2021-11-12T18:01:59-06:00 2020-12-31 346565596 Ernst and Young LLP 4365 Executive Drive Suite 1600 San Diego CA 92121 990 2020-01-01 951644629 Santa Barbara Cottage Hospital SANT 8053249903 PO Box 689 Attn - Finance Dept Santa Barbara CA 931020689 Brett D Tande Senior VP and CFO 2021-11-12 false Brett D Tande 999009999 Jocelyne Miller P00634378 8585357200 2020 2022-09-23 18:48:47Z Ronald C Werft PO Box 689 Attn - Finance Dept Santa Barbara CA 931020689 1124228017 false X WWW.COTTAGEHEALTH.ORG X 1888 CA It is the mission of Santa Barbara Cottage Hospital 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. 13 11 3363 506 10719700 -1418346 5253402 25517984 796373575 761001094 21773766 21475168 14197475 12644444 837598218 820638690 2741981 4490687 0 0 371582104 396915214 0 0 0 376284557 400725311 750608642 802131212 86989576 18507478 1817093511 1990776088 528306271 641443163 1288787240 1349332925 It is the mission of Santa Barbara Cottage Hospital 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 683041285 4490687 769413321 Santa Barbara Cottage Hospital is a 519-bed acute-care hospital located in the City of Santa Barbara. In 2020, the Hospital had 83,094 patient days, served 109,666 outpatients, including emergency services to 40,111 patients. The Hospital provides a wide array of inpatient and outpatient services, including but not limited to the areas of cardiology, orthopedics, neurology, trauma, labor & delivery, psychiatric, neonatal intensive care, pediatric intensive care, pediatrics, laboratory, imaging, therapy, diabetes, oncology, emergency and rehabilitation services. The hospital is diligent in ensuring that all patients have adequate access to care. All patients who do not present insurance are automatically screened for eligibility in government health programs and are assisted in applying for financial assistance if the patient does not qualify for any other assistance. Santa Barbara Cottage Hospital provides critical funding for community health needs, financial assistance, and external grants, while also realizing shortfalls in Medicare, Medi-Cal, and indigent care. Activities in these areas included screenings and health fairs; classes, clinics, lectures, and seminars; community services; community collaborations; and coalitions/committees. External grants aimed at specific community needs included assistance to at risk populations (indigent, substance abuse recovery, elderly) hospice care, funding for low income health care, health care education for our schools & families, family counseling, aging transportation, and nursing education as well as operating pediatric and other clinics at shortfalls. In 2020, as a result of the Covid outbreak, the hospital was an active partner in addressing anticipated needs of the community, shifting personnel and resources to gather supplies, gear up hospital accommodations and educate the community. In 2020, the hospital spent over $175 million on community benefit programs. 683041285 true true false true false false false false true true true false true true true false true false false false false false false false false true true true true true false false false true false false false true false false false false true true true true false false true 531 0 true 3363 true true true false false false false false false false false false false false X 13 11 false false false false true true true true true false false true true true true true true true true false CA X Kristin Tufvesson 8053249933 400 West Pueblo Santa Barbara CA 93105 Dorothy Largay PhD Vice Chair 1.2 4.8 X X 0 0 0 Edward Bentley MD Secretary 1.2 4.8 X X 0 0 0 Gregory Faulkner Board Chair 4.0 16.0 X X 0 0 0 Steven Zola Vice Chair 1.2 4.8 X X 0 0 0 Thomas Cusack Vice Chair 1.2 4.8 X X 0 0 0 Anne Rodriguez MD Board Member 0.8 3.2 X 0 0 0 Ernesto Paredes Board Member 0.8 3.2 X 0 0 0 Gamble Parks ATTY Committee Chair 1.0 4.0 X 0 0 0 Mark Scott MD Board Member 0.8 3.2 X 0 0 0 Nancy Nielsen Board Member 0.8 3.2 X 0 0 0 Pamela Gann Board Member 0.8 3.2 X 0 0 0 Richard Ponce MD Committee Chair 1.0 4.0 X 0 0 0 Robert Nourse Board Member-January only 0.8 3.2 X 0 0 0 Steven Ainsley Board Member-January only 0.8 3.2 X 0 0 0 Susan Christol-Deacon Committee Chair 1.0 4.0 X 0 0 0 Brett Tande Senior VP and CFO 12.5 42.5 X 0 938540 45224 Jacqueline Pierce Asst. Secretary-Board 8.0 32.0 X 0 127197 19257 Ronald Werft President & CEO 12.0 53.0 X 0 1715078 37442 Steven Fellows Executive VP and COO 12.5 42.5 X 0 880179 36683 DAVID NICHOLS VP BUSINESS DEVEL-LAB 40.0 0 X 786502 0 14694 JEFFREY GAUVIN MD DIR SURGERY EDUC 40.0 0 X 472757 0 36028 KEITH DEAVILLE DIR SALES & MARKETING-LAB 40.0 0 X 367508 0 47425 RICHARD BESWICK VP RESEARCH & Chief Research Officer 40.0 0 X 472428 0 74183 STEPHEN KAMINSKI MD DIR TRAMA SVCS & SICU 40.0 0 X 340554 0 33217 2439748 3660994 344153 907 false true false AMN HEALTHCARE INC PO BOX 56157 LOS ANGELES CA 90074 CONTRACT LABOR 9903766 ANESTHESIA MEDICAL GRP SB INC 514 W PUEBLO 2nd Floor SANTA BARBARA CA 93105 Anesthesia Professional Fees 4391459 Sansum Clinic PO Box 1200 Santa Barbara CA 93102 Physician and medical services 4009269 Spiess Construction Co 1110 E CLARK AVENUE SANTA MARIA CA 93455 Construction Contractor 2712311 Prowest PCM Inc 22710 Palomar St Wildomar CA 92595 Construction Management 2644682 175 0 0 0 2855125 21877011 785848 0 25517984 NET PATIENT SERVICE REVENUE 622110 665618087 665618087 0 0 CA HOSPITAL FEE PROGRAM 622110 57374943 57374943 0 0 LABORATORY SERVICES 621511 38008064 27465501 10542563 0 0 0 0 761001094 7330440 0 0 7330440 0 0 0 0 0 0 0 0 220620 0 22150 0 198470 0 198470 0 0 198470 317700740 11165 303567177 0 14133563 11165 14144728 0 0 14144728 0 0 0 0 0 0 CAFETERIA/GIFT SHOP/DELI/VILLA RIVIERA 900099 3834996 0 0 3834996 Lab Management 561110 3534885 3534885 0 0 Insurance Recovery 561000 1000500 1000500 0 0 4075593 3876842 177137 21614 12445974 820638690 758870758 10719700 25530248 X 4478088 4478088 12599 12599 0 0 0 0 266607577 227490645 39116932 12404102 10580699 1823403 99419628 80049624 19370004 18483907 16867964 1615943 1540024 1540024 61921 47 61874 41000 41000 2657697 2657697 101333140 82924975 18408165 0 12231778 10423787 1807991 28333598 17940616 10392982 13099616 10118849 2980767 426256 323870 102386 129917 43044 86873 16870903 14390880 2480023 56311710 43585470 12726240 3186380 2017896 1168484 Medical Supplies 108769146 108710825 58321 Hospital Fee Program 31882283 31882283 Loss on extinguishment of debt 11127832 9492040 1635792 Equipment Maintenance 9971641 9260703 710938 2750469 906357 1844112 0 802131212 683041285 119089927 0 57805218 51564987 23599837 71836757 130774498 98510146 24736143 26326873 0 0 550000 550000 16267271 17865869 35385034 28474550 1155945837 422903288 738140824 733042549 370483054 467361949 272646502 310561513 0 3099822 0 143605308 184680895 1817093511 1990776088 91280678 89562747 81787 99627 380476259 0 0 0 56467547 551780789 528306271 641443163 X 1268875478 1327456816 19911762 21876109 1288787240 1349332925 1817093511 1990776088 X 18507478 59362670 -17324463 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 47600 47600 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying activities are calculated as a percentage of dues paid to various hospital associations, including American Hospital Association, National Association of Children's Hospitals, and Hospital Association of Southern California. The percentage of dues used for lobbying purposes is provided by each association. 6320181 6320181 6320181 6320181 6320181 6320181 6320181 6320181 6320181 6320181 0.0 1.0 0.0 false false 1645545 12708888 14354433 1098891 872669451 280007242 593761100 49095678 5047503 44048175 213653131 133649164 80003967 5074253 4199379 874874 733042549 Alternative Investments 310526644 F Investment in CCIMG 34869 C 310561513 Due from Affiliates 112895601 Medicare and Medi-cal Reserves 51285683 Deferred Physician Guarantees 13892011 Operating leases Right of Use Asset 4780169 All Other Assets 1827431 184680895 Bonds payable 496407580 SELF INSURANCE LIABILITY 20610965 Physician Guarantees 15243982 Joint Investment in Cash Balance Life Insurance Policy 14109292 Lease Liabilities 4805190 MINIMUM PENSION LIABILITY & SERP 603780 551780789 X Schedule D, Part V Endowment Funds Santa Barbara Cottage Hospital considers its endowment to include only permanently restricted funds. For years prior to 2018, Schedule D Part V mistakenly included as endowment all temporarily restricted fund accounts and their respective earnings. The mistake was corrected beginning in 2018. Schedule D Part V has been restated to include only the endowment funds for the years 2016-2017. During all years shown on Schedule D, Part V, no contributions were made to the endowment. Schedule D, Part V, Line 4 Intended uses of endowment funds Income generated on Endowment Funds support specific programs of SBCH. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Cottage completed an analysis of its tax positions, in accordance with FASB 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 2014. true true X true X 400 true X 590 true true true false true true 0 0 11570803 0 11570803 0.0144 0 0 158322363 87228958 71093405 0.0886 0 0 0 0 0 0.0 0 0 169893166 87228958 82664208 0.1031 0 0 11758068 3258015 8500053 0.0106 0 0 20893522 1639501 19254021 0.0240 0 0 23214263 6769749 16444514 0.0205 0 0 895003 79841 815162 0.0010 0 0 3629313 0 3629313 0.0045 0 0 60390169 11747106 48643063 0.0606 0 0 230283335 98976064 131307271 0.1637 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 true 0 170994967 220741488 -49746521 X true true Cottage Cardiovascular Institute Management Group LLC Provides quality assessment, utilization and efficiency oversight for cardiovascular services 0.4 0.0 0.6 1 1 Santa Barbara Cottage Hospital 400 West Pueblo Santa Barbara CA 93105 http://www.cottagehealth.org/locations/ 050000140 X X X X X Santa Barbara Cottage Hospital and Cottage Rehab Hospital (operating under one license.) Santa Barbara Cottage Hospital 1 false false true X X X X X X X X X 19 true true false true X https://www.cottagehealth.org/about/community-benefit/ X X true 20 true https://www.cottagehealth.org/about/community-benefit/ false true X 400.0 590.0 X X X X true true X X X X true X https://www.cottagehealth.org/billing/financial-assistance/ X https://www.cottagehealth.org/billing/financial-assistance/ X https://www.cottagehealth.org/billing/financial-assistance/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SANTA BARBARA COTTAGE HOSPITAL. As part of this Community Health Needs Assessment, a telephone survey was done with approximately 900 randomly selected Santa Barbara County residents, targeting oversampling of lower-income areas. Also a listening tour with more than 240 individuals was conducted in July through October 2019. The listening tour participants included individuals who represented the broad interests of the community, including medically underserved, low-income, and vulnerable populations. Cottage Health contracted with the Evaluation Institute at the University of Pittsburgh who has extensive experience in survey methodology, analysis and reporting. The questionnaire was created from CDC's Behavioral Risk Factor Surveillance System (BRFSS) and other leading surveys and questionnaires carefully selected to provide count-level information. It was administered in both English and Spanish. In addition, the Institute utilized existing health and demographic data already collected for the county and California (such as U.S. Census data). Input was gathered from representatives of local government officials, public health, Cottage employees and individuals whose organizations work with low-income, minority (including Hispanic/Latinx/Mixtec, Native American, Asian, Africa American), or other medically under-served populations experiencing health disparities (including young adults, elderly, veterans, disables, lesbian/gay/bisexual/transgender (LGBT), homeless, mentally ill, undocumented, uninsured/under-insured, or Medi-Cal/Medicare recipient populations. Final participation included representatives of over 60 local organizations, some of which are: Mental Wellness Center, Santa Barbara County Department of Behavioral Wellness, Child Abuse Listening Medication (CALM), Doctors Without Walls of Santa Barbara, Family Service Agency, Housing Authority of Santa Barbara, Pacific Pride Foundation, Santa Barbara County Education Office, Santa Barbara Neighborhood Clinics, YouthWell Coalition, Cottage Health Psychiatry and Addiction Services, Behavioral Wellness Crisis Services, CenCal Health, Devereaux California, Domestic Violence Solutions, Good Samaritan Shelter, University of California, Isla Vista Youth Projects, New Beginnings Counseling Center, Santa Barbara County Psychiatric Health Facility (PHF), Santa Ynez Tribal Health Clinic, PATH Santa Barbara, People's Self Help Housing, Santa Barbara Rescue Mission, Transition House, Willbridge, United Way, and Council on Alcohol and Drug Abuse. Secondary data sources included data from US Census Bureau, US Department of Education, US Department of Agriculture, US Department of Health and Human Services, Center for Disease Control, Dartmouth College Institute for Health Policy Clinical Practice, State Cancer Profiles, and Nielsen Site Reports. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SANTA BARBARA COTTAGE HOSPITAL. The CHNA was completed jointly by Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, and Santa Ynez Valley Cottage Hospital. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - SANTA BARBARA COTTAGE HOSPITAL. A press release was issued announcing the completion and availability of the CHNA. This information was also shared and presented to the community on an as requested basis. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SANTA BARBARA COTTAGE HOSPITAL. As a member of Cottage Health (CH), the needs identified in the Hospital's CHNA are incorporated into the Community Benefit Program of CH. Five of the 19 leading health indicators identified in the 2019 CHNA all but three fall into the five priority areas: (1) access to care; (2) behavioral health (3) chronic conditions; (4) resiliency; and (5) social needs (including food and housing insecurity). In addition, Cottage Health has identified injury and violence as a priority based on Emergency Department and trauma registry reporting. The three indicators not prioritized and addressed are: (1) smoking cigarettes (2) binge drinking and (3) access to dental care. These health indicators were not ranked as highly (in terms of need, urgency, collaboration among community organizations, health disparities, and community resources available.) In addition, there are currently leading community partners/stakeholders who are addressing smoking cigarettes, binge drinking, and access to dental care. Though not selected as priority areas, some of the non-prioritized needs will be indirectly addressed through enhancing access to health care and by partnering with lead organizations addressing these areas. The implementation strategy to address the priority needs includes Santa Barbara Cottage Hospital's grants, its hospital programs and health fairs. In addition, Santa Barbara Cottage Hospital provides support to Health Professional Education through its medical education program and grants and supports health research with grants and collaboration with University of California. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - Santa Barbara Cottage Hospital. The FAP also described the physical locations where patients can obtain a copy of the FAP Application, as well as the Cottage Health website address. 10 Pacific Diagnostic Laboratories 454 South Patterson Goleta CA 93117 Outpatient Lab Services Pediatric Outpatient Clinic 5333 Hollister Avenue Santa Barbara CA 93111 Outpatient pediatric clinic for hematology, oncology, endocrinology and gastrointestinal. Cottage Outpatient Surgery 2403 Castillo Santa Barbara CA 93105 Outpatient Surgery Center Advanced Imaging Center 2410 Fletcher Street Santa Barbara CA 93105 Outpatient radiology center Cottage Eye Center 2400 Bath Street Santa Barbara CA 93105 Eye center Cottage Residential Center 312 West Montecito Street Santa Barbara CA 93101 Substance abuse rehabilitation center Outpatient Rehabilitation 1035 Peach Street San Luis Obispo CA 93401 Outpatient Clinic SB Cope 2325 De La Vina Street Santa Barbara CA 93105 Substance abuse and detox treatment Cardio Surgical Clinics 2400 Bath Street Santa Barbara CA 93105 Cardiovascular services Cystic FibrosisPulmonary Hypertension Clinic 2409 De La Vina Santa Barbara CA 93105 Outpatient Clinic Schedule H, Part I, Line 3c Other Financial Assistance Factors Santa Barbara Cottage Hospital uses FPG based on Household Income to determine eligibility for both discount and charity care on the patient responsibility whether or not covered by insurance. A presumptive FPG is also utilized to write off balances for patients who have a presumptive score of 400% of FPG or lower. A presumptive FPG up to 590% will receive a sliding scale discount. Assets are considered for certain patients who exceed FPG levels but who have high medical debt. Patients who were determined to be homeless also qualify for free care, assuming they did not qualify for other insurance programs. Schedule H, Part I, Line 6b Availability of Community Benefit Report Cottage Health prepares a Community Benefit Report on behalf of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital. It is filed with the State of California, in compliance with California Senate Bill 697. The Community Benefit Report is available to the public upon request. In addition it can be found on the Cottage web site: https://www.cottagehealth.org/about/community-benefit/; and on the OSHPD website: https://www.oshpd.ca.gov/HID/CommunityBenefit/Plans.html; Schedule H, Part V, Section B, Line 16 FAP languages The FAP is available in English, Tagalog, Mandarin and Spanish at the website notated in 16 a and b. Schedule H, Part I, Line 7e COVID impact on community benefit Due to the COVID pandemic, Cottage had a net cost impact for the benefit of the community in excess of $9.5 million, spread over the three hospitals: Santa Barbara Cottage Hospital ($5.9 million), Goleta Valley Cottage Hospital ($2.9 million) and Santa Ynez Valley Cottage Hospital ($.7 million). This amount is net of estimated future FEMA reimbursements. Costs include executive time spent planning for the public health emergency, additional medical professional fees related to infectious disease control, disaster readiness and response, excess staffing to accommodate COVID units, and supplies and emergency equipment to respond to the health emergency. In addition, Cottage took the lead in coordinating with public health officials to educate the public, at large, on the developing crisis. This included creation of broadcasts for the general public, on the status of the virus nationally and within our community. These broadcasts also educated our community on the current guidelines as they evolved. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Cottage Health Schedule H, Part I, Line 7g Subsidized Health Services Included in subsidized health care are Palliative Care services which are provided at no cost to the patient. In addition, Santa Barbara Cottage Hospital provides multi pediatric outpatient clinics, a cardio-vascular clinic, a pulmonary clinic, a cycstic fibrosis clinic, trauma care staffing, all at a substantial financial loss to the hospital. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Direct costs are calculated at the providing department level and overhead costs are allocated according to the Medicare step-down method, based upon applicable statistics. Each payer's cost is determined by the services provided to their members. The community benefits amounts attributable to Medicaid and other Government programs are based upon the services provided and resulting costs incurred for their inpatients, outpatients and emergency department visits. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JANUARY 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONSESSIONS. THE HOSPITAL MAKES A DETERMINATION REGARDING A PRICE CONCESSION TO STANDARD PRICING ON A PORTFOLIO BASIS PRIOR TO ASSESSING THE CREDIT RISK OF INDIVIDUALS WITHIN THE PORTFOLIO. PATIENT SERVICE REVENUE IS RECORDED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, INCLUDING AN ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. BAD DEBT IS RECORDED AS AN OPERATING EXPENSE AND RESULTS WHEN A PATIENT, DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES, IS UNWILLING TO DO SO. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The shortfall from total costs for Medicare patients is a significant loss to the hospital. The Hospital is providing care to patients whose insurance (Medicare) does not cover the entire cost of their care. This provides significant aid to the elderly in the community. Some of these elderly people would qualify under FAP guidelines for financial assistance under any other Payer program. The dollars reported are taken from the 2020 Medicare Cost Report and are derived following their guidelines of allowable and non-allowable costs. This shortfall has been adjusted down by $5,274,887 of Medicare shortfall included in the analysis of clinics and other patient areas operating at a loss in H-I-7g. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Cottage Health's Financial Assistance Policy (FAP), which includes actions Cottage Health may take in the event of non-payment and applies to the largest number of Cottage Health's patients, states that Cottage Health will not engage in Extraordinary Collection Activities (ECAs) (defined in the policy) for a period of at least 150 days following the date of the first post-discharge billing statement, nor will Cottage Health engage in ECAs before making a reasonable effort to determine whether a patient is eligible for financial assistance pursuant to Cottage Health's FAP. The FAP further states that, at least 30 days prior to engaging in any ECAs, Cottage Health will: (a) provide written notice to patients regarding the availability of financial assistance, the specific ECAs Cottage Health intends to take in the event of non-payment, and a deadline after which Cottage Health may initiate ECAs; (b) provide to patients a written plain language summary of Cottage Health's FAP; and (c) make reasonable efforts to orally notify patients about Cottage Health's FAP and how the patient can obtain assistance with the financial assistance application. The FAP further states that, if Cottage Health receives a complete financial assistance application during the Application Period (as defined in the FAP), Cottage Health will suspend ECAs and process the patient's application, and if Cottage Health receives an incomplete financial assistance application during the Application Period, Cottage Health will suspend ECAs and provide a reasonable opportunity for the patient to submit a complete financial assistance application. ECAs are defined as (a) actions requiring a legal or judicial process; and (b) reporting adverse information to credit reporting agencies or credit bureaus. Cottage Health's FAP further states that Cottage Health may employ reasonable collection efforts to obtain payment from patients, other than ECAs, including issuing statements, making telephone calls, and sending e-mail messages. If a patient qualifies for FAP, we will not do any collection activities. Schedule H, Part V, Section B, Line 16a FAP website - Santa Barbara Cottage Hospital: Line 16a URL: https://www.cottagehealth.org/billing/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - Santa Barbara Cottage Hospital: Line 16b URL: https://www.cottagehealth.org/billing/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Santa Barbara Cottage Hospital: Line 16c URL: https://www.cottagehealth.org/billing/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment Cottage Health, through its hospitals Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, and Santa Ynez Valley Cottage Hospital, researched the needs of the county through the Community Health Needs Assessment (CHNA). As discussed in detail in H-V-line5, the assessment included a broad group of participants from the public and private sector plus existing health data in the government sector and past needs assessment information. Needs prioritized in the CHNA include: Access to Care, Behavioral Health, Chronic conditions, food insecurity and housing insecurity. In addition, Cottage Health has prioritized injury and violence within the Behavioral Health area. The Hospitals provide critical funding for community health, financial assistance, and external grants, while also realizing shortfalls in Medicare, Medi-Cal, and indigent care. Activities in these areas included screenings and health fairs; classes, clinics, lectures, and seminars; community services; community collaborations; and coalitions/committees. In 2020, Cottage Health spent over $175 million on these programs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance COTTAGE HEALTH HAS A MULTIFACETED FINANCIAL ASSISTANCE PROGRAM (FAP) TO ENSURE THAT ALL PATIENTS RECEIVE INFORMATION ABOUT OUR FAP, AND PATIENTS WHO DO NOT HAVE INSURANCE ARE SCREENED FOR ELIGIBILITY IN A GOVERNMENT SPONSORED HEALTHCARE PLAN. THE HOSPITAL POSTS INFORMATION ABOUT THE FAP IN ALL REGISTRATION AREAS. SIGNS IN ENGLISH, TAGALOG, MANDARIN AND SPANISH ARE LOCATED IN ALL AREAS WHERE PATIENTS ARE REGISTERED FOR INPATIENT AND OUTPATIENT SERVICES. SIGNS ARE ALSO LOCATED IN THE PATIENT BILLING OFFICE AND CASHIER OFFICE. PATIENTS WILL ALSO BE CONTACTED BY AN ADMITTING REPRESENTATIVE OR ELIGIBILITY COUNSELOR TO ASSIST THE PATIENT IN DETERMINING ELIGIBILITY FOR GOVERNMENT SPONSORED INSURANCE PROGRAMS AND ASSIST WITH THE APPLICATION PROCESS AT NO COST TO THE PATIENT. PATIENT FINANCIAL COUNSELORS WHO ANSWER CUSTOMER SERVICE CALLS ARE INSTRUCTED TO OFFER a plain language summary (PLS) of the FAP APPLICATIONS TO ALL PATIENTS. Additionally, each patient is provided with information regarding the FAP on their billing statement, and each billing statement is accompanied by the PLS. SANTA BARBARA COTTAGE HOSPITAL ALSO WORKS CO-OPERATIVELY WITH THE COUNTY OF SANTA BARBARA TO PROVIDE NON-EMERGENCY FINANCIAL ASSISTANCE SERVICES. THIS PROGRAM IS KNOWN AS THE COMMUNITY SERVICE PROGRAM. ALL MEMBERS OF THE COMMUNITY WHO MEET THE FINANCIAL CRITERIA ARE ELIGIBLE FOR THE COMMUNITY SERVICE PROGRAM, BUT MUST BE REFERRED BY A PHYSICIAN. WHEN PATIENTS WHO VISIT THE SANTA BARBARA PUBLIC HEALTH DEPARTMENT CLINIC HAVE A NEED FOR A MEDICALLY-NECESSARY BUT NON-EMERGENT SERVICE, THE PHYSICIANS AND CLINIC STAFF INFORM THE PATIENT OF THE COMMUNITY SERVICE PROGRAM AND HELP THE PATIENT TO APPLY. INDEPENDENT PHYSICIANS IN THE COMMUNITY WERE MADE AWARE OF THE PROGRAM AND HOW TO ACCESS SERVICES ON BEHALF OF THEIR PATIENTS. Schedule H, Part VI, Line 4 Community information Santa Barbara County consists of 2,750 square miles of land and inland water area. Approximately rectangular in shape, Santa Barbara County is bordered on the north by San Luis Obispo County, on the east by Ventura County, and on the south and west by 107 miles of Pacific coastline. Much of the county is mountainous. The Santa Ynez, San Rafael and Sierra Madre mountains extend in a predominately east west direction. Within the county, there are numerous fertile agricultural areas, including the Santa Maria, Cuyama, Lompoc, and Santa Ynez Valleys, and the southeast coastal plain. These areas, which include most of the developed land, also accommodate the majority of the population. Los Padres National Forest, in the eastern part of the county, covers approximately 44 percent of the total county area. Vandenberg Air Force Base is in the Lompoc region, while UCSB is on the South Coast. North County refers to the area west and north of Gaviota and includes the Lompoc, Santa Maria, Santa Ynez and Cuyama valleys. South Coast refers to the Goleta, Santa Barbara, and Carpinteria coastal plain. Santa Barbara County's approximate 446,000 population is divided into six sub regions: Santa Barbara/Goleta Region; Santa Ynez Valley; Carpinteria Valley; Lompoc Valley; Santa Maria Valley; Guadalupe Valley; and the Cuyama Valley. Of the total population, approximately 50% are females. The median age is 34 years. The population age breakdown is: 27.3% under 20 years old; 57.4% are 20 to 64 years old and 15.3% are 65 and older. For people reporting one race, 43.9% are White; 45.8% are Hispanic; 2.0% are Black or African American; 5.3% are Asian; and 2.9% are Other/Multi-Racial. 12.5% of county residents live below the poverty level. The residents of the County are served by 5 hospitals throughout the county. Schedule H, Part VI, Line 5 Promotion of community health The Board of Directors is made up of prominent community members who volunteer their time to ensure that the Santa Barbara Community has access to high-quality, affordable healthcare. The Board of Directors is actively involved in the Hospital's strategic decisions and takes its commitment to the Community very seriously. The Board approves of an annual financial budget and 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 were used to rebuild the facility. Santa Barbara Cottage Hospital has built a new hospital in order to comply with the unfunded mandate of the State of California's Senate Bill 1953 (SB1953), which requires all hospitals to retrofit or rebuild in order to withstand a major earthquake. The Hospital used this opportunity to live the core value of excellence by ensuring that the new facility will meet the current and future healthcare needs of the Community. This was the largest project in the Hospital's history. Santa Barbara Cottage Hospital works cooperatively with the open medical staff to improve healthcare in the community. The Hospital is exploring how to better align with physicians in order to provide the highest quality of care. Schedule H, Part VI, Line 6 Affiliated health care system Cottage Health is the parent organization of Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. These organizations have a common Board of Directors. Cottage Health Hospitals are the sole hospital providers in the Community and strategic plans are created with all the Hospitals and their Communities in mind. Santa Barbara Cottage Hospital is the largest hospital in the system and provides the widest array of services. As such, Santa Barbara Cottage Hospital experiences the largest amount of financial assistance and Medicaid shortfall from cost. The hospital also provides the majority of community benefit programs, which are reported in the Cottage Health Community Benefit Report. In addition, Santa Barbara Cottage Hospital Foundation provides grants to various organizations to promote healthy living and support nurse-training programs in the Community. Schedule H, Part VI, Line 7 State filing of community benefit report CA true SANTA BARBARA NEIGHBORHOOD CLINICS 1900 State St Suite G Santa Barbara CA 93101 770496382 501(c)(3) 1655116 Support of neighborhood health clinics for low income patients PATH PEOPLE ASSISTING THE HOME PO Box 24116 Santa Barbara CA 93121 953950196 501(c)(3) 674299 Medical respite beds for the homeless population Santa Barbara City College 721 Cliff Drive Santa Barbara CA 93109 770070782 government 451099 Support of Nursing Program at Santa Barbara City College CSUCI FOUNDATION One University Drive Camarillo CA 93012 770433230 501(c)(3) 311100 Support of the Bachelor's in Science, Nursing program in Santa Barbara California Health Foundation Trust 1215 K Street Suite 800 Sacramento CA 95814 941498697 501(c)(3) 183230 Support of charitable activities at hospitals in the state of California. FAMILY SERVICE AGENCY CRIS 123 West Gutierrez St Santa Barbara CA 93101 951644031 501(c)(3) 160470 School based counseling to at risk high school students NEW BEGINNINGS COUNSELING CENTER 324 E CARRILLO STREET STE C Santa Barbara CA 93101 770556795 501(c)(3) 100000 Assists low-income individuals with mental health needs in accessing virtual care CARPINTERIA CHILDRENS PROJECT 5201 Eighth Street Carpenteria CA 93013 811407122 501(c)(3) 94229 Support of charitable activities at hospitals in the state of California. Santa Barbara Alliance for Community Transformation Uffizi Order UFFIZI PO Box 217 Santa Barbara CA 93102 452832064 501(c)(3) 84919 Provide mental health services to low income school age children. HOUSING AUTHORITY OF THE CITY OF SANTA BARBARA 808 Laguna Street Santa Barbara CA 93101 952676783 government 80000 Support case management and behavioral health services for onsite clients SANCTUARY CENTERS OF SANTA BARBARA INC PO Box 551 Santa Barbara CA 93102 953066786 501(c)(3) 80000 Residential as well as clinical assistance for people with mental health and substance abuse problems PathPoint 315 W Haley St Suite 102 Santa Barbara CA 93101 952371668 501(c)(3) 70000 Support for developmentally disabled and job training programs Mental Wellness Center 617 GARDEN STREET Santa Barbara CA 93101 951962659 501(c)(3) 58300 Assists at-risk youth in accessing mental health services and provides prevention education WILLBRIDGE OF SANTA BARBARA 1215 East Montecito St Santa Barbara CA 93130 571194195 501(c)(3) 51600 Support for the transitional housing beds for homeless patients who are not appropriate for discharge to the streets or shelters and who need supervised convalescense STORYTELLER CHILDRENS CENTER INC 2115 State Street Santa Barbara CA 93105 770283072 501(c)(3) 45450 Support of therapy services and case management for homeless preschool children and families DOCTORS WITHOUT WALLS-SANTA BA PO Box 3751 Santa Barbara CA 93103 331210731 501(c)(3) 40000 Support of health needs for the poor and homeless of Santa Barbara PACIFIC PRIDE FOUNDATION 126 E Haley St Suite A11 Santa Barbara CA 93102 953133613 501(c)(3) 39750 Provide counseling to the LGBTQ+ HIV community SARAH HOUSE PO Box 20031 Santa Barbara CA 93120 770224415 501(c)(3) 36300 Support of end of life care for low income patients that transfer from the Hospital Palliative Care facility UNIVERSITY OF CA REGENTS UCSB Santa Barbara CA 93106 954377221 government 28864 Support of health research programs. Santa Barbara Education Foundation 1330 STATE STREET Santa Barbara CA 93101 770071544 501(c)(3) 25000 Assists at-risk youth in accessing mental health services and provides prevention education HOSPICE OF SANTA BARBARA inc 222 E CANON PERDIDO Santa Barbara CA 93101 237448586 501(c)(3) 24338 Supports COVID-19 prevention education among vulnerable communities. ISLA VISTA YOUTH PROJECTS INC 6842 PHELPS ROAD Goleta CA 93117 953007419 501(c)(3) 23650 Supports COVID-19 prevention education among vulnerable communities. Santa Barbara County Education Office 4400 CATHEDRAL OAKS ROAD SANTA BARBARA CA 93160 956000940 government 23100 Supports COVID-19 prevention education among vulnerable communities. CHILD ABUSE LISTENING MEDIATION 1236 Chapala St Santa Barbara CA 93101 237097910 501(c)(3) 21750 Provide mental health screening and services to children suffering from Adverse Childhood Experiences. PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST 518 GARDEN STREET Santa Barbara CA 93101 952319356 501(c)(3) 15000 Provides cancer screening and prevention education and access to services. SANSUM CLINIC PO Box 1200 Santa Barbara CA 93102 956419205 501(c)(3) 15000 Medical education VNA HEALTH FOUNDATION 509 E MONTECITO STREET Santa Barbara CA 93103 770342043 501(c)(3) 15000 Support for the transitional housing beds for homeless patients who are not appropriate for discharge to the streets or shelters and who need supervised convalescense La Casa De La Raza 601 E MONTECITO STREET Santa Barbara CA 93103 237110339 501(c)(3) 13200 Supports COVID-19 prevention education among vulnerable communities. THRESHOLDS TO RECOVERY INC 1038 Pittsfield Lane Ventura CA 93001 770335136 501(c)(3) 6630 Funding provides help to individuals who have been intoxicated in public. The program offers an alternative to incarceration. Program follow-up includes referral for treatment of alcoholism as an effort in recovery. 29 0 LIFELINE - providing emergency support 50 12599 The people assisted with Lifeline support are elderly with health issues who cannot afford to pay for the program. The hospital pays the lifeline fee for approximately 50 of these individuals. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grant funds are monitored through the Community Health Coordinating Committee of Cottage Health. Grantees are required to submit a report in June of each year that is reviewed by the committee prior to entire amount of funds being disbursed. X X X X false true false false false false false true false Ronald Werft President & CEO 0 1151018 0 446431 0 117629 0 14250 0 23192 0 1752520 0 0 Steven Fellows Executive VP and COO 0 597178 0 205199 0 77802 0 14250 0 22433 0 916862 0 0 Brett Tande Senior VP and CFO 0 638597 0 180805 0 119138 0 14250 0 30974 0 983764 0 0 DAVID NICHOLS VP BUSINESS DEVEL-LAB 130373 0 656129 0 0 0 14250 0 444 0 801196 0 0 0 JEFFREY GAUVIN MD DIR SURGERY EDUC 451902 0 0 0 20855 0 14250 0 21778 0 508785 0 0 0 RICHARD BESWICK VP RESEARCH & Chief Research Officer 379287 0 79065 0 14076 0 52405 0 21778 0 546611 0 0 0 KEITH DEAVILLE DIR SALES & MARKETING-LAB 165019 0 199435 0 3054 0 14250 0 33175 0 414933 0 0 0 STEPHEN KAMINSKI MD DIR TRAMA SVCS & SICU 333704 0 0 0 6850 0 14250 0 18967 0 373771 0 0 0 Schedule J, Part II Beginning in 2014, THE ORGANIZATION ENTERED INTO A SPLIT-DOLLAR TERM LOAN ARRANGEMENT WITH THREE EXECUTIVES IN EXCHANGE FOR THEIR AGREEMENT TO FOREGO BENEFITS UNDER A SECTION 457(F) DEFERRED COMPENSATION PLAN. THE ORGANIZATION MAKES LOANS TO THE EXECUTIVES THAT ARE USED TOWARDS PREMIUMS ON LIFE INSURANCE POLICIES. INTEREST ON THE LOANS ACCRUES AT A RATE OF INTEREST IN EXCESS OF THE APPLICABLE FEDERAL RATE. UPON RETIREMENT, THE EXECUTIVES WILL BE PERMITTED TO BORROW ANNUALLY FROM THE ACCUMULATED CASH VALUE TO RECEIVE A TARGET BENEFIT AS LONG AS THE POLICIES' RETAIN ENOUGH CASH VALUE TO REPAY THE ORGANIZATION'S LOANS AND ACCRUED INTEREST FROM THE DEATH BENEFITS. THE LOANS ARE SECURED WITH THE POLICIES' CASH VALUE AND DEATH BENEFITS AND THE ORGANIZATION SHARES IN ANY EXCESS DEATH BENEFITS UNDER THE POLICIES. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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 executives 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. 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 ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. Beginning in 2020, any vested payouts were paid directly to participants by Fidelity and 1099s were issued by Fidelity. 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. Joan Bricher CFO through 1/2016 Joint investment in cash balance life insurance policy X 5627962 5548947 false true true Ronald Werft CEO Joint investment in cash balance life insurance policy X 14589759 16419280 false true true Steven Fellows COO Joint investment in cash balance life insurance policy X 3308400 3758646 false true true Brett Tande CFO Housing X 300000 300000 false true true Richard Beswick VP Research Housing X 300000 300000 false true true 26326873 Hogan W Michael MD PC board member Dr. Anne Rodriguez is a 49% owner in the corporation 248387 Medical Services false Form 990, Part VI, Line 6 Classes of members or stockholders Cottage Health is the sole corporate member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Cottage Health is the sole corporate member and can appoint Directors to the Board. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Board of Directors must obtain prior approval from the Board of Directors of Cottage Health, 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. 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 February 28, 2020. Form 990, Part VI, Line 19 Required documents available to the public Tax filings can be obtained upon request from the CFO. Audited Financial Statements are attached to the Form 990 in accordance with IRS instructions. 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 Tax Refund - Total Revenue: 21614, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 21614; Other Revenues - Total Revenue: 4053979, Related or Exempt Function Revenue: 3876842, Unrelated Business Revenue: 177137, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Professional Fees - Total Expense: 48885412, Program Service Expense: 40925874, Management and General Expenses: 7959538, Fundraising Expenses: ; CONTRACTED NURSING SERVICES - Total Expense: 7420591, Program Service Expense: 7420591, Management and General Expenses: , Fundraising Expenses: ; Laboratory Outside Tests - Total Expense: 5015218, Program Service Expense: 5015218, Management and General Expenses: , Fundraising Expenses: ; CONTRACT Labor other - Total Expense: 3508034, Program Service Expense: 3471545, Management and General Expenses: 36489, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 36503885, Program Service Expense: 26091747, Management and General Expenses: 10412138, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION LIABILITY - -17324463; PACIFIC DIAGNOSTIC LABORATORIES LLC PO BOX 689 SANTA BARBARA CA 93102 205038438 OUTPATIENT LABORATORY SERVICES CA 42160632 19306452 SANTA BARBARA COTTAGE HOSPITAL COTTAGE HEALTH PO BOX 689 SANTA BARBARA CA 931020689 770431902 PARENT ORGANIZATION FOR 3 HOSPITALS & MEDICAL PROF BLDG. 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