2019-11-14T17:30:30-06:00 2018-12-31 346565596 Ernst and Young LLP 4365 Executive Drive Suite 1600 San Diego CA 92121 990 2018-01-01 770431902 Cottage Health COTT 8053249903 PO Box 689 Attn Finance Dept Santa Barbara CA 93102 Brett D Tande Senior VP and CFO 2019-11-14 false Jocelyne Miller P00634378 8585357200 2018 2020-04-17 16:48:07Z Ronald Werft PO Box 689 Attn Finance Dept Santa Barbara CA 93102 147339626 false X www.cottagehealth.org X 1996 CA It is the mission of Cottage Health 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. 15 14 538 0 71652 2412 0 0 135079486 147012590 0 160 1463680 326876 136543166 147339626 0 0 0 67741431 73635584 0 0 0 68745986 76643140 136487417 150278724 55749 -2939098 92058104 102490282 77618038 90014978 14440066 12475304 It is the mission of Cottage Health 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. false false 83894250 0 147267814 Cottage Health provided management and administrative services to Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. 83894250 true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false true false false false false false false false false false true true true false false true 144 0 true 538 true true true false false false false false true false false false true false X 15 14 false false false false false false false true true false false true true true true true true true true true true CA X Kristin Tuvfesson 8053249933 PO Box 689 Santa Barbara CA 93102 Steven Ainsley Board Chair 10.0 10.0 X X 0 0 0 Gregory Faulkner Vice Chair 3.0 3.0 X X 0 0 0 Dorothy Largay PhD Vice Chair 3.0 3.0 X X 0 0 0 Edward Bentley MD Secretary 3.0 3.0 X X 0 0 0 Harry McMahon Committee Chair 2.3 2.7 X 0 0 0 Robert Nourse Committee Chair 2.3 2.7 X 0 0 0 Gamble Parks Committee Chair 2.3 2.7 X 0 0 0 Steven Zola Committee Chair 2.3 2.7 X 0 0 0 Susan Christol-Deacon Board Member 1.9 2.1 X 0 0 0 Thomas Cusack Board Member 1.9 2.1 X 0 0 0 Nancy Nielsen Board Member 1.9 2.1 X 0 0 0 Ernesto Paredes Board Member 1.9 2.1 X 0 0 0 Richard Ponce MD Board Member 1.9 2.1 X 0 0 0 Anne Rodriguez MD Board Member 1.9 2.1 X 0 0 0 Mark Scott MD Board Member 1.9 2.1 X 0 0 0 Jon Clark Board Member-part year 1.9 2.1 X 0 0 0 Marshall (Chip) Turner Board Member-part year 1.9 2.1 X 0 0 0 Ronald Werft President & CEO 30.0 30.0 X 1456030 0 38880 Steven Fellows COO 15.0 35.0 X 791779 0 41553 Brett Tande Senior VP and CFO 25.0 25.0 X 827344 0 41553 Jacqueline Pierce Asst. Secretary-Board (part year) 20.0 20.0 X 31609 0 2984 Teresa Petter Asst. Secretary-Board (part year) 20.0 20.0 X 83154 0 15704 HERBERT GEARY VP PT CARE SVCS, CNO 40.0 0 X 690928 0 34074 RONALD M BISCARO VP PROJECT MANAGEMENT 40.0 0 X 430252 0 36402 LISA MOORE VP CLINICAL SERVICES 40.0 0 X 492175 0 68432 AFSHIN FATHOLAHI VP SUPPORT SERVICES 40.0 0 X 415574 0 34074 WILLIAM WORTHINGTON VP ISD/CIO 40.0 0 X 454589 0 80478 ALLISON VIRAMONTES VP REVENUE CYCLE 40.0 0 X 374814 0 75903 KEVIN NELSON CHIEF COMPL OFFICER 40.0 0 X 210723 0 19937 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 40.0 0 X 707932 0 34074 CARA WILLIAMS VP HUMAN RESOURCE 40.0 0 X 335297 0 58535 GREG HOGUE VP FINANCE 40.0 0 X 331921 0 74871 KATHRYN BAZYLEWICZ VP MARKETING 40.0 0 X 440147 0 79010 DAVID DIETRICH VP ADVANCEMENT 40.0 0 X 407785 0 23454 CHARLES BROWN CHIEF MED INFORM OFF 40.0 0 X 392284 0 34074 SHARON LUTZ VP QUALITY SUP SVCS 40.0 0 X 334045 0 72233 PAUL ERICKSON MD DIR PSYCH SERVICES 40.0 0 X 354766 0 43021 KAREN JONES GRANDIDIER VP FINANCE (Former) 0.0 0 X 255116 0 0 PATRICE RYAN VP HUMAN RESOURCE (Former) 40.0 0 X 168332 0 5525 9986596 0 914771 179 true true false RIGHT SOURCING INC 999 STEWART AVE SUITE 100 BETHPAGE NY 11714 CONTRACT LABOR 4878920 NTT Data Services LLC 100 City Square Boston MA 02129 IT Services 4375780 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT CONSULTING 4220917 NOVACOAST INC 1505 Chapala Street Santa Barbara CA 93101 IT Services 4187044 Deloitte Consulting LLP 555 West 5th Street Suite 2700 Los Angeles CA 90013 IT Consulting 2973000 82 X 0 ADMIN REV FROM TAX EXEMPT AFFIL 561000 147011950 147011950 COSMG income (loss) 900099 640 640 0 0 0 0 147012590 160 160 0 0 0 0 Insurance Recovery 561000 58845 58845 Human Resource Event Revenue 561000 65517 65517 VRE Admin Revenue 561000 71652 71652 130862 130862 0 0 326876 147339626 147267814 71652 160 X 8158122 2529733 5628389 527830 76856 450974 38318272 21598638 16719634 7456940 6612142 844798 15986704 10946249 5040455 3187716 1665962 1521754 2981146 2981146 1045305 1045305 16261377 3749097 12512280 0 2049270 236477 1812793 1770749 649674 1121075 27489265 19052519 8436746 3266593 2570953 695640 386672 143461 243211 320136 129948 190188 83154 69933 13221 14112785 10946354 3166431 2641814 2415386 226428 Settlements 2886412 2886412 Dues and Subscriptions 697335 171611 525724 Equipment Maintenance 352243 296236 56007 UBI Taxes 4320 4320 294564 33021 261543 0 150278724 83894250 66384474 0 11174650 9483221 300000 300000 0 0 0 5511920 6837406 157721686 72989513 74773971 84732173 0 0 297563 1137482 92058104 102490282 12474685 16942970 0 0 65143353 73072008 77618038 90014978 X 14440066 12475304 14440066 12475304 92058104 102490282 X -2939098 974336 X false true X true false X X 3 SANTA BARBARA COTTAGE HOSPITAL 951644629 3 true 0 0 GOLETA VALLEY COTTAGE HOSPITAL 952413596 3 true 0 0 SANTA YNEZ VALLEY COTTAGE HOSPITAL INC 952224265 3 true 0 0 3 0 0 true false false false false true false false false false false false false false false true Schedule A, Part I, Line 12f Cottage Health supports Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Cottage Hospital by providing management, financial, information systems, facilities planning and other services to the hospitals. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs The Cottage Health management team provides management services to Villa Riviera Real Estate Company. 919703 398000 521703 153394553 72591513 80803040 3407430 3407430 84732173 Due to affiliates 55179362 SERP and Retirement Plan 13570954 License Fee - Long Term Accrued Settlement 3500000 Group Health Reserve 821692 73072008 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Cottage completed an analysis of its tax positions, in accordance with FASB ASC 740, Income Taxes, 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. Cottage believes it is no longer subject to income tax examinations for years prior to 2014. X X true true X X X X true true false false false false false true false Ronald Werft President & CEO 1049563 0 331698 0 74769 0 13750 0 25130 0 1494910 0 0 0 Steven Fellows COO 572184 0 173775 0 45820 0 13750 0 27803 0 833332 0 0 0 Brett Tande Senior VP and CFO 541355 0 140737 0 145252 0 13750 0 27803 0 868897 0 0 0 KAREN JONES GRANDIDIER VP FINANCE (Former) 0 0 0 0 255116 0 0 0 0 0 255116 0 0 0 PATRICE RYAN VP HUMAN RESOURCE (Former) 26051 0 63977 0 78304 0 4501 0 1024 0 173857 0 0 0 HERBERT GEARY VP PT CARE SVCS, CNO 422069 0 73822 0 195037 0 13750 0 20324 0 725002 0 20489 0 RONALD M BISCARO VP PROJECT MANAGEMENT 299522 0 65858 0 64872 0 13750 0 22652 0 466654 0 16098 0 LISA MOORE VP CLINICAL SERVICES 382249 0 76498 0 33428 0 48100 0 20332 0 560607 0 11612 0 AFSHIN FATHOLAHI VP SUPPORT SERVICES 271754 0 57252 0 86568 0 13750 0 20324 0 449648 0 14667 0 WILLIAM WORTHINGTON VP ISD/CIO 366549 0 72943 0 15097 0 51207 0 29271 0 535067 0 0 0 ALLISON VIRAMONTES VP REVENUE CYCLE 288365 0 64725 0 21724 0 48100 0 27803 0 450717 0 0 0 KEVIN NELSON CHIEF COMPL OFFICER 187922 0 16738 0 6063 0 10233 0 9704 0 230660 0 0 0 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 481961 0 105619 0 120352 0 13750 0 20324 0 742006 0 26701 0 CARA WILLIAMS VP HUMAN RESOURCE 326075 0 6875 0 2347 0 29581 0 28954 0 393832 0 0 0 GREG HOGUE VP FINANCE 274516 0 33000 0 24405 0 45600 0 29271 0 406792 0 0 0 KATHRYN BAZYLEWICZ VP MARKETING 347077 0 78570 0 14500 0 51207 0 27803 0 519157 0 0 0 DAVID DIETRICH VP ADVANCEMENT 290832 0 41127 0 75826 0 13750 0 9704 0 431239 0 28085 0 CHARLES BROWN CHIEF MED INFORM OFF 382345 0 145 0 9794 0 13750 0 20324 0 426358 0 0 0 SHARON LUTZ VP QUALITY SUP SVCS 247252 0 55045 0 31748 0 44430 0 27803 0 406278 0 17444 0 PAUL ERICKSON MD DIR PSYCH SERVICES 341611 0 0 0 13155 0 13750 0 29271 0 397787 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The CFO received gross up amounts along with his reimbursement for his contribution to a 457(f) plan and it was reported as taxable income. Schedule J, Part I, Line 1a Health or social club dues or initiation fees Membership dues to a local county club are provided to the CEO. A percentage of the dues are allocated to the CEO, based on personal usage and reported as taxable income. A membership to this club is used primarily as a space to hold various recognition and hospital-related functions. Schedule J, Part I, Line 4a Severance or change-of-control payment Karen Jones Grandidier, VP Finance, was provided a severance package consisting of 26 equal bi-weekly payments in the amount of $14,122 beginning July 21, 2017 through July 6, 2018. 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 6.95% 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 PENSION LIABILITY AND OTHER IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE AMOUNTS REPORTED IN THE CURRENT YEAR'S DEFERRED COMPENSATION INCLUDES RECOGNITION OF PAST SERVICE. THE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. ANY DEFERRED CONTRIBUTIONS TO THIS PLAN WILL BE REPORTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID. In 2018, recipients of payouts from the 457(F) plan were: Herb Geary ($20,489), Afshin Fatholahi ($14,667) Lisa Moore ($11,612), Ronald Biscaro ($16,098), Edmund Wroblewski ($26,701), David Dietrich ($28,085), Sharon Lutz ($17,444). 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. KATHRYN BAZYLEWICZ VICE PRESIDENT HOME LOAN X 300000 300000 false true true 300000 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 Health System 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 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 has 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 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 executive's 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 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 30, 2018. Form 990, Part VI, Line 19 Required documents available to the public Tax filings and Audited Financial Statements can be obtained upon request from the CFO. The bylaws, articles of incorporation and conflict of interest policies are not available to the public. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Medical Records copy fees - Total Revenue: 86677, Related or Exempt Function Revenue: 86677, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Revenue - Total Revenue: 44185, Related or Exempt Function Revenue: 44185, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Third Party Billing Fees - Total Expense: 4950469, Program Service Expense: 0, Management and General Expenses: 4950469, Fundraising Expenses: 0; Contract labor - Total Expense: 1671829, Program Service Expense: 641627, Management and General Expenses: 1030202, Fundraising Expenses: 0; Consulting services - Total Expense: 1385588, Program Service Expense: 215044, Management and General Expenses: 1170544, Fundraising Expenses: 0; Other Purchased Services & Fees - Total Expense: 8253491, Program Service Expense: 2892426, Management and General Expenses: 5361065, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION LIABILITY - 974336; SANTA BARBARA COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 93102 951644629 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true GOLETA VALLEY COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 93102 952413596 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true SANTA YNEZ VALLEY COTTAGE HOSPITAL INC PO BOX 689 SANTA BARBARA CA 93102 952224265 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true SANTA BARBARA COTTAGE HOSPITAL FOUNDATION PO BOX 689 SANTA BARBARA CA 93102 953802238 FUNDRAISING CA 501(c)(3) 7 NA false GOLETA VALLEY PROFESSIONAL BUILDINGS INC PO BOX 689 SANTA BARBARA CA 93102 770004202 MEDICAL PROFESSIONAL BUILDING CA 501(c)(3) Type II COTTAGE HEALTH true false false false false false false false false false false true true false true true true true false true Goleta Valley Cottage Hospital L 7149893 accrual Goleta Valley Cottage Hospital Q 7897217 accrual Goleta Valley Cottage Hospital S 1717547 accrual Goleta Valley Professional Buildings Inc K 316668 accrual Santa Barbara Cottage Hospital L 61456353 accrual Santa Barbara Cottage Hospital O 856377 accrual Santa Barbara Cottage Hospital P 722118 accrual Santa Barbara Cottage Hospital Q 66950070 accrual Santa Barbara Cottage Hospital S 9497883 accrual Santa Ynez Valley Cottage Hospital L 1392509 accrual Santa Ynez Valley Cottage Hospital Q 1253267 accrual Santa Ynez Valley Cottage Hospital S 135778 accrual