FURP.ORG / PUBLIC DATA EXPLORER

SANTA BARBARA COTTAGE HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SANTA BARBARA COTTAGE HOSPITAL (EIN 95-1644629)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333199349305883
Schema version
2012v2.0
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T12:51:08-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951644629EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SANTA BARBARA COTTAGE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANTNameControl
Phone8056827111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 689AddressLine1
CitySANTA BARBARACity
StateCAState
ZIP Code931020689ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoan BricherName
TitleSr. Vice President & CFOTitle
Phone8058798752Phone
Date Signed2013-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRonald WerftNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1same as C aboveAddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts709861310GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COTTAGEHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionIt is the mission of Santa Barbara Cottage Hospital 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3219TotalNbrEmployees
Total Nbr Volunteers889TotalNbrVolunteers
Total Gross UBI13364218TotalGrossUBI
Net Unrelated Business Txbl Income104290NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2065178ContributionsGrantsPriorYear
Contributions Grants Current Year2086846ContributionsGrantsCurrentYear
Program Service Revenue Prior Year501454547ProgramServiceRevenuePriorYear
Program Service Revenue CY542778800ProgramServiceRevenueCY
Investment Income Prior Year15269866InvestmentIncomePriorYear
Investment Income Current Year11999419InvestmentIncomeCurrentYear
Other Revenue Prior Year9885771OtherRevenuePriorYear
Other Revenue Current Year12934133OtherRevenueCurrentYear
Total Revenue Prior Year528675362TotalRevenuePriorYear
Total Revenue Current Year569799198TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1263313GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1916555GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year229557436SalariesEtcPriorYear
Salaries Etc Current Year252276896SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year254585769OtherExpensePriorYear
Other Expenses Current Year299542302OtherExpensesCurrentYear
Total Expenses Prior Year485406518TotalExpensesPriorYear
Total Expenses Current Year553735753TotalExpensesCurrentYear
Revenues Less Expenses Prior Year43268844RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16063445RevenuesLessExpensesCY
Total Assets BOY1130882734TotalAssetsBOY
Total Assets EOY1160226356TotalAssetsEOY
Total Liabilities BOY497430249TotalLiabilitiesBOY
Total Liabilities EOY485260002TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY633452485NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY674966354NetAssetsOrFundBalancesEOY
Mission DescriptionIt 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense448916269Expense
Grants1916555Grants
Revenue555712933Revenue
DescriptionSanta Barbara Cottage Hospital is a 408-bed acute-care hospital located in the City of Santa Barbara. In 2012, the Hospital had 83,234 patient days, served 124,828 outpatients, including emergency services to 44,246 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. Cottage Health System, 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 from Medicare, Medi-Cal, and indigent care. In 2012, Cottage Health System spent over $144 million on these programs; the majority of which were the expenses of Santa Barbara Cottage Hospital. Community outreach efforts for Cottage Health System in 2012 focused on five health areas: cancer, heart disease and stroke, children's health, seniors' health, along with prevention and wellness. Activities in these areas included screenings and health fairs; classes, clinics, lectures, and seminars; community services; community collaborations; and coalitions/committees. Santa Barbara Cottage Hospital has also been diligent in ensuring that all patients have adequate access to care. All patients who do not present third-party 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. To ensure that every member of the community has access to healthcare Santa Barbara Cottage Hospital offers full charity care to all patients whose income level is at or below 350% of the Federal Poverty Level (FPL). Discounted care is also available for families who make up to 542% of the FPL. The charity care program at Santa Barbara Cottage Hospital is critical to the community as there is no inpatient acute care County Hospital to treat indigent patients who cannot afford care. In 2012, Santa Barbara Cottage Hospital provided free or discounted care to 1,557 patients.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense448916269TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096486NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3219NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKaren L JonesNamePerson
Telephone Number8055697294TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 West PuebloAddressLine1
CitySANTA BARBARACity
StateCAState
ZIP Code93105ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Judith Hopkinson
Director13X000
Jon Clark
Director13X000
P Steven Ainsley
Director13X000
Gregory Faulkner
Director13X000
Elliot Prager MD
Director13X000
J Robert Andrews
Director (Partial Year)13X000
Edward Bentley MD
Director13X000
Angel Inscovich MD
Director (partial year)13X000
John Romo
Committee Chair1.253.75X000
Marshall Turner Jr
Committee Chair1.253.75X000
Thomas Watson MD
Committee Chair1.253.75X1180500
Charles A Jackson
Committee Chair1.253.75X000
Fred Lukas
Committee Chair1.253.75X000
Margaret Baker
Committee Chair1.253.75X000
Jeffrey Kupperman MD
Secretary (Partial year)1.253.75X134200X
Alex Koper MD
Secretary (Partial year)1.253.75X1007525000X
Fred Gluck
Vice Chair (Partial Year)1.253.75X000X
Ed Birch PhD
Vice Chair (Partial Year)1.253.75X000X
Robert Nakasone
Vice Chair (Partial Year)1.253.75X000X
Robert Nourse
Vice Chair (Partial Year)1.253.75X000X
Gretchen Milligan
Board Chair515X000X
Ronald C Werft
CEO154501010499635089X
Steven A Fellows
COO22.527.50576456174787X
Joan Bricher
CFO12.537.50540682239362X
Julie Artoux
Assistant Secretary12.537.5011768018962X
Jeffrey Gauvin MD
Dir Surg Education400520228025393X
David Nichols
VP Business Devel-Lab400526266024698X
Stephen Kaminski MD
Dir Trama Svcs & SICU400385428027986X
Charles Cline
Clinical Perfusionist400280346027653X
Melinda Staveley
VP CRH and Therapy Services400267629041912X
Herbert Geary
VP Pt Care Svcs & CNO040033372447378X
Lisa Moore
VP Clinical Services040032080147250X
Alberto Kywi
VP ISD/CIO040037003748159X
Afshin Fatholahi
VP Support Services040026486243211X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2003119TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3537241TotalReportableCompFrmRltdOrgs
Total Other Compensation1401840TotalOtherCompensation
Number Individuals GT100 K487NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
McCarthy Building Company
20401 SW BIRCH ST 300NEWPORT BEACHCA92660GENERAL CONTRACTOR20615043
Comforce
PO BOX 31001-0893PASADENACA911100893CONTRACT LABOR7180636
Armstrong Associates
1825 State St STE 202Santa BarbaraCA93101General Contracting5627080
Nichols Management Group LTD
P O BOX 1288York HarborME03911PDL Lab Management3279184571 York St
Lee Burkhart Lui Inc
13335 Maxella AvenueMarina del ReyCA90292Architects2628258
FieldValueIRS element (for citing)
Number Of Contractors GT100 K133NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations881122RelatedOrganizations
Government Grants398348GovernmentGrants
All Other Contributions807376AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions2086846TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT SERVICE REVENUE9000994943734454943734450$0
LABORATORY SERVICES900099280524301468821213364218$0
CA HOSPITAL FEE PROGRAM90009914909448149094480$0
EHR MEDICARE & MEDI-CAL INCENTIVE PMTS900099335199733519970$0
MEDICAL OFFICE BLDG RENTAL900099119607611960760$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column895404TotalRevenueColumn
Related Or Exempt Function Income895404RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue542778800TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9204721TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,204,721ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities142856810Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities140062112Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2794698Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2794698TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,794,698ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
LAB MANAGEMENT900099181269018126900$0
INSURANCE RECOVERIES900099560553556055350$0
CAFETERIA/GIFT SHOP/DELI/VILLA RIVIERA900099159591915959190$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3919989TotalRevenueColumn
Related Or Exempt Function Income3919989RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue12934133TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column569799198TotalRevenueColumn
Related Or Exempt Function Income542348715RelatedOrExemptFunctionIncome
Unrelated Business Revenue13364218UnrelatedBusinessRevenue
Exclusion$11,999,419ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1916555Total
Program Services1916555ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total21880Total
Program Services21880ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total105283Total
Program Services105283ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total163009424Total
Program Services136386689ProgramServices
Management And General26622735ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20817558Total
Program Services17392549ProgramServices
Management And General3425009ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total55274999Total
Program Services45663014ProgramServices
Management And General9611985ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13047752Total
Program Services10764480ProgramServices
Management And General2283272ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total40665253Total
Program Services19854785ProgramServices
Management And General20810468ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6390534Total
Program Services0ProgramServices
Management And General6390534ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total679216Total
Program Services0ProgramServices
Management And General679216ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total34151Total
Program Services0ProgramServices
Management And General34151ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2226747Total
Management And General2226747ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total44680450Total
Program Services32572365ProgramServices
Management And General12108085ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total186277Total
Program Services58510ProgramServices
Management And General127767ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11861540Total
Program Services9007916ProgramServices
Management And General2853624ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1073159Total
Program Services900731ProgramServices
Management And General172428ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8832623Total
Program Services6598217ProgramServices
Management And General2234406ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total538164Total
Program Services127347ProgramServices
Management And General410817ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total164587Total
Program Services28356ProgramServices
Management And General136231ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total16626899Total
Program Services12486274ProgramServices
Management And General4140625ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total36924807Total
Program Services35518613ProgramServices
Management And General1406194ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2472746Total
Program Services1339297ProgramServices
Management And General1133449ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES8856997388569878950
HOSPITAL FEE PROGRAM218470242184702400
EQUIPMENT MAINTENANCE8535917728723912486780
CONSTRUCTION EXPENSE5266616052666160

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1965619Total
Program Services469267ProgramServices
Management And General1496352ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total553735753Total
Program Services448916269ProgramServices
Management And General104819484ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6101205BOY
EOY19975346EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55850652BOY
EOY57392976EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY89088497BOY
EOY89723230EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY250000BOY
EOY250000EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11746702BOY
EOY13187406EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3785156BOY
EOY8663402EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis873565311LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec220290500LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY656714482BOY
EOY653274811EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY203339278BOY
EOY181392001EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY72325748BOY
EOY89390151EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY8414319BOY
EOY7740172EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23266695BOY
EOY39236861EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1130882734BOY
EOY1160226356EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY67640332BOY
EOY57201792EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34502BOY
EOY3015EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY330237401BOY
EOY323718127EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY99518014BOY
EOY104337068EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY497430249BOY
EOY485260002EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY620607477BOY
EOY661162205EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7250752BOY
EOY8209893EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5594256BOY
EOY5594256EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY633452485BOY
EOY674966354EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1130882734BOY
EOY1160226356EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16063445ReconcilationRevenueExpenses
Reconciliation Unrealized Invest20868874ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes4581550ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$34,151OtherActivitiesAmount
Total Lobbying Expenditures IIB34151TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationLobbying activities are calculated as a percentage of dues paid to various organizations.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11636302BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses1323701InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures358958OtherExpenditures
Administrative Expenses59184AdministrativeExpenses
End Of Year Balance12541861EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance12120151BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-100999InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures338496OtherExpenditures
Administrative Expenses44354AdministrativeExpenses
End Of Year Balance11636302EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11387435BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses1031032InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures269432OtherExpenditures
Administrative Expenses28884AdministrativeExpenses
End Of Year Balance12120151EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10754765BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses687451InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures25782OtherExpenditures
Administrative Expenses28999AdministrativeExpenses
End Of Year Balance11387435EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15792105BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-4904683InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures48477OtherExpenditures
Administrative Expenses84180AdministrativeExpenses
End Of Year Balance10754765EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.45PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.55TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2282992InvestmentCostOrOtherBasis
Other Cost Or Other Basis15913603OtherCostOrOtherBasis
Book Value18196595BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis10358789InvestmentCostOrOtherBasis
Other Cost Or Other Basis647028595OtherCostOrOtherBasis
Depreciation138195490Depreciation
Book Value519191894BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis8582888OtherCostOrOtherBasis
Depreciation968624Depreciation
Book Value7614264BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis147445508OtherCostOrOtherBasis
Depreciation79328293Depreciation
Book Value68117215BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis41952936OtherCostOrOtherBasis
Depreciation1798093Depreciation
Book Value40154843BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings653274811TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value89390151BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities89390151TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE LIABILITY$28,051,271
RETIREMENT PLAN - SERP$7,141
MINIMUM PENSION LIABILITY$39,324,062
INTEREST RATE SWAP LIABILITY$33,160,066
PHYSICIAN GUARANTEE$3,300,363
CONTINGENT PAYMENT MGPL$494,165
FieldValueIRS element (for citing)
Total Of Amounts104337068TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4Endowment funds support specific programs of SBCH.
SchD_P10_S00_L02Schedule D, Part X, Line 2The System and its affiliates, except for Pacific Diagnostic Laboratories, are not-for-profit corporations and are tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code and are exempt from income taxation under Section 501(a) of the Code and corresponding provisions of the California Revenue and Taxation Code, except to the extent of income derived from taxable unrelated business activities. Unrelated business income is not material to the financial statements. The System completed an analysis of its tax positions, in accordance with ASC 740, Income Taxes, and determined that there are no uncertain tax positions taken or expected to be 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 2009.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage3.5FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage5.42DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense16320877TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense16320877NetCommunityBenefitExpense
Percent Of Total Expense0.0295PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense99931474TotalCommunityBenefitExpense
Direct Offsetting Revenue51858916DirectOffsettingRevenue
Net Community Benefit Expense48072558NetCommunityBenefitExpense
Percent Of Total Expense0.0868PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense5177547TotalCommunityBenefitExpense
Direct Offsetting Revenue1586663DirectOffsettingRevenue
Net Community Benefit Expense3590884NetCommunityBenefitExpense
Percent Of Total Expense0.0065PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense121429898TotalCommunityBenefitExpense
Direct Offsetting Revenue53445579DirectOffsettingRevenue
Net Community Benefit Expense67984319NetCommunityBenefitExpense
Percent Of Total Expense0.1228PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9606231TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense9606231NetCommunityBenefitExpense
Percent Of Total Expense0.0174PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense9006005TotalCommunityBenefitExpense
Direct Offsetting Revenue5595612DirectOffsettingRevenue
Net Community Benefit Expense3410393NetCommunityBenefitExpense
Percent Of Total Expense0.0062PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense521490TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense521490NetCommunityBenefitExpense
Percent Of Total Expense0.0009PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense240446TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense240446NetCommunityBenefitExpense
Percent Of Total Expense0.0004PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense19374172TotalCommunityBenefitExpense
Direct Offsetting Revenue5595612DirectOffsettingRevenue
Net Community Benefit Expense13778560NetCommunityBenefitExpense
Percent Of Total Expense0.0249PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense140804070TotalCommunityBenefitExpense
Direct Offsetting Revenue59041191DirectOffsettingRevenue
Net Community Benefit Expense81762879NetCommunityBenefitExpense
Percent Of Total Expense0.1477PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,110,651BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare107053279AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare141441465CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-34388186MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Santa Barbara Cottage HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1400 West PuebloAddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93105ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.cottagehealthsystem.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherSanta Barbara Cottage Hospital and Cottage Rehab Hospital (operating under one license.)Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Santa Barbara Cottage HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent350FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent542FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Pacific Diagnostic Laboratories
454 South PattersonGoletaCA93117Outpatient Lab Services
Advanced Imaging Center
2410 Fletcher StreetSanta BarbaraCA93105Outpatient radiology center
Cottage Residential Center
312 West Montecito StreetSanta BarbaraCA93101Substance abuse rehabilitation center
SB Cope
2325 De La Vina StreetSanta BarbaraCA93105Substance abuse and detox treatment
Outpatient Rehabilitation
1035 Peach StreetSan Luis ObisopCA93401Outpatient clinicSuite 203
Children's Outpatient Specialty Clinics (2)
2329 Oak Park LaneSanta BarbaraCA93105Outpatient pediatric clinic for hemotology, oncology and gastrointestinal
Pediatric Endocrinology Clinic
427 West PuebloSanta BarbaraCA93105Outpatient pediatric endocrineology clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L06aSchedule H, Part I, Line 6aCottage Health System 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.
SchH_P01_S00_L07Schedule H, Part I, Line 7Our 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 Payer's net revenue is offset by the total cost and the results by Payer are calculated. In addition to a hospital-wide cost/charge ratio, we have calculated cost/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/charge ratio.
SchH_P01_S00_L07gSchedule H, Part I, Line 7gPalliative Care services are provided at no cost to the patient.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4Bad debt is not included in the Community Benefit report. FOOTNOTE: In July 2011, the FASB issued Accounting Standards Update (ASU) No. 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities (ASU 2011-07). The provisions of ASU 2011-07 require certain health care entities to present the provision for bad debts related to patient service revenue as a deduction from patient service revenue in the statement of income rather than an operating expense. Additional disclosures related to sources of patient service revenue and allowance for uncollectible accounts is also be required. This new guidance is effective for fiscal years beginning after December 15, 2011, with early adoption permitted. The System adopted the provisions of ASU 2011-07 as of and for the year ended December 31, 2012, and retrospectively applied the presentation requirements to all periods presented.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8The 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 2012 Medicare Cost Report and are derived following their guidelines of allowable and non-allowable costs.
SchH_P03_S0C_L09bSchedule H, Part III, Section C, Line 9bAll 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.
SchH_P05_S0B_L14Schedule H, Part V, Section B, Line 14A summary of the policy is posted in admitting offices. The full policy is reported to and available from the OSHPD website (www.oshpd.ca.gov). The policy can also be obtained upon request from a Patient Financial Counselor, whose contact information is provided on all billing statements along with a message regarding financial assistance. Patients that do not present any third party insurance information receive a brochure and eligibility counseling for the Patient Business Office.
SchH_P05_S0B_L20Schedule H, Part V, Section B, Line 20The maximum that could be charged is based on % of charges that is lower than commercial rates.
SchH_P06_S00_L02Schedule H, Part VI, Line 2Cottage Health System is currently in the process of updating its review of community needs. In its last assessment in 2009, Cottage Health System began an overhaul of its community benefit process and programs. First, Cottage reviewed focus areas of local, state, and national organizations to determine its own focus areas and then next reviewed its internal community outreach programs to ensure they aligned. Cottage Health System reviewed its external community grants process. Funds were shifted from the Foundation to Operations and grant guidelines were developed around the identified focus areas. Both the focus areas and grant program were part of an overall Community Benefit Plan that was approved by the Board of Directors in early 2010. As part of the community benefit review in 2009, Cottage Health System reviewed focus areas of multiple organizations. The Centers for Disease Control and Prevention and The National Health Foundation were reviewed at the national level, and the California Department of Public Health was reviewed at a state level. Locally, four organizations' focus areas and reports were reviewed: Santa Barbara County Public Health Department Status Report 2009, Santa Barbara KIDS Network, United Way of Santa Barbara, and Santa Barbara Neighborhood Clinics. Cottage Health System conducts a regular community perception survey, which includes questions regarding community needs. Cottage Health System also held a brainstorming session with 20 different hospital departments, and the Community Health Coordinating Committee provided input. After reviewing all of the information, Cottage Health System determined the greatest needs to be children's health, seniors' health, cancer, heart disease and stroke, and prevention and wellness.
SchH_P06_S00_L03Schedule H, Part VI, Line 3Santa Barbara Cottage Hospital has a multi-faceted 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's 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.
SchH_P06_S00_L04Schedule H, Part VI, Line 4Santa 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 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. Twenty-nine percent of the population is 0-17 years old; 58 % are 20-54 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.
SchH_P06_S00_L05Schedule H, Part VI, Line 5The 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 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. 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. As the new facility is built the Hospital continues to evaluate bed allocations in order to ensure that Subacute services continue to be available, determining dedicated pediatric bed needs, and allocating beds by patient care unit based upon projected health needs. 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.
SchH_P06_S00_L06Schedule H, Part VI, Line 6Cottage Health System 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 System 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 charity care and Medicaid shortfall from cost. The hospital also provides the majority of community benefit programs, which are reported in the Cottage Health System Community Benefit Report.
SchH_P06_S00_L07Schedule H, Part VI, Line 7Cottage Health System files an annual community benefit report in the State of California on behalf of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
Santa Barbara City College
721 Cliff DriveSanta BarbaraCA93109953234551government540000Support of Nursing Department at Santa Barbara City College
California State University Channel Islands Foundation
One University DriveCamarilloCA93012770433230government292000Support of the BSN program in Santa Barbara
Santa Barbara County Education Office
440 Cathedral Oaks RoadSanta BarbaraCA93160956000940government200000Support 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.
Casa Esperanza
PO Box 24116Santa BarbaraCA93121770502754501(c)3134633Casa Esperanza assists homeless individuals and families achieve self-sufficiency, by helping as many as possible access the services they need to transition to stable employment and housing.
University of California Regents
University DriveSanta BarbaraCA93106954377221government121065Support of research programs.
American Indian Health Services
4141 State StreetSanta BarbaraCA93110770398793501(c)397600Support of the American Indian Oral Health Program to ensure access to dental needs.
Foundation for Santa Barbara City College
721 Cliff DriveSanta BarbaraCA93109953234551501(c)390000Support of the SBCC Nursing Programs
Carpinteria Unified School District
5201 Eighth StreetCarpinteriaCA93013956101195government89684Funding helps the Carpinteria Children's Project to ensure all children entering Kindergarten are healthy and ready to succeed in school with a strong foundation for learning.
Visiting Nurse and HOSPICE Care Foundation
222 East Canon Perdido StreetSanta BarbaraCA93101951641969501(c)365000Supports Alliance for Living and Dying well
Mental Wellness Center of SB
617 Garden StreetSanta BarbaraCA93101951962659501(c)360000To assist with Recovery Learning Center and Employement Services programs.
Jodi House Inc
625 Chapala StreetSanta BarbaraCA93101953836137501(c)350000Funding for the Brain Injury Support Center
Council on Alcoholism and Drug Abuse
232 East Canon PerdidoSanta BarbaraCA93101951878858501(c)335000Support of the County Social Model Residential Detox Program
Franklin Elementary School
1111 East Mason StreetSanta BarbaraCA93103300690985government32000Support of the Franklin Obesity Initiative to fight childhood obesity.
Sarah House
PO Box 20031Santa BarbaraCA93120770224415501(c)330000Offset the end of life care provided to low income patients that transfer from the Hospital Palliative Care facility.
Easy Lift Transportation
53 Cass PlaceGoletaCA93117953642272501(c)325000This program supports individuals that require paratransit services and are either phycically or cognitively impaired and cannot feasibly use common types of public transportation. Dial-A-Ride allows people to access medical and other service centers essential to their physical and mental health.Suite D
Family Service Agency CRIS
123 West Gutierrez StreetSanta BarbaraCA93101951644031501(c)320000Community services for Senior Citizens
Willbridge of Santa Barbara
1215 East Montecito StreetSanta BarbaraCA93130571194195501(c)312812Support for transitional housing beds for homeless patients who are not appropriate for discharge to the streets or shelters and who need supervised convalescence.
Thresholds to Recovery
1038 Pittsfield LaneVenturaCA93001770335136501(c)38000Grant funding provides help to individuals who have been intoxicated in the public. The program offers an alternative to incarceration. Program follow-up includes referal for treatment of alcoholism as an effort in recovery.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants18TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchI_P01_S00_L02Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationGrant funds are monitored through the Community Health Coordinating Committee of Cottage Health System. 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ronald C Werft
CEO0747865024854101409306193530157360164558800
Steven A Fellows
COO043936101239350131600159051015736075124300
Joan Bricher
CFO042455101010240151070223576015786078004400
Jeffrey Gauvin MD
Dir Surg Education51898600000122500131430544379000
David Nichols
VP Business Devel-Lab1271770399090000122500124480550965000
Stephen Kaminski MD
Dir Trama Svcs & SICU3846000008280122500157360413414000
Charles Cline
Clinical Perfusionist2800430003020122500154030307998000
Melinda Staveley
VP CRH and Therapy Services20664203332402766302650801540303095400140200
Herbert Geary
VP Pt Care Svcs & CNO0281358039661012705031664015714038110200
Lisa Moore
VP Clinical Services027918203937402245031514015736036805100
Alberto Kywi
VP ISD/CIO02794830457660447880315340166250418196019005
Afshin Fatholahi
VP Support Services022096403920204695027497015714030807200

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L03Schedule J, Part I, Line 3On 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 executives.
SchJ_P01_S00_L04Schedule J, Part I, Line 4The 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 amounts paid under this plan in the future will be reported again as reportable compensation in the year paid. Melinda Stavely received a payout from the 457(f) plan in the amount of $14,020.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
California Health Facilities Financing Authority
A52164382813033FQT02003-11-20120987862Refund 1985 issuance and hospital replacement project000
California Statewide Communities Development Authority
B680164610130795Y762010-10-20300168359Refund 2008 issue000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A00120987862000136691530070009922024720100000020121011
B003001683590002937359000297231000020121011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0100000001
B0100000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A100001
B100001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonHerb GearyNamePerson
Relationship With OrganizationVice PresidentRelationshipWithOrganization
Purpose Of LoanHome PurchasePurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$250,000OriginalPrincipalAmount
Balance Due250000BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due250000TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Santa Barbara Gastro Medical Group
Board Member Ed Bentley MD is Partner64480Medical Professional Fees0
JoEllen Watson
Wife of Board Member105283Employee0
Santa Barbara Cardio Medical Group
Board Member Thomas Watson MD is partner187567Medical Professional Fees0
Santa Barbara Gastro Medical Group
Board Member Ed Bentley MD is a partner84980Lease0
Santa Barbara Cardio Med Group
Board member Thomas Watson is partner167878Lease0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2J. Robert Andrews and Greg Faulkner are partners in the same law firm.
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6Cottage Health System 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.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aCottage Health System 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.
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bThe 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 of the Board of Directors for Cottage Health System, 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.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bForm 990 is prepared under the direction of the Vice President of Finance and CFO. Form 990 is reviewed by VP Finance, CFO and 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.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe 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 System, 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 System. The Cottage Health System Directors have a duty to: 1.) discharge their duties to benefit the Cottage Health System and not the Directors personally 2.) disclose situations with the potential for conflict of interest with the vision and mission of Cottage Health System 3.) refrain from discussing confidential Cottage Health System business with others. Each Board member will annually complete the Cottage Health System 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 for items to be discussed at a Board meeting. If there are any material financial or personal interests a Board member/family member may have in a Board decision, the Director or Officer will disclose this to the Committee Chair for items to be discussed at Board Committees, before the Board reviews the transaction 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's 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 System and sign an annual conflict of interest form. These forms are reviewed by Compliance and any issues are brought to the Chief Compliance Officer.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15On 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 executives.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Tax filings can be obtained upon request from the CFO. Audited Financial Statements are attached to the Form 990 in accordance with IRS instructions.
F990_P11_S00_L09Form 990, Part XI, Line 9CHANGE IN FV INTEREST RATE SWAPS = 1,630,130 ; CHANGE IN PENSION LIABILITY: 2,951,420;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Pacific Diagnostic Laboratories LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93102ZIPCode
FieldValueIRS element (for citing)
EIN205038438EIN
Primary ActivitiesOutpatient laboratory servicesPrimaryActivities
Legal Domicile StateCALegalDomicileState
Total Income29880870TotalIncome
EOY Assets24532736EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SANTA BARBARA COTTAGE HOSPITALBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Cottage Health System
PO Box 689Santa BarbaraCA931020689770431902Parent organization for 3 hospitals and medical professional buildingCA501 (C) (3)11b-IIN/A0
Goleta Valley Cottage Hospital
PO Box 689Santa BarbaraCA931020689952413596HospitalCA501 (C) (3)31Cottage Health System
Santa Ynez Valley Cottage Hospital Inc
PO Box 689Santa BarbaraCA931020689952224265HospitalCA501 (C) (3)31Cottage Health System
Santa Barbara Cottage Hospital Foundation
PO Box 689Santa BarbaraCA931020689953802238Foundation to support Santa Barbara Cottage HospitalCA501 (C) (3)71Santa Barbara Cottage Hospital
Goleta Valley Professional Blds
PO Box 689Santa BarbaraCA931020689770004202Medical Prof BldgCA501 (C) (3)11b-II1Cottage Health System
RISB Foundation
2415 De La Vina StSanta BarbaraCA931023819260433816FundraisingCA501(c)(3)7N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Villa Riviera Real Estate CompanyBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93102ZIPCode
FieldValueIRS element (for citing)
EIN272996284EIN
Primary ActivityWorkforce housing developerPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SBCHFBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership0PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Goleta Valley Cottage Hospital
a-i880746accrual
Goleta Valley Cottage Hospital
l3290587accrual
Goleta Valley Cottage Hospital
o826606accrual
Goleta Valley Cottage Hospital
p1861549accrual
Goleta Valley Cottage Hospital
q39749749accrual
Goleta Valley Cottage Hospital
r407049accrual
Goleta Valley Cottage Hospital
s247876accrual
Santa Ynez Valley Cottage Hospital Inc
l1052003accrual
Santa Ynez Valley Cottage Hospital Inc
o329547accrual
Santa Ynez Valley Cottage Hospital Inc
q3177876accrual
Santa Barbara Cottage Hospital Foundation
c881071accrual
Santa Barbara Cottage Hospital Foundation
q201381accrual
Santa Barbara Cottage Hospital Foundation
r401361accrual
Goleta Valley Professional Blds
a-i23785accrual
Goleta Valley Professional Blds
q601679accrual