2017-11-03T17:00:49-05:00 2016-12-31 346565596 Ernst and Young LLP 4370 La Jolla Village Dr Suite 500 San Diego CA 92122 990 2016-01-01 770431902 Cottage Health COTT 8053249903 PO Box 689 Santa Barbara CA 93102 Brett Tande Senior VP and CFO 2017-10-23 false Jocelyne Miller P00634378 8585357200 2016 2017-02-10 21:41:12Z Ronald Werft PO Box 689 Santa Barbara CA 93102 111364031 false X www.cottagehealthsystem.org X 1996 CA It is the mission of Cottage Health to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. Cottage Health is the sole corporate member for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital. 17 16 327 0 99780 2723 0 102174128 111185324 129735 -1371919 490824 178707 102794687 109992112 0 0 35163069 38970532 0 0 50728967 75079889 85892036 114050421 16902651 -4058309 68708975 88894349 44055390 64686236 24653585 24208113 It is the mission of Cottage Health to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. Cottage Health is the sole corporate member for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, and Goleta Valley Professional Buildings, Inc. false false 69870755 111264251 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. 69870755 true false false false false 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 false true true true false false true 482 0 true 327 true true true false false false false false false false false false X 17 16 false false false false false false false true true false false true true true true true true true true true true CA X Lawrence Thomas 8053249933 PO Box 689 Santa Barbara CA 93102 X Steven Ainsley Board Chair 10.0 10.0 X X 0 0 0 Gregory Faulkner Vice Chair 2.3 2.7 X X 0 0 0 Dorothy Largay PhD Vice Chair 2.3 2.7 X X 0 0 0 Marshall (Chip) Turner Vice Chair 2.3 2.7 X X 0 0 0 Edward Bentley MD Secretary Feb-Dec 2.3 2.7 X X 0 0 0 Jon Clark Committee Chair 2.3 2.7 X 0 0 0 Judith Hopkinson Committee Chair 2.3 2.7 X 0 0 0 Fred Lukas Committee Chair 2.3 2.7 X 0 0 0 Robert Nourse Committee Chair 2.3 2.7 X 0 0 0 Margaret Baker Board Member 1.9 2.1 X 0 0 0 Lori Gaskin PhD Board Member 1.9 2.1 X 0 0 0 Harry McMahon Board Member 1.9 2.1 X 0 0 0 Gamble Parks Board Member 1.9 2.1 X 0 0 0 Richard Ponce MD Board Member 1.9 2.1 X 875 0 0 Elliot Prager MD Board Member 1.9 2.1 X 0 0 0 Anne Rodriguez MD Board Member 1.9 2.1 X 938 0 0 Mark Scott MD Board Member 1.9 2.1 X 0 0 0 Alex Koper MD Secretary thru Jan 2016 1.9 2.1 X 0 0 0 Gretchen Milligan Board Member thru Jan 2016 1.9 2.1 X 0 0 0 Robert Nakasone Vice Chair thru Jan 2016 1.9 2.1 X 0 0 0 Tom Watson MD Board Member thru Jan 2016 1.9 2.1 X 0 0 0 Ronald Werft President & CEO 30.0 30.0 X 1297085 0 38969 Steven Fellows COO 15.0 35.0 X 790365 0 38969 Brett Tande CFO 25.0 25.0 X 475737 0 36112 Joan Bricher CFO- beginning of year 25.0 25.0 X 321797 0 13851 Cristina Kern Asst. Secretary-Board 25.0 25.0 X 93214 0 26438 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 40.0 0 X 645640 0 32067 KAREN JONES GRANDIDIER VP FINANCE 40.0 0 X 494761 0 64402 LISA M MOORE VP CLINICAL SERVICES 40.0 0 X 471552 0 64005 HERBERT J GEARY VP PT CARE SVCS, CNO 40.0 0 X 463731 0 55492 PATRICE P RYAN VP HUMAN RESOURCE 40.0 0 X 455115 0 53118 RONALD M BISCARO VP PROJECT MANAGEMENT 40.0 0 X 411626 0 50570 AFSHIN FATHOLAHI VP SUPPORT SERVICES 40.0 0 X 370360 0 32067 CHARLES A BROWN CHIEF MED INFORM OFF 40.0 0 X 365614 0 32067 KATHRYN BAZYLEWICZ VP MARKETING 40.0 0 X 361688 0 59160 DAVID T DIETRICH VP ADVANCEMENT 40.0 0 X 352706 0 22371 SHARON LUTZ VP QUALITY SUP SVCS 40.0 0 X 335330 0 56213 ELIZABETH A MAJESTIC VP POPULATION HEALTH 40.0 0 X 315199 0 51394 8023333 0 727265 155 false true false RIGHT SOURCING INC 999 STEWART AVE SUITE 100 BETHPAGE NY 11714 CONTRACT LABOR 27475906 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT CONSULTING 12164485 CIO SOLUTIONS LP 150 CASTILLIAN DRIVE GOLETA CA 93117 IT CONSULTING 2675334 Novacoast Inc 1505 Chapala Street Santa Barbara CA 93101 IT Security 2546630 SAGEWOOD SYSTEMS 2320 BATH STREET SUITE 305 SANTA BARBARA CA 93101 IT CONSULTING 2160980 66 0 0 0 0 0 0 0 0 ADMIN REV FROM TAX EXEMPT AFFIL 561000 110969819 110969819 COSMG income (loss) 900099 215505 215505 0 0 0 0 111185324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1371919 0 -1371919 -1371919 -1371919 Human Resource Event Revenue 561000 78927 78927 VRE Admin Revenue 561000 99780 99780 0 0 0 0 178707 109992112 111264251 99780 -1371919 0 0 0 0 0 0 0 0 6797044 5273670 1523374 0 0 17286443 6476066 10810377 3772244 3064845 707399 9036958 5954325 3082633 2077843 1155134 922709 2540049 0 2540049 912205 0 912205 0 0 0 0 0 0 0 0 8680434 3581179 5099255 0 1831640 120998 1710642 3883921 2385596 1498325 41161688 31184573 9977115 0 0 0 1011150 969995 41155 4370164 2610633 1759531 271075 159326 111749 0 0 0 0 0 0 6181408 4081698 2099710 2653903 2398620 255283 Settlements 600824 600824 Dues and Subscriptions 434246 296645 137601 Equipment Maintenance 358535 4821 353714 Education and Training 184998 149816 35182 3649 2815 834 0 114050421 69870755 44179666 0 1423103 5416996 0 0 0 0 0 0 600000 900000 24167177 0 300000 6079281 5203705 110366668 33486793 36370578 76879875 0 0 0 0 0 0 68836 193773 68708975 88894349 10329414 14232492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33725976 50453744 44055390 64686236 X 24653585 24208113 24653585 24208113 68708975 88894349 X -4058309 3612837 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 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. 919703 261047 658656 108891229 33225746 75665483 555736 555736 76879875 Due to Affiliates 34790796 Minimum Pension Liability SERP and Retirement Plan 15166313 Split Dollar Life Liability Group Health Reserve 496635 50453744 X 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 2012. X X true true X X X X false true false false false false false false false Ronald Werft President & CEO 900643 0 303753 0 92689 0 13500 0 25469 0 1336054 0 0 0 Steven Fellows COO 550031 0 160574 0 79760 0 13500 0 25469 0 829334 0 0 0 Brett Tande CFO 450865 0 0 0 24872 0 13500 0 22612 0 511849 0 0 0 Joan Bricher CFO- beginning of year 80833 0 140641 0 100323 0 11074 0 2777 0 335648 0 0 0 EDMUND WROBLEWSKI MD VP MEDICAL AFFAIRS 474056 0 92943 0 78641 0 13500 0 18567 0 677707 0 0 0 KAREN JONES GRANDIDIER VP FINANCE 348707 0 77869 0 68185 0 38587 0 25815 0 559163 0 23537 0 LISA M MOORE VP CLINICAL SERVICES 342976 0 69781 0 58795 0 37558 0 26447 0 535557 0 20914 0 HERBERT J GEARY VP PT CARE SVCS, CNO 342416 0 60703 0 60612 0 36925 0 18567 0 519223 0 23006 0 PATRICE P RYAN VP HUMAN RESOURCE 341459 0 66314 0 47342 0 36860 0 16258 0 508233 0 21465 0 RONALD M BISCARO VP PROJECT MANAGEMENT 305710 0 53826 0 52090 0 23777 0 26793 0 462196 0 20629 0 AFSHIN FATHOLAHI VP SUPPORT SERVICES 277851 0 45241 0 47268 0 13500 0 18567 0 402427 0 0 0 CHARLES A BROWN CHIEF MED INFORM OFF 355603 0 0 0 10011 0 13500 0 18567 0 397681 0 0 0 KATHRYN BAZYLEWICZ VP MARKETING 295829 0 54303 0 11556 0 33691 0 25469 0 420848 0 0 0 DAVID T DIETRICH VP ADVANCEMENT 267465 0 49454 0 35787 0 13500 0 8871 0 375077 0 0 0 SHARON LUTZ VP QUALITY SUP SVCS 256550 0 45884 0 32896 0 30744 0 25469 0 391543 0 16059 0 ELIZABETH A MAJESTIC VP POPULATION HEALTH 299840 0 0 0 15359 0 33494 0 17900 0 366593 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees 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. Membership dues to a local county club are provided to the CEO. A percentage of the dues are allocated to the CEO, based on personal usage and reported as taxable income. A membership to this club is used primarily as a space to hold various recognition and hospital-related functions. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan COTTAGE HEALTH PROVIDES CERTAIN EXECUTIVES A SUPPLEMENTAL RETIREMENT PROGRAM. THE PROGRAM IS DEFINED AS DEFERRED COMPENSATION UNDER THE IRC SECTION 457(F). THE ANNUAL CONTRIBUTION IS 6.95% 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 2016, recipients of payouts from the 457(F) plan were: Karen Jones Grandidier ($23,537), Lisa Moore ($20,914), Herb Geary ($23,006), Patrice Ryan ($21,465), Ronald Biscaro ($20,629), Sharon Lutz ($16,059). KATHRYN BAZLEWICZ VICE PRESIDENT HOME LOAN X 300000 300000 false true true ELIZABETH MAJESTIC VICE PRESIDENT HOME LOAN X 300000 300000 false true true BRETT TANDE CFO HOME LOAN X 300000 300000 false true true 900000 Schedule L, Part II Officer Loan The loan to Brett Tande was made in connection with recruiting Mr. Tande to Cottage Health to serve as the CFO. This loan meets the initial contract exception as defined in Treas. Reg. section 53.4958-4(a)(3)(iii). 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. 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 April 29, 2016. 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 XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION LIABILITY - 3612837; 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 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 Abraaj Global Growth Markets Fund (B) LP PO Box 309 Ugland House Grand Cayman CJ 981207058 Investment Funds CJ NA S Corporation 0 0 0 false false false false false false false false false false false true true false true true true true true true Santa Barbara Cottage Hospital L 95423226 accrual Goleta Valley Cottage Hospital L 11074887 accrual Santa Ynez Valley Cottage Hospital L 1771945 accrual Goleta Valley Professional Buildings K 281382 accrual Santa Barbara Cottage Hospital O 393860 accrual Santa Barbara Cottage Hospital P 1058345 accrual Goleta Valley Cottage Hospital O 169838 accrual