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        <BusinessNameLine1>SANTA YNEZ VALLEY COTTAGE HOSPITAL</BusinessNameLine1>
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      <Phone>8056827111</Phone>
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        <AddressLine1>PO BOX 689</AddressLine1>
        <City>SANTA BARBARA</City>
        <State>CA</State>
        <ZIPCode>931020689</ZIPCode>
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    <Officer>
      <Name>Joan Bricher</Name>
      <Title>Senior Vice President and CFO</Title>
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      <DateSigned>2011-11-15</DateSigned>
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      <ActivityOrMissionDescription>It is the mission of Santa Ynez Valley 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. SYVCH is a rural hospital and is designated a critical access hospital. The hospital provides critical emergency services which allow for local stabilization of the patient and transfer to an affiliated hospital that provides a higher level of care.</ActivityOrMissionDescription>
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      <Description>Santa Ynez Valley Cottage Hospital is a 10-bed acute-care hospital located in the rural area known as the Santa Ynez Valley. In 2010, the Hospital had 1,022 patient days, served 29,431 outpatients including emergency services to 6,188 patients. The Hospital provided essential emergency treatment, inpatient acute care, outpatient surgical services, laboratory, imaging diagnostic services and cardiac rehabilitation services to the residents of the Santa Ynez Valley, including the communities of Solvang, Buellton, Santa Ynez, Los Olivos, and Ballard. Community outreach efforts for Cottage Health System in 2010 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. 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 in Medicare, Medi-Cal, and indigent care. In 2010, Cottage Health System spent nearly $105 million on these programs. Santa Ynez Valley Cottage Hospital provides emergency services to anyone seeking care, regardless of their ability to pay. All patients who do not present with 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 Ynez Valley 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 543% of the FPL. In order to ensure that the Community has access to physician specialists, the Hospital also rents medical office space on a per clinic basis. In 2010, 81 patients qualified for full financial assistance. In 2010, the Hospital provided over 700 flu shots at a reduced cost to the community, low cost bike helmets and CPR classes. The hospital's cardiac rehabilitation service also provides a low cost exercise program for seniors. Santa Ynez Valley Cottage Hospital is also rebuilding and retrofitting its facilities in order to comply with the unfunded California mandate that requires hospitals to be able to withstand a major earthquake or close its doors. The Hospital is complying with the State mandate in order to ensure that hospital services remain accessible to the Community.</Description>
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        <Title>Radiology Technician III</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>130952</ReportableCompFromOrganization>
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        <OtherCompensation>14368</OtherCompensation>
      </Form990PartVIISectionA>
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      <TotalReportableCompFrmRltdOrgs>2232025</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>1098947</TotalOtherCompensation>
      <NumberIndividualsGT100K>14</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PACIFIC DIAGNOSTIC LABORATORIES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1200</AddressLine1>
            <City>SANTA BARBARA</City>
            <State>CA</State>
            <ZIPCode>93102</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LAB TESTING</DescriptionOfServices>
        <Compensation>336839</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CALIFORNIA EM-1 MEDICAL SERVICES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>7032 COLLECTION CENTER DR</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN</DescriptionOfServices>
        <Compensation>252517</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>JD HUMANN LANDSCAPING INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 2205</AddressLine1>
            <City>ORCUTT</City>
            <State>CA</State>
            <ZIPCode>93457</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LANDSCAPE CONTRACTOR</DescriptionOfServices>
        <Compensation>182964</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>COMFORCE</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 31001-0893</AddressLine1>
            <City>PASADENA</City>
            <State>CA</State>
            <ZIPCode>91110</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>NURSING</DescriptionOfServices>
        <Compensation>155885</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>HFS CONSULTANTS</NamePerson>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>505 FOURTEENTH STREET</AddressLine1>
            <City>OAKLAND</City>
            <State>CA</State>
            <ZIPCode>946121912</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>REIMBURSEMENT CONSULTANT</DescriptionOfServices>
        <Compensation>103800</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>4220</MembershipDues>
      <FundraisingEvents>0</FundraisingEvents>
      <RelatedOrganizations>3345504</RelatedOrganizations>
      <GovernmentGrants>9100</GovernmentGrants>
      <AllOtherContributions>39515</AllOtherContributions>
      <NoncashContributions>12982</NoncashContributions>
      <TotalContributions>3398339</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>12334309</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>12334309</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HOSPITAL MEDI-CAL SUPPLEMENTAL FEE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>66279</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PHYSICIAN ROOM RENTAL</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>27825</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>27825</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>12428413</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>76147</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>76147</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>500674</Securities>
        <Other>0</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
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        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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        <Other>0</Other>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>17146</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <GrossIncomeFundraisingEvents>6499</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-6621</TotalRevenueColumn>
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        <ExclusionAmount>-6621</ExclusionAmount>
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        <Description>THRIFT SHOP REVENUE</Description>
        <BusinessCode>453310</BusinessCode>
        <TotalRevenueColumn>90338</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>90338</ExclusionAmount>
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      <OtherRevenueMisc>
        <Description>LABORATORY MISC REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>14270</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>14270</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <OtherRevenueMisc>
        <Description>REBATES AND REFUNDS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>8590</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8590</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>0</ExclusionAmount>
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      <MiscellaneousRevenue>
        <TotalRevenueColumn>2834</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2834</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <TotalRevenue>
        <TotalRevenueColumn>16029456</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>12439837</RelatedOrExemptFunctionIncome>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
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      <GrantsToDomesticIndividuals>
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        <ProgramServices>10175</ProgramServices>
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      <ForeignGrants>
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        <ProgramServices>0</ProgramServices>
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      <BenefitsToMembers>
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        <ProgramServices>0</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>224596</Total>
        <ProgramServices>157217</ProgramServices>
        <ManagementAndGeneral>67379</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
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      <OtherSalariesAndWages>
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        <ProgramServices>3579634</ProgramServices>
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      <PensionPlanContributions>
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        <ProgramServices>354093</ProgramServices>
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      <OtherEmployeeBenefits>
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        <ProgramServices>920003</ProgramServices>
        <ManagementAndGeneral>351728</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>302311</ProgramServices>
        <ManagementAndGeneral>51955</ManagementAndGeneral>
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      </PayrollTaxes>
      <FeesForServicesManagement>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <FeesForServicesLegal>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>2250</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>19242</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>19242</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>3678</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>22638</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ProgramServices>1986983</ProgramServices>
        <ManagementAndGeneral>559209</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>766697</ProgramServices>
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      <InformationTechnology>
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        <ProgramServices>41481</ProgramServices>
        <ManagementAndGeneral>14116</ManagementAndGeneral>
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      <Royalties>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>165677</ProgramServices>
        <ManagementAndGeneral>59417</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>8191</ProgramServices>
        <ManagementAndGeneral>6283</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <ConferencesMeetings>
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        <ManagementAndGeneral>225</ManagementAndGeneral>
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      <Interest>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PaymentsToAffiliates>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>176764</ProgramServices>
        <ManagementAndGeneral>67318</ManagementAndGeneral>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>54788</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>PROVISIONS FOR BAD DEBT</Description>
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        <ProgramServices>443315</ProgramServices>
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        <Fundraising>0</Fundraising>
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      <OtherExpenses>
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        <ProgramServices>230312</ProgramServices>
        <ManagementAndGeneral>32047</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>LICENSES</Description>
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        <ProgramServices>6560</ProgramServices>
        <ManagementAndGeneral>15945</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
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        <ProgramServices>698</ProgramServices>
        <ManagementAndGeneral>21407</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>LOSS ON RETIREMENT OF EQUIPMENT</Description>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>9396</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <TotalFunctionalExpenses>
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        <EOY>0</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
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      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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    </IRS990ScheduleB>
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      <MediaAdvertisements>0</MediaAdvertisements>
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      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
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      <TotalLobbyingExpendituresIIB>3678</TotalLobbyingExpendituresIIB>
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        <BookValue>338323</BookValue>
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        <BookValue>666805</BookValue>
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        <Amount>481197</Amount>
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      <OtherLiabilities>
        <Description>RETIREMENT PLAN - SERP</Description>
        <Amount>23536</Amount>
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        <Description>MINIMUM PENSION LIABILITY</Description>
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        <Name>
          <BusinessNameLine1>Santa Ynez Valley Cottage Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2050 Viborg Road</AddressLine1>
          <City>Solvang</City>
          <State>CA</State>
          <ZIPCode>93463</ZIPCode>
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        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
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      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Santa Ynez Valley Cottage Hospital</BusinessNameLine1>
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        <HospitalFacilityNumber>1</HospitalFacilityNumber>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L06a</Identifier>
        <ReturnReference>Schedule H, Part I, Line 6a</ReturnReference>
        <Explanation>Cottage Health System</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L07</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7</ReturnReference>
        <Explanation>The cost-to-charge ratio was used to determine unreimbursed services provided to patients. The amounts reported represent all hospital segments including inpatient, outpatient, and emergency department. All health plans including Medicare, Medicaid and private insurance are also accounted for. The cost-to-charge ratio, specific to the services rendered, is also used to determine the cost of charity care provided to patients.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L072f</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7, Column f</ReturnReference>
        <Explanation>$443,315 in bad debt is included in total expenses but removed for calculating community benefit percentage.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L07g</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7g</ReturnReference>
        <Explanation>Cardiac Rehabilitation services are provided at a loss.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0A_L04</Identifier>
        <ReturnReference>Schedule H, Part III, Section A, Line 4</ReturnReference>
        <Explanation>No note in the audited financial statements regarding bad debt expense. Bad debt is not included in our Community Benefit report. Bad debt expense is derived from cost to charge ratios.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0B_L08</Identifier>
        <ReturnReference>Schedule H, Part III, Section B, Line 8</ReturnReference>
        <Explanation>These are significant losses for the hospital and they provide a tremendous benefit to the community as do the other government programs that do not cover the cost of care for the patients served. The cost-to-charge ratio was used to determine unreimbursed services provided to patients with a third-party payer. The amounts reported represent all hospital segments including inpatient, outpatient, and emergency department. Medicare allowable costs are derived from the hospital's cost report, as summarized on W/S D-1 Part II (Inpatient) and W/S D Part V (Outpatient). Total expenses from the general ledger are separated into reimbursable and non-reimbursable cost centers. Adjustments are applied to eliminate additional non-reimbursable costs and to offset revenue recoveries against certain costs. Overhead costs (capital, administrative and general, etc) are allocated to each revenue-generating reimbursable cost center on a statistical basis. Total costs (direct and allocated) for all revenue-generating departments are compared to total charges (gross revenues) for each department to determine a departmental cost-to-charge ratio. These cost-to-charge ratios are used to derive Medicare allowable costs for each department, by multiplying these ratios by total Medicare charges as summarized on provider statistical and reimbursement system (PS&amp;R) reports provided by the Medicare fiscal intermediary.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0C_L09b</Identifier>
        <ReturnReference>Schedule H, Part III, Section C, Line 9b</ReturnReference>
        <Explanation>Financial assistance policy is followed for all patient types. If a patient is known to qualify for charity care, their account is written down to zero and they do not proceed through the formal collection process.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L02</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 2</ReturnReference>
        <Explanation>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 our own focus areas and then next reviewed our 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 included 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L03</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 3</ReturnReference>
        <Explanation>Santa Ynez Cottage Hospital (SYVCH) 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 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 a patient financial counselor to help determine eligibility for government-sponsored insurance programs and assist with the application process. A Medi-Cal eligibility worker is also provided on site at SYVCH to help facilitate with Medi-Cal applications while the patient is in the hospital. Patient Financial Counselors who answer customer service calls are instructed to offer charity care applications to all patients who indicate they have financial need.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L04</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 4</ReturnReference>
        <Explanation>Santa Barbara County is situated on the southern coast of California, with Ventura County bordering on the east, San Luis Obispo County on the north, and Kern County on the northeastern corner. Roughly rectangular in shape, the county contains 2,750 square miles of varied terrain. 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. The Los Padres National Forest, in the eastern part of the county, covers approximately 44 percent of the total county area. The county's 430,200 population is divided into five sub regions: South Coast (205,800); Lompoc Valley (61,200), Santa Maria Valley (137,600); Santa Ynez Valley (24,000); Cuyama (1,500). 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. Twenty-one percent of the county's population are foreign-born, and 32.8% of persons over the age of five reported speaking a language other than English at home. 12.7% of county residents live below the poverty level.</Explanation>
      </Form990ScheduleHPartVI>
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        <Identifier>SchH_P06_S00_L05</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 5</ReturnReference>
        <Explanation>The Board of Directors is made up of prominent community members who volunteer their time to ensure that the Santa Ynez Valley Community has access to high-quality, affordable healthcare. The Board of Directors is actively involved in the Hospital's strategic decisions and takes its commitment to the Community very seriously. The Board approves of an annual financial budget and ten-year financial plan to guarantee the Hospital will continue to offer hospital services to the Community for years to come. The Board also approves of annual top goals that are consistent with the mission, vision and values of the Hospital. The financial forethought of the Board of Directors resulted in surplus funds that are being used to rebuild the facility. SYVCH 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. SYVCH 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.</Explanation>
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        <Identifier>SchH_P06_S00_L06</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 6</ReturnReference>
        <Explanation>Cottage Health System is the parent organization of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital. 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.</Explanation>
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        <Identifier>SchH_P06_S00_L07</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 7</ReturnReference>
        <Explanation>CA</Explanation>
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        <TypeOfGrant>Scholarship</TypeOfGrant>
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        <Explanation>The Community Health Coordinating Committee (CHCC) serves as a resource and driving force for the health system's community outreach. The Committee is comprised of representation from the following Cottage departments: Administration, Compliance, Education, Finance, Nutrition, Parish Nursing, Psychiatric Services, Public Affairs, Reeves Library, Rehabilitation Hospital, Trauma Services, Volunteer Services, and Wound Care. During 2009, the committee began writing of a first-time Community Benefit Plan, which received Board approval in early 2010. The committee recommends grants and reviews six month progress reports. Funding is dispersed in quarterly increments and is contingent upon the six month review.</Explanation>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6888</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>7821</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>152471</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L03</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>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 executives.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L04</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4</ReturnReference>
        <Explanation>The amounts reported in the current year's deferred compensation includes recognition of past service expense. 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. No payouts were made in 2010.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="R000009" softwareId="10000077" softwareVersion="v1.00">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>California EM-1 Care</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Board Member is President of West Coast Operations</Relationship>
        <AmountOfTransaction>252517</AmountOfTransaction>
        <DescriptionOfTransaction>Professional emergency physician services</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="R000010" softwareId="10000077" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>Robert Nourse and Robert Nakasone business relationship</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L04</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 4</ReturnReference>
        <Explanation>Amended bylaws to be consistent among affiliated organizations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L06</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>Cottage 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07a</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>Cottage Health System is the sole corporate member of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc and can appoint Directors to the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07b</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>The Board of Directors for Santa Barbara Cottage Hospital, Goleta 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11a</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11a</ReturnReference>
        <Explanation>Form 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>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 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 Director or Officer will disclose to Committee Chair for items to be discussed at Board Committees, any material financial or personal interest he/she/family member may have in a Board decision before the Board reviews the transaction and takes action. In general, a Director or Officer who had disclosed a potential conflict should be excused from the decision making portion of the discussion and are 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. If after hearing the Director or Officer's response and conducting a further investigation if warranted, the Board determines the Director of 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>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 executives and is documented in the Committee and Board minutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Governing documents can be obtained upon request from the Assistant Secretary of the Board. Tax filings can be obtained upon request from the CFO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P07_S0A_L01a</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Line 1a</ReturnReference>
        <Explanation>As required by the instructions of Form 990, the compensation amounts for Ronald C. Werft, CEO, Steven A. Fellows, COO, Joan Bricher, CFO and Julie Artoux, Assistant Secretary are repeated on the Form 990 for all organizations for which they serve as officers. The following list provides the amount of time each employed officer listed in Part VII performed services for related organizations. Ronald C. Werft: Santa Barbara Cottage Hospital 24 hours, Goleta Valley Cottage Hospital 6 hours, Santa Ynez Valley Cottage Hospital 1 hour, Santa Barbara Cottage Hospital Foundation 9 hours; Steven A. Fellows: Santa Barbara Cottage Hospital 33 hours, Goleta Valley Cottage Hospital 6 hours, Santa Ynez Valley Cottage Hospital 1 hour, Santa Barbara Cottage Hospital Foundation 0 hours; Joan Bricher: Santa Barbara Cottage Hospital 30 hours, Goleta Valley Cottage Hospital 4 hours, Santa Ynez Valley Cottage Hospital 1 hour, Santa Barbara Cottage Hospital Foundation 5 hours; Julie Artoux: Santa Barbara Cottage Hospital 24 hours, Goleta Valley Cottage Hospital 6 hours, Santa Ynez Valley Cottage Hospital 1 hour, Santa Barbara Cottage Hospital Foundation 9 hours.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L05</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS INCLUDE: UNREALIZED LOSSES (32,776) CHANGE IN PENSION LIABILITY 204,862 CHANGE IN CRT 7,040</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000011" softwareId="10000077" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Cottage Health System</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 689</AddressLine1>
          <City>Santa Barbara</City>
          <State>CA</State>
          <ZIPCode>931020689</ZIPCode>
        </AddressUS>
        <EIN>770431902</EIN>
        <PrimaryActivities>Parent organization for 3 hospitals and medical professional building</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
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          <BusinessNameLine1>Santa Barbara Cottage Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>PO Box 689</AddressLine1>
          <City>Santa Barbara</City>
          <State>CA</State>
          <ZIPCode>931020689</ZIPCode>
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        <EIN>953802238</EIN>
        <PrimaryActivities>Foundation to support Santa Barbara Cottage Hospital</PrimaryActivities>
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        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
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        <ControlledOrg>1</ControlledOrg>
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          <BusinessNameLine1>Santa Ynez Valley Cottage Hospital Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>2050 Viborg Road</AddressLine1>
          <City>Santa Ynez</City>
          <State>CA</State>
          <ZIPCode>934632220</ZIPCode>
        </AddressUS>
        <EIN>953308522</EIN>
        <PrimaryActivities>Foundation to support Santa Ynez Valley Cottage Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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        <PublicCharityStatus>7</PublicCharityStatus>
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          <BusinessNameLine1>Goleta Valley Professional Buildings Inc</BusinessNameLine1>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Santa Ynez Valley Cottage Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>3345504</AmountInvolved>
        <MethodOfAmtDetermination>accrual</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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        <AmountInvolved>5364869</AmountInvolved>
        <MethodOfAmtDetermination>accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Santa Barbara Cottage Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>127096</AmountInvolved>
        <MethodOfAmtDetermination>accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>accrual</MethodOfAmtDetermination>
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</Return>