 164836 TIMOTHY WILLIAMS VP, AMBULATORY SRVCS (THRU 6/2024) 0.00 50.00 X 789372 0 17749 TRACY GEDDIS SVP, CHIEF AMBULATORY OPERATIONS OFFICER 5.00 45.00 X 632422 0 144123 HEATHER RESSEGER DNP RN CNL CPHQ SVP, CHIEF HOSPITAL OPS & NURSING OFFICER 0.00 50.00 X 582012 0 150967 CHRISTOPHER TIMBERS SVP, CHIEF INFORMATION OFFICER 10.00 40.00 X 629904 0 94253 PAUL MCGINTY SVP, CHIEF PHIL OFFICER / PRES NBHF 0.00 50.00 X 525224 0 147545 SUKHWINDER BAJWA SVP, CHIEF LEGAL OFFICER 5.00 45.00 X 350382 0 36355 KATIE LYDON SR DIR PERIOP SRVCS / WOUND / ASC 0.00 40.00 X 362187 0 62017 THERESA BARTOLI CLINICAL COORDINATOR 0.00 40.00 X 372437 0 50318 KIMBERLY WILLIAMSON DIRECTOR OF CARDIOLOGY SERVICES 0.00 40.00 X 334644 0 52224 TRACEY CLIFTON SR DIR, HOSPITAL THROUGHPUT & CLIN SUPP SRVCS 0.00 40.00 X 330477 0 40379 ANDREA FRANCIS ROBOTIC SURGICAL SYSTEMS PROG COORD 0.00 40.00 X 326737 0 32851 B KONARD JONES FORMER PRES & CEO (THRU 12/2023) 0.00 0.00 X 1241148 0 2906 SHENIECE SMITH FORMER SVP, CHIEF LEGAL OFF (THRU 11/2023) 0.00 0.00 X 525304 0 0 10495364 100386 1380023 1229 1 1 0 OPTUM360 LLC PO BOX 84019 CHICAGO IL 60689 REVENUE SERVICES 18083362 ORACLE AMERICA INC PO BOX 959156 ST LOUIS MO 63195 IT SERVICES 5873275 RECEIVABLE SOLUTIONS LLC 800 DUTCH SQUARE BLVD COLUMBIA SC 29210 COLLECTIONS SERVICES 3802018 SIERRA VIEW GENERAL CONTRACTOR 4202 DOUGLAS BLVD GRANITE BAY CA 95746 CONSTRUCTION SERVICES 2346803 FTI CONSULTING INC 555 12TH STREET NW SUITE 700 WASHINGTON DC 20004 CONSULTING SERVICES 2190684 79 MANAGEMENT SERVICES REVENUE 541900 110314004 110314004 REBATES & REFUNDS 541900 244563 244563 110558567 5150 0 5150 5150 5150 MISCELLANEOUS REVENUE 900099 35806 35806 35806 110599523 110558567 0 40956 X 65000 65000 7215059 1481795 5733264 26943442 18749888 8193554 1550462 828270 722192 3413602 2667209 746393 1996135 1322335 673800 4702784 3276650 1426134 2180114 862069 1318045 209275 208855 420 42905900 41317159 1588741 693399 693399 987397 861990 125407 2015892 2015114 778 6210706 5646658 564048 192836 91302 101534 60965 21733 39232 -40373 68825 -109198 3163633 3154208 9425 3895901 3895901 TAXES/LICENSES 852740 26631 826109 DUES & SUBSCRIPTIONS 486581 140785 345796 RECRUITING 295741 53994 241747 PUBLIC RELATIONS 105850 -63484 169334 -1868362 877404 -2745766 108234679 83674390 24560289 0 11213704 1510410 805775 1153299 15246 5257 6102061 5824321 73407015 56909958 13519418 16497057 100 100 35553631 46336968 67209935 71327412 41979550 45875976 4923 4923 1953657 1649757 54911328 61835952 98849458 109366608 X -31650377 -38147401 10854 108205 -31639523 -38039196 67209935 71327412 X 2364844 -8764517 X 0 1 X 1 0 X X 1 NORTHBAY HEALTHCARE GROUP 941458282 3 1 0 108321139 1 0 108321139 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, SECTION A, LINE 12G, COLUMN (VI): THE ORGANIZATION PROVIDES COORDINATION, MANAGEMENT, AND OTHER SUPPORT SERVICES TO NORTHBAY HEALTHCARE GROUP. THESE SERVICES INCLUDE MARKETING, RESEARCH OF NEW CLINICAL SERVICE AREAS, MANAGING CONTRACTS BETWEEN PROVIDERS AND PAYORS, AND FINANCING. PART IV, SECTION C, LINE 1: NORTHBAY HEALTHCARE CORPORATION (NBHC) IS THE SOLE CORPORATE MEMBER OF NORTHBAY HEALTHCARE GROUP (NBHG), AS WELL AS NBHG'S OTHER SUPPORTING ORGANIZATIONS (NORTHBAY HEALTH ADVANTAGE AND NORTHBAY HEALTHCARE FOUNDATION). NBHC SERVES AS THE PARENT AND SUPPORTS AND CARRIES OUT THE PURPOSES AND FUNCTIONS OF NBHG. NBHC, A TYPE II SUPPORTING ORGANIZATION, HAS A HISTORICAL AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION, NBHG, IN THAT TWO MEMBERS OF NBHC'S BOARD AND THE CEO OF NBHC SERVE AS VOTING DIRECTORS OF NBHG, THUS ENSURING NBHC WILL BE RESPONSIVE TO THE NEEDS OF NBHG. 0 0 0 0 0 0 0 0 1 24133 24133 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION / CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS; A PORTION OF THOSE DUES ARE ATTRIBUTABLE TO LOBBYING, WHICH SUPPORTS CERTAIN INITIATIVES THAT ARE HEALTHCARE RELATED AND CONSISTENT WITH ITS MISSION OF PROMOTING HEALTHCARE WITHIN ITS COMMUNITY. 1653790 1653790 710938 710938 0 1242479 1190876 51603 68712224 54181858 14530366 1087584 826286 261298 16497057 OPERATING LEASE RIGHT-OF-USE ASSETS 34801354 DEFERRED COMPENSATION PLAN INVESTMENTS 5602154 DEPOSITS IN ESCROW 5933460 46336968 WORKERS COMP RESERVE 6990512 OPERATING LEASE LIABILITIES 35941003 ADVANCED PAYMENT/SETTLEMENT LIABILITY 13302685 DEFERRED COMPENSATION PLAN LIABILITIES 5601752 61835952 1 VACAVILLE SOLANO SERVICES CORPORATION PO BOX 6593 VACAVILLE CA 95696 680364021 501(C)(3) 25000 0 SPONSORSHIP AND GENERAL SUPPORT FOR TEMPORARY SHELTER FOR THE UNHOUSED. SOLANO COUNTY LIBRARY FOUNDATION 601 KENTUCKY STREET FAIRFIELD CA 94533 680342423 501(C)(3) 15000 0 SPONSORSHIP AND GENERAL SUPPORT FOR SOLANO COUNTY LIBRARY. SOLANO LAND TRUST 198 DOBBINS STREET SUITE A VACAVILLE CA 95688 943015363 501(C)(3) 10000 0 SPONSORSHIP AND GENERAL SUPPORT TO ENSURE A HEALTHY ENVIRONMENT. TOURO UNIVERSITY OF CALIFORNIA 1310 CLUB DRIVE VALLEJO CA 94592 133838740 501(C)(3) 15000 0 SPONSORSHIP AND GENERAL SUPPORT FOR MEDICAL EDUCATION. 4 0 PART I, LINE 2: NBHC GRANTS FUNDS TO OTHER LOCAL NON-PROFITS AND COMMUNITY ORGANIZATIONS KNOWN TO NBHC TO ASSIST WITH THEIR FUNDRAISING ENDEAVORS. NBHC DOES NOT MONITOR USE OF THESE GRANT FUNDS, AS GRANT FUNDS ARE UNRESTRICTED. X X X X 1 1 0 0 0 0 0 1 0 B KONARD JONES FORMER PRES & CEO (THRU 12/2023) 24886 0 340407 0 875855 0 1313 0 1593 0 1244054 0 18941 0 MARK BEHL PRESIDENT & CEO 1071080 0 70059 0 40458 0 3385 0 55344 0 1240326 0 0 0 JOSEPH D'ANGINA EVP, CHIEF FINANCIAL OFFICER 708733 0 178793 0 18571 0 6088 0 97408 0 1009593 0 0 0 SETH KAUFMAN MD FACEP EVP, CHIEF MEDICAL & QUALITY OFFICER 545048 0 151591 0 8784 0 72717 0 148558 0 926698 0 0 0 JAMES ANDERSEN SVP, CHIEF PEOPLE OFFICER 467641 0 218741 0 13615 0 62004 0 102832 0 864833 0 0 0 TIMOTHY WILLIAMS VP, AMBULATORY SRVCS (THRU 6/2024) 204101 0 86251 0 499020 0 1750 0 15999 0 807121 0 80537 0 TRACY GEDDIS SVP, CHIEF AMBULATORY OPERATIONS OFF 496231 0 127595 0 8596 0 56683 0 87440 0 776545 0 0 0 HEATHER RESSEGER DNP RN CNL CPHQ SVP, CHIEF HOSPITAL OPS & NURSING OF 469015 0 111219 0 1778 0 59107 0 91860 0 732979 0 0 0 CHRISTOPHER TIMBERS SVP, CHIEF INFORMATION OFFICER 480065 0 130206 0 19633 0 18975 0 75278 0 724157 0 0 0 PAUL MCGINTY SVP, CHIEF PHIL OFFICER / PRES NBHF 424978 0 92066 0 8180 0 49836 0 97709 0 672769 0 0 0 SHENIECE SMITH FORMER SVP, CHIEF LEGAL OFF (THRU 11 0 0 0 0 525304 0 0 0 0 0 525304 0 0 0 KATIE LYDON SR DIR PERIOP SRVCS / WOUND / ASC 309384 0 51450 0 1353 0 17807 0 44210 0 424204 0 0 0 THERESA BARTOLI CLINICAL COORDINATOR 372437 0 0 0 0 0 17910 0 32408 0 422755 0 0 0 KIMBERLY WILLIAMSON DIRECTOR OF CARDIOLOGY SERVICES 281347 0 50285 0 3012 0 20997 0 31227 0 386868 0 0 0 SUKHWINDER BAJWA SVP, CHIEF LEGAL OFFICER 337495 0 0 0 12887 0 2906 0 33449 0 386737 0 0 0 TRACEY CLIFTON SR DIR, HOSPITAL THROUGHPUT & CLIN S 281657 0 47614 0 1206 0 21200 0 19179 0 370856 0 0 0 ANDREA FRANCIS ROBOTIC SURGICAL SYSTEMS PROG COORD 326737 0 0 0 0 0 11987 0 20864 0 359588 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED THE FOLLOWING TAXABLE SEVERANCE PAYMENTS IN THE 2024 CALENDAR YEAR, WHICH HAS BEEN REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III): B. KONARD JONES - $854,758 TIMOTHY WILLIAMS - $413,691 SHENIECE SMITH - $525,304 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN DURING THE 2024 CALENDAR YEAR ARE AS FOLLOWS, WHICH HAS BEEN REPORTED AS "RETIREMENT AND OTHER DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): SETH KAUFMAN - $58,917 JAMES ANDERSEN - $48,204 TRACY GEDDIS - $45,525 HEATHER RESSEGER - $44,321 PAUL MCGINTY - $42,850 ADDITIONALLY, DUE TO VESTING OF THE 457(F) PLAN, THE FOLLOWING INDIVIDUALS RECOGNIZED THE FOLLOWING AMOUNTS AS TAXABLE COMPENSATION, 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 - $18,941 TIMOTHY WILLIAMS - $80,537 PART I, LINE 7 THE SENIOR MANAGEMENT INCENTIVE PROGRAM INCLUDES SPECIFIC CRITERIA WHICH MUST BE MET IN ORDER FOR SUCH INDIVIDUALS TO RECEIVE ADDITIONAL COMPENSATION; SOME OF THIS CRITERIA REQUIRES SUPERVISORS AND/OR THE BOARD TO EXERCISE DISCRETION (IN PART) WHEN CALCULATING THE AMOUNT OF PAYMENT OR DECIDING WHETHER TO MAKE SUCH A PAYMENT. FORM 990, PART V, LINES 1A AND 2A: ALL FORM 1099S FOR NORTHBAY HEALTHCARE CORPORATION WERE FILED BY NORTHBAY HEALTHCARE GROUP, A RELATED ORGANIZATION. ACCORDINGLY, THE AMOUNT REPORTED ON FORM 990, PART V, LINE 1A (THE AMOUNT REPORTED ON THE 2024 FORM 1096, BOX 3) REFLECTS ZERO. ADDITIONALLY, ALL FORM W-2S FOR NORTHBAY HEALTHCARE SYSTEM WERE FILED BY NORTHBAY HEALTHCARE CORPORATION, WHICH IS THE BASIS FOR THE NUMBER OF EMPLOYEES REPORTED ON FORM 990, PART V, LINE 2A. 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 WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY; 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 B, LINE 15 AN AD HOC COMPENSATION COMMITTEE OF THE HEALTH SYSTEM BOARD REVIEWS EXECUTIVE COMPENSATION, INCLUDING THAT OF THE ORGANIZATION'S CEO, OTHER OFFICERS, AND KEY EMPLOYEES; 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 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 TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 353,861. MANAGEMENT AND GENERAL EXPENSES 54,713. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,574. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 146,374. MANAGEMENT AND GENERAL EXPENSES 272,982. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 419,356. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 40,761,975. MANAGEMENT AND GENERAL EXPENSES 1,261,046. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,023,021. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 54,949. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,949. FORM 990, PART XI, LINE 9: INTERCOMPANY EQUITY TRANSFERS -8,764,517. 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 1 NORTHBAY HEALTHCARE GROUP 1200 B GALE WILSON BOULEVARD FAIRFIELD CA 94533 941458282 OPERATES TWO NONPROFIT HOSPITALS CA 501(C)(3) LINE 3 NORTHBAY HEALTHCARE CORPORATION 1 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 1 NORTHBAY HEALTH MEDICAL FOUNDATION 4500 BUSINESS CENTER DRIVE FAIRFIELD CA 94534 331789385 HEALTH CARE SERVICES, INCLUDING HOSPITAL AND PHYSICIAN SERVICES CA 501(C)(3) LINE 3 NORTHBAY HEALTHCARE CORPORATION 1 SOLANO DIAGNOSTIC PARTNERS 1101 B GALE WILSON BLVD FAIRFIELD CA 94533 931013774 DIAGNOSTIC IMAGING CA NORTHBAY HEALTH ADVANTAGE RELATED 165365 375492 0 0 0.05000 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 NORTHBAY HEALTHCARE GROUP L 108321139 BOOK VALUE SOLANO DIAGNOSTIC PARTNERS L 1027361 BOOK VALUE