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Nonprofiteer
← NORTHBAY HEALTH ADVANTAGE

Form 990 for tax year 2023

Filed by NORTHBAY HEALTH ADVANTAGE.

Totals

Total revenue
$4,350,871
Total expenses
$6,636,446
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$2,964,027
Management and general expenses
$3,672,419
Fundraising expenses
$0
Program service expenses (Part III)
$2,964,027

Program services were 44.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • B KONARD JONES

    DIRECTOR / PRES & CEO THRU 12/2023

    Total calculated
    $2,373,925
    From this org
    $0
    From related orgs
    $2,316,091
    Other
    $57,834
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,013,240 related
    Bonus
    $0 + $784,654 related
    Other
    $0 + $518,197 related
    Deferred
    $0 + $15,877 related
    Nontaxable benefits
    $0 + $41,957 related
    Filer's total
    $0 + $2,373,925 related

  • MARK BEHL

    DIRECTOR / PRES & CEO START 10/2023

    Total calculated
    $469,585
    From this org
    $0
    From related orgs
    $447,232
    Other
    $22,353
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $211,540 related
    Bonus
    $0
    Other
    $0 + $235,692 related
    Deferred
    $0 + $2,115 related
    Nontaxable benefits
    $0 + $20,238 related
    Filer's total
    $0 + $469,585 related

  • BEVERLY DORSETT

    CHAIR THRU 5/2023 / VICE CHAIR START 5/2023

    Total calculated
    $0
    Hours/week
    1

  • DEBORAH SUGIYAMA

    SECRETARY-TREASURER

    Total calculated
    $17,366
    From this org
    $0
    From related orgs
    $17,366
    Other
    $0
    Hours/week
    1

  • HERKANWAL KHAIRA MD

    DIRECTOR

    Total calculated
    $25,934
    From this org
    $0
    From related orgs
    $25,934
    Other
    $0
    Hours/week
    1

  • SANDY PERSON

    CHAIR START 5/2023

    Total calculated
    $17,602
    From this org
    $0
    From related orgs
    $17,602
    Other
    $0
    Hours/week
    1 + 1 related

  • GARY FALATI

    DIRECTOR

    Total calculated
    $9,364
    From this org
    $0
    From related orgs
    $9,364
    Other
    $0
    Hours/week
    1 + 1 related

  • CLAYBORN LEA JR PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SEAN QUINN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TIMOTHY MAURICE

    INTERIM CFO THROUGH 1/2023

    Total calculated
    $87,232
    From this org
    $0
    From related orgs
    $87,232
    Other
    $0
    Hours/week
    5 + 45 related

  • JOSEPH D'ANGINA

    CHIEF FINANCIAL OFFICER START 1/2023

    Total calculated
    $780,132
    From this org
    $0
    From related orgs
    $701,077
    Other
    $79,055
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $600,788 related
    Bonus
    $0 + $90,000 related
    Other
    $0 + $10,289 related
    Deferred
    $0 + $1,600 related
    Nontaxable benefits
    $0 + $77,455 related
    Filer's total
    $0 + $780,132 related

  • SCOTT DAVIS

    FORMER PRES NBHA / VP CSO

    Total calculated
    $130,410
    From this org
    $0
    From related orgs
    $130,410
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $130,410 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $130,410 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 — 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 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

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.

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202443209349324644

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