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COTTAGE HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COTTAGE HEALTH (EIN 77-0431902)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202003169349304835
Schema version
2019v5.0
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

FieldValueIRS element (for citing)
Return2020-11-11T15:31:45-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Ernst and Young LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14365 Executive Drive Suite 1600AddressLine1Txt
CitySan DiegoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770431902EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cottage HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOTTBusinessNameControlTxt
Phone8053249903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 689 Attn Finance DeptAddressLine1Txt
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93102ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBrett D TandePersonNm
Person TitleSenior VP and CFOPersonTitleTxt
Signature2020-11-11SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJocelyne MillerPreparerPersonNm
PTINP00634378PTIN
Phone8585357200PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Ronald WerftBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 689 Attn Finance DeptAddressLine1Txt
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93102ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$152,813,008GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cottagehealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionIt 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.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee546TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$71,652TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,412NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$30,964CYContributionsGrantsAmt
PY Program Service Revenue$147,012,590PYProgramServiceRevenueAmt
CY Program Service Revenue$151,199,763CYProgramServiceRevenueAmt
PY Investment Income$160PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$326,876PYOtherRevenueAmt
CY Other Revenue$1,582,281CYOtherRevenueAmt
PY Total Revenue$147,339,626PYTotalRevenueAmt
CY Total Revenue$152,813,008CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$73,635,584PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,004,193CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$76,643,140PYOtherExpensesAmt
CY Other Expenses$77,949,952CYOtherExpensesAmt
PY Total Expenses$150,278,724PYTotalExpensesAmt
CY Total Expenses$158,954,145CYTotalExpensesAmt
PY Revenues Less Expenses-$2,939,098PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,141,137CYRevenuesLessExpensesAmt
Total Assets BOY$102,490,282TotalAssetsBOYAmt
Total Assets EOY$100,071,589TotalAssetsEOYAmt
Total Liabilities BOY$90,014,978TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,774,365TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,475,304NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,297,224NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIt 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.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$91,951,502ExpenseAmt
Grant$0GrantAmt
Revenue$152,710,392RevenueAmt
DescCottage 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.Desc
Total Program Service Expenses$91,951,502TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document165IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee546EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kristin TuvfessonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8053249933PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1Txt
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93102ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Dorothy Largay PhD
Vice Chair3.52.5Yes (X)Yes (X)$0$0$0
Edward Bentley MD
Secretary3.52.5Yes (X)Yes (X)$0$0$0
Gregory Faulkner
Board Chair12.08.0Yes (X)Yes (X)$0$0$0
Steven Zola
Vice Chair3.52.5Yes (X)Yes (X)$0$0$0
Thomas Cusack
Vice Chair3.52.5Yes (X)Yes (X)$0$0$0
Anne Rodriguez MD
Board Member2.41.6Yes (X)$0$0$0
Ernesto Paredes
Board Member2.41.6Yes (X)$0$0$0
Gamble Parks ATTY
Committee Chair2.92.1Yes (X)$0$0$0
Harry McMahon
Board Member2.41.6Yes (X)$0$0$0
Mark Scott MD
Board Member2.41.6Yes (X)$0$0$0
Nancy Nielsen
Board Member2.41.6Yes (X)$0$0$0
Pamela Gann
Board Member2.41.6Yes (X)$0$0$0
Richard Ponce MD
Board Member2.41.6Yes (X)$0$0$0
Robert Nourse
Board Member2.41.6Yes (X)$0$0$0
Steven Ainsley
Board Member2.41.6Yes (X)$0$0$0
Susan Christol-Deacon
Committee Chair2.92.1Yes (X)$0$0$0
Brett Tande
Senior VP and CFO30.020.0Yes (X)$866,653$0$42,905
Jacqueline Pierce
Asst. Secretary-Board24.016.0Yes (X)$110,304$0$15,577
Ronald Werft
President & CEO36.024.0Yes (X)$1,586,710$0$34,076
Steven Fellows
COO25.025.0Yes (X)$844,961$0$42,905
AFSHIN FATHOLAHI
VP SUPPORT SERVICES40.00$398,271$0$35,151Yes (X)
ALLISON VIRAMONTES
VP REVENUE CYCLE40.00$505,454$0$76,038Yes (X)
CARA WILLIAMS
VP HUMAN RESOURCE40.00$473,679$0$80,563Yes (X)
EDMUND WROBLEWSKI MD
VP MEDICAL AFFAIRS40.00$703,588$0$35,151Yes (X)
HERBERT GEARY
VP PT CARE SVCS, CNO40.00$566,621$0$35,151Yes (X)
KEVIN NELSON
CHIEF COMPL OFFICER40.00$223,622$0$20,912Yes (X)
KRISTIN TUFVESSON
VP FINANCE40.00$268,252$0$58,683Yes (X)
LISA MOORE
VP CLINICAL SERVICES40.00$474,859$0$72,281Yes (X)
RONALD M BISCARO
VP PROJECT MANAGEMENT40.00$409,202$0$35,151Yes (X)
WILLIAM WORTHINGTON
VP ISD/CIO40.00$505,307$0$24,711Yes (X)
CHARLES BROWN
CHIEF MED INFORM OFF40.00$418,922$0$35,151Yes (X)
DAVID DIETRICH
VP ADVANCEMENT40.00$404,085$0$24,096Yes (X)
KATHRYN BAZYLEWICZ
VP MARKETING40.00$475,754$0$81,247Yes (X)
SHARON LUTZ
VP QUALITY SUP SVCS40.00$330,349$0$70,632Yes (X)
STEVEN BARKLEY MD
CHIEF PEDIATRIC MEDICAL OFFICER40.00$383,457$0$31,301Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,950,050TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$851,682TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K190IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RIGHT SOURCING INC
999 STEWART AVESUITE 100BETHPAGENY11714CONTRACT LABOR$5,642,466
NTT Data Services LLC
100 City SquareBostonMA02129IT Services$3,693,780
EPIC Systems Corporation
1979 Milky WayVernonaWI53593IT SERVICES$3,331,354
XTEND HEALTHCARE LLC
90 VOLUNTEER DRIVESUITE 150HENDERSONVILLETN37075REVENUE CYCLE SERVICES$3,019,945
BLUETREE NETWORK INC
1255 FOURIER DRIVESUITE 101MADISONWI53717IT SERVICES$2,849,976
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K85CntrctRcvdGreaterThan100KCnt
Government Grants$30,964GovernmentGrantsAmt
Total Contributions$30,964TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADMIN REV FROM TAX EXEMPT AFFIL561000$157,331,823$157,331,823
COHP LLC loss900099-$6,422,107-$6,422,107
COSMG income (loss)900099$290,047$290,047

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$151,199,763TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Insurance Recovery561000$1,280,822$1,280,822$0$0
HIM fees561000$108,181$108,181$0$0
Human Resource Event Revenue561000$85,496$85,496$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,782TotalRevenueColumnAmt
Related Or Exempt Func Income$36,130RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$71,652UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,582,281OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$152,813,008TotalRevenueColumnAmt
Related Or Exempt Func Income$152,710,392RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$71,652UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,419,158TotalAmt
Program Services$2,683,893ProgramServicesAmt
Management And General$5,735,265ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$41,926,930TotalAmt
Program Services$24,090,514ProgramServicesAmt
Management And General$17,836,416ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,617,699TotalAmt
Program Services$5,825,087ProgramServicesAmt
Management And General$792,612ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,526,409TotalAmt
Program Services$14,477,876ProgramServicesAmt
Management And General$6,048,533ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,513,997TotalAmt
Program Services$1,852,339ProgramServicesAmt
Management And General$1,661,658ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,384,908TotalAmt
Management And General$3,384,908ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,883,995TotalAmt
Management And General$1,883,995ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$55,000TotalAmt
Management And General$55,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,570,587TotalAmt
Program Services$2,063,639ProgramServicesAmt
Management And General$14,506,948ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,904,757TotalAmt
Program Services$218,984ProgramServicesAmt
Management And General$1,685,773ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,787,039TotalAmt
Program Services$751,570ProgramServicesAmt
Management And General$1,035,469ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,290,151TotalAmt
Program Services$19,984,975ProgramServicesAmt
Management And General$7,305,176ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,678,952TotalAmt
Program Services$2,803,072ProgramServicesAmt
Management And General$875,880ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,281,507TotalAmt
Program Services$533,409ProgramServicesAmt
Management And General$748,098ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$228,932TotalAmt
Program Services$93,701ProgramServicesAmt
Management And General$135,231ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,107,372TotalAmt
Program Services$13,553,558ProgramServicesAmt
Management And General$2,553,814ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,908,125TotalAmt
Program Services$2,702,683ProgramServicesAmt
Management And General$205,442ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues and Subscriptions$370,176$94,313$275,863
Equipment Maintenance$226,495$191,841$34,654
Training$139,995$22,590$117,405
UBI and Excise Taxes$93,679$93,679

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,282TotalAmt
Program Services$7,458ProgramServicesAmt
Management And General$30,824ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$158,954,145TotalAmt
Program Services$91,951,502ProgramServicesAmt
Management And General$67,002,643ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,483,221BOYAmt
EOY$5,569,668EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,455,596BOYAmt
EOY$2,023,514EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$300,000BOYAmt
EOY$300,000EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,837,406BOYAmt
EOY$7,716,883EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$170,604,854LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$90,995,941LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$84,732,173BOYAmt
EOY$79,608,913EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY-$318,114BOYAmt
EOY$4,852,611EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$102,490,282BOYAmt
EOY$100,071,589EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,942,970BOYAmt
EOY$14,682,592EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,072,008BOYAmt
EOY$67,091,773EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$90,014,978BOYAmt
EOY$81,774,365EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,475,304BOYAmt
EOY$18,297,224EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,475,304BOYAmt
EOY$18,297,224EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$102,490,282BOYAmt
EOY$100,071,589EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,141,137ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$11,963,057OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
SANTA BARBARA COTTAGE HOSPITAL
9516446293Yes (true)$0$0
GOLETA VALLEY COTTAGE HOSPITAL
9524135963Yes (true)$0$0
SANTA YNEZ VALLEY COTTAGE HOSPITAL INC
9522242653Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (true)SupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12fCottage 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 orgsThe Cottage Health management team provides management services to Villa Riviera Real Estate Company.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$55,000GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$55,000TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationContribution paid to Coalition to Protect America's Health Care, used for public awareness and education.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,025,071OtherCostOrOtherBasisAmt
Depreciation$455,476DepreciationAmt
Book Value$569,595BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,475,052OtherCostOrOtherBasisAmt
Depreciation$90,540,465DepreciationAmt
Book Value$68,934,587BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,104,731OtherCostOrOtherBasisAmt
Book Value$10,104,731BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$79,608,913TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to affiliates$62,062,015
Lease liabilities$2,393,237
SERP and Retirement Plan$1,813,663
Group Health Reserve$822,858
Accrued Settlement
FieldValueIRS element (for citing)
Total Liability$67,091,773TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationCottage 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 2014.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ronald Werft
President & CEO$1,097,730$0$406,319$0$82,661$0$14,000$0$20,076$0$1,620,786$0$0$0
Brett Tande
Senior VP and CFO$594,193$0$155,964$0$116,496$0$14,000$0$28,905$0$909,558$0$0$0
Steven Fellows
COO$578,567$0$195,749$0$70,645$0$14,000$0$28,905$0$887,866$0$0$0
EDMUND WROBLEWSKI MD
VP MEDICAL AFFAIRS$499,829$0$116,954$0$86,805$0$14,000$0$21,151$0$738,739$0$0$0
HERBERT GEARY
VP PT CARE SVCS, CNO$427,545$0$70,664$0$68,412$0$14,000$0$21,151$0$601,772$0$0$0
ALLISON VIRAMONTES
VP REVENUE CYCLE$406,779$0$69,036$0$29,639$0$47,133$0$28,905$0$581,492$0$0$0
WILLIAM WORTHINGTON
VP ISD/CIO$160,215$0$83,711$0$261,381$0$12,196$0$12,515$0$530,018$0$0$0
LISA MOORE
VP CLINICAL SERVICES$334,587$0$76,436$0$63,836$0$53,868$0$18,413$0$547,140$0$23,281$0
CARA WILLIAMS
VP HUMAN RESOURCE$373,262$0$75,556$0$24,861$0$50,123$0$30,440$0$554,242$0$0$0
RONALD M BISCARO
VP PROJECT MANAGEMENT$308,645$0$63,325$0$37,232$0$14,000$0$21,151$0$444,353$0$0$0
AFSHIN FATHOLAHI
VP SUPPORT SERVICES$284,502$0$64,992$0$48,777$0$14,000$0$21,151$0$433,422$0$0$0
KRISTIN TUFVESSON
VP FINANCE$207,223$0$5,653$0$55,376$0$29,424$0$29,259$0$326,935$0$0$0
KEVIN NELSON
CHIEF COMPL OFFICER$197,078$0$19,249$0$7,295$0$10,816$0$10,096$0$244,534$0$0$0
KATHRYN BAZYLEWICZ
VP MARKETING$361,559$0$81,900$0$32,295$0$52,342$0$28,905$0$557,001$0$9,413$0
CHARLES BROWN
CHIEF MED INFORM OFF$404,330$0$0$0$14,592$0$14,000$0$21,151$0$454,073$0$0$0
DAVID DIETRICH
VP ADVANCEMENT$312,812$0$55,901$0$35,372$0$14,000$0$10,096$0$428,181$0$0$0
STEVEN BARKLEY MD
CHIEF PEDIATRIC MEDICAL OFFICER$379,780$0$0$0$3,677$0$14,000$0$17,301$0$414,758$0$0$0
SHARON LUTZ
VP QUALITY SUP SVCS$223,646$0$52,304$0$54,399$0$41,727$0$28,905$0$400,981$0$17,237$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsThe 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 feesMembership 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 4a Severance or change-of-control paymentWilliam Worthington, VP of ISC and CIO, left Cottage Health on May 3, 2019 and was provided a severance payment of $239,495 during 2019.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCOTTAGE 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. ANY DEFERRED CONTRIBUTIONS TO THIS PLAN WILL BE REPORTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID. In 2019, recipients of payouts from the 457(F) plan were: Lisa Moore ($23,281), Kathryn Bazylewicz ($9,413), Sharon Lutz ($17,237).
Schedule J, Part I, Line 7 Non-fixed paymentsEach 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHRYN BAZYLEWICZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgVICE PRESIDENTRelationshipWithOrgTxt
Loan PurposeHOME LOANLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$300,000OriginalPrincipalAmt
Balance Due$300,000BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$300,000TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 2 New program servicesIn November of 2019, Cottage Health became the sole corporate member of Cottage Clinical Network LLC (CCN). CCN will operate urgent care centers in the surrounding communities, the first of which will open in June 2020.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyForm 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 policyThe 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 officialOn an annual basis the Executive Compensation Committee (ECC) of the Board of Directors meets to determine appropriate compensation for executives, including the CEO, COO, CFO, and vice presidents. All members of the ECC are independent members of the Board of Directors. The ECC engages an independent consultant to prepare comparative compensation reports for each position. The executive's individual performance will also be considered when determining compensation. The ECC recommends compensation for the executives to the full Board for approval. This process takes place annually for all employed officers and key employees.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesThe 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 29, 2019.
Form 990, Part VI, Line 19 Required documents available to the publicTax 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 RevenueVRE fees - Total Revenue: 71652, Related or Exempt Function Revenue: , Unrelated Business Revenue: 71652, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; All other revenues - Total Revenue: 36130, Related or Exempt Function Revenue: 36130, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesThird Party Billing Fees - Total Expense: 5064766, Program Service Expense: , Management and General Expenses: 5064766, Fundraising Expenses: ; Contract labor - Total Expense: 1852703, Program Service Expense: 575865, Management and General Expenses: 1276838, Fundraising Expenses: ; Consulting services - Total Expense: 1886851, Program Service Expense: 11287, Management and General Expenses: 1875564, Fundraising Expenses: ; Other Purchased Services & Fees - Total Expense: 7766267, Program Service Expense: 1476487, Management and General Expenses: 6289780, Fundraising Expenses: ;
Form 990, Part X, Line 15 Other Assets2018 reclassified various receivables from Other Assets to line 4, Accounts Receivable, to be consistent with 2019 presentation. The resulting credit balance in 2018 line 15, other assets is due to one partnership investment which had a net loss.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN PENSION LIABILITY - 11963057;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Cottage Clinical Network LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1Txt
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93102ZIPCd
FieldValueIRS element (for citing)
EIN843321175EIN
Primary ActivitiesMedical Urgent Care CentersPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income-$9,080TotalIncomeAmt
End Of Year Assets$5,537,792EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Cottage HealthBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SANTA BARBARA COTTAGE HOSPITAL
PO BOX 689SANTA BARBARACA93102951644629HOSPITALCA501(c)(3)3COTTAGE HEALTHYes (true)
GOLETA VALLEY COTTAGE HOSPITAL
PO BOX 689SANTA BARBARACA93102952413596HOSPITALCA501(c)(3)3COTTAGE HEALTHYes (true)
SANTA YNEZ VALLEY COTTAGE HOSPITAL INC
PO BOX 689SANTA BARBARACA93102952224265HOSPITALCA501(c)(3)3COTTAGE HEALTHYes (true)
SANTA BARBARA COTTAGE HOSPITAL FOUNDATION
PO BOX 689SANTA BARBARACA93102953802238FUNDRAISINGCA501(c)(3)7NAfalse
GOLETA VALLEY PROFESSIONAL BUILDINGS INC
PO BOX 689SANTA BARBARACA93102770004202MEDICAL PROFESSIONAL BUILDINGCA501(c)(3)Type IICOTTAGE HEALTHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Coastal One Health Partners LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W Pueblo StreetAddressLine1Txt
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93105ZIPCd
FieldValueIRS element (for citing)
EIN821663329EIN
Primary ActivitiesHealth CarePrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Cottage HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income-$6,422,107ShareOfTotalIncomeAmt
Share Of EOY Assets-$3,028,882ShareOfEOYAssetsAmt
Disproportionate AllocationsYes (true)DisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Goleta Valley Cottage Hospital
L$7,652,220accrual
Goleta Valley Cottage Hospital
Q$8,365,460accrual
Goleta Valley Cottage Hospital
S$64,110accrual
Goleta Valley Professional Buildings Inc
K$525,828accrual
Santa Barbara Cottage Hospital
L$65,105,652accrual
Santa Barbara Cottage Hospital
O$568,305accrual
Santa Barbara Cottage Hospital
P$715,673accrual
Santa Barbara Cottage Hospital
Q$70,709,384accrual
Santa Barbara Cottage Hospital
S$400,457accrual
Santa Ynez Valley Cottage Hospital
L$1,477,971accrual
Santa Ynez Valley Cottage Hospital
Q$1,352,888accrual