MEDICAL STAFF OF SANTA BARBARA COTTAGE HOSPITAL: Form 990, tax year 2025
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL STAFF OF SANTA BARBARA COTTAGE HOSPITAL (EIN 77-0242461)
- Tax period
- 2025-01-01 to 2025-12-31
- Filed
- 2026-08-07
- IRS object ID
- 202602199349300135
- Schema version
- 2025v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-07T11:53:37+00:00 | ReturnTs |
| Tax Period End | 2025-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2025-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770242461 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL STAFF OF SANTA BARBARA COTTAGE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDI | BusinessNameControlTxt |
| Phone | 8052876903 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ATTN FINANCE DEPT PO BOX 689 | AddressLine1Txt |
| City | SANTA BARBARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRENT KOVACS MD | PersonNm |
| Person Title | SECRETARY TREASURER | PersonTitleTxt |
| Phone | 8055697245 | PhoneNum |
| Signature | 2026-08-07 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANNE RODRIGUEZ MD CHIEF OF STAFF | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ATTN FINANCE DEPT PO BOX 689 | AddressLine1Txt |
| City | SANTA BARBARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $253,438 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | ASSOCIATION OF PHYSICIANS FORMED TO ENSURE QUALITY MEDICAL SERVICES ARE PROVIDED BY PHYSICIANS AT SANTA BARBARA COTTAGE HOSPITAL, GOLETA VALLEY COTTAGE HOSPITAL AND SANTA YNEZ VALLEY COTTAGE HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 39 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 34 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $204,599 | PYContributionsGrantsAmt |
| CY Contributions Grants | $243,520 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,061 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,995 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,857 | CYInvestmentIncomeAmt |
| PY Other Revenue | $351 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $206,945 | PYTotalRevenueAmt |
| CY Total Revenue | $253,438 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $283,549 | PYOtherExpensesAmt |
| CY Other Expenses | $250,489 | CYOtherExpensesAmt |
| PY Total Expenses | $283,549 | PYTotalExpensesAmt |
| CY Total Expenses | $250,489 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$76,604 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,949 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $378,847 | TotalAssetsBOYAmt |
| Total Assets EOY | $381,796 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $378,847 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $381,796 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE PURPOSE OF THE MEDICAL STAFF OF SANTA BARBARA IS TO ASSURE THAT ALL PATIENTS ADMITTED TO OR TREATED AT COTTAGE HEALTH FACILITIES (HOSPITALS) RECEIVE A UNIFORM STANDARD OF QUALITY CARE, TREATMENT AND EFFICIENCY CONSISTENT WITH GENERALLY ACCEPTED STANDARDS ATTAINABLE WITHIN THE HOSPITALS' MEANS AND CIRCUMSTANCES. IT ALSO ORGANIZES AND SUPPORTS PROFESSIONAL EDUCATION AND COMMUNITY HEALTH EDUCATION AND MEDICAL STAFF SUPPORT SERVICES. IT PROVIDES A MEANS FOR THE MEDICAL STAFF, BOARD OF DIRECTORS OF COTTAGE HEALTH (BOARD) AND ADMINISTRATION OF COTTAGE HEALTH TO DISCUSS ISSUES OF MUTUAL CONCERN AND TO IMPLEMENT EDUCATION AND CHANGES INTENDED TO CONTINUOUSLY IMPROVE THE QUALITY OF PATIENT CARE. IT PROVIDES FOR ACCOUNTABILITY OF THE MEDICAL STAFF TO THE BOARD THROUGH THE MEC. IT EXERCISES ITS RIGHTS AND RESPONSIBILITIES IN A MANNER THAT DOES NOT JEOPARDIZE THE HOSPITALS' LICENSES, MEDICARE AND MEDI-CAL PROVIDER STATUS, ACCREDITATION, OR TAX EXEMPT STATUS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $213,277 | ExpenseAmt |
| Revenue | $1,061 | RevenueAmt |
| Desc | IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS, THE MEDICAL STAFF OVERSEES THE REVIEW AND APPROVAL PROCESS FOR GRANTING CLINICAL PRIVILEGES AND MEMBERSHIP, AND PERFORMS ONGOING PROFESSIONAL PRACTICE PERFORMANCE AND PEER REVIEW THROUGH ESTABLISHED MECHANISMS AS DESCRIBED IN THE BYLAWS. MEDICAL STAFF DEPARTMENTS AND MEDICAL STAFF COMMITTEES HOLD MONTHLY MEETINGS TO REVIEW QUALITY AND PATIENT OUTCOMES IN ORDER TO ESTABLISH PATIENT CARE STANDARDS, INCLUDING FULL PARTICIPATION IN THE DEVELOPMENT OF HOSPITAL-WIDE POLICY INVOLVING THE OVERSIGHT OF CARE, TREATMENT AND SERVICES PROVIDED BY MEMBERS AND OTHERS IN THE HOSPITAL. | Desc |
| Total Program Service Expenses | $213,277 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 39 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 34 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIDIA RODRIGUEZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8055697245 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W PUEBLO | AddressLine1Txt |
| City | SANTA BARBARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93105 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| DR ANNE RODRIGUEZ MD | |||||||
| CHIEF OF STAFF-SANTA BARBARA | 12.0 | 0 | Yes (X) | Yes (X) | $147,375 | $0 | $0 |
| DR BRYAN EMMERSON MD | |||||||
| SECRETARY TREASURER-GOLETA | 2.0 | 0 | Yes (X) | Yes (X) | $188 | $0 | $0 |
| DR CHRISTOPHER HUTTON MD | |||||||
| VICE CHIEF OF STAFF-SANTA YNEZ VALLEY | 2.0 | 0 | Yes (X) | Yes (X) | $675 | $0 | $0 |
| DR DAVID VIERRA MD | |||||||
| CHIEF OF STAFF-GOLETA VALLEY | 6.0 | 0 | Yes (X) | Yes (X) | $17,550 | $0 | $0 |
| DR ERIC REY AMADOR MD | |||||||
| SECRETARY TREASURER-SANTA BARBARA | 5.0 | 0 | Yes (X) | Yes (X) | $33,375 | $0 | $0 |
| DR JULIE CHACKO MD | |||||||
| VICE CHIEF OF STAFF-GOLETA VALLEY | 3.0 | 0 | Yes (X) | Yes (X) | $2,588 | $0 | $0 |
| DR MICHAEL SHENODA MD | |||||||
| VICE CHIEF OF STAFF-SANTA BARBARA | 5.0 | 0 | Yes (X) | Yes (X) | $54,225 | $0 | $0 |
| DR NELS GERHARDT DO | |||||||
| CHIEF OF STAFF-SANTA YNEZ VALLEY | 3.0 | 0 | Yes (X) | Yes (X) | $13,612 | $0 | $0 |
| DR ROBIN KNAUSS MD | |||||||
| SECRETARY TREASURER-SANTA YNEZ | 2.0 | 0 | Yes (X) | Yes (X) | $1,838 | $0 | $0 |
| DR ALEX SOFFICI MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DR ALEXANDER MORF MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DR ANITA RAI MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,425 | $0 | $0 | |
| DR BENJAMIN DIENER MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $8,100 | $0 | $0 | |
| DR BERNARD CHOW MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $4,800 | $0 | $0 | |
| DR BINDU KAMAL MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,200 | $0 | $0 | |
| DR BRUCE MAY MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $4,100 | $0 | $0 | |
| DR CAROLYN JEWELL MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $8,200 | $0 | $0 | |
| DR CHRISTOPHER QUIJANO DO | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,500 | $0 | $0 | |
| DR CHRISTOPHER THRASH MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,200 | $0 | $0 | |
| DR CRISTINA HARNSBERGER MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $7,100 | $0 | $0 | |
| DR DAVID BIRKEN MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $750 | $0 | $0 | |
| DR DAVID ORIAS MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $5,400 | $0 | $0 | |
| DR DAVID RAPHAEL MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $5,900 | $0 | $0 | |
| DR DUSTIN SANCHEZ MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $3,750 | $0 | $0 | |
| DR ERICK SUESS MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $4,200 | $0 | $0 | |
| DR GARY BLUM MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,350 | $0 | $0 | |
| DR JERVIS YAU MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $5,800 | $0 | $0 | |
| DR JOHN ANIS MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $6,388 | $0 | $0 | |
| DR JOHN WRENCH MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,462 | $0 | $0 | |
| DR KATHY CHUNG MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $6,938 | $0 | $0 | |
| DR KEVIN BECKMEN DO | |||||||
| IMMEDIATE PAST CHIEF OF STAFF-SANTA YNEZ VALLEY | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DR LEXINE YURCHO MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,538 | $0 | $0 | |
| DR MARK RICHMOND MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $1,500 | $0 | $0 | |
| DR MATTHEW DENICOLA MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $2,700 | $0 | $0 | |
| DR MICHAEL GIBBS MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $6,000 | $0 | $0 | |
| DR PIERRE HUEBER MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $3,000 | $0 | $0 | |
| DR STEPHEN COUVILLION MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $2,550 | $0 | $0 | |
| DR STEVEN YAO MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $3,375 | $0 | $0 | |
| DR THOMAS BEAMER MD | |||||||
| BOARD MEMBER | 2.0 | 0 | Yes (X) | $4,638 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $376,290 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $211,520 | MembershipDuesAmt |
| All Other Contributions | $32,000 | AllOtherContributionsAmt |
| Total Contributions | $243,520 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM FEES | Desc |
| Total Revenue Column | $1,061 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,061 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,061 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,857 | TotalRevenueColumnAmt |
| Exclusion | $8,857 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALL OTHER REVENUES | Desc |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $253,438 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,061 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,857 | ExclusionAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HONORARIA | $187,000 | $187,000 | |
| MEETINGS AND AWARDS | $56,243 | $23,082 | $33,161 |
| EDUCATION AND TRAINING | $6,335 | $3,195 | $3,140 |
| SUPPLIES, FEES AND TAXES | $911 | $911 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,489 | TotalAmt |
| Program Services | $213,277 | ProgramServicesAmt |
| Management And General | $37,212 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,569 | BOYAmt |
| EOY | $167,662 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,278 | BOYAmt |
| EOY | $214,134 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,847 | BOYAmt |
| EOY | $381,796 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,847 | BOYAmt |
| EOY | $381,796 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,847 | BOYAmt |
| EOY | $381,796 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,847 | BOYAmt |
| EOY | $381,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,949 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $241,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $270,938 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $203,650 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,599 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $243,520 | CurrentTaxYearAmt |
| Total | $1,164,557 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $351 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,061 | CurrentTaxYearAmt |
| Total | $1,412 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $241,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $270,938 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $203,650 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,950 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $244,581 | CurrentTaxYearAmt |
| Total | $1,165,969 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,165,969 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,995 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,857 | CurrentTaxYearAmt |
| Total | $10,852 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,995 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,857 | CurrentTaxYearAmt |
| Total | $10,852 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $241,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $270,938 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $203,650 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $206,945 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $253,438 | CurrentTaxYearAmt |
| Total | $1,176,821 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99078 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99496 | PublicSupportPY509Pct |
| Investment Income CY | 0.01 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR ANNE RODRIGUEZ MD | ||||||||||||||
| CHIEF OF STAFF-SANTA BARBARA | $147,375 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $147,375 | $0 | $0 | $0 |
| DR DAVID VIERRA MD | ||||||||||||||
| CHIEF OF STAFF-GOLETA VALLEY | $17,550 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,550 | $0 | $0 | $0 |
| DR NELS GERHARDT DO | ||||||||||||||
| CHIEF OF STAFF-SANTA YNEZ VALLEY | $13,612 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,612 | $0 | $0 | $0 |
| DR MICHAEL SHENODA MD | ||||||||||||||
| VICE CHIEF OF STAFF-SANTA BARBARA | $54,225 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $54,225 | $0 | $0 | $0 |
| DR JULIE CHACKO MD | ||||||||||||||
| VICE CHIEF OF STAFF-GOLETA VALLEY | $2,588 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,588 | $0 | $0 | $0 |
| DR CHRISTOPHER HUTTON MD | ||||||||||||||
| VICE CHIEF OF STAFF-SANTA YNEZ VALLEY | $675 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $675 | $0 | $0 | $0 |
| DR ERIC REY AMADOR MD | ||||||||||||||
| SECRETARY TREASURER-SANTA BARBARA | $33,375 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $33,375 | $0 | $0 | $0 |
| DR BRYAN EMMERSON MD | ||||||||||||||
| SECRETARY TREASURER-GOLETA | $188 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $188 | $0 | $0 | $0 |
| DR ROBIN KNAUSS MD | ||||||||||||||
| SECRETARY TREASURER-SANTA YNEZ | $1,838 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,838 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART II COMPENSATION FROM UNRELATED ORGANIZATIONS | ALL CHIEFS OF STAFF, VICE CHIEFS OF STAFF AND SECRETARY-TREASURERS REPORTED ON THIS SCHEDULE J RECEIVE COMPENSATION FROM AN UNRELATED ORGANIZATION (SANTA BARBARA COTTAGE HOSPITAL, GOLETA VALLEY COTTAGE HOSPITAL OR SANTA YNEZ VALLEY COTTAGE HOSPITAL) FOR THEIR SERVICES AS OFFICERS OF THE REPORTING ENTITY. |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. ANNE RODRIGUEZ, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 147375, NAME OF UNRELATED ORGANIZATION - SANTA BARBARA COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. DAVID VIERRA, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 17550, NAME OF UNRELATED ORGANIZATION - GOLETA VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. NELS GERHARDT, D.O., COMPENSATION FROM UNRELATED ORGANIZATION - 13612, NAME OF UNRELATED ORGANIZATION - SANTA YNEZ VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. MICHAEL SHENODA, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 54225, NAME OF UNRELATED ORGANIZATION - SANTA BARBARA COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. JULIE CHACKO, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 2588, NAME OF UNRELATED ORGANIZATION - GOLETA VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. CHRISTOPHER HUTTON, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 675, NAME OF UNRELATED ORGANIZATION - SANTA YNEZ VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. ERIC REY AMADOR, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 33375, NAME OF UNRELATED ORGANIZATION - SANTA BARBARA COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. BRYAN EMMERSON, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 188, NAME OF UNRELATED ORGANIZATION - GOLETA VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
| SCHEDULE J, PART II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DR. ROBIN KNAUSS, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 1088, NAME OF UNRELATED ORGANIZATION - SANTA YNEZ VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - NON-EMPLOYEE COMPENSATION |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS | PER JOINT COMMISSION ACCREDITATION RULES, THE BOARD OF COTTAGE HEALTH MUST APPROVE OF CHANGES TO THE BYLAWS OF THE MEDICAL STAFF. |
| FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY | FORM 990'S ARE PREPARED BY THE FINANCE DEPARTMENT OF COTTAGE HEALTH BASED ON THE RECORDS OF THE MEDICAL STAFF OFFICE AND REVIEWED BY THE CHIEF OF STAFF AND SECRETARY TREASURER FOR SANTA BARBARA COTTAGE HOSPITAL AND THE COTTAGE HEALTH VICE PRESIDENT OF MEDICAL AFFAIRS. |
| FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY | MEDICAL STAFF SIGN A DISCLOSURE AGREEMENT AT THEIR INITIAL APPOINTMENT AND REAPPOINTMENT EVERY TWO YEARS. |
| FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES | A MEDICAL STAFF COMPENSATION TASK FORCE REVIEWS COMPENSATION FOR OFFICERS AND FOR DEPARTMENT AND COMMITTEE CHAIRS BASED ON MARKET VALUES ESTABLISHED BY AN INDEPENDENT THIRD PARTY. THE RECOMMENDATIONS ARE REVIEWED AND APPROVED BY THE MEDICAL EXECUTIVE COMMITTEE (MEC). |
| FORM 990, PART VI, LINE 18 HOW FORMS ARE MADE AVAILABLE TO THE PUBLIC | DOCUMENTS ARE AVAILABLE BY REQUEST FROM MEDICAL STAFF SERVICES. |
| FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC | DOCUMENTS ARE AVAILABLE BY REQUEST FROM MEDICAL STAFF SERVICES. |
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