Form 990 for tax year 2022
Filed by NORTHBAY HEALTHCARE FOUNDATION.
Totals
- Total revenue
- $715,224
- Total expenses
- $960,998
- Contributions and grants received
- $599,196
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $116,028
- Other revenue
- $0
- Total assets, end of year
- $8,464,696
- Total liabilities, end of year
- $954,993
- Net assets or fund balances, end of year
- $7,509,703
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $138,868
- Fundraising expenses
- $822,130
- Program service expenses (Part III)
- not reported
Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
B KONARD JONES
DIRECTOR / CEO OF NBHC
- Total calculated
- $1,663,586
- From this org
- $0
- From related orgs
- $1,241,415
- Other
- $422,171
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $955,902 related
- Bonus
- $0
- Other
- $0 + $285,513 related
- Deferred
- $0 + $380,198 related
- Nontaxable benefits
- $0 + $41,973 related
- Filer's total
- $0 + $1,663,586 related
-
DENNIS LANDIS
CHAIR
- Total calculated
- $16,761
- From this org
- $0
- From related orgs
- $16,761
- Other
- $0
- Hours/week
- 1
-
SCOTT REYNOLDS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
BILL FELL
TREASURER
- Total calculated
- $16,755
- From this org
- $0
- From related orgs
- $16,755
- Other
- $0
- Hours/week
- 1
-
ALBERT SHAW
SECRETARY
- Total calculated
- $17,088
- From this org
- $0
- From related orgs
- $17,088
- Other
- $0
- Hours/week
- 1
-
SANDY PERSON
DIRECTOR
- Total calculated
- $16,636
- From this org
- $0
- From related orgs
- $16,636
- Other
- $0
- Hours/week
- 1 + 1 related
-
KEYO TOCCHINI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MARK VILLALON MD
DIRECTOR
- Total calculated
- $1,159,727
- From this org
- $0
- From related orgs
- $1,159,727
- Other
- $0
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $1,159,727 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $1,159,727 related
-
J PETER ZOPFI DO
DIRECTOR
- Total calculated
- $903,960
- From this org
- $0
- From related orgs
- $903,960
- Other
- $0
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $903,960 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $903,960 related
-
MICHELE BOUIT
VP & CFO THROUGH 11/2022
- Total calculated
- $603,188
- From this org
- $0
- From related orgs
- $519,394
- Other
- $83,794
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $451,818 related
- Bonus
- $0
- Other
- $0 + $67,576 related
- Deferred
- $0 + $66,506 related
- Nontaxable benefits
- $0 + $17,288 related
- Filer's total
- $0 + $603,188 related
-
TIMOTHY MAURICE
INTERIM VP & CFO START 11/2022
- Total calculated
- $145,396
- From this org
- $0
- From related orgs
- $145,386
- Other
- $10
- Hours/week
- 2 + 48 related
-
PAUL MCGINTY
PRESIDENT, NBHF
- Total calculated
- $410,596
- From this org
- $0
- From related orgs
- $318,672
- Other
- $91,924
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $256,267 related
- Bonus
- $0 + $50,000 related
- Other
- $0 + $12,405 related
- Deferred
- $0 + $40,692 related
- Nontaxable benefits
- $0 + $51,232 related
- Filer's total
- $0 + $410,596 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
NORTHBAY HEALTHCARE CORPORATION
501(C)(3) · TO SUPPORT THE OPERATION OF NORTHBAY HEALTHCARE GROUP & AFFILIATES · CA
-
501(C)(3) · OPERATES TWO NONPROFIT HOSPITALS · CA
Directly controlled by NORTHBAY HEALTHCARE CORPORATION
-
501(C)(3) · MANAGES REAL ESTATE FOR NORTHBAY HEALTHCARE GROUP & AFFILIATES · CA
Directly controlled by NORTHBAY HEALTHCARE CORPORATION
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
DIAGNOSTIC IMAGING · CA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
CHARITABLE REMAINDERANNUITY TRUSTS (8)
CHARITABLE GIVING · CA · controlled entity
Directly controlled by NORTHBAY HEALTHCARE FOUNDATION
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303189349308275
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