GOLETA VALLEY COTTAGE HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GOLETA VALLEY COTTAGE HOSPITAL (EIN 95-2413596)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201503209349305275
- Schema version
- 2014v5.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T11:06:23-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4370 La Jolla Village Dr Suite 500 | AddressLine1Txt |
| City | San Diego | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952413596 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goleta Valley Cottage Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOLE | BusinessNameControlTxt |
| Phone | 8056827111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 689 | AddressLine1Txt |
| City | Santa Barbara | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 931020689 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joan Bricher | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2015-11-16 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Eva Nitta | PreparerPersonNm |
| PTIN | P01286320 | PTIN |
| Phone | 8585357200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 | AddressLine1Txt |
| City | Santa Barbara | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 931020689 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $81,488,084 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cottagehealthsystem.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | It is the mission of Goleta Valley Cottage Hospital (GVCH) 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 give our Community access to affordable, quality healthcare. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 389 | TotalEmployeeCnt |
| Total Volunteers | 161 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $90,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,375,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $74,044,803 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $76,865,860 | CYProgramServiceRevenueAmt |
| PY Investment Income | $276,230 | PYInvestmentIncomeAmt |
| CY Investment Income | $282,481 | CYInvestmentIncomeAmt |
| PY Other Revenue | $494,496 | PYOtherRevenueAmt |
| CY Other Revenue | $424,277 | CYOtherRevenueAmt |
| PY Total Revenue | $74,905,529 | PYTotalRevenueAmt |
| CY Total Revenue | $79,947,618 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $198,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $258,750 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,776,496 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,634,563 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,165,563 | PYOtherExpensesAmt |
| CY Other Expenses | $33,552,002 | CYOtherExpensesAmt |
| PY Total Expenses | $64,140,059 | PYTotalExpensesAmt |
| CY Total Expenses | $65,445,315 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,765,470 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,502,303 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $119,080,219 | TotalAssetsBOYAmt |
| Total Assets EOY | $133,353,188 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,296,066 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,215,589 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,784,153 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $90,137,599 | NetAssetsOrFundBalancesEOYAmt |
| Mission | It is the mission of Goleta Valley Cottage Hospital (GVCH) 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 give our Community access to affordable, quality healthcare. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $58,354,702 | ExpenseAmt |
| Grant | $258,750 | GrantAmt |
| Revenue | $77,290,137 | RevenueAmt |
| Desc | Goleta Valley Cottage Hospital is a 122-bed acute-care hospital located in the City of Goleta. In 2014, the Hospital had 14,025 patient days and served 39,511 outpatients, including emergency services to 18,415 patients. The Hospital provides a wide array of inpatient and outpatient services, including but not limited to cardiac, orthopedic, wound care, breast care, emergency and sub-acute services. Goleta Valley Cottage Hospital works to ensure that all patients have adequate access to healthcare and those who do not present with insurance are automatically screened for eligibility in government health programs and are assisted in applying for charity if the patient does not qualify for any other assistance. Cottage Health, which includes Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, provides critical funding for community health, charity care, 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 2014, Cottage Health spent over $158 million on these programs. | Desc |
| Total Program Service Expenses | $58,354,702 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | 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 | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 389 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Karen Jones Grandidier | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8055697294 | 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 (26 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 |
|---|---|---|---|---|---|---|---|---|---|
| P Steven Ainsley | |||||||||
| Vice Chair | 0.45 | 4.55 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Alex Koper MD | |||||||||
| Secretary | 0.45 | 4.55 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Robert C Nakasone | |||||||||
| Vice Chair | 0.45 | 4.55 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Robert E M Nourse | |||||||||
| Chair | 1.80 | 18.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Marshall (Chip) Turner Jr | |||||||||
| Vice Chair | 0.45 | 4.55 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Margaret Baker | |||||||||
| Committee Chair | 0.45 | 4.55 | Yes (X) | $0 | $0 | $0 | |||
| Edward S Bentley MD | |||||||||
| Director | 0.36 | 3.64 | Yes (X) | $0 | $0 | $0 | |||
| Jon Clark | |||||||||
| Committee Chair | 0.45 | 4.55 | Yes (X) | $0 | $0 | $0 | |||
| Gregory F Faulkner | |||||||||
| Committee Chair | 0.45 | 4.55 | Yes (X) | $0 | $0 | $0 | |||
| Lori Gaskin PhD | |||||||||
| Director | 0.36 | 3.64 | Yes (X) | $0 | $0 | $0 | |||
| Judith Hopkinson | |||||||||
| Director | 0.36 | 3.64 | Yes (X) | $0 | $0 | $0 | |||
| Dorothy Largay | |||||||||
| Director | 0.36 | 3.64 | Yes (X) | $0 | $0 | $0 | |||
| Fred Lukas | |||||||||
| Committee Chair | 0.45 | 4.55 | Yes (X) | $0 | $0 | $0 | |||
| Gretchen Milligan | |||||||||
| Committee Chair | 0.45 | 4.55 | Yes (X) | $0 | $0 | $0 | |||
| Elliot Prager MD | |||||||||
| Director | 0.36 | 3.64 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Watson MD | |||||||||
| Committee Chair | 0.45 | 4.55 | Yes (X) | $0 | $12,000 | $0 | |||
| Joan Bricher | |||||||||
| CFO | 4.50 | 45.50 | Yes (X) | $0 | $658,416 | $29,038 | |||
| Ronald Werft | |||||||||
| President & CEO | 5.40 | 54.60 | Yes (X) | $0 | $1,178,787 | $35,313 | |||
| Julie Artoux | |||||||||
| Asst Secretary | 4.50 | 45.50 | Yes (X) | $0 | $129,967 | $20,274 | |||
| Steven Fellows | |||||||||
| COO | 10.00 | 40.00 | Yes (X) | $0 | $693,871 | $35,313 | |||
| Arie Dejong | |||||||||
| VP GVCH | 40.00 | 0 | $285,806 | $0 | $54,266 | Yes (X) | |||
| Rosemary Bray | |||||||||
| Clinical Manager | 40.00 | 0 | $176,637 | $0 | $22,561 | Yes (X) | |||
| Rosemarie Jones | |||||||||
| Clin Resource Nurse | 40.00 | 0 | $164,201 | $0 | $29,805 | Yes (X) | |||
| Steffanie Carty | |||||||||
| Clinical Manager | 40.00 | 0 | $164,939 | $0 | $23,459 | Yes (X) | |||
| Ken Kettler | |||||||||
| Radiology Mgr-Gvch | 40.00 | 0 | $184,636 | $0 | $25,575 | Yes (X) | |||
| Susan San Marco | |||||||||
| Director Srvc Line | 40.00 | 0 | $201,876 | $0 | $18,029 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,178,095 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,673,041 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $293,635 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 79 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| HOSPITAL BUILDING & EQUIPMENT CO | ||||||
| 11330 OLIVE BLVD | SAINT LOUIS | MO | 63141 | BUILDING CONTRACTOR FEES | $9,537,183 | |
| ANESTHESIA ASSOCIATES MEDICAL GROUP INC | ||||||
| 5333 HOLLISTER AVE 130 | SANTA BARBARA | CA | 93111 | PHYSICIAN SERVICES | $730,000 | |
| MICHAEL L DAVIS & ASSOCIATES INC | ||||||
| 1835 NEWPORT BLVD A 109 SUITE 361 | COSTA MESA | CA | 92627 | INSPECTION SERVICES | $724,784 | |
| LAW OFFICES OF DAVID S SECREST | ||||||
| 629 STATE STREET | SANTA BARBARA | CA | 93101 | LEGAL SERVICES | $650,000 | SUITE 215 |
| RIGHTSOURCING INC | ||||||
| 999 STEWART AVE | BETHPAGE | NY | 11714 | CONRACT LABOR | $449,112 | SUITE 100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $2,375,000 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $2,375,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $75,400,049 | $75,400,049 | ||
| CA HOSPITAL FEE PROGRAM | 900099 | $708,940 | $708,940 | ||
| EHR MEDICARE GRANT | 900099 | $756,871 | $756,871 | $0 | $0 |
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 |
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 | $76,865,860 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$42,594 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$42,594 | 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 | $1,865,541 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,540,466 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $325,075 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $325,075 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $325,075 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA/GIFT SHOP | 900099 | $285,044 | $285,044 | $0 | $0 |
| ED MALPRACTICE REIMBURSEMENT | 900099 | $72,963 | $72,963 | $0 | $0 |
| REBATES AND REFUNDS | 900099 | $17,097 | $17,097 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,173 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,173 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $424,277 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,947,618 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $77,290,137 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $282,481 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,750 | TotalAmt |
| Program Services | $258,750 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,862 | TotalAmt |
| Program Services | $27,928 | ProgramServicesAmt |
| Management And General | $308,934 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,674,679 | TotalAmt |
| Program Services | $19,634,924 | ProgramServicesAmt |
| Management And General | $2,039,755 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,792,963 | TotalAmt |
| Program Services | $1,585,977 | ProgramServicesAmt |
| Management And General | $206,986 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,202,062 | TotalAmt |
| Program Services | $5,437,403 | ProgramServicesAmt |
| Management And General | $764,659 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,627,997 | TotalAmt |
| Program Services | $1,538,275 | ProgramServicesAmt |
| Management And General | $89,722 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,137 | TotalAmt |
| Management And General | $29,137 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,747 | TotalAmt |
| Management And General | $23,747 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,859 | TotalAmt |
| Management And General | $11,859 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,796 | TotalAmt |
| Management And General | $81,796 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,237,497 | TotalAmt |
| Program Services | $5,475,541 | ProgramServicesAmt |
| Management And General | $761,956 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,274,065 | TotalAmt |
| Program Services | $1,052,100 | ProgramServicesAmt |
| Management And General | $221,965 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,485 | TotalAmt |
| Program Services | $79,044 | ProgramServicesAmt |
| Management And General | $9,441 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,151,410 | TotalAmt |
| Program Services | $1,025,857 | ProgramServicesAmt |
| Management And General | $125,553 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,570 | TotalAmt |
| Program Services | $12,492 | ProgramServicesAmt |
| Management And General | $6,078 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,832 | TotalAmt |
| Program Services | $1,331 | ProgramServicesAmt |
| Management And General | $1,501 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,338,541 | TotalAmt |
| Program Services | $1,291,292 | ProgramServicesAmt |
| Management And General | $47,249 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$148,853 | TotalAmt |
| Program Services | -$177,454 | ProgramServicesAmt |
| Management And General | $28,601 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $12,843,997 | $12,843,988 | $9 |
| SYSTEM MANAGEMENT ALLOCATION | $8,533,105 | $6,314,498 | $2,218,607 |
| HOSPITAL FEE PROGRAM | $1,262,040 | $1,262,040 | |
| EQUIPMENT MAINTENANCE | $694,778 | $664,982 | $29,796 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,996 | TotalAmt |
| Program Services | $25,734 | ProgramServicesAmt |
| Management And General | $83,262 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,445,315 | TotalAmt |
| Program Services | $58,354,702 | ProgramServicesAmt |
| Management And General | $7,090,613 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,761,426 | BOYAmt |
| EOY | $5,150,733 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,098 | BOYAmt |
| EOY | $5,400 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,380,470 | BOYAmt |
| EOY | $10,125,397 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $300,000 | 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 | $459,721 | BOYAmt |
| EOY | $463,734 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,291 | BOYAmt |
| EOY | $457,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $142,130,554 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,680,332 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,302,301 | BOYAmt |
| EOY | $115,450,222 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,175,614 | BOYAmt |
| EOY | $5,965 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $999,023 | BOYAmt |
| EOY | $1,433 | 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 | $359,275 | BOYAmt |
| EOY | $1,392,366 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,080,219 | BOYAmt |
| EOY | $133,353,188 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,890,030 | BOYAmt |
| EOY | $13,284,384 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,406,036 | BOYAmt |
| EOY | $29,931,205 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,296,066 | BOYAmt |
| EOY | $43,215,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,760,153 | BOYAmt |
| EOY | $90,137,599 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,000 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,784,153 | BOYAmt |
| EOY | $90,137,599 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,080,219 | BOYAmt |
| EOY | $133,353,188 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,502,303 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$146,235 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$7,002,621 | 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 | false | FederalGrantAuditRequiredInd |
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 | $11,859 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,859 | 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 organizations. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,563,087 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,561,081 | DepreciationAmt |
| Book Value | $2,006 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,270,321 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,270,329 | DepreciationAmt |
| Book Value | -$8 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,177,651 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,485,326 | DepreciationAmt |
| Book Value | $4,692,325 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,119,495 | OtherCostOrOtherBasisAmt |
| Depreciation | $363,596 | DepreciationAmt |
| Book Value | $110,755,899 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $115,450,222 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITY | $2,548,053 |
| DUE TO AFFILIATES | $3,290,961 |
| ACCRUED PENSION & SERP | $7,922,839 |
| GVCH ALLOCATION OF TAX EXEMPT DEBT | $16,082,754 |
| DUE TO THIRD PARTIES | $15,109 |
| PHYSICIAN GUARANTEES | $71,489 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,931,205 | 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 | The System 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. The System has recognized no interest or penalties related to uncertain tax positions. The System 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 2010. | 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 | 350 | 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 | 405 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| 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 | $435,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $435,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0067 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,379,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,554,189 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,825,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1043 | 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 | $18,815,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,554,189 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,261,315 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,298 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $78,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0012 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $180,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $180,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0028 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $288,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $288,048 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0044 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $19,103,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,554,189 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,549,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1154 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,324,413 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,185,912 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,726,766 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,540,854 | 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 | Goleta Valley Cottage Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 South Patterson | AddressLine1Txt |
| City | Goleta | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.cottagehealth.org | WebsiteAddressTxt |
| State License | 050000034 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goleta 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | 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 | http://santabarbaragoleta.healthforecast.net/2013%20PRC%20CHNA%20Report%20-%20Cottage%20Health%20Sys | 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 | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| 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 | 3.5 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 4.05 | FPGFamilyIncmLmtDscntCarePct |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Goleta Valley 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 a 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. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Goleta Valley Cottage Hospital. CHNA was completed in conjunction with Santa Barbara Cottage Hospital. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Goleta 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 - Goleta Valley 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 its own programs, Goleta Valley Cottage Hospital supports programs in Diabetes education. Goleta Valley Cottage Hospital supports the following identified health needs through annual grant to support the Santa Barbara Neighborhood Clinic: Access to Care, Immunization & Infectious Diseases, Infant Health & Family Planning and Oral Health. The Hospital also supports nursing education to ensure staffing that will support access to care. The needs that Goleta Valley Cottage Hospital has not provided explicit support for include: Substance Abuse, Nutrition, Physical Activity & Weight, Dementias, and Mental Health & Mental Disorders. These areas were not supported because they are supported by programs at Santa Barbara Cottage Hospital, which is 6 miles away. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - Goleta Valley Cottage Hospital. The maximum that could be charged is based on % of charges that is lower than commercial rates. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| Breast Care Center | |||||
| 5333 Hollister Ave | Goleta | CA | 93117 | Outpatient services | |
| Wound Care Center Goleta | |||||
| 5333 Hollister Ave | Goleta | CA | 93117 | Outpatient Wound Care | |
| Wound Care Center Solvang | |||||
| 2028 Village Lane | Solvang | CA | 93463 | Outpatient Wound Care | Suite 202 |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6b Community Benefit Report Availability | 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. |
| 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 6a Community benefit report prepared by related organization | Cottage Health |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 0 |
| 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 System 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 significant portion of the Systems uninsured patients will be unable or unwilling to pay for services provided and a significant portion of the Systems insured patients will be unable or unwilling to pay for co-payments and deductibles. Thus, the System records a significant provision for bad debts related to these insured and uninsured patients in the period the services are provided. The System writes down the expected reimbursement after reasonable collection efforts have been exhausted. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Bad debt is not included in the Community Benefit report. FOOTNOTE: 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 System 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 significant portion of the System's uninsured patients will be unable or unwilling to pay for services provided and a significant portion of the System's insured patients will be unable or unwilling to pay for co-payments and deductibles. Thus, the System records a significant provision for bad debts related to these insured and uninsured patients in the period the services are provided. The System 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 charity care under any other Payer program. The dollars reported are taken from the 2014 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 charity care or are in the process of applying for charity care are not sent to collection until a final charity care determination is made. If they qualify, their account is written down to zero. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Goleta Valley Cottage Hospital: Line 16a URL: www.oshpd.ca.gov; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Goleta Valley Cottage Hospital: Line 16b URL: www.oshpd.ca.gov; |
| 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, charity care, 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 2014, Cottage Health spent over $158 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 charity care 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 charity care 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 charity care 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 charity care applications to all patients who indicate they have financial need. |
| 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 Countys 423,895 population is divided into six sub regions: Carpinteria Valley (4.2%); Santa Barbara/Goleta Region (43.5%); Santa Ynez Valley (5.3%); Lompoc Valley (14%), Santa Maria Valley (31%); Guadalupe Valley (1.7%); and the Cuyama Valley (.3%). Of the total population, 50% are females. The median age is 33.6 years. The population age breakdown is: 29% percent is 0 to 17 years old; 58 % are 20 to 54 years old and 13% are 65 and older. For people reporting one race, 88.6% are White; 2.4% are Black or African American; 1.7% are American Indian or Alaska Native; 4.5% are Asian; less than 0.3% are Native Hawaiian or Other Pacific Islander, and 2.5% reported 2 or more races. 40.4% are persons of Hispanic or Latino origin. Of the County's population, 21% are foreign-born, 32.8% of persons over the age of five reported speaking a language other than English at home, and 12.7% 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 Goleta 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 reviews a long-term 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. Goleta Valley 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. Goleta Valley 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 (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. Goleta Valley Cottage Hospital is the second largest of the CH Hospitals and primarily provides services to the City of Goleta (adjacent to Santa Barbara) and the University of California, Santa Barbara. |
| 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 (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SB Neighborhood Clinic | |||||||
| 1900 State Street Suite G | Santa Barbara | CA | 93101 | 770496382 | 501(c)(3) | $180,000 | Community Grant to provide neighborhood health clinics for low income patients |
| Cal State Univ Channel Islands Fndtn | |||||||
| One University Drive | Camarillo | CA | 93012 | 770433230 | government | $48,000 | Support of the BSN program in Santa Barbara |
| SB City College Fndtn | |||||||
| 721 Cliff Drive | Santa Barbara | CA | 93109 | 953234551 | government | $30,750 | Support of Nursing Department at Santa Barbara City College |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds | Grant funds are monitored through the Community Health Coordinating Committee of CH. 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. |
| Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | Grant funds are monitored through the Community Health Coordinating Committee of CH. 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joan Bricher | ||||||||||||||
| CFO | $0 | $477,338 | $0 | $115,310 | $0 | $65,768 | $0 | $12,250 | $0 | $16,788 | $0 | $687,454 | $0 | $0 |
| Ronald Werft | ||||||||||||||
| President & CEO | $0 | $856,459 | $0 | $289,913 | $0 | $32,415 | $0 | $12,250 | $0 | $23,063 | $0 | $1,214,100 | $0 | $0 |
| Julie Artoux | ||||||||||||||
| Asst Secretary | $0 | $115,165 | $0 | $8,991 | $0 | $5,811 | $0 | $12,250 | $0 | $8,024 | $0 | $150,241 | $0 | $0 |
| Steven Fellows | ||||||||||||||
| COO | $0 | $522,120 | $0 | $138,263 | $0 | $33,488 | $0 | $12,250 | $0 | $23,063 | $0 | $729,184 | $0 | $0 |
| Arie Dejong | ||||||||||||||
| VP GVCH | $247,516 | $0 | $31,264 | $0 | $7,026 | $0 | $31,264 | $0 | $23,002 | $0 | $340,072 | $0 | $0 | $0 |
| Rosemary Bray | ||||||||||||||
| Clinical Manager | $166,469 | $0 | $8,673 | $0 | $1,495 | $0 | $8,673 | $0 | $13,888 | $0 | $199,198 | $0 | $0 | $0 |
| Rosemarie Jones | ||||||||||||||
| Clin Resource Nurse | $155,258 | $0 | $8,039 | $0 | $904 | $0 | $8,039 | $0 | $21,765 | $0 | $194,006 | $0 | $0 | $0 |
| Steffanie Carty | ||||||||||||||
| Clinical Manager | $155,126 | $0 | $8,014 | $0 | $1,799 | $0 | $8,014 | $0 | $15,445 | $0 | $188,399 | $0 | $0 | $0 |
| Ken Kettler | ||||||||||||||
| Radiology Mgr-Gvch | $171,007 | $0 | $8,833 | $0 | $4,796 | $0 | $8,833 | $0 | $16,743 | $0 | $210,211 | $0 | $0 | $0 |
| Susan San Marco | ||||||||||||||
| Director Srvc Line | $190,977 | $0 | $10,027 | $0 | $872 | $0 | $10,027 | $0 | $8,002 | $0 | $219,905 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 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. Additional details found in the narrative for Schedule O, Part VI, Line 15. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | The amounts reported in the current years deferred compensation includes recognition of past service. The amounts are subject to a substantial risk of forfeiture. Any amounts paid under this plan in the future will be reported again as reportable compensation in the year paid. The System 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 System and are included in other assets and the accrued expense is included in pension liability and other in the accompanying consolidated balance sheets. Diane Wisby received a payout from the 457(f) plan in the amount of $64,457. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arie DeJong | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | Vice President | RelationshipWithOrgTxt |
| Loan Purpose | Home Purchase | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $300,000 | OriginalPrincipalAmt |
| Balance Due | $300,000 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $300,000 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | Cottage Health is the sole corporate member of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Cottage Health is the sole corporate member of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital, and Goleta Valley Professional Buildings, Inc. and can appoint Directors to the Board. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The Board of Directors for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital, and Goleta Valley Professional Buildings, Inc. 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 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 the 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 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. |
| 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 | Other - Total Revenue: 49173, Related or Exempt Function Revenue: 49173, 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 XI, Line 9 Other changes in net assets or fund balances | CHANGE IN PENSION LIABILITY - -7002621; |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| COTTAGE HEALTH | ||||||||||
| PO BOX 689 | SANTA BARBARA | CA | 931020689 | 770431902 | PARENT ORGANIZATION FOR 3 HOSPITALS AND MEDICAL PROFESSIONALS | CA | 501(c)(3 | 3 | NA | false |
| SANTA BARBARA COTTAGE HOSPITAL | ||||||||||
| PO BOX 689 | SANTA BARBARA | CA | 931020689 | 951644629 | HOSPITAL | CA | 501(c)(3 | 3 | COTTAGE HEALTH | Yes (true) |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL | ||||||||||
| PO BOX 689 | SANTA BARBARA | CA | 931020689 | 952224265 | HOSPITAL | CA | 501(c)(3 | 3 | COTTAGE HEALTH | Yes (true) |
| SANTA BARBARA COTTAGE HOSPITAL FOUNDATION | ||||||||||
| PO BOX 689 | SANTA BARBARA | CA | 931020689 | 953802238 | FOUNDATION TO SUPPORT SANTA BARBARA COTTAGE HOSPITAL | CA | 501(c)(3 | 7 | SANTA BARBARA COTTAGE HOSPITAL | 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 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | 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 | false | 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 | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Cottage Health | ||
| M | $8,583,096 | accrual |
| Cottage Health | ||
| O | $140,572 | accrual |
| Cottage Health | ||
| P | $194,951 | accrual |
| Cottage Health | ||
| Q | $208,116 | accrual |
| Santa Barbara Cottage Hospital | ||
| M | $5,118,993 | accrual |
| Santa Barbara Cottage Hospital | ||
| O | $1,325,097 | accrual |
| Santa Barbara Cottage Hospital | ||
| P | $35,318,127 | accrual |
| Santa Barbara Cottage Hospital | ||
| Q | $3,349,947 | accrual |
| Santa Barbara Cottage Hospital | ||
| R | $763,750 | accrual |
| Santa Barbara Cottage Hospital | ||
| S | $51,067 | accrual |
| Santa Ynez Valley Cottage Hospital | ||
| O | $77,018 | accrual |
| Goleta Valley Professional Building | ||
| R | $135,556 | accrual |
| SB Cottage Hosp Foundation | ||
| K | $205,068 | accrual |