2022-11-14T18:30:45-06:00 2021-12-31 346565596 Ernst and Young LLP 4365 Executive Drive Suite 1600 San Diego CA 92121 990 2021-01-01 770431902 Cottage Health COTT 8052876903 PO Box 689 Attn Finance Dept Santa Barbara CA 93102 Kristin Tufvesson Sr VP Finance and CFO 2022-11-14 true Kristin Tufvesson 999009999 Jocelyne Miller P00634378 8585357200 2021 2022-09-23 18:48:47Z Ronald Werft PO Box 689 Attn Finance Dept Santa Barbara CA 93102 218457387 false X www.cottagehealth.org X 1996 CA It is the mission of Cottage Health to provide superior health care for and improve the health care of our communities through a commitment to our core values of excellence, integrity, and compassion. 16 15 767 0 55632 1649 2097325 2327053 172350969 215687566 0 1182 1523971 441586 175972265 218457387 334016 740684 0 0 96646052 145159603 0 0 87632411 86551371 184612479 232451658 -8640214 -13994271 147215646 176397036 138759695 175428038 8455951 968998 It is the mission of Cottage Health to provide superior health care for and improve the health care of our communities through a commitment to our core values of excellence, integrity, and compassion. false false 131517163 740684 204122028 Cottage Health provided management and administrative services to Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. 20724590 0 11951492 Cottage Clinical Network LLC (CCN) was created in 2019 with Cottage Health as its sole corporate member, and became operational in 2020. CCN operates urgent care centers in the surrounding communities. CCN was begun as a response to the community's shortage of primary care physicians. These walk-in clinics are staffed with licensed nurse practitioners, complete with x-ray and laboratory services. More serious medical conditions are referred to emergency departments for a higher level of care. As of December 2021, there were 13 centers open. It was expected the initial year would generate a loss. However, with the COVID pandemic coinciding with the opening of the urgent care centers, operations are in a growth pattern and remained in a loss position in 2021. The number of patients served in 2021 was 67,258. 152241753 true true false true false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false true false false false true true true true false false true 173 0 true 767 true true true false false false false false false false false false true false X 16 15 false false false false false false false true true false false true true true true true true true true true true CA X Kristin Tuvfesson 8053249933 PO Box 689 Santa Barbara CA 93102 Dorothy Largay PhD Vice Chair 3.5 2.5 X X 0 0 0 Edward Bentley MD Secretary 3.5 2.5 X X 0 0 0 Gregory Faulkner Board Chair 12.0 8.0 X X 0 0 0 Steven Zola Vice Chair 3.5 2.5 X X 0 0 0 Thomas Cusack Vice Chair 3.5 2.5 X X 0 0 0 Anne Rodriguez MD Board Member (Part year) 2.4 1.6 X 0 20250 0 Bhupi Singh Board Member 2.4 1.6 X 0 0 0 Ernesto Paredes Board Member 2.4 1.6 X 0 0 0 Gamble Parks ATTY Committee Chair 2.9 2.1 X 0 0 0 Mark Scott MD Board Member 2.4 1.6 X 0 0 0 Nancy Nielsen Board Member 2.4 1.6 X 0 0 0 Pamela Gann Board Member 2.4 1.6 X 0 0 0 Richard Ponce MD Committee Chair 2.9 2.1 X 0 0 0 Steve Ortiz Board Member 2.4 1.6 X 0 0 0 Susan Christol-Deacon Committee Chair 2.9 2.1 X 0 0 0 Virginia Salazar Board Member 2.4 1.6 X 0 0 0 Yulun Wang PhD Board Member 2.4 1.6 X 0 0 0 Brett Tande Senior VP and CFO 30.5 24.5 X 985479 0 66033 Jacqueline Pierce Asst. Secretary-Board (Part Year) 24.0 16.0 X 133296 0 6519 Lisa Moore Executive VP and COO 29.5 25.5 X 782039 0 162564 Ronald Werft President & CEO 41.0 24.0 X 1702330 0 80953 Steven Fellows Executive VP and COO (Part Year) 2.9 2.1 X 360615 0 61328 CARA WILLIAMS VP HUMAN RESOURCE 40.0 0 X 479023 0 105974 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 40.0 0 X 823110 0 81359 HERBERT GEARY VP PT CARE SVCS, CNO 40.0 0 X 223783 0 8580 KEVIN NELSON CHIEF COMPL OFFICER 40.0 0 X 234143 0 50097 KRISTIN TUFVESSON VP FINANCE 40.0 0 X 478562 0 93602 LAURA CANFIELD Vice President Patient Care Services & CNO 40.0 0 X 355993 0 79481 MARC DAILEY Vice President, Clinical Services 40.0 0 X 317545 0 69797 NICHOLAS HENDERSON VP SUPPORT SERVICES 40.0 0 X 354939 0 73084 RONALD M BISCARO VP PROJECT MANAGEMENT 40.0 0 X 184155 0 38699 SANDRA LOOD VP REVENUE CYCLE 40.0 0 X 330193 0 92172 SHERI RIBEIRO VP ISD/CIO 40.0 0 X 489163 0 115338 DAVID DIETRICH VP ADVANCEMENT 40.0 0 X 469064 0 24565 KATHRYN BAZYLEWICZ VP MARKETING 40.0 0 X 519374 0 112267 PAUL ERICKSON DIRECTOR PSYCH SERVICES 40.0 0 X 364911 0 43847 STACY BRATCHER Vice President and General Counsel 40.0 0 X 586002 0 131783 STEVEN BARKLEY MD CHIEF PEDIATRIC MEDICAL OFFICER 40.0 0 X 464911 0 61859 10638630 20250 1559901 291 false true false SIRUIS COMPUTER SOLUTIONS INC 10100 REUNION PLACE SUITE 500 SAN ANTONIO TX 78216 Licenses and software 9616157 NTT Data Services LLC 100 City Square Boston MA 02129 IT Services 4245830 Parker Brown Inc 6727 VARIEL AVENUE Canoga Park CA 91303 Construction Contractor 4006594 OPTIV Security Inc 1144 15TH STREET SUITE 2900 Denver CO 80202 License and software 3067053 McGillivray Construction Inc 3140 LOMA VISTA RD Ventura CA 93003 Construction Contractor 2609919 97 784010 188088 1354955 333930 2327053 ADMIN REV FROM TAX EXEMPT AFFIL 561000 203697727 203697727 Net patient revenue 621498 11951492 11951492 COSMG income (loss) 900099 69313 69313 COHP income (loss) 900099 -30966 -30966 0 0 0 0 215687566 1182 1182 0 0 0 0 Insurance Recovery 561000 142857 142857 Shared Appreciation Loan 561000 103092 103092 HIM fees 561000 101135 101135 94502 38870 55632 0 441586 218457387 216073520 55632 1182 740684 740684 0 0 0 0 0 0 8597132 2647643 5949489 0 0 0 0 0 61762464 35266459 26496005 0 5104823 4296542 808281 0 64871404 53708367 11163037 0 4823780 2587040 2236740 0 0 0 0 0 4494897 1464 4493433 0 1484434 0 1484434 0 30000 0 30000 0 0 0 0 0 0 0 16383204 5199447 11183757 0 2400793 67734 2333059 0 3735702 3107749 627953 0 26588567 18630000 7958567 0 0 0 0 0 5357681 4287366 1070315 0 177329 84044 93285 0 0 0 0 0 19968 6679 13289 0 286697 53304 233393 0 0 0 0 0 19776619 16832826 2943793 0 3628818 3433056 195762 0 Medical supplies 841590 828925 12665 0 Dues and Subscriptions 547223 205030 342193 0 Construction Expense 252204 0 252204 0 UBI and Excise Taxes 171339 0 171339 0 374306 257395 116911 0 232451658 152241754 80209904 0 20816378 19305707 1840258 2876200 300000 0 0 0 8346473 9986225 206235919 95421500 94836187 110814419 0 0 21076350 33414485 147215646 176397036 18247331 19966427 17354 157614 0 0 120495010 155303997 138759695 175428038 X 8455951 968998 8455951 968998 147215646 176397036 X -13994271 6507318 X false true X true false X X 3 SANTA BARBARA COTTAGE HOSPITAL 951644629 3 true 0 0 GOLETA VALLEY COTTAGE HOSPITAL 952413596 3 true 0 0 SANTA YNEZ VALLEY COTTAGE HOSPITAL INC 952224265 3 true 0 0 3 0 0 true false false false false true false false false false false false false false false true Schedule A, Part I, Line 12f Cottage Health supports Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Cottage Hospital by providing management, financial, information systems, facilities planning and other services to the hospitals. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs The Cottage Health management team provides management services to Villa Riviera Real Estate Company, which is wholly owned by Santa Barbara Cottage Hospital Foundation. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 30000 false false false 30000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Contribution paid to Coalition to Protect America's Health Care, used for public awareness and education. 20030471 2551355 17479116 145451688 92870145 52581543 40753760 40753760 110814419 Leased assets 22104214 Prepaid pension benefit 11224165 Other Assets 86106 33414485 Due to affiliates 105891035 Lease liabilities 43510690 Group Health Reserve 4354670 SERP and Retirement Plan 1547602 155303997 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Cottage completed an analysis of its tax positions, in accordance with ASC 740, Income Taxes, and determined that there are no uncertain tax positions taken. Cottage has recognized no interest or penalties related to uncertain tax positions. Cottage is subject to routine audits by the taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The System believes it is no longer subject to income tax examinations for years prior to 2018. true OCPRHIO INC 601 Park Cntr Dr 104 Santa Ana CA 92705 461145952 501(c)(3) 95000 Assistance for the non-profit SB Neighborhood Clinic and a rural clinic to become part of HIE initiative Santa Barbara Neighborhood Clinics 1900 State St Suite G SB CA 93101 770496382 501(c)(3) 78921 Support of neighborhood health clinics for low income patients FAMILY SERVICE AGENCYCRIS 123 West Gutierrez St SB CA 93101 951644031 501(c)(3) 164462 School based counseling to at risk high school students CHILD ABUSE LISTENING MEDIATION 1236 Chapala St SB CA 93101 237097910 501(c)(3) 88376 Provide mental health screening and services to children suffering from Adverse Childhood Experiences. CARPINTERIA CHILDRENS PROJECT 5201 Eighth Street Carpenteria CA 93013 811407122 501(c)(3) 41780 Provide mental health screening and services to preschool children suffering from Adverse Childhood Experiences. COUNCIL ON ALCOHOLISM & DRUG PO BOX 28 Santa Barbara CA 93101 951878858 501(c)(3) 49931 Provide parenting education programs that will support parents of children and adolescents with culturally relevant parenting skills training. Fighting Back Santa Maria Valley 201 S MILLER STREET STE 107 Santa Maria CA 93456 651234981 501(c)(3) 48500 Teach parents the Community Resilience Model (CRM) as part of parenting education classes. FOODBANK OF SANTA BARBARA COUNTY 1525 State St 100 Santa Barbara CA 93101 770169294 government 5000 Support for low income families to access food. HARDING SCHOOL FOUNDATION INC 1625 ROBBINS STREET Santa Barbara CA 93101 510612127 501(c)(3) 21750 Programs for schools with high rates of at-risk children that support Primary Prevention through parenting classes, workshops, and a Youth Mental Health First Aid course. ISLA VISTA YOUTH PROJECTS INC 6842 PHELPS ROAD Goleta CA 93117 953007419 501(c)(3) 48884 Provides family resource center services, parenting classes, and grandparenting classes to low-income families. SANTA BARBARA COUNTY EDUCATION OFFICE 1330 STATE STREET SUITE 201 Santa Barbara CA 93101 770070782 government 10000 Connect families with Adverse Childhood Experiences with clinic providers to prevent poor health outcomes. SB ACT - UFFIZI ORDER 1625 ROBBINS STREET Santa Barbara CA 93101 462832064 501(c)(3) 14740 Facilitate supportive housing model development for permanent housing for the formerly homeless. UNITED WAY OF SB COUNTY 320 E GUTIERREZ ST SANTA BARBARA CA 93101 951641968 501(c)(3) 5000 Lead local programs and partnerships that improve school readiness and academic achievement, financial empowerment, and crisis response and recovery. WILDERNESS YOUTH PROJECT 5386 HOLLISTER AVE Santa Barbara CA 93111 770526117 501(c)(3) 45833 Offer weekly school-day and after school nature experiences in a small group setting. 14 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grant funds are monitored through the Community Health Coordination Committee and through the Population Health Department of Cottage Health . Grantees are required to submit an annual report that is reviewed prior to the distribution of the entire amount of funds. X X true true X X X X false true false false false false false true false Ronald Werft President & CEO 1166633 0 435926 0 99771 0 58942 0 22011 0 1783283 0 0 0 Lisa Moore Executive VP and COO 620335 0 85642 0 76062 0 143500 0 19064 0 944603 0 0 0 Steven Fellows Executive VP and COO (Part Year) 0 0 202496 0 158119 0 59750 0 1578 0 421943 0 0 0 Brett Tande Senior VP and CFO 659212 0 179093 0 147174 0 33750 0 32283 0 1051512 0 0 0 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 580240 0 123569 0 119301 0 59750 0 21609 0 904469 0 0 0 HERBERT GEARY VP PT CARE SVCS, CNO 25742 0 90450 0 107591 0 6918 0 1662 0 232363 0 0 0 SHERI RIBEIRO VP ISD/CIO 388386 0 83448 0 17329 0 81736 0 33602 0 604501 0 0 0 CARA WILLIAMS VP HUMAN RESOURCE 377105 0 79651 0 22267 0 72122 0 33852 0 584997 0 0 0 RONALD M BISCARO VP PROJECT MANAGEMENT 78417 0 73199 0 32539 0 17090 0 21609 0 222854 0 0 0 KRISTIN TUFVESSON VP FINANCE 318379 0 73643 0 86540 0 59750 0 33852 0 572164 0 0 0 NICHOLAS HENDERSON VP SUPPORT SERVICES 295639 0 51448 0 7852 0 43847 0 29237 0 428023 0 0 0 KEVIN NELSON CHIEF COMPL OFFICER 205771 0 19862 0 8510 0 37282 0 12815 0 284240 0 0 0 SANDRA LOOD VP REVENUE CYCLE 252542 0 51448 0 26203 0 61070 0 31102 0 422365 0 0 0 MARC DAILEY Vice President, Clinical Services 286893 0 21946 0 8706 0 43950 0 25847 0 387342 0 0 0 LAURA CANFIELD Vice President Patient Care Services & CNO 328334 0 21250 0 6409 0 67923 0 11558 0 435474 0 0 0 STACY BRATCHER Vice President and General Counsel 556233 0 1448 0 28321 0 102250 0 29533 0 717785 0 0 0 KATHRYN BAZYLEWICZ VP MARKETING 414516 0 87308 0 17550 0 82734 0 29533 0 631641 0 0 0 DAVID DIETRICH VP ADVANCEMENT 347331 0 68765 0 52968 0 14250 0 10315 0 493629 0 0 0 STEVEN BARKLEY MD CHIEF PEDIATRIC MEDICAL OFFICER 420975 0 36698 0 7238 0 40250 0 21609 0 526770 0 0 0 PAUL ERICKSON DIRECTOR PSYCH SERVICES 322287 0 1593 0 41031 0 15237 0 28610 0 408758 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The CFO received gross up amounts along with his reimbursement for his contribution to a 457(f) plan and it was reported as taxable income. Schedule J, Part I, Line 1a Health or social club dues or initiation fees Membership dues to a local county club are provided to the CEO. A percentage of the dues are allocated to the CEO, based on personal usage and reported as taxable income. A membership to this club is used primarily as a space to hold various recognition and hospital-related functions. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan COTTAGE HEALTH PROVIDES CERTAIN EXECUTIVES A SUPPLEMENTAL RETIREMENT PROGRAM. THE PROGRAM IS DEFINED AS DEFERRED COMPENSATION UNDER THE IRC SECTION 457(F). THE ANNUAL CONTRIBUTION IS 9.8% OF BASE YEARS SALARY WITH THE CONTRIBUTIONS VESTING FIVE YEARS FROM CREDITING DATE, OR AT AGE 62, OR IMMEDIATELY IN THE EVENT OF DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT CAUSE. THE UNVESTED ACCOUNT BALANCES ARE ASSETS OF THE ORGANIZATION AND ARE INCLUDED IN OTHER ASSETS AND THE ACCRUED EXPENSE IS INCLUDED IN PENSION LIABILITY AND OTHER IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE AMOUNTS REPORTED IN THE CURRENT YEAR'S DEFERRED COMPENSATION INCLUDES RECOGNITION OF PAST SERVICE. THE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. Schedule J, Part I, Line 7 Non-fixed payments Each year the Board of Directors determines if a bonus can be paid based on the financial operating results of the completed year. The Board determines the total amount of the bonus pool. This pool of money is distributed to employees in the management team based on the individual's achievement of personal goals and the overall team's accomplishment of system-wide goals pertaining to quality, service excellence, employee engagement, financial or other. The payout for individuals is calculated based on percentages of their base salary and their position. X Equipment 1 333390 Market value 1 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - Equipment Number of contributions Form 990, Part VI, Line 11b Review of form 990 by governing body Form 990 is prepared under the direction of the Senior Vice President and CFO. Form 990 is compiled and reviewed by the Senior Vice President & CFO, the Vice President Finance & Controller, the Director Corporate Finance, and the Accounting Manager. Form 990 is reviewed separately by Ernst & Young as an independent tax consultant to Cottage during the development of the response. Each party reviews Form 990 prior to submission to the Compliance & Audit Committee and to the Board of Directors, whose reviews are conducted prior to filing. A complete copy of the final Form 990 is provided to all members of the governing board before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy The purpose of the Conflict of Interest policy is to protect the interest of the Health System when it contemplates entering into a transaction or arrangement that could benefit the private interest of a Director or Officer of Cottage Health, Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital, Santa Barbara Cottage Hospital Foundation and Goleta Valley Professional Buildings, Inc., collectively known as Cottage Health. The Directors have a duty to: 1.) discharge their duties to benefit Cottage Health and not the Directors personally 2.) disclose situations with the potential for conflict of interest with the vision and mission of Cottage Health 3.) refrain from discussing confidential Cottage Health business with others. Each Board member will annually complete the Cottage Health Directors Annual Conflict Disclosure Form. The Disclosure information will be reviewed annually by the Board Chair and the results reported to the full Board. Each Director or Officer will disclose to the Board Chair items to be discussed at a Board meeting. If there are any material financial or personal interests a Board member or family member may have in a Board decision, the Director or Officer will disclose this to the Committee Chair before the Board reviews the items and takes action. In general, an Officer who has disclosed a potential conflict should be excused from the decision making portion of the discussion and is prohibited from voting on a matter involving a potential conflict of interest. If the Board has reasonable cause to believe that a Director or Officer failed to disclose a material financial interest or other potential material conflict of interest, the Board Chair shall inform the member of the basis for the belief and afford the member an opportunity to explain the alleged failure to disclose. After hearing the Director or Officer response and conducting any further necessary investigation, the Board determines if the Director or Officer failed to disclose a material financial or other potential material conflict of interest. The Board Chair shall take appropriate corrective action. Committee Chairs who address conflict of interest situations with a Board Committee member are responsible for reporting such situations to the Board Chair. Key employees are treated as other employees of Cottage Health and sign an annual conflict of interest form. These forms are reviewed by Compliance and any issues are brought to the Chief Compliance Officer. Form 990, Part VI, Line 15a Process to establish compensation of top management official On an annual basis the Compensation Committee (CC) of the Board of Directors meets to determine appropriate compensation for executives, including the CEO, COO, CFO, and vice presidents. All members of the CC are independent members of the Board of Directors. The CC 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 CC recommends compensation for the executives to the full Board for approval. This process takes place annually for all employed officers and key employees. Form 990, Part VI, Line 15b Process to establish compensation of other employees The process described in line 15a, above, takes place annually for all employed officers and key employees. For this fiscal year, the review occurred on March 26, 2021. Form 990, Part VI, Line 19 Required documents available to the public Tax filings and Audited Financial Statements can be obtained upon request from the CFO. The bylaws, articles of incorporation and conflict of interest policies are not available to the public. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenues - Total Revenue: 94502, Related or Exempt Function Revenue: 38870, Unrelated Business Revenue: 55632, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION LIABILITY - 6507318; Cottage Clinical Network LLC PO Box 689 Santa Barbara CA 93102 843321175 Medical Urgent Care Centers CA 11952674 45714715 Cottage Health SANTA BARBARA COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 93102 951644629 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true GOLETA VALLEY COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 93102 952413596 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true SANTA YNEZ VALLEY COTTAGE HOSPITAL INC PO BOX 689 SANTA BARBARA CA 93102 952224265 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true SANTA BARBARA COTTAGE HOSPITAL FOUNDATION PO BOX 689 SANTA BARBARA CA 93102 953802238 FUNDRAISING CA 501(c)(3) 7 Cottage Health true GOLETA VALLEY PROFESSIONAL BUILDINGS INC PO BOX 689 SANTA BARBARA CA 93102 770004202 MEDICAL PROFESSIONAL BUILDING CA 501(c)(3) Type II COTTAGE HEALTH true Coastal One Health Partners LLC 400 W Pueblo Street Santa Barbara CA 93105 821663329 Health Care CA Cottage Health Related 0 true true false false true false false false false false false false true true false true true true true false false Goleta Valley Cottage Hospital L 12638200 accrual Goleta Valley Cottage Hospital Q 8290690 accrual Santa Barbara Cottage Hospital L 112950135 accrual Santa Barbara Cottage Hospital O 235317 accrual Santa Barbara Cottage Hospital P 1978980 accrual Santa Barbara Cottage Hospital Q 68454291 accrual Santa Barbara Cottage Hospital Foundation C 768235 accrual Santa Barbara Cottage Hospital Foundation L 1777517 accrual Santa Barbara Cottage Hospital Foundation Q 937916 accrual Santa Ynez Valley Cottage Hospital Inc L 2717893 accrual Santa Ynez Valley Cottage Hospital Inc Q 1414944 accrual Goleta Valley Professional Buildings Inc K 491768 accrual Goleta Valley Professional Buildings Inc L 54993 accrual Goleta Valley Professional Buildings Inc Q 112230 accrual Schedule R, Part II Related Exempt Organizations In 2020, Cottage Health became the sole corporate member of Santa Barbara Cottage Hospital Foundation. Therefore, Santa Barbara Cottage Hospital Foundation is now a controlled entity. In prior years, it was reported as a related entity.