2016-11-15T11:02:29-06:00 2015-12-31 346565596 Ernst & Young LLP 560 Mission St Suite 1600 San Francisco CA 94105 990 2015-01-01 951644629 Santa Barbara Cottage Hospital SANT 8053249903 PO Box 689 Santa Barbara CA 931020689 Brett Tande Sr. Vice President & CFO 2016-08-10 false Eva Nitta P01286320 4158948000 2015 2017-02-10 21:41:12Z Ronald C Werft PO Box 689 Santa Barbara CA 931020689 915637478 false X WWW.COTTAGEHEALTH.ORG X 1888 CA It is the mission of Santa Barbara Cottage Hospital (SBCH) to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. The volunteer Board of Directors uses these core values to make decisions that will improve health care access, affordability and quality. 18 16 3361 765 14713880 -6573812 3022277 1381095 628675478 645629706 72651459 14616498 10679575 9880204 715028789 671507503 2320709 2148954 0 251977295 303893649 0 0 351866478 356059980 606164482 662102583 108864307 9404920 1352834002 1432794652 529306147 624535365 823527855 808259287 It is the mission of Santa Barbara Cottage Hospital (SBCH) to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. The volunteer Board of Directors uses these core values to make decisions that will improve health care access, affordability and quality. false false 535275743 2148954 636870408 Santa Barbara Cottage Hospital is a 408-bed acute-care hospital located in the City of Santa Barbara. In 2015, the Hospital had 86,201 patient days, served 132,771 outpatients, including emergency services to 46,089 patients. The Hospital provides a wide array of inpatient and outpatient services, including but not limited to the areas of cardiology, orthopedics, neurology, trauma, labor & delivery, psychiatric, neonatal intensive care, pediatric intensive care, pediatrics, laboratory, imaging, therapy, diabetes, oncology, emergency and rehabilitation services. Santa Barbara Cottage Hospital provides 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 2015, the hospital spent over $139 million on these programs. External grants aimed at specific community needs included assistance to at risk populations (indigent, substance abuse recovery, elderly) hospice care, funding for low income health care, health care education for our schools & families, family counseling, aging transportation, and nursing education. Cottage Health has also been diligent in ensuring that all patients have adequate access to care. All patients who do not present 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. 535275743 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false true false false true false false false false false true true true true false false true 505 0 true 3361 true true true false false false false false false false false false X 18 16 false false false false true true true true true false false true true true true true true true true false CA X Karen Jones Grandidier 8055697294 400 West Pueblo Santa Barbara CA 93105 Robert E M Nourse Chair 5.0 15.0 X X 0 0 0 P Steven Ainsley Vice Chair 1.3 3.7 X X 0 0 0 Robert C Nakasone Vice Chair 1.3 3.7 X X 0 0 0 Marshall (Chip) Turner Jr Vice Chair 1.3 3.7 X X 0 0 0 Alex Koper MD Secretary 1.3 3.7 X X 0 0 0 Gregory F Faulkner Vice Chair 1.3 3.7 X 0 0 0 Edward S Bentley MD Committee Chair 1.3 3.7 X 0 0 0 Jon Clark Committee Chair 1.3 3.7 X 0 0 0 Judith Hopkinson Committee Chair 1.3 3.7 X 0 0 0 Fred Lukas Committee Chair 1.3 3.7 X 0 0 0 Margaret Baker Director 1.0 3.0 X 0 0 0 Lori Gaskin PhD Director 1.0 3.0 X 0 0 0 Dorothy Largay Director 1.0 3.0 X 0 0 0 Harry McMahon Director 1.0 3.0 X 0 0 0 Gretchen Milligan Director 1.0 3.0 X 0 0 0 Gamble Parks Director 1.0 3.0 X 0 0 0 Elliot Prager MD Director 1.0 3.0 X 0 0 0 Thomas Watson MD Director 1.0 3.0 X 7000 0 0 Ronald Werft President & CEO 15.0 45.0 X 0 1212091 37675 Joan Bricher CFO 12.5 37.5 X 0 686061 31045 Steven Fellows COO 22.5 27.5 X 0 753412 37675 Julie Artoux Asst Secretary 12.5 37.5 X 0 130529 14955 Paul Erickson MD Dir Psych Services 40.0 X 12500 287307 39120 David Nichols VP Business Devel-Lab 40.0 0 X 605430 0 13788 Jeffrey Gauvin MD Director Surgical Education 40.0 0 X 427669 0 21753 Andrew Gersoff MD Dir Medical Education 40.0 0 X 293830 0 37675 Melinda Staveley VP CRH 40.0 0 X 290941 0 29648 Stephen Kaminski MD Dir Trama Svcs & SICU 40.0 0 X 300361 0 37675 Alberto Kywi VP ISD/CIO 0.0 40.0 X 0 516610 37938 Herbert Geary VP Pt Care Svcs, CNO 0.0 40.0 X 0 431144 53678 Afshin Fatholahi VP Support Services 0.0 40.0 X 0 418767 31045 Lisa Moore VP Clinical Services 0.0 40.0 X 0 416524 59703 1937731 4852444 483373 652 true true true MC CARTHY BUILDING COMPANIES 20401 SW BIRCH STREET SUITE 300 NEWPORT BEACH CA 92660 BUILDING CONTRACTOR 8849725 AMN HEALTHCARE INC PO BOX 56157 LOS ANGELES CA 90074 CONTRACT LABOR 6736016 ARMSTRONG ASSOCIATES 1825 STATE ST STE 202 SANTA BARBARA CA 93101 GENERAL CONTRACTING 6175237 RIGHTSOURCING INC 999 STEWART AVE SUITE 100 BETHPAGE NJ 11714 CONTRACT LABOR 3283190 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SERVICES 2557543 163 X 9389 489056 882650 1381095 NET PATIENT SERVICE REVENUE 900099 591830863 591830863 LABORATORY SERVICES 900099 34758416 20044536 14713880 CA HOSPITAL FEE PROGRAM 900099 18612727 18612727 EHR MEDICARE & MEDI-CAL INCENTIVE 900099 244814 244814 MEDICAL OFFICE BLDG RENTAL 900099 182886 182886 0 0 0 0 645629706 10981948 10981948 114048 46679 67369 0 67369 67369 247717846 244083296 3634550 0 3634550 3634550 LAB MANAGEMENT 900099 2297978 2297978 CAFETERIA/GIFT SHOP/DELI/VILLA RIVIERA 900099 3858253 3858253 Childcare Center 900099 699530 699530 2957074 2957074 0 0 9812835 671507503 636870408 14713880 18542120 X 2148954 2148954 320589 320589 113269 109518 3751 194505748 161762291 32743457 26942584 22414274 4528310 67466452 52379721 15086731 14545007 12263217 2281790 1070844 1054979 15865 774164 774164 8280 8280 0 0 3429856 3429856 93684693 67286856 26397837 0 180666 52601 128065 11785155 9406110 2379045 1476537 1217636 258901 9663500 7440559 2222941 520830 148059 372771 339593 102064 237529 17729849 14751234 2978615 48031304 40522720 7508584 4293538 3397537 896001 Medical Supplies 101754253 101753225 1028 System Management Allocation 17217069 17217069 Hospital Fee Program 25271680 25271680 Equipment Maintenance 9819894 9132068 687826 9008275 2660440 6347835 0 662102583 535275743 126826840 0 25385078 10243425 50801401 44330812 102371695 121883630 0 250000 250000 13054745 14639419 2668939 3251437 939888324 300534764 630331221 639353560 376291207 445712850 90398550 104659011 0 6455601 5714236 54825565 42756272 1352834002 1432794652 86825023 71447895 7824 16547 310307727 399915263 0 132165573 153155660 529306147 624535365 X 806508901 792023736 10698773 9915370 6320181 6320181 823527855 808259287 1352834002 1432794652 X 9404920 -30357295 5683807 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 330388 330388 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 15582146 -451165 308167 72724 14750090 14983883 0 671586 0 0 73323 15582146 12541861 0 2798120 0 299316 56782 14983883 11636302 0 1323701 0 358958 59184 12541861 12120151 0 -100999 0 338496 44354 11636302 0.0 0.4285 0.5715 false false 1645545 12434725 14080270 1061461 683050373 189456513 494655321 9322763 2489581 6833182 170392096 106134489 64257607 61981361 2454181 59527180 639353560 104659011 F 104659011 SELF INSURANCE LIABILITY 29223416 MINIMUM PENSION LIABILITY & SERP 81284084 INTEREST RATE SWAP 34787500 PHYSICIAN GUARANTEES 7860660 153155660 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment Funds support specific programs of SBCH. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Santa Barbara Cottage Hospital 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. Santa Barbara Cottage Hospital has recognized no interest or penalties related to uncertain tax positions. Santa Barbara Cottage Hospital 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 2011. true true X true X 350 true X 405 true true true false true true 3777488 3777488 0.0057 141189661 81176786 60012875 0.0906 0 0.0 0 0 144967149 81176786 63790363 0.0963 9772984 633604 9139380 0.0138 13970579 1281951 12688628 0.0192 6639106 1257273 5381833 0.0081 219755 40533 179222 0.0003 1252796 1252796 0.0019 0 0 31855220 3213361 28641859 0.0433 0 0 176822369 84390147 92432222 0.1396 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 12255258 0 126899532 174216750 -47317218 X true true 1 1 Santa Barbara Cottage Hospital 400 West Pueblo Santa Barbara CA 93105 http://www.cottagehealth.org/locations/ 050000140 X X X X X Santa Barbara Cottage Hospital and Cottage Rehab Hospital (operating under one license.) Santa Barbara Cottage Hospital 1 false false true X X X X X X X X X 13 true true false true X http://santabarbaragoleta.healthforecast.net/2013%20PRC%20CHNA%20Report%20-%20Cottage%20Health%20Sys X true 13 true https://www.cottagehealth.org/app/files/public/1302/CHNA_Implementation_Strategy_SBCH_2014.pdf false false true X 350.0 405.0 X X X X X true true X X X true X www.cottagehealth.org/patients-visitors/billing-insurance-financial-assistance/financial-assistance/ X www.cottagehealth.org/app/files/public/1408/Financial-Assistance-Application-English-2016.pdf X www.cottagehealth.org/patients-visitors/billing-insurance-financial-assistance/financial-assistance/ X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SANTA BARBARA COTTAGE HOSPITAL. As part of this Community Health Needs Assessment, five focus groups were held on October 9-10, 2013. The focus group participants included 52 local key informants: representatives from public health; physicians; other health professionals; social service providers; employers; and other community leaders. A list of recommended participants for the focus groups was provided by Cottage Health. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Focus group candidates were first contacted by letter to request their participation. Follow-up phone calls were then made to ascertain whether or not they would be able to attend. Confirmation calls were placed the day before the groups were scheduled to ensure a reasonable turnout. Through this process, input was gathered from representatives of local government officials, public health, as well as several individuals whose organizations work with low-income, minority (including Latino/Mixteco, Native American, Asian, and African American), or other medically underserved populations (specifically, persons who are young adults, elderly, veterans, disabled, lesbian/gay/bisexual/transgender [LGBT], homeless, mentally ill, undocumented, uninsured/underinsured, or receive Medi-Cal/Medicare). Final participation included representatives of the following organizations the Santa Barbara County Education Office, Santa Barbara Unified School District, Santa Barbara Neighborhood Clinics, Planned Parenthood of Santa Barbara, Ventura, & San Luis Obispo Counties, American Indian Health & Services, Mental Wellness Center, Santa Barbara Rescue Mission, Council on Alcoholism & Drug Abuse, County of Santa Barbara Department of Social Services, Foodbank of Santa Barbara County, Pacific Pride, Domestic Violence Solutions, Sarah House, Arthritis Foundation, Pacific Region, Central Coast Office, Hospice of Santa Barbara, Alliance for Living & Dying Well, CenCal Health, Community Action Commission, Central Coast Commission for Senior Citizens-Area Agency on Aging, Visiting Nurse & Hospice Care, DASH (Doctors Assisting Seniors at Home), Carpinteria Children's Project at Main, United Way of Santa Barbara County, American Red Cross, Santa Barbara County Chapter Alzheimer's Association, California Central Chapter, Alpha Resource Center of Santa Barbara, American Heart Association, Central Coast Division , PathPoint, Friendship Center , Independent Living Resource Center, Isla Vista Youth Projects, County of Santa Barbara Public Health Department, Santa Barbara Neighborhood Clinics, Sansum Clinic, Cottage Health, Santa Barbara Street Medicine - Doctors Without Walls, Santa Barbara City College and the Orfalea Foundation. All required sources responded and participated. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SANTA BARBARA COTTAGE HOSPITAL. The CHNA was completed in conjunction with Goleta Valley Cottage Hospital. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - SANTA BARBARA 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 BARBARA COTTAGE HOSPITAL. As a member of Cottage Health (CH), the needs identified in the Hospital's CHNA will be incorporated into the Community Benefit Program of CH. The implementation strategy of the CH Community Benefit Program is to address all the needs identified in the Hospital CHNA through various hospital programs, health fairs and grant programs. Santa Barbara Cottage Hospital supports the following identified health needs through its hospital programs and health fairs: Access to Care, Immunization & Infectious Diseases, Infant Health & Family Planning, Substance Abuse, Nutrition, Physical Activity & Weight, Dementias, Diabetes, and Mental Health & Mental Disorders. The hospital doesn't support Oral Health through direct programs but does provide grants to support this focus area. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - SANTA BARBARA COTTAGE HOSPITAL. The maximum that can be charged is a percentage discount on gross charges which is lower than what is charged to commercially-insured patients. 9 Pacific Diagnostic Laboratories 454 South Patterson Goleta CA 93117 Outpatient Lab Services Cardio Vascular Clinic 2415 Bath Street Santa Barbara CA 93105 Outpatient Clinic Cystic Fibrosis and Pulmonary Hypertension Clinics 2409 De La Vina Santa Barbara CA 93105 Outpatient Clinic Advanced Imaging Center 2410 Fletcher Street Santa Barbara CA 93105 Outpatient radiology center Cottage Residential Center 312 West Montecito Street Santa Barbara CA 93101 Substance abuse rehabilitation center SB Cope 2325 De La Vina Street Santa Barbara CA 93105 Substance abuse and detox treatment Outpatient Rehabilitation 1035 Peach Street Suite 203 San Luis Obisop CA 93401 Outpatient clinic Children's Outpatient Specialty Clinics (2) 2329 Oak Park Lane Santa Barbara CA 93105 Outpatient pediatric clinic for hematology, oncology and gastrointestinal Pediatric Endocrinology Clinic 427 West Pueblo Santa Barbara CA 93105 Outpatient pediatric endocrinology clinic Schedule H, Part I, Line 3c Other Financial Assistance Factors Patients that are determined to be homeless qualify for presumptive financial assistance, once it is determined that they do not qualify for other insurance programs. 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 OSHPD website: https://www.oshpd.ca.gov/HID/CommunityBenefit/Plans.html Schedule H, Part I, Line 6a Community benefit report prepared by related organization Cottage Health Schedule H, Part I, Line 7g Subsidized Health Services Included in subsidized health care are Palliative Care services which are provided at no cost to the patient. In addition, Santa Barbara Cottage Hospital provides four pediatric outpatient clinics, a cardio-vascular clinic, a cystic fibrosis clinic, therapeutic recreation services, elder care and support of nursing education, all at a substantial financial loss to the hospital. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costing methodology includes inpatient, outpatient, and emergency department and is broken down by payer categories. Both direct and overhead costs have been allocated, by services rendered. Each Payers net revenue is offset by the total cost and the results by Payer are calculated. In addition to a hospital wide cost to charge ratio, we have calculated cost to charge ratios for each Payer, based on the cost of the type of services rendered to their specific patients. Therefore, the community benefit amounts attributable to Medicaid and other government programs are calculated based on their specific cost to charge ratio. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Patient service revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and accounts receivable is reduced by an allowance for uncollectible accounts. The hospital establishes an allowance for uncollectible accounts based on many factors, including payer mix, age of receivables, historical cash collection experience, and other relevant information. A portion of the hospital's uninsured patients will be unable or unwilling to pay for services provided and a portion of the hospital's insured patients will be unable or unwilling to pay for co-payments and deductibles. If these individuals do not qualify for financial assistance, the hospital records a provision for bad debts related to these insured and uninsured patients in the period the services are provided. The hospital writes down the expected reimbursement after reasonable collection efforts have been exhausted. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The hospital establishes an allowance for doubtful accounts based on many factors, including payer mix, age of receivables, historical cash collection experience and other relevant information. A significant portion of the hospital's uninsured patients will be unable or unwilling to pay for services provided and a significant portion of Cottage's insured patients will be unable or unwilling to pay for co-payments and deductibles. Thus, hospital records a provision for doubtful accounts related to these insured and uninsured patients in the period the services are provided. The hospital writes down the expected reimbursement after reasonable collection efforts have been exhausted. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The shortfall from total costs for Medicare patients is a significant loss to the hospital. The Hospital is providing care to patients whose insurance (Medicare) does not cover the entire cost of their care. This provides significant aid to the elderly in the community. Some of these elderly people would qualify under FAP guidelines for financial assistance under any other Payer program. The dollars reported are taken from the 2015 Medicare Cost Report and are derived following their guidelines of allowable and non-allowable costs. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance All patients receive 6 statements over 135 days, which include a statement about how to inquire about financial assistance. Patients who are known to qualify for financial assistance or are in the process of applying for financial assistance are not sent to collection until a final financial assistance determination is made. If they qualify, their account is written down to zero. Schedule H, Part V, Section B, Line 16a FAP website - Santa Barbara Cottage Hospital: Line 16a URL: www.cottagehealth.org/patients-visitors/billing-insurance-financial-assistance/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - Santa Barbara Cottage Hospital: Line 16b URL: www.cottagehealth.org/app/files/public/1408/Financial-Assistance-Application-English-2016.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Santa Barbara Cottage Hospital: Line 16c URL: www.cottagehealth.org/patients-visitors/billing-insurance-financial-assistance/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment Cottage Health, through its hospitals Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, researched the needs of the county through the Community Health Needs Assessment (CHNA). In addition, Santa Ynez Valley Cottage Hospital performed their own CHNA. For each hospital, an outside consultant was engaged to review the relevant health and population statistics, conduct a telephone survey and hold focus groups with area leaders who represented a broad group of community members. Along with the CHNA conducted by the Hospitals, CH also utilized the health assessment prepared by the County of Santa Barbara to assess the health of the community. Needs identified in the CHNA include: Access to Care, Immunization & Infectious Diseases, Infant Health & Family Planning, Oral Health, Substance Abuse, Nutrition, Physical Activity & Weight, Dementia, Diabetes, and Mental Health & Mental Disorders. Hospitals are using the information to further support the robust community benefit program that was already in place. 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 2015, Cottage Health spent over $155 million on these programs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Cottage Health, has a multifaceted Financial Assistance Program to ensure that patients who do not have insurance are screened for eligibility in a government sponsored healthcare plan and receive information about financial assistance programs. Every patient who does not present the hospital with proof of insurance or existing government support will be given a handout (in English or Spanish) upon registration that is compliant with California Assembly Bill 774 (AB774). The handout contains information about the Hospital financial assistance programs. This includes where to obtain applications, income guidelines, other qualification information and contact information for Customer Service and the Admitting department. The Hospital posts information about the financial assistance program in all registration areas required by AB774. Signs in English and Spanish 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. 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 financial assistance applications to all patients who indicate they have financial need. 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 435,697 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 33.6 years. The population age breakdown is: 29% percent is 0 to 17 years old; 57 % are 20 to 64 years old and 14% are 65 and older. For people reporting one race, 85.8% are White; 2.4% are Black or African American; 2.2% are American Indian or Alaska Native; 5.8% are Asian; less than 0.2% are Native Hawaiian or Other Pacific Islander, and 3.6% reported 2 or more races. Persons reporting Hispanic or Latino origin are 44.8%. 17.4% 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 prominent community members who volunteer their time to ensure that the Santa Barbara Community has access to high-quality, affordable healthcare. The Board of Directors is actively involved in the Hospital's strategic decisions and takes its commitment to the Community very seriously. The Board approves of an annual financial budget and ten-year financial plan to guarantee the Hospital will continue to offer hospital services to the Community for years to come. The Board also approves of annual top goals that are consistent with the mission, vision and values of the Hospital. The financial forethought of the Board of Directors resulted in surplus funds that are being used to rebuild the facility. Santa Barbara Cottage Hospital is building a new hospital in order to comply with the unfunded mandate of the State of California's Senate Bill 1953 (SB1953), which requires all hospitals to retrofit or rebuild in order to withstand a major earthquake. The Hospital used this opportunity to live the core value of excellence by ensuring that the new facility will meet the current and future healthcare needs of the Community. This is the largest project in the Hospital's history. The hospital has completed the first phase of the new facility and has now begun construction of the second phase. Santa Barbara Cottage Hospital works cooperatively with the open medical staff to improve healthcare in the community. The Hospital is exploring how to better align with physicians in order to provide the highest quality of care. Schedule H, Part VI, Line 6 Affiliated health care system Cottage Health 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 Barbara Cottage Hospital Foundation provides grants to various organizations to promote healthy living and support nurse-training programs in the Community. Santa Barbara Cottage Hospital is the largest hospital in the system and provides the widest array of services. As such, Santa Barbara Cottage Hospital experiences the largest amount of financial assistance and Medicaid shortfall from cost. The hospital also provides the majority of community benefit programs, which are reported in the Cottage Health Community Benefit Report. Schedule H, Part VI, Line 7 State filing of community benefit report CA true BREAST CANCER RESOURCE CEN 55 Hitchcock Way Santa Barbara CA 93105 911790842 501(c)3 50000 Counseling and support for breast cancer patients CARPINTERIA UNIFIED SCHOOL DIS 5201 Eighth Street Carpenteria CA 93013 956101195 government 90000 Support of Children's Early Health and Wellness Program: health screenings, health fair and preschool activity program. CASA ESPERANZA HOMELESS CENTER PO Box 24116 Santa Barbara CA 93121 770502754 501(c)3 95186 Casa Esperanza assists homeless individuals and families achieve self-sufficiency to transition to stable employment and housing. by helping as many as possible access the services they need CSUCI FOUNDATION One University Drive Camarillo CA 93012 770433230 501(c)3 292000 Support of the Bachelor's in Science Nursing program in Santa Barbara DOCTORS WITHOUT WALLS-SB PO Box 3751 Santa Barbara CA 93103 331210731 501(c)3 60000 Support of health needs for the poor and homeless of Santa Barbara FAMILY SERVICE AGENCYCRIS 123 West Gutierrez Street Santa Barbara CA 93101 951644031 501(c)3 45000 Support of the Senior Services Program HOSPITAL HOSPITALITY HOUSES 924 Anacapa Street Suite 1-T Santa Barbara CA 93101 770434600 501(c)3 31513 Funding helps provide low cost housing to families of severely ill or injured hospital and extended treatment patients who cannot provide their own lodging. United Way of Santa Barbara County 320 E Gutierrez St Santa Barbara CA 93101 951641968 501(c)3 75000 Central Coast Collaborative on Homelessness PACIFIC PRIDE FOUNDATION 126 E Haley St Suite A11 Santa Barbara CA 93102 953133613 501(c)3 80106 Funding for a transportation van PATH PEOPLE ASSISTING THE HOME PO Box 24116 Santa Barbara CA 93121 953950196 501(c)3 97493 Medical respite beds for the homeless population PATHPOINT 315 W Haley St Suite 102 Santa Barbara CA 93101 952371668 501(c)3 80000 Support for developmentally disabled and job training programs SANTA BARBARA NEIGHBORHOOD CLI 1900 State Street Suite G Santa Barbara CA 93101 770496382 501(c)3 306017 Community Grant to provide neighborhood health clinics for low income patients SARAH HOUSE PO Box 20031 Santa Barbara CA 93120 770224415 501(c)3 45600 Offset the end of life care provided to low income patients that transfer from the Hospital Palliative Care facility SB COUNTY EDUCATION OFFICE 4400 Cathedral Oaks Road Santa Barbara CA 93160 956000940 government 200000 Support of (1) Welcome Every Baby program which supports new parents with education and child development guidance, and (2) Health Linkages program which focuses on child development and health. SBCC 721 Cliff Drive Santa Barbara CA 93109 770070782 government 130148 Support of Nursing Program at Santa Barbara City College The Foundation for SB City College 721 Cliff Drive Santa Barbara CA 93109 953234551 501(c)(3) 261375 Support of Nursing Program at Santa Barbara City College THRESHOLDS TO RECOVERY INC 1038 Pittsfield Lane Ventura CA 93001 770335136 501(c)3 21230 Grant funding provides help to individuals who have been intoxicated in the public. The program offers an alternative to incarceration. Program follow-up includes referral for treatment of alcoholism as an effort in recovery. UNIVERSITY OF CA REGENTS UCSB Santa Barbara CA 93106 954377221 government 100963 Support of research programs. VISITING NURSE & HOSPICE CARE 222 East Canon Perdido Street Santa Barbara CA 93101 951641969 501(c)3 35000 Supports the Alliance for Living and Dying Well WILLBRIDGE OF SANTA BARBARA 1215 East Montecito Street Santa Barbara CA 93130 571194195 501(c)3 25650 Support for the transitional housing beds for homeless patients who are not appropriate for discharge to the streets or shelters and who need supervised convalescense CELLOLOGI LLC 504 W Pueblo St Suite 302 Santa Barbara CA 93105 471837666 15000 Research on treatment of in vitro erythroblast 20 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X X X X false true false false false false false false false Ronald Werft President & CEO 0 892108 0 284164 0 35819 0 13250 0 24425 0 1249766 0 0 Joan Bricher CFO 0 499644 0 134130 0 52287 0 13250 0 17795 0 717106 0 0 Steven Fellows COO 0 544854 0 153828 0 54730 0 13250 0 24425 0 791087 0 0 Alberto Kywi VP ISD/CIO 0 344153 0 60834 0 111623 0 13250 0 24688 0 554548 0 0 Herbert Geary VP Pt Care Svcs, CNO 0 332952 0 57410 0 40782 0 35883 0 17795 0 484822 0 23944 Afshin Fatholahi VP Support Services 0 258986 0 49395 0 110386 0 13250 0 17795 0 449812 0 78059 Lisa Moore VP Clinical Services 0 317685 0 53882 0 44957 0 35278 0 24425 0 476227 0 23047 Paul Erickson MD Dir Psych Services 12500 283493 0 0 0 3814 0 13250 0 25870 12500 326427 0 0 David Nichols VP Business Devel-Lab 144514 0 460916 0 0 0 13250 0 538 0 619218 0 0 0 Jeffrey Gauvin MD Director Surgical Education 425187 0 160 0 2322 0 13250 0 8503 0 449422 0 0 0 Andrew Gersoff MD Dir Medical Education 265899 0 160 0 27771 0 13250 0 24425 0 331505 0 0 0 Melinda Staveley VP CRH 228469 0 39829 0 22643 0 13250 0 16398 0 320589 0 0 0 Stephen Kaminski MD Dir Trama Svcs & SICU 299298 0 160 0 903 0 13250 0 24425 0 338036 0 0 0 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 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 HOSPITAL 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 2015, Melinda Staveley received a 457(f) payout of $15,374. A California Statewide Communities Development Authority 680164610 130795Y76 2010-10-20 300168359 Refund 2008 issue false false false B California Statewide Communities Development Authority 680164610 13080SFW9 2015-01-28 148825934 Refund Series 2003B and Hospital Replacement Project false false false A 300168359 2937359 297231000 2012 true false true true B 148825934 959879 1638263 10005023 47156754 90025894 2018 true false false true A false true false false 0.0 0.0 0.0 false false true B false true true true false 0.0 0.0 0.0 false false true A false false false true false false false false true B false true false false false false false false true A true B true Schedule K, Part III, Line 4 Private use percentage is 0% because a substantial amount of project funding did not come form the issuance of debt. Total project cost is $823 million, of which $410 million was raised from tax-exempt bond financing. Schedule K, Part IV, Line 2c COLUMN A Issuer name: California Statewide Communities Development Authority The calculation for computing no rebate due was performed on 01/06/2011 HERB GEARY FORMER EMPLOYEE (SEE STATEMENT) HOME PURCHASE X 250000 250000 false true true 250000 JO ELLEN WATSON WIFE OF BOARD MEMBER 113269 EMPLOYEE false Schedule L, Part II INTERESTED PERSONS HERB GEARY IS STILL EMPLOYED BY A RELATED TAX-EXEMPT ENTITY AND SERVES AS A KEY EMPLOYEE TO THAT ENTITY. 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 Vice President of Finance and CFO. Form 990 is reviewed by independent tax consultants prior to submitting to the Audit and Compliance Committee. All members of the Board receive a copy of the organization's form 990 for review prior to filing via the Board Portal. 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. In addition, salary for all disqualified persons are reviewed annually by their managers. 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 April 6, 2015. In addition, any person listed as a "disqualified" employee would have their compensation reviewed annually before December 31. 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, articles of incorporation and conflict of interest policies are not available to the public. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL REVENUES - Total Revenue: 2957074, Related or Exempt Function Revenue: 2957074, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Laboratory Outside Tests - Total Expense: 3222288, Program Service Expense: 3222288, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 2730468, Program Service Expense: 2449977, Management and General Expenses: 280491, Fundraising Expenses: ; CONTRACTED NURSING SERVICES - Total Expense: 7969590, Program Service Expense: 7788793, Management and General Expenses: 180797, Fundraising Expenses: ; MEDICAL PROFESSIONAL FEES - Total Expense: 22385856, Program Service Expense: 20175661, Management and General Expenses: 2210195, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 57376491, Program Service Expense: 33650137, Management and General Expenses: 23726354, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION LIABILITY - 3827907; CHANGE IN FAIR VALUE INTEREST RATE SWAPS - 1855900; PACIFIC DIAGNOSTIC LABORATORIES LLC PO BOX 689 SANTA BARBARA CA 93102 205038438 OUTPATIENT LABORATORY SERVICES CA 34758416 21941282 SANTA BARBARA COTTAGE HOSPITAL COTTAGE HEALTH PO BOX 689 SANTA BARBARA CA 931020689 770431902 PARENT ORGANIZATION FOR 3 HOSPITALS & MEDICAL PROF BLDG. CA 501(c)(3 N/A false GOLETA VALLEY COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 931020689 952413596 HOSPITAL CA 501(c)(3 3 COTTAGE HEALTH true SANTA YNEZ VALLEY COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 931020689 952224265 HOSPITAL CA 501(c)(3 3 COTTAGE HEALTH true SANTA BARBARA COTTAGE HOSPITAL FOUNDATION PO BOX 689 SANTA BARBARA CA 931020689 953802238 FOUNDATION TO SUPPORT SANTA BARBARA COTTAGE CA 501(c)(3 7 N/A false GOLETA VALLEY PROFESSIONAL BUILDINGS INC PO BOX 689 SANTA BARBARA CA 931020689 770004202 MEDICAL PROF BLDG CA 501(c)(3 Type II COTTAGE HEALTH true true false true false false false false false false false false true true true true true true true true Cottage Health M 18244069 accrual Cottage Health O 2957802 accrual Cottage Health P 73018973 accrual Cottage Health Q 21798495 accrual Cottage Health R 7014970 accrual Cottage Health S 9632456 accrual Goleta Valley Cottage Hospital A 776258 accrual Goleta Valley Cottage Hospital L 2027653 accrual Goleta Valley Cottage Hospital O 1612178 accrual Goleta Valley Cottage Hospital P 946326 accrual Goleta Valley Cottage Hospital Q 31159383 accrual Goleta Valley Cottage Hospital R 2631157 accrual Santa Ynez Valley Cottage Hospital A 4488 accrual Santa Ynez Valley Cottage Hospital L 295985 accrual Santa Ynez Valley Cottage Hospital O 473559 accrual Santa Ynez Valley Cottage Hospital P 97124 accrual Santa Ynez Valley Cottage Hospital Q 4202560 accrual Santa Ynez Valley Cottage Hospital R 540591 accrual Goleta Valley Professional Building A 4795 accrual Goleta Valley Professional Building O 158764 accrual Goleta Valley Professional Building Q 13716358 accrual Goleta Valley Professional Building R 1131350 accrual SB Cottage Hosp Foundation C 193927 accrual