SANTA YNEZ VALLEY COTTAGE HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SANTA YNEZ VALLEY COTTAGE HOSPITAL INC (EIN 95-2224265)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-11
- IRS object ID
- 202433169349303778
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-11T13:42:03+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952224265 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Santa Ynez Valley Cottage Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANT | BusinessNameControlTxt |
| Phone | 8052876903 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 689 Attn Finance Dept | AddressLine1Txt |
| City | Santa Barbara | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 931020689 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kristin Tufvesson | PersonNm |
| Person Title | Sr VP Finance and CFO | PersonTitleTxt |
| Signature | 2024-11-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ronald Werft | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 689 Attn Finance Dept | AddressLine1Txt |
| City | Santa Barbara | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 931020689 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $94,168,372 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.cottagehealth.org/santa-ynez-valley-cottage-hospital/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1962 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | It is the mission of Santa Ynez Valley Cottage Hospital (SYVCH) to provide superior health care for and improve the health care of our communities through a commitment to our core values of excellence, integrity, and compassion. SYVCH is a rural hospital and is designated a critical access hospital. The hospital provides critical emergency services which allow for local stabilization of the patient and transfer to an affiliated hospital that provides a higher level of care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 123 | TotalEmployeeCnt |
| Total Volunteers | 76 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,844,655 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,076,698 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,726,522 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,878,206 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,075,810 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,543,442 | CYInvestmentIncomeAmt |
| PY Other Revenue | $745,155 | PYOtherRevenueAmt |
| CY Other Revenue | $220,914 | CYOtherRevenueAmt |
| PY Total Revenue | $29,392,142 | PYTotalRevenueAmt |
| CY Total Revenue | $32,719,260 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $987,295 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $613,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,466,427 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,806,732 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,395,224 | PYOtherExpensesAmt |
| CY Other Expenses | $10,506,538 | CYOtherExpensesAmt |
| PY Total Expenses | $22,848,946 | PYTotalExpensesAmt |
| CY Total Expenses | $25,926,270 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,543,196 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,792,990 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,049,535 | TotalAssetsBOYAmt |
| Total Assets EOY | $85,351,677 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,659,774 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,717,019 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $72,389,761 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $81,634,658 | NetAssetsOrFundBalancesEOYAmt |
| Mission | It is the mission of Santa Ynez Valley Cottage Hospital (SYVCH) to provide superior health care for and improve the health care of our communities through a commitment to our core values of excellence, integrity, and compassion. SYVCH is a rural hospital and is designated a critical access hospital. The hospital provides critical emergency services which allow for local stabilization of the patient and transfer to an affiliated hospital that provides a higher level of care. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,202,079 | ExpenseAmt |
| Grant | $613,000 | GrantAmt |
| Revenue | $29,027,312 | RevenueAmt |
| Desc | Santa Ynez Valley Cottage Hospital is a 11-bed acute-care hospital located in the rural area known as the Santa Ynez Valley. In 2023, the Hospital had 529 patient days, served 31,085 outpatients including emergency services to 10,216 patients. The Hospital provided essential emergency treatment, inpatient acute care, outpatient surgical services, imaging diagnostic services, infusion services and cardiac rehabilitation services to the residents of the Santa Ynez Valley, including the communities of Solvang, Buellton, Santa Ynez, Los Olivos, and Ballard. Santa Ynez Valley Cottage Hospital provides emergency services to anyone seeking care, regardless of their ability to pay. The hospital is diligent in ensuring that all patients have adequate access to care. All patients who do not present with insurance are automatically screened for eligibility in government health programs and are assisted in applying for financial assistance if the patient does not qualify for any other assistance. Santa Ynez Valley Cottage Hospital provides critical funding for community health and education with external grants, while also realizing shortfalls Medi-Cal and indigent care. External grants were provided which aimed at specific community needs for at risk populations (indigent; substance abuse recovery; elderly; family counseling). In addition, the hospital provides support of nursing education, provides low cost exercise program for seniors, supports a local health fair and the provision of flu shots to the community. In 2023 the hospital spent over $3 million on these programs . | Desc |
| Total Program Service Expenses | $22,202,079 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 123 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kristin Tufvesson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8053249933 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 West Pueblo | AddressLine1Txt |
| City | Santa Barbara | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93105 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Richard Ponce MD | |||||||||
| Secretary | 0.3 | 5.7 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Steven Zola | |||||||||
| Board Chair | 1.0 | 19.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Susan Christol-Deacon | |||||||||
| Vice Chair | 0.3 | 5.7 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Thomas Cusack | |||||||||
| Vice Chair | 0.3 | 5.7 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Bhupi Singh | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Dorothy Largay PhD | |||||||||
| Board Member (Part Year through 1/2023) | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Ernesto Paredes | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Gamble Parks ATTY | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Ginger Salazar | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Gregory Faulkner | |||||||||
| Board Member (Part Year through 1/2023) | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Mark Scott MD | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Nancy Nielsen | |||||||||
| Board Member (Part Year through 9/2023) | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Pamela Gann | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Roberta Griffin | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Robin Malone MD | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Steve Ortiz | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Wesley Schooler MD | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Yulun Wang PhD | |||||||||
| Board Member | 0.2 | 3.8 | Yes (X) | $0 | $0 | $0 | |||
| Kristin Tufvesson | |||||||||
| Senior VP and CFO | 3.0 | 52.0 | Yes (X) | $0 | $1,006,800 | $103,185 | |||
| Lisa Moore | |||||||||
| Executive VP and COO | 3.0 | 52.0 | Yes (X) | $0 | $1,070,894 | $234,431 | |||
| Ronald Werft | |||||||||
| President & CEO | 3.0 | 62.0 | Yes (X) | $0 | $1,914,019 | $88,325 | |||
| Stacy Bratcher | |||||||||
| Senior VP and General Counsel | 3.0 | 52.0 | Yes (X) | $0 | $885,425 | $91,065 | |||
| CHRISTINE PIMNETEL | |||||||||
| Manager Clinical SYVCH | 40.0 | 0 | $181,142 | $0 | $49,681 | Yes (X) | |||
| KATIE GORNDT | |||||||||
| VP OF SYVCH | 40.0 | 0 | $315,988 | $0 | $72,156 | Yes (X) | |||
| NATHAN HALL | |||||||||
| Manager Radiology-SYVCH | 40.0 | 0 | $177,787 | $0 | $39,705 | Yes (X) | |||
| JASON BOYATT | |||||||||
| Cardiac Clinic Physician | 40.0 | 0 | $389,652 | $0 | $78,666 | Yes (X) | |||
| PABLO ROJAS | |||||||||
| Physician Assistant - Clinic | 40.0 | 0 | $161,475 | $0 | $46,369 | Yes (X) | |||
| RICARDO GONZALEZ MENCHACA | |||||||||
| RT 3 Radiographer | 40.0 | 0 | $156,824 | $0 | $38,896 | Yes (X) | |||
| ROGER LANE | |||||||||
| Internal Medicine Physician | 40.0 | 0 | $339,519 | $0 | $56,800 | Yes (X) | |||
| TARA GUILLEMIN | |||||||||
| Clinical Nurse Coordinator | 40.0 | 0 | $172,850 | $0 | $39,627 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,895,237 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,877,138 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $938,906 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Arndt Construction | |||||
| 1306 Santa Barbara Street | Santa Barbara | CA | 93101 | Construction Contractor | $4,602,557 |
| Smith Mechanical | |||||
| 1340 W BETTERAVIA ROAD | SANTA MARIA | CA | 93455 | Construction Contractor | $1,514,906 |
| SOUTH COAST EMERGENCY MEDICAL GROUP | |||||
| 4589 VIA VISTOSA | SANTA BARBARA | CA | 93110 | Physician Services | $465,667 |
| AMN Healthcare | |||||
| 12400 HIGH BLUFF DRIVE | SAN DIEGO | CA | 92130 | Contract Labor | $274,901 |
| Justice William | |||||
| 386 LA SALLE CANYON ROAD | LOMPOC | CA | 93436 | Inspection Services | $204,080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $13,011 | GovernmentGrantsAmt |
| All Other Contributions | $1,063,687 | AllOtherContributionsAmt |
| Total Contributions | $1,076,698 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient revenue | 622110 | $27,880,362 | $27,880,362 |
| Hosp M-Cal supplemental payments | 622110 | $997,844 | $997,844 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,878,206 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $865,956 | TotalRevenueColumnAmt |
| Exclusion | $865,956 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $63,126,598 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $61,449,112 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,677,486 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,677,486 | TotalRevenueColumnAmt |
| Exclusion | $1,677,486 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Thrift Shop | $71,808 | $71,808 | |
| Management Fees | $71,462 | $71,462 | |
| Allocated Rev-related T/E org | $58,797 | $58,797 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,847 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,847 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $220,914 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,719,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,027,312 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,615,250 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,000 | TotalAmt |
| Program Services | $598,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,000 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $836,459 | TotalAmt |
| Program Services | $448,315 | ProgramServicesAmt |
| Management And General | $388,144 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,045,929 | TotalAmt |
| Program Services | $9,267,811 | ProgramServicesAmt |
| Management And General | $778,118 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,265 | TotalAmt |
| Program Services | $317,040 | ProgramServicesAmt |
| Management And General | $61,225 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,886,671 | TotalAmt |
| Program Services | $2,061,304 | ProgramServicesAmt |
| Management And General | $825,367 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,408 | TotalAmt |
| Program Services | $629,615 | ProgramServicesAmt |
| Management And General | $29,793 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,598 | TotalAmt |
| Management And General | $246,598 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,552,914 | TotalAmt |
| Program Services | $3,865,757 | ProgramServicesAmt |
| Management And General | $687,157 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,543 | TotalAmt |
| Program Services | $412,526 | ProgramServicesAmt |
| Management And General | $27,017 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,007 | TotalAmt |
| Program Services | $28,730 | ProgramServicesAmt |
| Management And General | $2,277 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,984 | TotalAmt |
| Program Services | $661,013 | ProgramServicesAmt |
| Management And General | $126,971 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,079 | TotalAmt |
| Program Services | $14,325 | ProgramServicesAmt |
| Management And General | $4,754 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,366 | TotalAmt |
| Program Services | $1,334 | ProgramServicesAmt |
| Management And General | $9,032 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,748 | TotalAmt |
| Program Services | $4,649 | ProgramServicesAmt |
| Management And General | $3,099 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,492,887 | TotalAmt |
| Program Services | $1,203,458 | ProgramServicesAmt |
| Management And General | $289,429 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,300 | TotalAmt |
| Program Services | $128,266 | ProgramServicesAmt |
| Management And General | $52,034 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,906,164 | $1,905,726 | $438 |
| EQUIP MAINTENANCE | $644,130 | $617,988 | $26,142 |
| Construction Expenses | $119,309 | $119,309 | |
| Licenses, fees, property taxes | $29,068 | $10,416 | $18,652 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,441 | TotalAmt |
| Program Services | $10,806 | ProgramServicesAmt |
| Management And General | $28,635 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,926,270 | TotalAmt |
| Program Services | $22,202,079 | ProgramServicesAmt |
| Management And General | $3,724,191 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,261,081 | BOYAmt |
| EOY | $2,945,336 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,688 | BOYAmt |
| EOY | $1,096,630 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,178,925 | BOYAmt |
| EOY | $3,156,684 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,795 | BOYAmt |
| EOY | $125,372 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,188 | BOYAmt |
| EOY | $96,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,331,103 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,542,931 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,053,139 | BOYAmt |
| EOY | $33,788,172 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,196,808 | BOYAmt |
| EOY | $27,810,394 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,962,012 | BOYAmt |
| EOY | $9,932,729 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,875,899 | BOYAmt |
| EOY | $6,399,715 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,049,535 | BOYAmt |
| EOY | $85,351,677 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,765,260 | BOYAmt |
| EOY | $2,780,699 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,846 | BOYAmt |
| EOY | $3,146 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $890,668 | BOYAmt |
| EOY | $933,174 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,659,774 | BOYAmt |
| EOY | $3,717,019 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,939,032 | BOYAmt |
| EOY | $81,621,625 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,729 | BOYAmt |
| EOY | $13,033 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,389,761 | BOYAmt |
| EOY | $81,634,658 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,049,535 | BOYAmt |
| EOY | $85,351,677 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,792,990 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,765,912 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $685,995 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,586 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,586 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | Lobbying activities are calculated as a percentage of dues paid to various hospital associations, including American Hospital Association, California Hospital Association and Hospital Association of Southern California. The percentage of dues used for lobbying purposes is provided by each association. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,582 | OtherCostOrOtherBasisAmt |
| Book Value | $22,582 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,895,556 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,890,906 | DepreciationAmt |
| Book Value | $12,004,650 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,447,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,882,828 | DepreciationAmt |
| Book Value | $2,564,265 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,965,872 | OtherCostOrOtherBasisAmt |
| Depreciation | $769,197 | DepreciationAmt |
| Book Value | $19,196,675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,788,172 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Alternative Investments | Desc |
| Book Value | $9,932,729 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $9,932,729 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Prepaid Pension Benefits | $5,030,539 |
| Medicare and Medi-Cal Reserves | $1,072,534 |
| Operating Leases Right of Use Asset | $178,930 |
| All other assets | $117,712 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,399,715 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITY | $515,186 |
| Due to Affiliates | $238,836 |
| Lease liabilities | $179,152 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $933,174 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Cottage completed an analysis of its tax positions, in accordance with ASC 740, and determined that there are no uncertain tax positions taken. Cottage has recognized no interest or penalties related to uncertain tax positions. Cottage is subject to routine audits by the taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The System believes it is no longer subject to income tax examinations for years prior to 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 500 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 699 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $957,322 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $957,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0369 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,852,272 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,797,594 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,054,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0407 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,809,594 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,797,594 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,012,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0776 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $189,242 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,974 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $177,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0068 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $138,222 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,090 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $137,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0053 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $366,598 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $130,466 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $236,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0091 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $491,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $491,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0189 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,185,062 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $143,530 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,041,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0402 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,994,656 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,941,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,053,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1178 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $10,905,541 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,417,200 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $488,341 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Santa Ynez Valley Cottage Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2050 Viborg Road | AddressLine1Txt |
| City | Solvang | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93463 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.cottagehealth.org/santa-ynez-valley-cottage-hospital | WebsiteAddressTxt |
| State License | 050000057 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Santa Ynez Valley Cottage Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.cottagehealth.org/about/community-benefit/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.cottagehealth.org/about/community-benefit/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 500.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 699.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | ://www.cottagehealth.org/billing/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | ://www.cottagehealth.org/billing/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | ://www.cottagehealth.org/billing/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | In the most recent Community Health Needs Assessment (CHNA), six areas emerged as priority health areas in Santa Barbara County: Access to Care, Behavioral Health, Chronic Conditions, Maternal Care, Resiliency and Social Needs. In addition, we identified injury and violence as a health priority base on our emergency and trauma departments. These identified needs have guided Cottage Health's direct funding provided to local agencies. In addition, our population health department seeks to align with broader initiatives in the community which are addressing these identified needs. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Santa Ynez Valley Cottage Hospital. As part of this Community Health Needs Assessment (CHNA), a web-based and telephone survey was conducted with approximately 1600 randomly selected Santa Barbara County residents, including oversampling of lower-income areas. In addition, a listening tour occurred consisting of focus groups and interviews with more than 200 individuals representing the broad interests of the community, including medically underserved, low-income, and vulnerable populations. Cottage Health contracted with the University of Pittsburgh who has extensive experience in survey methodology, analysis and reporting. The questionnaire was created from CDC's Behavioral Risk Factor Surveillance System (BRFSS) and other leading surveys and questionnaires carefully selected to provide count-level information. It was administered in both English and Spanish. In addition the CHNA utilized existing health and demographic data already collected for the county and California (such as U.S. Census data). Input was gathered from representatives of local government, public health, health systems and organizations working with low-income, minority (including Hispanic/Latinx/Mixtec, Native American, Asian, Africa American), or other medically underserved populations experiencing health disparities (including young adults, elderly, veterans, disabled, lesbian/gay/bisexual/transgender (LGBT), homeless, mentally ill, undocumented, uninsured/underinsured, and Medi-Cal/Medicare recipient populations. Final participation included representatives of approximately 90 local organizations, some of which are: Santa Barbara County Department of Behavioral Wellness, CALM, Family Service Agency, Housing Authority of the City of Santa Barbara, Pacific Pride Foundation, Santa Barbara County Education Office, Santa Barbara Neighborhood Clinics, YouthWell Coalition, Cottage Health Psychiatry and Addition Services, CenCal Health, Domestic Violence Solutions, University of California, Santa Ynez Tribal Health Clinic, People's Self Help Housing, Transition House, and Council on Alcohol and Drug Abuse. Secondary data sources included data from the US Census Bureau, US Department of Education, US Department of Agriculture, US Department of Health and Human Services, Centers for Disease Control and Prevention, State Cancer Profiles, and Nielsen Site Reports. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Santa Ynez Valley Cottage Hospital. The CHNA was completed jointly by Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, and Santa Ynez Valley Cottage Hospital. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Santa Ynez Valley Cottage Hospital. A press release was issued announcing the completion and availability of the CHNA. This information was also shared and presented to the community on an as requested basis. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Santa Ynez Valley Cottage Hospital. As a member of Cottage Health (CH), the needs identified in the Hospital's CHNA are incorporated into the Community Benefit Program of CH. Seventeen leading health indicators identified in the 2022 CHNA were grouped into six priority areas: (1) access to care; (2) behavioral health (3) chronic conditions; (4) maternal health; (5) resiliency; and (6) social needs (including food and housing insecurity). In addition, Cottage Health has identified injury and violence as a priority based on Emergency Department and trauma registry reporting. The four indicators not prioritized and addressed are: (1) smoking cigarettes (2) binge drinking (3) physical inactivity and (4) obesity. These health indicators were not ranked as highly (in terms of need, urgency, collaboration among community organizations, health disparities, and community resources available). In addition, there are currently leading community partners/stakeholders who are addressing smoking cigarettes, binge drinking, physical activity and obesity. Though not selected as priority areas, some of the non-prioritized needs will be indirectly addressed through enhancing access to health care and by partnering with lead organizations addressing these areas. The implementation strategy to address the priority needs includes Santa Ynez Valley Cottage Hospital's grants, its hospital programs, population health initiatives and health fairs. In addition, Santa Ynez Valley Cottage Hospital provides grants to support Health Professional Education. |
| Schedule H, Part V, Section B, Line 15 Facility , 1 | Facility , 1 - Santa Ynez Valley Cottage Hospital. The FAP also described the physical locations where patients can obtain a copy of the FAP Application, as well as the Cottage Health website address. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6b Availability of Community Benefit Report | Cottage Health prepares a Community Benefit Report on behalf of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital. It is filed with the State of California, in compliance with California Senate Bill 697. The Community Benefit Report is available to the public upon request. In addition it can be found on the Cottage web site: https://www.cottagehealth.org/about/community-benefit/ and the California CHHS web site: https://data.chhs.ca.gov/dataset/community-benefit-plans |
| Schedule H, Part I, Line 3c Other Financial Assistance Factors | Santa Ynez Valley Cottage Hospital uses FPG based on Household Income to determine eligibility for both discount and charity care on the patient responsibility whether or not covered by insurance. A presumptive FPG is also utilized to write off balances for patients who have a presumptive score of 500% of FPG or lower. A presumptive FPG up to 699% will receive a sliding scale discount. Assets are considered for certain patients who exceed FPG levels but who have high medical debt. Patients who were determined to be homeless also qualify for free care, assuming they did not qualify for other insurance programs. |
| Schedule H, Part V, Section B, Line 16 FAP Languages | THE FAP IS AVAILABLE IN ENGLISH, TAGALOG, MANDARIN AND SPANISH AT THE WEBSITE NOTATED IN 16 A AND 16 B. |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Cottage Health |
| Schedule H, Part I, Line 7g Subsidized Health Services | THE HOSPITAL PROVIDES SUBSIDIZED HEALTH CARE VIA A CARDIAC REHABILITATION PROGRAM. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | Direct costs are calculated at the providing department level and overhead costs are allocated according to the Medicare step-down method, based upon applicable statistics. Each payer's cost is determined by the services provided to their members. The community benefits amount attributable to Medicaid and other Government programs are based upon the services provided and resulting costs incurred for their inpatients, outpatients and emergency department visits. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JANUARY 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONSESSIONS. THE HOSPITAL MAKES A DETERMINATION REGARDING A PRICE CONCESSION TO STANDARD PRICING ON A PORTFOLIO BASIS PRIOR TO ASSESSING THE CREDIT RISK OF INDIVIDUALS WITHIN THE PORTFOLIO. PATIENT SERVICE REVENUE IS RECORDED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, INCLUDING AN ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. BAD DEBT IS RECORDED AS AN OPERATING EXPENSE AND RESULTS WHEN A PATIENT, DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES, IS UNWILLING TO DO SO. FOR THE TAX YEAR ENDED DECEMBER 31, 2023, THE HOSPITAL MADE NO SUCH DETERMINATION, AND THEREFORE RECORDED NO BAD DEBT EXPENSE. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE HOSPITAL DID NOT RECORD ANY BAD DEBT EXPENSE IN 2023, THEREFORE THERE IS NO REFERENCE TO BAD DEBT EXPENSE IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS. SEE SUPPLEMENTAL INFORMATION FOR H PART III LINE 2 FOR ADDITIONAL INFORMATION. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Santa Ynez Valley Cottage Hospital is designated a critical access hospital (CAH) and did not experience an overall shortfall from allowable costs in 2023. The overall surplus has been adjusted up by $236,881 of Medicare shortfall included in the Community Benefit analysis of the Cardiac Clinic losses in H-I-7g. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | Cottage Health's Financial Assistance Policy (FAP), which includes actions Cottage Health may take in the event of non-payment and applies to the largest number of Cottage Health's patients, states that Cottage Health will not engage in Extraordinary Collection Activities (ECAs) (defined in the policy) for a period of at least 180 days following the date of the first post-discharge billing statement, nor will Cottage Health engage in ECAs before making a reasonable effort to determine whether a patient is eligible for financial assistance pursuant to Cottage Health's FAP. The FAP further states that, at least 30 days prior to engaging in any ECAs, Cottage Health will: (a) provide written notice to patients regarding the availability of financial assistance, the specific ECAs Cottage Health intends to take in the event of non-payment, and a deadline after which Cottage Health may initiate ECAs; (b) provide to patients a written plain language summary of Cottage Health's FAP; and (c) make reasonable efforts to orally notify patients about Cottage Health's FAP and how the patient can obtain assistance with the financial assistance application. The FAP further states that, if Cottage Health receives a complete financial assistance application during the Application Period (as defined in the FAP), Cottage Health will suspend ECAs and process the patient's application, and if Cottage Health receives an incomplete financial assistance application during the Application Period, Cottage Health will suspend ECAs and provide a reasonable opportunity for the patient to submit a complete financial assistance application. ECAs are defined as (a) actions requiring a legal or judicial process; and (b) reporting adverse information to credit reporting agencies or credit bureaus. Cottage Health's FAP further states that Cottage Health may employ reasonable collection efforts to obtain payment from patients, other than ECAs, including issuing statements, making telephone calls, sending text messages, and sending e-mail messages. If a patient qualifies for FAP, we will not do any collection activities. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Santa Ynez Valley Cottage Hospital: Line 16a URL: ://www.cottagehealth.org/billing/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Santa Ynez Valley Cottage Hospital: Line 16b URL: ://www.cottagehealth.org/billing/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Santa Ynez Valley Cottage Hospital: Line 16c URL: ://www.cottagehealth.org/billing/financial-assistance/; |
| Schedule H, Part VI, Line 2 Needs assessment | Cottage Health, through its hospitals Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, and Santa Ynez Valley Cottage Hospital, researched the needs of the county through the Community Health Needs Assessment (CHNA). As discussed in detail in H-V-line5, the assessment included a broad group of participants from the public and private sector plus existing health data in the government sector and past needs assessment information. Needs prioritized in the CHNA include: Access to Care, Behavioral Health, Chronic conditions, Maternal health, and social needs (including food and housing insecurity).. In addition, Cottage Health has prioritized injury and violence within the Behavioral Health area. The Hospitals provide critical funding for community health, financial assistance, and external grants, while also realizing shortfalls in Medicare, Medi-Cal, and indigent care. Activities in these areas included screenings and health fairs; classes, clinics, lectures, and seminars; community services; community collaborations; and coalitions/committees. In 2023, Cottage Health spent over $250 million on these programs. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | COTTAGE HEALTH HAS A MULTIFACETED FINANCIAL ASSISTANCE PROGRAM (FAP) TO ENSURE THAT ALL PATIENTS RECEIVE INFORMATION ABOUT OUR FAP, AND PATIENTS WHO DO NOT HAVE INSURANCE ARE SCREENED FOR ELIGIBILITY IN A GOVERNMENT SPONSORED HEALTHCARE PLAN. THE HOSPITAL POSTS INFORMATION ABOUT THE FAP IN ALL REGISTRATION AREAS. SIGNS ARE IN ENGLISH, AND SPANISH AND ARE LOCATED IN ALL AREAS WHERE PATIENTS ARE REGISTERED FOR INPATIENT AND OUTPATIENT SERVICES. SIGNS ARE ALSO LOCATED IN THE PATIENT BILLING OFFICE AND CASHIER OFFICE. PAPER COPIES ARE PROVIDED TO PATIENTS WHO SPEAK TAGALOG or MANDARIN. PATIENTS WILL ALSO BE CONTACTED BY AN ADMITTING REPRESENTATIVE OR ELIGIBILITY COUNSELOR TO ASSIST THE PATIENT IN DETERMINING ELIGIBILITY FOR GOVERNMENT SPONSORED INSURANCE PROGRAMS AND ASSIST WITH THE APPLICATION PROCESS AT NO COST TO THE PATIENT. PATIENT FINANCIAL COUNSELORS WHO ANSWER CUSTOMER SERVICE CALLS ARE INSTRUCTED TO OFFER a plain language summary (PLS) of the FAP APPLICATIONS TO ALL PATIENTS. Additionally, each patient is provided with information regarding the FAP on their billing statement, and each billing statement is accompanied by the PLS. SANTA BARBARA COTTAGE HOSPITAL ALSO WORKS CO-OPERATIVELY WITH THE COUNTY OF SANTA BARBARA TO PROVIDE NON-EMERGENCY FINANCIAL ASSISTANCE SERVICES. THIS PROGRAM IS KNOWN AS THE COMMUNITY SERVICE PROGRAM. ALL MEMBERS OF THE COMMUNITY WHO MEET THE FINANCIAL CRITERIA ARE ELIGIBLE FOR THE COMMUNITY SERVICE PROGRAM, BUT MUST BE REFERRED BY A PHYSICIAN. WHEN PATIENTS WHO VISIT THE SANTA BARBARA PUBLIC HEALTH DEPARTMENT CLINIC HAVE A NEED FOR A MEDICALLY-NECESSARY BUT NON-EMERGENT SERVICE, THE PHYSICIANS AND CLINIC STAFF INFORM THE PATIENT OF THE COMMUNITY SERVICE PROGRAM AND HELP THE PATIENT TO APPLY. INDEPENDENT PHYSICIANS IN THE COMMUNITY WERE MADE AWARE OF THE PROGRAM AND HOW TO ACCESS SERVICES ON BEHALF OF THEIR PATIENTS. |
| Schedule H, Part VI, Line 4 Community information | Santa Barbara County consists of 2,750 square miles of land and inland water area. Approximately rectangular in shape, Santa Barbara County is bordered on the north by San Luis Obispo County, on the east by Ventura County, and on the south and west by 107 miles of Pacific coastline. Much of the county is mountainous. The Santa Ynez, San Rafael and Sierra Madre mountains extend in a predominately east west direction. Within the county, there are numerous fertile agricultural areas, including the Santa Maria, Cuyama, Lompoc, and Santa Ynez Valleys, and the southeast coastal plain. These areas, which include most of the developed land, also accommodate the majority of the population. Los Padres National Forest, in the eastern part of the county, covers approximately 44 percent of the total county area. Vandenberg Air Force Base is in the Lompoc region, while UCSB is on the South Coast. North County refers to the area west and north of Gaviota and includes the Lompoc, Santa Maria, Santa Ynez and Cuyama valleys. South Coast refers to the Goleta, Santa Barbara, and Carpinteria coastal plain. Santa Barbara County's approximate 446,000 population is divided into six sub regions: Santa Barbara/Goleta Region; Santa Ynez Valley; Carpinteria Valley; Lompoc Valley; Santa Maria Valley; Guadalupe Valley; and the Cuyama Valley. Of the total population, approximately 50% are females. The median age is 34.6 years. The population age breakdown is: 27.5% under 20 years old; 56.4% are 20 to 64 years old and 16.1% are 65 and older. For people reporting one race, 42.7% are White; 47.2% are Hispanic; 2.4% are Black or African American; 5.9% are Asian; and 4.2% are Other/Multi-Racial. 9% of county residents live below the poverty level. The residents of the County are served by 5 hospitals throughout the county. |
| Schedule H, Part VI, Line 5 Promotion of community health | The Board of Directors is made up of community members who volunteer their time to ensure the Santa Ynez Valley community has access to high-quality, affordable healthcare. The Board is actively involved in the hospital's strategic decisions. It approves of an annual budget and a 10-year financial plan ensuring the hospital continues to offer healthcare services to the community for years to come. The Board also approves of annual strategic goals consistent with the mission, vision and values of Cottage Health. The financial forethought of the Board of Directors resulted in surplus funds that were used to rebuild the facility. Santa Ynez Valley Cottage Hospital has completed its renovation and rebuilding, which complies with the State of California's Senate Bill 1953 (SB1953) requiring all hospitals to retrofit or rebuild in order to withstand a major earthquake. Santa Ynez Valley Cottage Hospital works collaboratively with its medical staff to improve health in the community and has expanded the community health needs assessment survey to better respond to current and future health needs. Each year, Santa Ynez Valley Cottage Hospital offers a community health fair, including free flu vaccine for the community. The hospital also offers community CPR and nutrition classes to promote safety and wellness. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Cottage Health (CH) is the parent organization of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. These organizations have a common Board of Directors. Cottage Health Hospitals are the sole hospital providers in the Community and strategic plans are created with all the Hospitals and their Communities in mind. Santa Ynez Valley Cottage Hospital is the smallest of the CH Hospitals and is a rural critical access hospital It primarily provides services to the Northern regions and inland valleys of Santa Barbara County. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|
| Cottage Clinical Network | |||||||
| 400 WEST PUEBLO STREET | Santa Barbara | CA | 93105 | 843321175 | $391,000 | Support of clinics throughout the County which provide access to care for individuals with no PCP | |
| SANCTUARY CENTERS OF SANTA BARBARA INC | |||||||
| PO Box 551 | Santa Barbara | CA | 93102 | 953066786 | $100,000 | Support Psychiatric and licensed therapist services for youth | 501(c)(3) |
| CSUCI FOUNDATION | |||||||
| One University Drive | Camarillo | CA | 93012 | 770433230 | $15,000 | Support of the Bachelor's in Science, Nursing program in Santa Barbara | 501(c)(3) |
| Santa Barbara City College Foundation | |||||||
| 721 Cliff Drive | Santa Barbara | CA | 93109 | 770070782 | $42,000 | Support of Nursing Program at Santa Barbara City College | government |
| Cottage Health | |||||||
| 400 WEST PUEBLO STREET | Santa Barbara | CA | 93105 | 770431902 | $50,000 | Network Equipment Grant | 501(c)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | NURSING SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 5 | RecipientCnt |
| Cash Grant | $15,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | Grant funds are monitored through the Community Health Coordinating Committee of Cottage Health. Grantees are required to submit a report in June of each year that is reviewed by the committee prior to entire amount of funds being disbursed. Scholarship applications are reviewed by representatives from nursing and Human Resources. After recipients are identified, the organization verified the student has enrolled and paid for the semester. Funds are disbursed post verification. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ronald Werft | ||||||||||||||
| President & CEO | $0 | $1,337,016 | $0 | $521,907 | $0 | $55,096 | $0 | $65,192 | $0 | $23,133 | $0 | $2,002,344 | $0 | $0 |
| Lisa Moore | ||||||||||||||
| Executive VP and COO | $0 | $736,077 | $0 | $243,742 | $0 | $91,075 | $0 | $215,597 | $0 | $18,834 | $0 | $1,305,325 | $0 | $47,038 |
| Kristin Tufvesson | ||||||||||||||
| Senior VP and CFO | $0 | $642,693 | $0 | $194,998 | $0 | $169,109 | $0 | $69,000 | $0 | $34,185 | $0 | $1,109,985 | $0 | $0 |
| Stacy Bratcher | ||||||||||||||
| Senior VP and General Counsel | $0 | $642,881 | $0 | $121,810 | $0 | $120,734 | $0 | $61,500 | $0 | $29,565 | $0 | $976,490 | $0 | $0 |
| KATIE GORNDT | ||||||||||||||
| VP OF SYVCH | $243,469 | $0 | $53,312 | $0 | $19,207 | $0 | $60,627 | $0 | $11,529 | $0 | $388,144 | $0 | $0 | $0 |
| CHRISTINE PIMNETEL | ||||||||||||||
| Manager Clinical SYVCH | $159,798 | $0 | $17,536 | $0 | $3,808 | $0 | $26,849 | $0 | $22,832 | $0 | $230,823 | $0 | $0 | $0 |
| NATHAN HALL | ||||||||||||||
| Manager Radiology-SYVCH | $156,402 | $0 | $14,998 | $0 | $6,387 | $0 | $8,570 | $0 | $31,135 | $0 | $217,492 | $0 | $0 | $0 |
| JASON BOYATT | ||||||||||||||
| Cardiac Clinic Physician | $383,986 | $0 | $1,153 | $0 | $4,513 | $0 | $45,991 | $0 | $32,675 | $0 | $468,318 | $0 | $0 | $0 |
| ROGER LANE | ||||||||||||||
| Internal Medicine Physician | $328,326 | $0 | $1,153 | $0 | $10,040 | $0 | $46,474 | $0 | $10,326 | $0 | $396,319 | $0 | $0 | $0 |
| TARA GUILLEMIN | ||||||||||||||
| Clinical Nurse Coordinator | $168,186 | $0 | $1,651 | $0 | $3,013 | $0 | $8,492 | $0 | $31,135 | $0 | $212,477 | $0 | $0 | $0 |
| PABLO ROJAS | ||||||||||||||
| Physician Assistant - Clinic | $159,369 | $0 | $1,663 | $0 | $443 | $0 | $13,234 | $0 | $33,135 | $0 | $207,844 | $0 | $0 | $0 |
| RICARDO GONZALEZ MENCHACA | ||||||||||||||
| RT 3 Radiographer | $153,547 | $0 | $1,666 | $0 | $1,611 | $0 | $7,761 | $0 | $31,135 | $0 | $195,720 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | On an annual basis the Executive Compensation Committee (ECC) of the Board of Directors meets to determine appropriate compensation for executives, including the CEO, COO, CFO, and vice presidents. All members of the ECC are independent members of the Board of Directors. The ECC engages an independent consultant to prepare comparative compensation reports for each position. The executives individual performance will also be considered when determining compensation. The ECC recommends compensation for the executives to the full Board for approval. This process takes place annually for all executives. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | COTTAGE HEALTH PROVIDES CERTAIN EXECUTIVES A SUPPLEMENTAL RETIREMENT PROGRAM. THE PROGRAM IS DEFINED AS DEFERRED COMPENSATION UNDER THE IRC SECTION 457(F). THE ANNUAL CONTRIBUTION IS 9.8% OF BASE YEARS SALARY WITH THE CONTRIBUTIONS VESTING FIVE YEARS FROM CREDITING DATE, OR AT AGE 62, OR IMMEDIATELY IN THE EVENT OF DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT CAUSE. THE UNVESTED ACCOUNT BALANCES ARE ASSETS OF THE ORGANIZATION AND ARE INCLUDED IN OTHER ASSETS AND THE ACCRUED EXPENSE IS INCLUDED IN SERP AND RETIREMENT PLAN LIABILITY IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. DEFERRED CONTRIBUTIONS TO THIS PLAN WILL BE REPORTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID. IN 2023, THERE WERE RECIPIENT PAYOUTS FROM THE 457(F) PLAN TO Lisa Moore ($47,039). |
| Schedule J, Part I, Line 7 Non-fixed payments | Each year the Board of Directors determines if a bonus can be paid based on the financial operating results of the completed year. The Board determines the total amount of the bonus pool. This pool of money is distributed to employees in the management team based on the individual's achievement of personal goals and the overall team's accomplishment of system-wide goals pertaining to quality, service excellence, employee engagement, financial or other. The payout for individuals is calculated based on percentages of their base salary and their position. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | Cottage Health is the sole corporate member. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Cottage Health is the sole corporate member and can appoint Directors to the Board. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The Board of Directors must obtain prior approval from the Board of Directors of Cottage Health, in order to: a) amend or restate the Articles of Incorporation or Bylaws; b) implement the annual budget and long-term capital and operational budget; c) sell, lease, mortgage, pledge, merge, consolidate or make any other disposition of any material part of the property and assets of this corporation; or d) voluntarily dissolve the corporation. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Form 990 is prepared under the direction of the Senior Vice President and CFO. Form 990 is compiled and reviewed by the Senior Vice President & CFO, the Vice President Finance & Controller, the Director Corporate Finance, and the Accounting Manager. Form 990 is reviewed separately by Ernst & Young as an independent tax consultant to Cottage during the development of the response. Each party reviews Form 990 prior to submission to the Compliance & Audit Committee and to the Board of Directors, whose reviews are conducted prior to filing. A complete copy of the final Form 990 is provided to all members of the governing board before it is filed. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The purpose of the Conflict of Interest policy is to protect the interest of the Hospital when it contemplates entering into a transaction or arrangement that could benefit the private interest of a Director or Officer of Cottage Health, Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital, Santa Barbara Cottage Hospital Foundation and Goleta Valley Professional Buildings, Inc., collectively known as Cottage Health. The Cottage Health Directors have a duty to: 1.) discharge their duties to benefit Cottage Health and not the Directors personally 2.) disclose situations with the potential for conflict of interest with the vision and mission of Cottage Health 3.) refrain from discussing confidential Cottage Health business with others. Each Board member will annually complete the Cottage Health Directors Annual Conflict Disclosure Form. The Disclosure information will be reviewed annually by the Board Chair and the results reported to the full Board. Each Director or Officer will disclose to the Board Chair items to be discussed at a Board meeting. If there are any material financial or personal interests a Board member or family member may have in a Board decision, the Director or Officer will disclose this to the Committee Chair before the Board reviews the items and takes action. In general, an Officer who had disclosed a potential conflict should be excused from the decision making portion of the discussion and is prohibited from voting on a matter involving a potential conflict of interest. If the Board has reasonable cause to believe that a Director or Officer failed to disclose a material financial interest or other potential material conflict of interest, the Board Chair shall inform the member of the basis for the belief and afford the member an opportunity to explain the alleged failure to disclose. After hearing the Director or Officer response and conducting any further necessary investigation, the Board determines if the Director or Officer failed to disclose a material financial or other potential material conflict of interest. The Board Chair shall take appropriate corrective action. Committee Chairs who address conflict of interest situations with a Board Committee member are responsible for reporting such situations to the Board Chair. Key employees are treated as other employees of Cottage Health and sign an annual conflict of interest form. These forms are reviewed by Compliance and any issues are brought to the Chief Compliance Officer. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | On an annual basis the Compensation Committee (CC) of the Board of Directors meets to determine appropriate compensation for executives, including the CEO, COO, CFO, and vice presidents. All members of the CC are independent members of the Board of Directors. The CC engages an independent consultant to prepare comparative compensation reports for each position. The executive's individual performance will also be considered when determining compensation. The CC recommends compensation for the executives to the full Board for approval. This process takes place annually for all employed officers and key employees. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | The process described in line 15a, above, takes place annually for all employed officers and key employees. For this fiscal year, the review occurred on March 31, 2023. |
| Form 990, Part VI, Line 19 Required documents available to the public | Tax filings can be obtained upon request from the CFO. Audited Financial Statements are attached to the Form 990 in accordance with IRS instructions. The bylaws and conflict of interest policies are not available to the public. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | All Other Revenue - Total Revenue: 14322, Related or Exempt Function Revenue: 14322, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Settlements - Total Revenue: 4525, Related or Exempt Function Revenue: 4525, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Laboratory Purchased Services - Total Expense: 1335738, Program Service Expense: 1335738, Management and General Expenses: , Fundraising Expenses: ; Other-Professional Fees - Total Expense: 1258453, Program Service Expense: 1113862, Management and General Expenses: 144591, Fundraising Expenses: ; Other-Purchased Services - Total Expense: 803710, Program Service Expense: 561647, Management and General Expenses: 242063, Fundraising Expenses: ; Corporate-Supplies and Services - Total Expense: 782589, Program Service Expense: 482086, Management and General Expenses: 300503, Fundraising Expenses: ; Other-Contract Labor - Total Expense: 372424, Program Service Expense: 372424, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in pension liability - 685995; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GOLETA VALLEY COTTAGE HOSPITAL | ||||||||||
| PO BOX 689 | SANTA BARBARA | CA | 931020689 | 952413596 | HOSPITAL | CA | 501(c)(3) | 3 | COTTAGE HEALTH | Yes (true) |
| SANTA BARBARA COTTAGE HOSPITAL | ||||||||||
| PO BOX 689 | SANTA BARBARA | CA | 931020689 | 951644629 | HOSPITAL | CA | 501(c)(3) | 3 | COTTAGE HEALTH | Yes (true) |
| GOLETA VALLEY PROFESSIONAL BUILDINGS INC | ||||||||||
| PO BOX 689 | SANTA BARBARA | CA | 931020689 | 770004202 | MEDICAL PROF BUILDINGS | CA | 501(c)(3) | Type II | COTTAGE HEALTH | Yes (true) |
| Cottage Health | ||||||||||
| PO Box 689 | Santa Barbara | CA | 93102 | 770431902 | Parent Organization for 3 Hospitals & Medical Prof. Bldg. | CA | 501(c)(3) | Type II | NA | false |
| Santa Barbara Cottage Hospital Foundation | ||||||||||
| PO Box 689 | Santa Barbara | CA | 93102 | 953802238 | Fundraising | CA | 501(c)(3) | 7 | Cottage Health | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Villa Riviera Real Estate Company | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 689 | AddressLine1Txt |
| City | Santa Barbara | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272996284 | EIN |
| Primary Activities | Workforce Housing Development | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SB Cottage Hosp Fndtn | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Ownership | 0 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Santa Barbara Cottage Hospital | ||
| M | $1,335,738 | accrual |
| Santa Barbara Cottage Hospital | ||
| O | $1,581,216 | accrual |
| Santa Barbara Cottage Hospital | ||
| P | $97,848 | accrual |
| Goleta Valley Professional Buildings | ||
| K | $120,865 | accrual |
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