2011-11-14T17:04:08-07:00 2010-12-31 990 2010-01-01 770431902 COTTAGE HEALTH SYSTEM COTT 8056827111 PO Box 689 Santa Barbara CA 93102 Joan Bricher 8056827111 2011-11-14 2010 2016-03-07 17:11:31Z Ronald C Werft Same as C Above Santa Barbara CA 93102 0 0 X www.cottagehealthsystem.org X 1996 CA It is the mission of Cottage Health System to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. Cottage Health System is the sole corporate member for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, Inc. 17 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X It is the mission of Cottage Health System to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. Cottage Health System is the sole corporate member for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, Inc. 0 1 0 0 0 It is the mission of Cottage Health System to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. Cottage Health System is the sole corporate member for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, Inc. 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 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. 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 X 17 12 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 CA X Karen L Jones 8056827111 PO Box 689 Santa Barbara CA 93102 X J Robert Andrews Esq 3 X 0 0 0 Margaret Baker 2 X 0 0 0 Jon Clark 2 X 0 0 0 Judith Hopkinson 2 X 0 0 0 Angel Iscovich MD 3 X 0 0 0 Charles A Jackson 3 X 0 0 0 Alex Koper MD 2 X 0 15080 0 John Romo 2 X 0 0 0 Robert Nourse 2 X 0 0 0 Marshall Turner 2 X 0 0 0 Tom Watson MD 2 X 0 17293 0 Fred Lukas 2 X 0 0 0 Jeffrey Kupperman MD 3 X X 0 58678 0 Robert Nakasone 3 X X 0 0 0 Ed Birch PhD 3 X X 0 0 0 Frederick Gluck 3 X X 0 0 0 Gretchen Milligan 4 X X 0 0 0 Ronald C Werft 2 X 0 965143 599725 Steven A Fellows 2 X 0 561677 147378 Joan Bricher 2 X 0 505806 233530 Julie Artoux 2 X 0 108348 13238 0 2232025 993871 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 X 0 1 1 X 0 X X X 0 0 0 Santa Barbara Cottage Hospital 951644629 3 1 1 1 0 Goleta Valley Cottage Hospital 952413596 3 1 1 1 0 Santa Ynez Valley Cottage Hospital Inc 952224265 3 1 1 1 0 Goleta Valley Professional Buildings Inc 770004202 11b-II 1 1 1 0 4 0 X X X X 0 1 0 0 0 0 0 0 0 Ronald C Werft 0 700939 0 250718 0 13487 0 591904 0 7821 0 1564869 0 0 Steven A Fellows 0 409933 0 120408 0 31336 0 139557 0 7821 0 709055 0 0 Joan Bricher 0 402235 0 96171 0 7400 0 225709 0 7821 0 739336 0 0 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 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 within the minutes. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 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. F990_P03_S00_L03 Form 990, Part III, Line 3 In 2010, salaries for the executives and officers of Cottage Health System were moved to the payroll of Santa Barbara Cottage Hospital. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Robert Nourse and Robert Nakasone business relationship. F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a Form 990 is prepared under the direction of the Vice President of Finance and reviewed by the Chief Financial Officer prior to filing. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c 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 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. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 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 within the minutes. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Governing documents are available from the Assistant Secretary and financial documentation is available form the Chief Financial Officer. F990_P07_S0A_L01a Form 990, Part VII, Section A, Line 1a 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, Goleta Valley Professional Bldg Inc. 1 hour; 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, Goleta Valley Professional Bldg Inc. 1 hour; 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, Goleta Valley Professional Bldg Inc. 1 hour; 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, Goleta Valley Professional Bldg Inc. 1 hour. Santa Barbara Cottage Hospital PO Box 689 Santa Barbara CA 93102 951644629 Hospital CA 501(c)(3) 3 N/A 1 Goleta Valley Cottage Hospital PO Box 689 Santa Barbara CA 93102 952413596 Hospital CA 501(c)(3) 3 N/A 1 Santa Ynez Valley Cottage Hospital Inc PO Box 689 Santa Barbara CA 93102 952224265 Hospital CA 501(c)(3) 3 N/A 1 Santa Barbara Cottage Hospital Foundation PO Box 689 Santa Barbara CA 93102 953802238 Supports Santa Barbara Cottage Hospital CA 501(c)(3) 7 N/A 1 Goleta Valley Professional Buildings Inc PO Box 689 Santa Barbara CA 93102 770004202 Medical Professional Buidling CA 501(c)(3) 11b-II N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0