SANTA BARBARA COTTAGE HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SANTA BARBARA COTTAGE HOSPITAL (EIN 95-1644629)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-01
IRS object ID: 201703059349302160
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-01T16:00:24-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst and Young LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4370 La Jolla Village Dr Suite 500	AddressLine1Txt
City	San Diego	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951644629	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Santa Barbara Cottage Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SANT	BusinessNameControlTxt
Phone	8053249903	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 689	AddressLine1Txt
City	Santa Barbara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	931020689	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Brett Tande	PersonNm
Person Title	Sr. Vice President & CFO	PersonTitleTxt
Signature	2017-10-23	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jocelyne Miller	PreparerPersonNm
PTIN	P00634378	PTIN
Phone	8585357200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ronald C Werft	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 689	AddressLine1Txt
City	Santa Barbara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	931020689	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$978,450,963	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COTTAGEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1888	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	It is the mission of Santa Barbara Cottage Hospital (SBCH) to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. The volunteer Board of Directors uses these core values to make decisions that will improve health care access, affordability and quality.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	3397	TotalEmployeeCnt
Total Volunteers	649	TotalVolunteersCnt
Total Gross UBI	$16,786,314	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$251,158	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,381,095	PYContributionsGrantsAmt
CY Contributions Grants	$30,873,419	CYContributionsGrantsAmt
PY Program Service Revenue	$645,629,706	PYProgramServiceRevenueAmt
CY Program Service Revenue	$643,071,695	CYProgramServiceRevenueAmt
PY Investment Income	$14,616,498	PYInvestmentIncomeAmt
CY Investment Income	$6,416,049	CYInvestmentIncomeAmt
PY Other Revenue	$9,880,204	PYOtherRevenueAmt
CY Other Revenue	$12,420,347	CYOtherRevenueAmt
PY Total Revenue	$671,507,503	PYTotalRevenueAmt
CY Total Revenue	$692,781,510	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,148,954	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,578,087	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$303,893,649	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$323,233,475	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$356,059,980	PYOtherExpensesAmt
CY Other Expenses	$364,051,314	CYOtherExpensesAmt
PY Total Expenses	$662,102,583	PYTotalExpensesAmt
CY Total Expenses	$689,862,876	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,404,920	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,918,634	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,432,794,652	TotalAssetsBOYAmt
Total Assets EOY	$1,474,544,852	TotalAssetsEOYAmt
Total Liabilities BOY	$624,535,365	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$624,226,663	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$808,259,287	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$850,318,189	NetAssetsOrFundBalancesEOYAmt
Mission	It is the mission of Santa Barbara Cottage Hospital (SBCH) to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. The volunteer Board of Directors uses these core values to make decisions that will improve health care access, affordability and quality.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$567,500,164	ExpenseAmt
Grant	$2,578,087	GrantAmt
Revenue	$651,312,296	RevenueAmt
Desc	Santa Barbara Cottage Hospital is a 450-bed acute-care hospital located in the City of Santa Barbara. In 2016, the Hospital had 85,341 patient days, served 128,348 outpatients, including emergency services to 49,579 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 2016, the hospital spent over $153 million on these various programs.	Desc
Total Program Service Expenses	$567,500,164	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	533	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3397	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lawrence Thomas	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8053249933	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 West Pueblo	AddressLine1Txt
City	Santa Barbara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93105	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Steven Ainsley
Board Chair	5.0	15.0	Yes (X)	Yes (X)	$0	$0	$0
Gregory Faulkner
Vice Chair	1.3	3.7	Yes (X)	Yes (X)	$0	$0	$0
Dorothy Largay PhD
Vice Chair	1.3	3.7	Yes (X)	Yes (X)	$0	$0	$0
Marshall (Chip) Turner
Vice Chair	1.3	3.7	Yes (X)	Yes (X)	$0	$0	$0
Edward Bentley MD
Secretary Feb-Dec	1.3	3.7	Yes (X)	Yes (X)	$0	$0	$0
Jon Clark
Committee Chair	1.3	3.7	Yes (X)		$0	$0	$0
Judith Hopkinson
Committee Chair	1.3	3.7	Yes (X)		$0	$0	$0
Fred Lukas
Committee Chair	1.3	3.7	Yes (X)		$0	$0	$0
Robert Nourse
Committee Chair	1.3	3.7	Yes (X)		$0	$0	$0
Margaret Baker
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
Lori Gaskin PhD
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
Harry McMahon
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
Gamble Parks
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
Richard Ponce MD
Board Member	1.0	3.0	Yes (X)		$0	$875	$0
Elliot Prager MD
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
Anne Rodriguez MD
Board Member	1.0	3.0	Yes (X)		$0	$938	$0
Mark Scott MD
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
Alex Koper MD
Secretary thru Jan 2016	1.0	3.0	Yes (X)		$0	$0	$0
Gretchen Milligan
Board Member thru Jan 2016	1.0	3.0	Yes (X)		$0	$0	$0
Robert Nakasone
Vice Chair thru Jan 2016	1.0	3.0	Yes (X)		$0	$0	$0
Tom Watson MD
Board Member thru Jan 2016	1.0	3.0	Yes (X)		$0	$0	$0
Ronald Werft
President & CEO	15.0	45.0		Yes (X)	$0	$1,297,085	$38,969
Steven Fellows
COO	18.0	32.0		Yes (X)	$0	$790,365	$38,969
Brett Tande
CFO	12.5	37.5		Yes (X)	$0	$475,737	$36,112
Joan Bricher
CFO- beginning of year	12.5	37.5		Yes (X)	$0	$321,797	$13,851
Cristina Kern
Asst. Secretary-Board	12.5	37.5		Yes (X)	$0	$93,214	$26,438
DAVID NICHOLS
VP BUSINESS DEVEL-LAB	40.0	0			$704,998	$0	$14,018	Yes (X)
JEFFREY M GAUVIN
DIR SURG EDUC	40.0	0			$425,074	$0	$22,371	Yes (X)
KEITH DEAVILLE
DIR SALES & MARKETING-LAB	40.0	0			$385,663	$0	$40,293	Yes (X)
ANDREW S GERSOFF
DIR MED EDUCATION	40.0	0			$302,308	$0	$38,969	Yes (X)
STEPHEN KAMINSKI MD
DIR TRAMA SVCS & SICU	40.0	0			$297,806	$0	$38,969	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,115,849	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,980,011	TotReportableCompRltdOrgAmt
Total Other Compensation	$308,959	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	699	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MC CARTHY BUILDING COMPANIES
20401 SW BIRCH STREET	SUITE 300	NEWPORT BEACH	CA	92660	BUILDING CONTRACTOR	$31,360,982
AMN HEALTHCARE INC
PO BOX 56157		LOS ANGELES	CA	90074	CONTRACT LABOR	$12,470,454
ARMSTRONG ASSOCIATES
1825 STATE ST STE 202		SANTA BARBARA	CA	93101	GENERAL CONTRACTING	$5,014,941
ANESTHESIA MEDICAL GRP SB INC
514 W PUEBLO	2nd Floor	SANTA BARBARA	CA	93105	Anesthesia Professional Fees	$3,637,274
MAYO MEDICAL LABORATORIES
PO BOX 9146		MINNEAPOLIS	MN	55480	LABORATORY SERVICES	$2,945,560

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	148	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$29,221,921	RelatedOrganizationsAmt
Government Grants	$648,832	GovernmentGrantsAmt
All Other Contributions	$1,002,666	AllOtherContributionsAmt
Total Contributions	$30,873,419	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$566,724,252	$566,724,252
LABORATORY SERVICES	621511	$37,756,633	$20,970,319	$16,786,314
CA HOSPITAL FEE PROGRAM	622110	$37,225,139	$37,225,139
EHR MEDICARE & MEDI-CAL INCENTIVE	622110	$1,197,570	$1,197,570
MEDICAL OFFICE BLDG RENTAL	531120	$168,101	$168,101

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$643,071,695	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,110,900	TotalRevenueColumnAmt
Exclusion	$11,110,900	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$116,200	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$46,674	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$69,526	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,526	TotalRevenueColumnAmt
Exclusion	$69,526	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$280,927,928	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$285,074,949	SecuritiesAmt
Other	$547,830	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$4,147,021	SecuritiesAmt
Other	-$547,830	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,694,851	TotalRevenueColumnAmt
Exclusion	-$4,694,851	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
LAB MANAGEMENT	561110	$3,306,529	$3,306,529
CAFETERIA/GIFT SHOP/DELI/VILLA RIVIERA	900099	$4,110,220		$4,110,220
INSURANCE RECOVERY	524298	$1,298,829	$1,298,829

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,635,243	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,635,243	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,350,821	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$692,781,510	TotalRevenueColumnAmt
Related Or Exempt Func Income	$634,525,982	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$16,786,314	UnrelatedBusinessRevenueAmt
Exclusion	$10,595,795	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,578,087	TotalAmt
Program Services	$2,578,087	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$104,203	TotalAmt
Program Services	$104,203	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$207,723,551	TotalAmt
Program Services	$169,641,614	ProgramServicesAmt
Management And General	$38,081,937	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,982,868	TotalAmt
Program Services	$18,877,250	ProgramServicesAmt
Management And General	$7,105,618	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$74,005,573	TotalAmt
Program Services	$58,164,701	ProgramServicesAmt
Management And General	$15,840,872	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,417,280	TotalAmt
Program Services	$12,878,529	ProgramServicesAmt
Management And General	$2,538,751	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,527,800	TotalAmt
Program Services	$1,524,121	ProgramServicesAmt
Management And General	$3,679	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,273,774	TotalAmt
Management And General	$1,273,774	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$23,203	TotalAmt
Management And General	$23,203	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,347,601	TotalAmt
Management And General	$3,347,601	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$123,844,866	TotalAmt
Program Services	$90,001,012	ProgramServicesAmt
Management And General	$33,843,854	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$198,641	TotalAmt
Program Services	$48,200	ProgramServicesAmt
Management And General	$150,441	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,594,064	TotalAmt
Program Services	$9,802,683	ProgramServicesAmt
Management And General	$2,791,381	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,596,350	TotalAmt
Program Services	$1,268,231	ProgramServicesAmt
Management And General	$328,119	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,970,169	TotalAmt
Program Services	$7,565,488	ProgramServicesAmt
Management And General	$2,404,681	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$585,866	TotalAmt
Program Services	$150,647	ProgramServicesAmt
Management And General	$435,219	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$302,529	TotalAmt
Program Services	$88,349	ProgramServicesAmt
Management And General	$214,180	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,955,884	TotalAmt
Program Services	$13,852,957	ProgramServicesAmt
Management And General	$3,102,927	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,750,972	TotalAmt
Program Services	$31,389,683	ProgramServicesAmt
Management And General	$7,361,289	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,474,392	TotalAmt
Program Services	$4,479,248	ProgramServicesAmt
Management And General	$995,144	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$103,099,499	$103,078,444	$21,055
Hospital Fee Program	$31,682,127	$31,682,127
Equipment Maintenance	$10,169,262	$9,190,968	$978,294
Licenses	$1,115,212	$131,756	$983,456

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,539,103	TotalAmt
Program Services	$1,001,866	ProgramServicesAmt
Management And General	$537,237	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$689,862,876	TotalAmt
Program Services	$567,500,164	ProgramServicesAmt
Management And General	$122,362,712	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,243,425	BOYAmt
EOY	$26,974,862	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$44,330,812	BOYAmt
EOY	$54,889,452	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$121,883,630	BOYAmt
EOY	$98,579,461	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$23,787,806	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$250,000	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$550,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,639,419	BOYAmt
EOY	$14,928,691	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,251,437	BOYAmt
EOY	$3,734,920	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$960,142,028	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$292,375,322	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$639,353,560	BOYAmt
EOY	$667,766,706	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$445,712,850	BOYAmt
EOY	$381,703,119	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$104,659,011	BOYAmt
EOY	$122,758,819	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,714,236	BOYAmt
EOY	$5,060,632	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$42,756,272	BOYAmt
EOY	$73,810,384	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,432,794,652	BOYAmt
EOY	$1,474,544,852	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$71,447,895	BOYAmt
EOY	$71,661,901	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$16,547	BOYAmt
EOY	$45,803	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$399,915,263	BOYAmt
EOY	$391,316,677	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$35,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$153,155,660	BOYAmt
EOY	$126,202,282	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$624,535,365	BOYAmt
EOY	$624,226,663	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$792,023,736	BOYAmt
EOY	$833,477,118	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,915,370	BOYAmt
EOY	$10,520,890	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,320,181	BOYAmt
EOY	$6,320,181	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$808,259,287	BOYAmt
EOY	$850,318,189	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,432,794,652	BOYAmt
EOY	$1,474,544,852	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,918,634	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$27,185,583	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$11,954,685	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$34,859	OtherActivitiesAmt
Total Lobbying Expenditures	$34,859	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
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.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,750,090	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$918,518	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$283,011	OtherExpendituresAmt
Administrative Expenses	$70,375	AdministrativeExpensesAmt
End Year Balance	$15,315,222	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,582,146	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$451,165	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$308,167	OtherExpendituresAmt
Administrative Expenses	$72,724	AdministrativeExpensesAmt
End Year Balance	$14,750,090	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,983,883	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$671,586	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$73,323	AdministrativeExpensesAmt
End Year Balance	$15,582,146	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,541,861	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$2,798,120	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$299,316	OtherExpendituresAmt
Administrative Expenses	$56,782	AdministrativeExpensesAmt
End Year Balance	$14,983,883	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,636,302	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,323,701	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$358,958	OtherExpendituresAmt
Administrative Expenses	$59,184	AdministrativeExpensesAmt
End Year Balance	$12,541,861	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.4127	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.5873	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,645,545	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$12,434,725	OtherCostOrOtherBasisAmt
Book Value	$14,080,270	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,061,461	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$673,604,984	OtherCostOrOtherBasisAmt
Depreciation	$180,742,092	DepreciationAmt
Book Value	$493,924,353	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,363,463	OtherCostOrOtherBasisAmt
Depreciation	$2,984,240	DepreciationAmt
Book Value	$6,379,223	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$168,172,730	OtherCostOrOtherBasisAmt
Depreciation	$105,880,074	DepreciationAmt
Book Value	$62,292,656	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$93,859,120	OtherCostOrOtherBasisAmt
Depreciation	$2,768,916	DepreciationAmt
Book Value	$91,090,204	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$667,766,706	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in CCIMG	$37,357	F
Alternative Investments	$122,721,462	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$122,758,819	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Due from Affiliates	$42,504,281
Medicare and Medical Reserves	$9,458,344
Interest Rate Swap Asset	$6,668,000
All Other Receivables	$15,179,759

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$73,810,384	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
MINIMUM PENSION LIABILITY & SERP	$76,424,801
SELF INSURANCE LIABILITY	$26,967,217
SPLIT DOLLAR LIFE LIABILITY	$14,987,793
PHYSICIAN GUARANTEES	$7,822,471
INTEREST RATE SWAP

Field	Value	IRS element (for citing)
Total Liability	$126,202,282	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

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 2012.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	350	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	405	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,926,757	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,926,757	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,349,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,912,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,437,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0920	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$132,276,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,912,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,363,757	NetCommunityBenefitExpnsAmt
Total Expense	0.0962	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,482,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,895	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,437,866	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,430,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,989,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,441,118	NetCommunityBenefitExpnsAmt
Total Expense	0.0195	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,332,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,495,742	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,836,287	NetCommunityBenefitExpnsAmt
Total Expense	0.0259	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$526,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,485	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$455,644	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,806,108	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,806,108	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$43,577,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,600,190	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,977,023	NetCommunityBenefitExpnsAmt
Total Expense	0.0522	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$175,853,874	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,513,094	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,340,780	NetCommunityBenefitExpnsAmt
Total Expense	0.1483	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,309,554	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$139,915,248	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$192,954,883	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$53,039,635	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Santa Barbara Cottage Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 West Pueblo	AddressLine1Txt
City	Santa Barbara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93105	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.cottagehealth.org/locations/	WebsiteAddressTxt
State License	050000140	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Santa Barbara Cottage Hospital and Cottage Rehab Hospital (operating under one license.)	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Santa Barbara Cottage Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.cottagehealth.org/app/files/public/1991/Cottage_Population_Health_CHNA_Report_020217.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.cottagehealth.org/app/files/public/2102/Cottage_Population_Health_Community_Benefit_Impl	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	350.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	405.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	false	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.cottagehealth.org/billing/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.cottagehealth.org/billing/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Engaged Legal Judicial Process	Yes (X)	EngagedLegalJudicialProcessInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2500 community members and a listening tour with more than 230 individuals via 20 focus groups conducted from June through August 2016. The focus group participants included public health officials, health providers, nonprofit workers, Cottage Health employees, government leaders and business owners. In addition, existing health and demographic data already collected for the County and State of California was utilized as well as data collected from prior Community Health Needs Assessments. Potential focus group participants were chosen because of their ability to identify primary concerns of the populations that they represent or with whom they work, as well as of the community overall. Focus group candidates were first contacted by letter or email to request their participation. Follow-up phone calls were then made to ascertain whether or not they would be able to attend. Confirmation calls were placed or e-mails sent the day before the groups were scheduled to ensure a reasonable turnout. Through this process, input was gathered from representatives of local government officials, public health, as well as several individuals whose organizations work with low-income, minority (including Latino/Mixteco, Native American, Asian, and African American), or other medically underserved populations (specifically, persons who are young adults, elderly, veterans, disabled, lesbian/gay/bisexual/transgender [LGBT], homeless, mentally ill, undocumented, uninsured/underinsured, or receive Medi-Cal/Medicare). Final participation included representatives of the following organizations: the Santa Barbara County Education Office; Santa Barbara Unified School District; Goleta Union School District; Santa Barbara County Public Health Department; Santa Barbara County Emergency Medical Services Agency; Santa Barbara County Fire Department; Santa Barbara County and Metropolitan Transit District; Santa Ynez Valley Transit; the County Board of Supervisors; Santa Barbara Police Department; City of Solvang; Santa Barbara, Santa Ynez and Solvang Chambers of Commerce; CenCal Health; Community Action Commission; Foodbank of Santa Barbara County; Girls Inc.; Alzheimer's Association; Arthritis Foundation; CALM; Domestic Violence Solutions; Juvenile Diabetes Research Foundation; Mental Wellness Center; New Beginnings Counseling Center; Visiting Nurse and Hospice Care; Carpinteria's Children's Project; Central Coast Collaborative on Homelessness; Family Service Agency; Habitat for Humanity; First 5 of Santa Barbara County; Immigrant Hope; Just Communities; Pacific Pride Foundation; People's Self-Help Housing; Safe Parking Program; Meals on Wheels; Santa Barbara Rape Crisis Center; United Way; Alisal Ranch; and numerous local clergy. All required sources responded and participated. 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 SiteReports.
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. Eight of the 13 leading health indicators identified in the 2016 CHNA fit into the five prioritized health areas: (1) access to care; (2) behavioral health - including injury and violence; (3) chronic conditions; (4) food insecurity; and (5) housing insecurity. The five indicators not prioritized and addressed are: (1) general health status; (2) smoking cigarettes; (3) binge drinking; (4) physical inactivity; and (5) 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 general health status, smoking cigarettes, binge drinking, physical inactivity, 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.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Pacific Diagnostic Laboratories
454 South Patterson	Goleta	CA	93117	Outpatient Lab Services
Cottage Rehabilitation Hospital
2415 De La Vina	Santa Barbara	CA	93105	Rehabilitation hospital and outpatient therapy services
Cottage Eye Center
2400 Bath Street	Santa Barbara	CA	93105	Eye center
Advanced Imaging Center
2410 Fletcher Street	Santa Barbara	CA	93105	Outpatient radiology center
Cottage Residential Center
312 West Montecito Street	Santa Barbara	CA	93101	Substance abuse rehabilitation center
Children's Outpatient Clinic
5333 Hollister Avenue	Santa Barbara	CA	93111	Outpatient pediatric clinic for hematology, oncology, endocrinology and gastrointestinal.
SB Cope
2325 De La Vina Street	Santa Barbara	CA	93105	Substance abuse and detox treatment
Outpatient Rehabilitation
1035 Peach Street Suite 203	San Luis Obispo	CA	93401	Outpatient clinic
Cardio Vascular Clinic
2415 Bath Street	Santa Barbara	CA	93105	Outpatient Clinic
Cystic Fibrosis and Pulmonary Hypertension Clinics
2409 De La Vina	Santa Barbara	CA	93105	Outpatient Clinic
Villa Riviera
1621 Grand Avenue	Santa Barbara	CA	93105	Senior living facility

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Other Financial Assistance Factors	Santa Barbara Cottage Hospital used the following criteria during the tax year to determine eligibility for free or discounted care (in addition to FPG): asset level, medical indigency, insurance status, underinsurance status, and residency. Patients who were determined to be homeless qualified 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 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 and Spanish at the website notated in 16 a and b.
Schedule H, Part V, Section B, Line 22 Determining max amt that could be charged for emergency care	Santa Barbara Cottage Hospital did not determine maximum amounts that could be charged to FAP-eligible individuals for emergency or other medically necessary care using the methods specified in Question 22. A more detailed description of Santa Barbara Cottage Hospital's noncompliance with this requirement is provided in Part VI.
Schedule H, Part V, Section B Disclosure Pursuant to Rev. Proc. 2015-21	The following information is provided pursuant to Section 7 of Revenue Procedure 2015-21 to disclose certain noncompliance with the requirements of Internal Revenue Code section 501(r). The Revenue Procedure provides for such noncompliance to be reported on the Form 990 filed for the year such noncompliance was discovered (Form 990 for 2017, due May 15, 2018). However, in the interest of timeliness and transparency, Cottage Health is making this disclosure of noncompliance on its Form 990 for 2016 and will reference the disclosure on the 2017 return. SECTION 7.01(1) Internal Revenue Code (Code) sections 501(r)(4) and (r)(6) require a hospital facility to establish a financial assistance policy ("FAP") and to implement processes and procedures in connection with the FAP and with the hospital facility's collections activities. Cottage Health discovered certain errors with respect to its FAP and its collections activities during a review conducted in 2017 by new financial management personnel. The errors apply to years 2011 through 2016. The errors occurred at Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, and Santa Ynez Valley Cottage Hospital and resulted from a lack of clarity of the 501(r) requirements at the time the policy was implemented in 2011 . Due to its generous financial assistance and discounting practices for patients with low incomes that far exceed the minimum requirements stipulated under section 501(r) and its implementing regulations, Cottage Health has not yet been able to identify any individuals who were affected by the noncompliance, though it will continue to take steps to do so (as further described below). Cottage Health's noncompliance pursuant to Code sections 501(r)(4) and 501(r)(6) included the following: 1. The FAP that Cottage Health established and implemented throughout the time period specified above did not satisfy the "widely publicized" requirement at 26 C.F.R. 1.501(r)-4(b)(1)(ii), did not include certain elements required by 26 C.F.R. 1.501(r)-4(b)(1)(iii), and did not include the methodology used to calculate amounts generally billed to individuals who have insurance covering emergency or other medically necessary care ("AGB") under 26 C.F.R. 1.501(r)-4(b)(2)(i)(C). As a result of not complying with all requirements under 26 C.F.R. 1.501(r)-4, certain individuals who may have otherwise qualified for financial assistance under Cottage Health's FAP may not have received proper notification regarding the availability of such assistance. 2. Cottage Health did not determine AGB pursuant to 26 C.F.R. 1.501(r)-5(b). 3. Cottage Health engaged in extraordinary collection actions ("ECA") to obtain payment for care prior to making reasonable efforts to determine FAP eligibility as required by 26 C.F.R. 1.501(r)-6(c). SECTION 7.01(2) Cottage Health's noncompliance with certain provisions of Code sections 501(r)(4), (r)(5) and (r)(6) was inadvertent and did not rise to the level of willful or egregious conduct. Promptly upon discovery of the noncompliance, Cottage Health exercised reasonable diligence to identify the full scope of noncompliance and promptly took corrective action from April through October 2017. Cottage Health's corrective actions throughout this period included: 1. For each Cottage Health hospital facility, Cottage Health substantially rewrote its FAP, Plain Language Summary, FAP signage and FAP Application; ensured compliance with the "widely publicized" requirement at 26 C.F.R. 1.501(r)-4(b)(1)(ii); verified that the FAP contained all of the elements required at 26 C.F.R. 1.501(r)-4(b)(1)(iii) and the methodology used to calculate AGB required under 26 C.F.R. 1.501(r)-4(b)(2)(i)(C); drafted new language for its Patient Billing Statement; and updated its website so that all are compliant with the documentation and operational requirements at 26 C.F.R. 1.501(r)-4, (r)-5, and (r)-6. In addition, Cottage Health is undertaking additional public outreach to inform affected individuals that the FAP is now available on Cottage Health's website at https://www.cottagehealth.org/billing/financial-assistance/ by sending an email to individuals whose email addresses were on record with one of Cottage Health's hospital facilities. 2. Cottage Health calculated its AGB for medical care provided at each hospital facility, in accordance with 26 C.F.R. 1.501(r)-5(b), and instituted policies and procedures to assure that such information is readily obtainable . During the timeframe at issue, Cottage Health had a generous charity care and financial assistance policy. Patients eligible for assistance were those with family incomes at or below 405% of the federal poverty level ("FPL"), with the lowest discount being 45% off the amount for which the patient was personally responsible, and the highest discount being 100% (for all patients at or below 350% of FPL). To the extent any individual submitted a complete FAP Application during the period at issue, Cottage Health processed the Application and provided financial assistance commensurate with the patient's qualifications under the FAP. Cottage Health will continue to comply with the safe harbor requirements at 26 C.F.R. 1.501(r)-5(d) by accepting completed FAP applications and refunding any amount the individual paid for the care that exceeds the amount s/he is determined to be personally responsible for paying, unless such excess amount is less than $5.00. Additionally, to the extent feasible, Cottage Health is assessing how many, if any, individuals were affected by Cottage Health's noncompliance with the requirements at 26 C.F.R. 1.501(r)-5, and will take corrective action as appropriate to restore affected individuals to the position they would have been in had the noncompliance not occurred. Cottage Health will provide additional information regarding these actions, including, if appropriate, an explanation as to why restoration of one or more individuals was not reasonably feasible, on its Form 990 for tax year 2017, as appropriate. 3. Cottage Health revised its policies and procedures to ensure that it makes reasonable efforts to determine FAP eligibility in accordance with the requirements at 26 C.F.R. 1.501(r)-6(c). Furthermore, Cottage Health has discontinued the use of any ECAs. Additionally, Cottage Health currently is assessing how many individuals were affected by Cottage Health's noncompliance with the requirements at 26 C.F.R. 1.501(r)-6 not to engage in ECAs prior to making reasonable efforts to determine FAP eligibility, and will take corrective action, as appropriate and to the extent reasonably feasible, to restore affected individuals to the position they would have been in had the noncompliance not occurred. Cottage Health will provide additional information regarding these actions, including, if appropriate, an explanation as to why restoration of one or more individuals was not reasonably feasible, on its Form 990 for tax year 2017, as appropriate. SECTION 7.01(3) Cottage Health has revised or newly established practices and procedures for all facilities to minimize the likelihood of recurring noncompliance and to facilitate the prompt identification and correction of any failures that do occur. Cottage Health discontinued the use of any ECAs as of April 2017 . Cottage Health revised its FAP notification on Patient Billing Statements in August 2017 to include additional information regarding the availability of financial assistance. In October 2017, Cottage Health increased the population of patients who qualify for financial assistance from 405% FPL to 445% FPL, which further expands the number of patients who will be FAP-eligible.
Schedule H, Part V, Section B, Line 23 AGB	By meeting the requirements of the safe harbor at 26 C.F.R. 1-501(r)-5(d), SANTA BARBARA Cottage Hospital is deemed to meet the requirements of 1-501(r)-5(a), which prohibits charging more than AGB for FAP Eligible individuals. SANTA BARBARA Cottage Hospital has no knowledge of charging more than AGB for any FAP Eligible individuals. After calculating AGB for the years in question, SANTA BARBARA Cottage Hospital will confirm whether FAP Eligible individuals who applied for FAP and were determined to be eligible for assistance paid more than AGB. A more detailed description is provided in Part VI reference V-B.
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 cystic fibrosis clinic, trauma care staffing, therapeutic recreation services, elder care and support of nursing education, and community education programs, all at a substantial financial loss to the hospital.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The costing methodology includes inpatient, outpatient, and emergency department and is broken down by Payer categories. Both direct and overhead costs have been allocated, by services rendered. Each Payer's net revenue is offset by the total cost and the results by Payer are calculated. In addition to a hospital wide cost to charge ratio, we have calculated cost to charge ratios for each Payer, based on the cost of the type of services rendered to their specific patients. Therefore, the community benefit amounts attributable to Medicaid and other government programs are calculated based on their specific cost to charge ratio.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Patient service revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and accounts receivable is reduced by an allowance for uncollectible accounts. The hospital establishes an allowance for uncollectible accounts based on many factors, including payer mix, age of receivables, historical cash collection experience, and other relevant information. A portion of the hospital's uninsured patients will be unable or unwilling to pay for their health services a portion of the hospital's insured patients will be unable or unwilling to pay for co-payments and deductibles. If these individuals do not qualify for financial assistance, the hospital records a provision for bad debts related to these insured and uninsured patients in the period the services are provided. The hospital writes down the expected reimbursement after reasonable collection efforts have been exhausted.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The hospital establishes an allowance for doubtful accounts based on many factors, including payer mix, age of receivables, historical cash collection experience and other relevant information. A significant portion of the hospital's uninsured patients will be unable or unwilling to pay for services provided and a significant portion of Cottage's insured patients will be unable or unwilling to pay for co-payments and deductibles. The age of the receivable impacts collectibility, and the hospital's reserves amounts based on historical cash collection experience for similarly aged accounts. Accounts greater than 364 days are fully reserved, by policy. Cottage records a provision for doubtful accounts related to all accounts in the period the services are provided.
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 2016 Medicare Cost Report and are derived following their guidelines of allowable and non-allowable costs. This shortfall has been adjusted down by $2,030,793 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 during the relevant time period, which applied to the largest number of patients, stated that collection activities would not be pursued during the 120-day Notification Period, unless FAP Eligibility had been determined, and that any collection activity would cease if the patient submitted a financial assistance application during the requisite time period.
Schedule H, Part V, Section B, Line 16a FAP website	- Santa Barbara Cottage Hospital: Line 16a URL: http://www.cottagehealth.org/billing/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Santa Barbara Cottage Hospital: Line 16b URL: http://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 2016, Cottage Health spent over $170 million on these programs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	COTTAGE HEALTH HAS A MULTIFACETED FINANCIAL ASSISTANCE PROGRAM TO ENSURE THAT ALL PATIENTS RECEIVE INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS AND PATIENTS WHO DO NOT HAVE INSURANCE ARE SCREENED FOR ELIGIBILITY IN A GOVERNMENT SPONSORED HEALTHCARE PLAN. THE HOSPITAL POSTS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM IN ALL REGISTRATION AREAS. SIGNS IN ENGLISH 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 FINANCIAL ASSISTANCE APPLICATIONS TO ALL PATIENTS WHO INDICATE THEY HAVE FINANCIAL NEED. 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 440,000 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 33.6 years. The population age breakdown is: 27.4% under 20 years old; 59.2% are 20 to 64 years old and 13.4% are 65 and older. For people reporting one race, 46.8% are White; 43.7% are Hispanic; 1.6% are Black or African American; 4.8% are Asian; and 3.1% are Other/Multi-Racial. 16.65% 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 are being used to rebuild the facility. Santa Barbara Cottage Hospital is building 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 is the largest project in the Hospital's history. The hospital has completed the first phase of the new facility and has now begun construction of the second phase. 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
BREAST CANCER RESOURCE CEN
55 Hitchcock Way	Santa Barbara	CA	93105	911790842	501(c)3	$20,000	Counseling, education and support for breast cancer patients
CARPINTERIA UNIFIED SCHOOL DIS
5201 Eighth Street	Carpenteria	CA	93013	956101195	government	$75,000	Support of Children's Early Health and Wellness Program: health screenings, health fair and preschool activity program.
CSUCI FOUNDATION
One University Drive	Camarillo	CA	93012	770433230	501(c)3	$292,000	Support of the Bachelor's in Science, Nursing program in Santa Barbara
DOCTORS WITHOUT WALLS-SB
PO Box 3751	Santa Barbara	CA	93103	331210731	501(c)3	$70,000	Support of health needs for the poor and homeless of Santa Barbara
FOODBANK OF SANTA BARBARA COUN
1525 State Street	Santa Barbara	CA	93101	770169294	government	$15,000	Provides food to low income population at risk of hunger.	Suite 100
LIFELINE SYSTEMS INC
PO Box 981009	Boston	MA	02298	042537528		$24,705	Support for at risk population who cannot afford to pay Lifeline service
MENTAL HEALTH ASSOCIATION IN S
617 GARDEN STREET	Santa Barbara	CA	93101	951962659	501(c)3	$75,000	Counseling, mentoring and education for low income, at risk population.
PATH PEOPLE ASSISTING THE HOME
PO Box 24116	Santa Barbara	CA	93121	953950196	501(c)3	$271,980	Medical respite beds for the homeless population
PATHPOINT
315 W Haley St Suite 102	Santa Barbara	CA	93101	952371668	501(c)3	$100,000	Support for developmentally disabled and job training programs
Santa Barbara City College
721 Cliff Drive	Santa Barbara	CA	93109	770070782	government	$338,640	Support of Nursing Program at Santa Barbara City College
SANTA BARBARA NEIGHBORHOOD CLI
1900 State Street Suite G	Santa Barbara	CA	93101	770496382	501(c)3	$1,000,000	Support of neighborhood health clinics for low income patients
SARAH HOUSE
PO Box 20031	Santa Barbara	CA	93120	770224415	501(c)3	$41,300	Support of end of life care for low income patients that transfer from the Hospital Palliative Care facility
SB COUNTY EDUCATION OFFICE
4400 Cathedral Oaks Road	Santa Barbara	CA	93160	956000940	government	$100,000	Support of (1) Welcome Every Baby program which supports new parents with education and child development guidance, and (2) Health Linkages program which focuses on child development and health.
THRESHOLDS TO RECOVERY INC
1038 Pittsfield Lane	Ventura	CA	93001	770335136	501(c)3	$5,160	Funding provides help to individuals who have been intoxicated in the public. The program offers an alternative to incarceration. Program follow-up includes referral for treatment of alcoholism as an effort in recovery.
UNIVERSITY OF CA REGENTS
UCSB	Santa Barbara	CA	93106	954377221	government	$62,332	Support of health research programs.
VISITING NURSE & HOSPICE CARE
222 East Canon Perdido Street	Santa Barbara	CA	93101	951641969	501(c)3	$15,000	Supports the Alliance for Living and Dying Well
WILLBRIDGE OF SANTA BARBARA
1215 East Montecito Street	Santa Barbara	CA	93130	571194195	501(c)3	$14,450	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
WILLIAM SANSUM DIABETES CENTER
2219 BATH STREET	Santa Barbara	CA	93105	951684086	501(c)3	$15,000	Research and education on diabetes

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ronald Werft
President & CEO	$0	$900,643	$0	$303,753	$0	$92,689	$0	$13,500	$0	$25,469	$0	$1,336,054	$0	$0
Steven Fellows
COO	$0	$550,031	$0	$160,574	$0	$79,760	$0	$13,500	$0	$25,469	$0	$829,334	$0	$0
Brett Tande
CFO	$0	$450,865	$0	$0	$0	$24,872	$0	$13,500	$0	$22,612	$0	$511,849	$0	$0
Joan Bricher
CFO- beginning of year	$0	$80,833	$0	$140,641	$0	$100,323	$0	$11,074	$0	$2,777	$0	$335,648	$0	$0
DAVID NICHOLS
VP BUSINESS DEVEL-LAB	$139,462	$0	$565,536	$0	$0	$0	$13,500	$0	$518	$0	$719,016	$0	$0	$0
JEFFREY M GAUVIN
DIR SURG EDUC	$416,856	$0	$0	$0	$8,218	$0	$13,500	$0	$8,871	$0	$447,445	$0	$0	$0
KEITH DEAVILLE
DIR SALES & MARKETING-LAB	$165,230	$0	$202,311	$0	$18,122	$0	$13,500	$0	$26,793	$0	$425,956	$0	$0	$0
ANDREW S GERSOFF
DIR MED EDUCATION	$268,490	$0	$0	$0	$33,818	$0	$13,500	$0	$25,469	$0	$341,277	$0	$0	$0
STEPHEN KAMINSKI MD
DIR TRAMA SVCS & SICU	$292,305	$0	$0	$0	$5,501	$0	$13,500	$0	$25,469	$0	$336,775	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
California Statewide Communities Development Authority
A	680164610	130795Y76	2010-10-20	$300,168,359	Refund 2008 issue	false	false	false
California Statewide Communities Development Authority
B	680164610	13080SFW9	2015-01-28	$148,825,934	Refund Series 2003B and Hospital Replacement Project	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$300,168,359	$2,937,359	$297,231,000	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$148,799,332	$1,638,263	$47,156,754		Yes (true)	false	false	Yes (true)	$80,173,461	$19,830,854

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	Yes (true)	false	false	0.0	0.0	0.0	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part III, Line 4	Private use percentage is 0% because a substantial amount of project funding did not come form the issuance of debt. Total project cost is $823 million, of which $410 million was raised from tax-exempt bond financing.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: California Statewide Communities Development Authority The calculation for computing no rebate due was performed on 01/06/2011

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Joan Bricher
CFO through 1/2016	Deferred Compensation	Yes (X)	$5,627,962	$5,762,777	false	Yes (true)	Yes (true)
Ronald Werft
CEO	Deferred Compensation	Yes (X)	$14,589,759	$14,633,191	false	Yes (true)	Yes (true)
Steven Fellows
COO	Deferred Compensation	Yes (X)	$3,308,400	$3,391,838	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$23,787,806	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jo Ellen Watson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Wife of Board Member	RelationshipDescriptionTxt
Transaction	$104,203	TransactionAmt
Transaction	Employee	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	HERB GEARY IS STILL EMPLOYED BY A RELATED TAX-EXEMPT ENTITY AND SERVES AS A KEY EMPLOYEE TO THAT ENTITY.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
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. In addition, salary for all disqualified persons are reviewed annually by their managers.
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. In addition, any person listed as a "disqualified" employee would have their compensation reviewed annually before December 31.
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	ALL OTHER REVENUES - Total Revenue: 3635243, Related or Exempt Function Revenue: 3635243, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Laboratory Outside Tests - Total Expense: 5051683, Program Service Expense: 5051683, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 5062824, Program Service Expense: 4003703, Management and General Expenses: 1059121, Fundraising Expenses: ; CONTRACTED NURSING SERVICES - Total Expense: 10128918, Program Service Expense: 9992258, Management and General Expenses: 136660, Fundraising Expenses: ; MEDICAL PROFESSIONAL FEES - Total Expense: 34029512, Program Service Expense: 28753701, Management and General Expenses: 5275811, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 69571929, Program Service Expense: 42199667, Management and General Expenses: 27372262, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN PENSION LIABILITY - 13041685; CHANGE IN FAIR VALUE INTEREST RATE SWAPS - -1087000;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PACIFIC DIAGNOSTIC LABORATORIES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 689	AddressLine1Txt
City	SANTA BARBARA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93102	ZIPCd

Field	Value	IRS element (for citing)
EIN	205038438	EIN
Primary Activities	OUTPATIENT LABORATORY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$37,756,633	TotalIncomeAmt
End Of Year Assets	$21,752,822	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SANTA BARBARA COTTAGE HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COTTAGE HEALTH
PO BOX 689	SANTA BARBARA	CA	931020689	770431902	PARENT ORGANIZATION FOR 3 HOSPITALS & MEDICAL PROF BLDG.	CA	501(c)(3)	Type II	NA	false
GOLETA VALLEY COTTAGE HOSPITAL
PO BOX 689	SANTA BARBARA	CA	931020689	952413596	HOSPITAL	CA	501(c)(3)	3	COTTAGE HEALTH	Yes (true)
SANTA YNEZ VALLEY COTTAGE HOSPITAL
PO BOX 689	SANTA BARBARA	CA	931020689	952224265	HOSPITAL	CA	501(c)(3)	3	COTTAGE HEALTH	Yes (true)
SANTA BARBARA COTTAGE HOSPITAL FOUNDATION
PO BOX 689	SANTA BARBARA	CA	931020689	953802238	FOUNDATION TO SUPPORT SANTA BARBARA COTTAGE	CA	501(c)(3)	7	NA	false
GOLETA VALLEY PROFESSIONAL BUILDINGS INC
PO BOX 689	SANTA BARBARA	CA	931020689	770004202	MEDICAL PROF BLDG	CA	501(c)(3)	Type II	COTTAGE HEALTH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Abraaj Global Growth Markets Fund (B) LP	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 309	AddressLine1Txt
City	Ulgand House	CityNm
Province Or State	Grand Cayman	ProvinceOrStateNm
Country	CJ	CountryCd
Foreign Postal	KY11104	ForeignPostalCd

Field	Value	IRS element (for citing)
EIN	981207058	EIN
Primary Activities	Investment Funds	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	S Corporation	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Ownership	0	OwnershipPct
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Goleta Valley Cottage Hospital
L	$2,302,150	accrual
Santa Ynez Valley Cottage Hospital
L	$1,004,379	accrual
Goleta Valley Professional Buildings Inc
K	$1,417,715	accrual
Goleta Valley Cottage Hospital
O	$2,725,290	accrual
Goleta Valley Professional Buildings Inc
L	$102,164	accrual
Santa Ynez Valley Cottage Hospital
Q	$637,615	accrual