2020-11-11T15:31:45-06:00 2019-12-31 346565596 Ernst and Young LLP 4365 Executive Drive Suite 1600 San Diego CA 92121 990 2019-01-01 770431902 Cottage Health COTT 8053249903 PO Box 689 Attn Finance Dept Santa Barbara CA 93102 Brett D Tande Senior VP and CFO 2020-11-11 false Jocelyne Miller P00634378 8585357200 2019 2021-01-29 14:40:06Z Ronald Werft PO Box 689 Attn Finance Dept Santa Barbara CA 93102 152813008 false X www.cottagehealth.org X 1996 CA It is the mission of Cottage Health to provide superior health care for and improve the health care of our communities through a commitment to our core values of excellence, integrity, and compassion. 16 14 546 0 71652 2412 0 30964 147012590 151199763 160 0 326876 1582281 147339626 152813008 0 0 0 0 73635584 81004193 0 0 0 76643140 77949952 150278724 158954145 -2939098 -6141137 102490282 100071589 90014978 81774365 12475304 18297224 X It is the mission of Cottage Health to provide superior health care for and improve the health care of our communities through a commitment to our core values of excellence, integrity, and compassion. true false 91951502 0 152710392 Cottage Health provided management and administrative services to Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc. 91951502 true true false true false false false false false true false false false true true false true false false false false false false false false false false false true false false false true false false false false false false false false true true true true false false true 165 0 true 546 true true true false false false false false false false false false true false X 16 14 false false false false false false false true true false false true true true true true true true true true true CA X Kristin Tuvfesson 8053249933 PO Box 689 Santa Barbara CA 93102 Dorothy Largay PhD Vice Chair 3.5 2.5 X X 0 0 0 Edward Bentley MD Secretary 3.5 2.5 X X 0 0 0 Gregory Faulkner Board Chair 12.0 8.0 X X 0 0 0 Steven Zola Vice Chair 3.5 2.5 X X 0 0 0 Thomas Cusack Vice Chair 3.5 2.5 X X 0 0 0 Anne Rodriguez MD Board Member 2.4 1.6 X 0 0 0 Ernesto Paredes Board Member 2.4 1.6 X 0 0 0 Gamble Parks ATTY Committee Chair 2.9 2.1 X 0 0 0 Harry McMahon Board Member 2.4 1.6 X 0 0 0 Mark Scott MD Board Member 2.4 1.6 X 0 0 0 Nancy Nielsen Board Member 2.4 1.6 X 0 0 0 Pamela Gann Board Member 2.4 1.6 X 0 0 0 Richard Ponce MD Board Member 2.4 1.6 X 0 0 0 Robert Nourse Board Member 2.4 1.6 X 0 0 0 Steven Ainsley Board Member 2.4 1.6 X 0 0 0 Susan Christol-Deacon Committee Chair 2.9 2.1 X 0 0 0 Brett Tande Senior VP and CFO 30.0 20.0 X 866653 0 42905 Jacqueline Pierce Asst. Secretary-Board 24.0 16.0 X 110304 0 15577 Ronald Werft President & CEO 36.0 24.0 X 1586710 0 34076 Steven Fellows COO 25.0 25.0 X 844961 0 42905 AFSHIN FATHOLAHI VP SUPPORT SERVICES 40.0 0 X 398271 0 35151 ALLISON VIRAMONTES VP REVENUE CYCLE 40.0 0 X 505454 0 76038 CARA WILLIAMS VP HUMAN RESOURCE 40.0 0 X 473679 0 80563 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 40.0 0 X 703588 0 35151 HERBERT GEARY VP PT CARE SVCS, CNO 40.0 0 X 566621 0 35151 KEVIN NELSON CHIEF COMPL OFFICER 40.0 0 X 223622 0 20912 KRISTIN TUFVESSON VP FINANCE 40.0 0 X 268252 0 58683 LISA MOORE VP CLINICAL SERVICES 40.0 0 X 474859 0 72281 RONALD M BISCARO VP PROJECT MANAGEMENT 40.0 0 X 409202 0 35151 WILLIAM WORTHINGTON VP ISD/CIO 40.0 0 X 505307 0 24711 CHARLES BROWN CHIEF MED INFORM OFF 40.0 0 X 418922 0 35151 DAVID DIETRICH VP ADVANCEMENT 40.0 0 X 404085 0 24096 KATHRYN BAZYLEWICZ VP MARKETING 40.0 0 X 475754 0 81247 SHARON LUTZ VP QUALITY SUP SVCS 40.0 0 X 330349 0 70632 STEVEN BARKLEY MD CHIEF PEDIATRIC MEDICAL OFFICER 40.0 0 X 383457 0 31301 9950050 0 851682 190 false true false RIGHT SOURCING INC 999 STEWART AVE SUITE 100 BETHPAGE NY 11714 CONTRACT LABOR 5642466 NTT Data Services LLC 100 City Square Boston MA 02129 IT Services 3693780 EPIC Systems Corporation 1979 Milky Way Vernona WI 53593 IT SERVICES 3331354 XTEND HEALTHCARE LLC 90 VOLUNTEER DRIVE SUITE 150 HENDERSONVILLE TN 37075 REVENUE CYCLE SERVICES 3019945 BLUETREE NETWORK INC 1255 FOURIER DRIVE SUITE 101 MADISON WI 53717 IT SERVICES 2849976 85 30964 30964 ADMIN REV FROM TAX EXEMPT AFFIL 561000 157331823 157331823 COHP LLC loss 900099 -6422107 -6422107 COSMG income (loss) 900099 290047 290047 0 0 0 0 151199763 0 0 0 0 Insurance Recovery 561000 1280822 1280822 0 0 HIM fees 561000 108181 108181 0 0 Human Resource Event Revenue 561000 85496 85496 0 0 107782 36130 71652 0 1582281 152813008 152710392 71652 0 X 0 0 0 0 0 0 0 0 8419158 2683893 5735265 41926930 24090514 17836416 6617699 5825087 792612 20526409 14477876 6048533 3513997 1852339 1661658 3384908 3384908 1883995 1883995 55000 55000 16570587 2063639 14506948 0 1904757 218984 1685773 1787039 751570 1035469 27290151 19984975 7305176 3678952 2803072 875880 1281507 533409 748098 228932 93701 135231 16107372 13553558 2553814 2908125 2702683 205442 Dues and Subscriptions 370176 94313 275863 Equipment Maintenance 226495 191841 34654 Training 139995 22590 117405 UBI and Excise Taxes 93679 93679 38282 7458 30824 0 158954145 91951502 67002643 0 9483221 5569668 1455596 2023514 300000 300000 0 0 6837406 7716883 170604854 90995941 84732173 79608913 0 0 -318114 4852611 102490282 100071589 16942970 14682592 0 0 73072008 67091773 90014978 81774365 X 12475304 18297224 12475304 18297224 102490282 100071589 X -6141137 11963057 X false true X true false X X 3 SANTA BARBARA COTTAGE HOSPITAL 951644629 3 true 0 0 GOLETA VALLEY COTTAGE HOSPITAL 952413596 3 true 0 0 SANTA YNEZ VALLEY COTTAGE HOSPITAL INC 952224265 3 true 0 0 3 0 0 true false false false false true false false false false false false false false false true Schedule A, Part I, Line 12f Cottage Health supports Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Cottage Hospital by providing management, financial, information systems, facilities planning and other services to the hospitals. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs The Cottage Health management team provides management services to Villa Riviera Real Estate Company. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 55000 false false false 55000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Contribution paid to Coalition to Protect America's Health Care, used for public awareness and education. 1025071 455476 569595 159475052 90540465 68934587 10104731 10104731 79608913 Due to affiliates 62062015 Lease liabilities 2393237 SERP and Retirement Plan 1813663 Group Health Reserve 822858 Accrued Settlement 67091773 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Cottage completed an analysis of its tax positions, in accordance with ASC 740, Income Taxes, and determined that there are no uncertain tax positions taken. Cottage has recognized no interest or penalties related to uncertain tax positions. Cottage is subject to routine audits by the taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The System believes it is no longer subject to income tax examinations for years prior to 2014. X X true true X X X X true true false false false false false true false Ronald Werft President & CEO 1097730 0 406319 0 82661 0 14000 0 20076 0 1620786 0 0 0 Brett Tande Senior VP and CFO 594193 0 155964 0 116496 0 14000 0 28905 0 909558 0 0 0 Steven Fellows COO 578567 0 195749 0 70645 0 14000 0 28905 0 887866 0 0 0 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 499829 0 116954 0 86805 0 14000 0 21151 0 738739 0 0 0 HERBERT GEARY VP PT CARE SVCS, CNO 427545 0 70664 0 68412 0 14000 0 21151 0 601772 0 0 0 ALLISON VIRAMONTES VP REVENUE CYCLE 406779 0 69036 0 29639 0 47133 0 28905 0 581492 0 0 0 WILLIAM WORTHINGTON VP ISD/CIO 160215 0 83711 0 261381 0 12196 0 12515 0 530018 0 0 0 LISA MOORE VP CLINICAL SERVICES 334587 0 76436 0 63836 0 53868 0 18413 0 547140 0 23281 0 CARA WILLIAMS VP HUMAN RESOURCE 373262 0 75556 0 24861 0 50123 0 30440 0 554242 0 0 0 RONALD M BISCARO VP PROJECT MANAGEMENT 308645 0 63325 0 37232 0 14000 0 21151 0 444353 0 0 0 AFSHIN FATHOLAHI VP SUPPORT SERVICES 284502 0 64992 0 48777 0 14000 0 21151 0 433422 0 0 0 KRISTIN TUFVESSON VP FINANCE 207223 0 5653 0 55376 0 29424 0 29259 0 326935 0 0 0 KEVIN NELSON CHIEF COMPL OFFICER 197078 0 19249 0 7295 0 10816 0 10096 0 244534 0 0 0 KATHRYN BAZYLEWICZ VP MARKETING 361559 0 81900 0 32295 0 52342 0 28905 0 557001 0 9413 0 CHARLES BROWN CHIEF MED INFORM OFF 404330 0 0 0 14592 0 14000 0 21151 0 454073 0 0 0 DAVID DIETRICH VP ADVANCEMENT 312812 0 55901 0 35372 0 14000 0 10096 0 428181 0 0 0 STEVEN BARKLEY MD CHIEF PEDIATRIC MEDICAL OFFICER 379780 0 0 0 3677 0 14000 0 17301 0 414758 0 0 0 SHARON LUTZ VP QUALITY SUP SVCS 223646 0 52304 0 54399 0 41727 0 28905 0 400981 0 17237 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The CFO received gross up amounts along with his reimbursement for his contribution to a 457(f) plan and it was reported as taxable income. Schedule J, Part I, Line 1a Health or social club dues or initiation fees Membership dues to a local county club are provided to the CEO. A percentage of the dues are allocated to the CEO, based on personal usage and reported as taxable income. A membership to this club is used primarily as a space to hold various recognition and hospital-related functions. Schedule J, Part I, Line 4a Severance or change-of-control payment William 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 plan COTTAGE HEALTH PROVIDES CERTAIN EXECUTIVES A SUPPLEMENTAL RETIREMENT PROGRAM. THE PROGRAM IS DEFINED AS DEFERRED COMPENSATION UNDER THE IRC SECTION 457(F). THE ANNUAL CONTRIBUTION IS 9.8% OF BASE YEARS SALARY WITH THE CONTRIBUTIONS VESTING FIVE YEARS FROM CREDITING DATE, OR AT AGE 62, OR IMMEDIATELY IN THE EVENT OF DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT CAUSE. THE UNVESTED ACCOUNT BALANCES ARE ASSETS OF THE ORGANIZATION AND ARE INCLUDED IN OTHER ASSETS AND THE ACCRUED EXPENSE IS INCLUDED IN PENSION LIABILITY AND OTHER IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE AMOUNTS REPORTED IN THE CURRENT YEAR'S DEFERRED COMPENSATION INCLUDES RECOGNITION OF PAST SERVICE. THE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. 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 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. KATHRYN BAZYLEWICZ VICE PRESIDENT HOME LOAN X 300000 300000 false true true 300000 Form 990, Part III, Line 2 New program services In 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 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 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 employees The process described in line 15a, above, takes place annually for all employed officers and key employees. For this fiscal year, the review occurred on March 29, 2019. Form 990, Part VI, Line 19 Required documents available to the public Tax filings and Audited Financial Statements can be obtained upon request from the CFO. The bylaws, articles of incorporation and conflict of interest policies are not available to the public. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue VRE 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 Fees Third 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 Assets 2018 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 balances CHANGE IN PENSION LIABILITY - 11963057; Cottage Clinical Network LLC PO Box 689 Santa Barbara CA 93102 843321175 Medical Urgent Care Centers CA -9080 5537792 Cottage Health SANTA BARBARA COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 93102 951644629 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true GOLETA VALLEY COTTAGE HOSPITAL PO BOX 689 SANTA BARBARA CA 93102 952413596 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true SANTA YNEZ VALLEY COTTAGE HOSPITAL INC PO BOX 689 SANTA BARBARA CA 93102 952224265 HOSPITAL CA 501(c)(3) 3 COTTAGE HEALTH true SANTA BARBARA COTTAGE HOSPITAL FOUNDATION PO BOX 689 SANTA BARBARA CA 93102 953802238 FUNDRAISING CA 501(c)(3) 7 NA false GOLETA VALLEY PROFESSIONAL BUILDINGS INC PO BOX 689 SANTA BARBARA CA 93102 770004202 MEDICAL PROFESSIONAL BUILDING CA 501(c)(3) Type II COTTAGE HEALTH true Coastal One Health Partners LLC 400 W Pueblo Street Santa Barbara CA 93105 821663329 Health Care CA Cottage Health Related -6422107 -3028882 true 0 true false false false false false false false false false false true true false true true true true false true Goleta Valley Cottage Hospital L 7652220 accrual Goleta Valley Cottage Hospital Q 8365460 accrual Goleta Valley Cottage Hospital S 64110 accrual Goleta Valley Professional Buildings Inc K 525828 accrual Santa Barbara Cottage Hospital L 65105652 accrual Santa Barbara Cottage Hospital O 568305 accrual Santa Barbara Cottage Hospital P 715673 accrual Santa Barbara Cottage Hospital Q 70709384 accrual Santa Barbara Cottage Hospital S 400457 accrual Santa Ynez Valley Cottage Hospital L 1477971 accrual Santa Ynez Valley Cottage Hospital Q 1352888 accrual