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COTTAGE HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COTTAGE HEALTH (EIN 77-0431902)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343199349304949
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T12:46:52-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770431902EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COTTAGE HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOTTNameControl
Phone8056827111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoan BricherName
TitleSenior Vice President and CFOTitle
Phone8058798752Phone
Date Signed2013-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRonald WerftNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1same as C aboveAddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts60006018GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.cottagehealthsystem.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionIt is the mission of Cottage Health System to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. Cottage Health System is the sole corporate member for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, Inc.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees181TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI167912TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52110647ProgramServiceRevenuePriorYear
Program Service Revenue CY59550886ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year439644OtherRevenuePriorYear
Other Revenue Current Year455132OtherRevenueCurrentYear
Total Revenue Prior Year52550291TotalRevenuePriorYear
Total Revenue Current Year60006018TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25412783SalariesEtcPriorYear
Salaries Etc Current Year29636765SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year27130115OtherExpensePriorYear
Other Expenses Current Year30361133OtherExpensesCurrentYear
Total Expenses Prior Year52542898TotalExpensesPriorYear
Total Expenses Current Year59997898TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7393RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8120RevenuesLessExpensesCY
Total Assets BOY13165367TotalAssetsBOY
Total Assets EOY16816750TotalAssetsEOY
Total Liabilities BOY19005078TotalLiabilitiesBOY
Total Liabilities EOY21701899TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5839711NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-4885149NetAssetsOrFundBalancesEOY
Mission DescriptionIt is the mission of Cottage Health System to provide superior health care through a commitment to our Community and to our core values of excellence, integrity, and compassion. Cottage Health System is the sole corporate member for Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital, Inc.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense53934317Expense
Grants0Grants
Revenue59838106Revenue
DescriptionCottage Health System provided management and administrative services to Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Santa Ynez Valley Cottage Hospital and Goleta Valley Professional Buildings, Inc.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense53934317TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees181NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKaren L JonesNamePerson
Telephone Number8055697294TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93102ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Judith Hopkinson
Director22X000
Jon Clark
Director22X000
P Steven Ainsley
Director22X000
Gregory Faulkner
Director22X000
Elliot Prager MD
Director22X000
J Robert Andrews
Director (Partial Year)22X000
Angel Iscovich MD
Director (Partial Year)22X000
Edward Bentley MD
Director22X000
John Romo
Committee Chair2.52.5X000
Marshall Turner Jr
Committee Chair2.52.5X000
Thomas Watson MD
Committee Chair2.52.5X0118050
Charles A Jackson
Committee Chair2.52.5X000
Fred Lukas
Committee Chair2.52.5X000
Margaret Baker
Committee Chair2.52.5X000
Jeffrey Kupperman MD
Secretary (Partial year)2.52.5X013420X
Alex Koper MD
Secretary (Partial year)2.52.5X0125750X
Fred Gluck
Vice Chair (Partial Year)2.52.5X000X
Ed Birch PhD
Vice Chair (Partial Year)2.52.5X000X
Robert Nakasone
Vice Chair (Partial Year)2.52.5X000X
Robert Nourse
Vice Chair (Partial Year)2.52.5X000X
Gretchen Milligan
Board Chair1010X000X
Ronald C Werft
CEO303010104990635089X
Steven A Fellows
COO15355764560174787X
Joan Bricher
CFO25255406820239362X
Julie Artoux
Assistant Secretary2525117680018962X
Edmund Wroblewski MD
VP Medical Affairs400526419056952X
Patrice Ryan
VP Human Resource400311948045664X
Ronald Biscaro
VP Housing & Real Estate Devlp400305850046127X
Suzanne Dalston
VP Advancement (partial year)400380808032128X
Karen Jones
VP Finance400358598048838X
Herbert Geary
VP Pt Care Svcs & CNO400333724047378X
Lisa Moore
VP Clinical Services400320801047250X
Alberto Kywi
VP ISD/CIO400370037048159X
Afshin Fatholahi
VP Support Services400264861043211X
Sharon Lutz
VP Quality Sup Svcs400231955041510X
Paul Erickson MD
Dir Psych Services4003148294869428875X
Kristin Tufvesson
Dir Financial Svcs400228552027970X
David Dietrich
Interim VP, Advancemnt400229641024483X
Laura Davidson
Dir Clin Informatics400198840026547X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6622180TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs74416TotalReportableCompFrmRltdOrgs
Total Other Compensation1633292TotalOtherCompensation
Number Individuals GT100 K60NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
VITALIZE CONSULTING SOLUTIONS
248 MAIN STREET STE 101READINGMA018673643IT CONSULTING2926316
CIO SOLUTIONS LP
150 CASTILLIAN DRIVEGOLETACA93117IT CONSULTING1619482
SAGEWOOD SYSTEMS
2320 BATH STREET SUITE 305SANTA BARBARACA93105IT CONSULTING1482149
ALLSCRIPTS HEALTHCARE LLC
LOCKBOX 077133PHILADELPHIAPA191710133COMPUTER SERVICES1383384PO BOX 8538-0311
TECHSTRATA LLC
575 ANTON BLVD STE 300COSTA MESACA92626IT CONSULTING1222873
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionADMIN REVENUE FROM TAX-EXEMPT AFFILIATESDescription
Business Code900099BusinessCode
Total Revenue Column59550886TotalRevenueColumn
Related Or Exempt Function Income59550886RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue59550886TotalProgramServiceRevenue

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
VRE Administrative Fee Revenue9000991679120167912$0
HR Revenue9000991579641579640$0
Discounts and Rebates90009982471824710$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column46785TotalRevenueColumn
Related Or Exempt Function Income46785RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue455132TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60006018TotalRevenueColumn
Related Or Exempt Function Income59838106RelatedOrExemptFunctionIncome
Unrelated Business Revenue167912UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6765627Total
Program Services6089064ProgramServices
Management And General676563ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11618621Total
Program Services10573338ProgramServices
Management And General1045283ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1944080Total
Program Services1749671ProgramServices
Management And General194409ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8330079Total
Program Services7522549ProgramServices
Management And General807530ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total978358Total
Program Services880523ProgramServices
Management And General97835ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total219590Total
Management And General219590ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9943Total
Management And General9943ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total40115Total
Management And General40115ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4514752Total
Program Services4063277ProgramServices
Management And General451475ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total723933Total
Program Services651603ProgramServices
Management And General72330ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3233629Total
Program Services2972924ProgramServices
Management And General260705ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17053713Total
Program Services15348342ProgramServices
Management And General1705371ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total89454Total
Program Services80509ProgramServices
Management And General8945ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total187094Total
Program Services168385ProgramServices
Management And General18709ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total85015Total
Program Services76513ProgramServices
Management And General8502ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2844609Total
Program Services2534514ProgramServices
Management And General310095ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total527231Total
Program Services474508ProgramServices
Management And General52723ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS50927845835050928
EDUCATION AND TRAINING92098828889210
EQUIPMENT MAINTENANCE38255344293826

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total192424Total
Program Services172930ProgramServices
Management And General19494ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59997898Total
Program Services53934317ProgramServices
Management And General6063581ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1110742BOY
EOY5256397EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2786268BOY
EOY3722728EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36743030LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29723538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8009410BOY
EOY7019492EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1258947BOY
EOY818133EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13165367BOY
EOY16816750EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4223296BOY
EOY5672609EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14781782BOY
EOY16029290EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19005078BOY
EOY21701899EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5839711BOY
EOY-4885149EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5839711BOY
EOY-4885149EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13165367BOY
EOY16816750EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8120ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes946442ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Santa Barbara Cottage Hospital
9516446293111$0
Goleta Valley Cottage Hospital
9524135963111$0
Santa Ynez Valley Cottage Hospital Inc
9522242653111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$40,115OtherActivitiesAmount
Total Lobbying Expenditures IIB40115TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationMembership fees paid to California Hospital Association used for lobbying issues.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis284831OtherCostOrOtherBasis
Depreciation69993Depreciation
Book Value214838BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis35843715OtherCostOrOtherBasis
Depreciation29653545Depreciation
Book Value6190170BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis614484OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value614484BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7019492TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Group Health Reserve$107,829
Minimum Pension Liability$4,008,298
SERP & Retirement Plan$11,726,935
Due to Affiliates$186,228
FieldValueIRS element (for citing)
Total Of Amounts16029290TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchD_P10_S00_L02Identifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationThe System and its affiliates, except for Pacific Diagnostic Laboratories, are not-for-profit corporations and are tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code and are exempt from income taxation under Section 501(a) of the Code and corresponding provisions of the California Revenue and Taxation Code, except to the extent of income derived from taxable unrelated business activities. Unrelated business income is not material to the financial statements. The System completed an analysis of its tax positions, in accordance with ASC 740, Income Taxes, and determined that there are no uncertain tax positions taken or expected to be taken. The System has recognized no interest or penalties related to uncertain tax positions. The System 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 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ronald C Werft
CEO7478650248541014093061935301573601645588000
Steven A Fellows
COO439361012393501316001590510157360751243000
Joan Bricher
CFO424551010102401510702235760157860780044000
Edmund Wroblewski MD
VP Medical Affairs42010607027203604104123701571405833700285170
Patrice Ryan
VP Human Resource261018047236036940302600154030357611000
Ronald Biscaro
VP Housing & Real Estate Devlp2500250426920131330295020166250351977000
Karen Jones
VP Finance2893260537820154900322130166250407436000
Herbert Geary
VP Pt Care Svcs & CNO2813580396610127050316640157140381102000
Lisa Moore
VP Clinical Services279182039374022450315140157360368051000
Alberto Kywi
VP ISD/CIO27948304576604478803153401662504181960190050
Afshin Fatholahi
VP Support Services220964039202046950274970157140308072000
Suzanne Dalston
VP Advancement (partial year)1030630002777450193610127670412936000
Kristin Tufvesson
Dir Financial Svcs2034450136490114580113400166250256517000
David Dietrich
Interim VP, Advancemnt210639012094069080113400131430254124000
Laura Davidson
Dir Clin Informatics1833320150990409099220166250225387000
Sharon Lutz
VP Quality Sup Svcs196006033098028510122500157360259941000
Paul Erickson MD
Dir Psych Services30277848694001205101225001662503437044869400

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aHealth club dues are paid on behalf of CEO and COO. The COO dues are all considered taxable. The CEO portion of the dues that are related to personal use are considered taxable.
SchJ_P01_S00_L03Schedule J, Part I, Line 3On 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 executives.
SchJ_P01_S00_L04Schedule J, Part I, Line 4Severance: Suzanne Dalston 276,373 paid at lump sum at time employment was terminated. The amounts reported in the current year's deferred compensation includes recognition of past service. The amounts are subject to a substantial risk of forfeiture. Any amounts paid under this plan in the future will be reported again as reportable compensation in the year paid. Recipients of 457(f) plan payouts include Dr. Ed Wroblewski ($28,517) and Alberto Kywi ($19,005).

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Mullen and Henzel
Board member is partner172587Legal Fees0
Santa Barbara Cardio Med Group
Board member is partner94159Medical Professional Fees0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2J. Robert Andrews and Greg Faulkner are law partners.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bForm 990 is prepared under the direction of the Vice President of Finance and CFO. Form 990 is reviewed by VP Finance, CFO and independent tax consultants prior to submitting to the Audit and Compliance Committee. All members of the Board receive a copy of the organization's form 990 for review prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe purpose of the Conflict of Interest policy is to protect the interest of the organization when it contemplates entering into a transaction or arrangement that could benefit the private interest of a Director or Officer of Cottage Health System, 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 System. The Cottage Health System Directors have a duty to: 1.) discharge their duties to benefit the Cottage Health System and not the Directors personally 2.) disclose situations with the potential for conflict of interest with the vision and mission of Cottage Health System 3.) refrain from discussing confidential Cottage Health System business with others. Each Board member will annually complete the Cottage Health System 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 for items to be discussed at a Board meeting. If there are any material financial or personal interests a Board member/family member may have in a Board decision, the Director or Officer will disclose this to the Committee Chair for items to be discussed at Board Committees, before the Board reviews the transaction and takes action. In general, an Officer who had 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's 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 System and sign an annual conflict of interest form. These forms are reviewed by Compliance and any issues are brought to the Chief Compliance Officer.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15On 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 executives.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Audited Financial Statements and tax filings can be obtained upon request from the CFO.
F990_P11_S00_L09Form 990, Part XI, Line 9Form 990 XI - OTHER CHANGES IN NET ASSETS includes Change in Pension Liability $946,442

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Santa Barbara Cottage Hospital
PO Box 689Santa BarbaraCA93102951644629HospitalCA501(c)(3)3Cottage Health System1
Goleta Valley Cottage Hospital
PO Box 689Santa BarbaraCA93102952413596HospitalCA501(c)(3)3Cottage Health System1
Santa Ynez Valley Cottage Hospital Inc
PO Box 689Santa BarbaraCA93102952224265HospitalCA501(c)(3)3Cottage Health System1
Santa Barbara Cottage Hospital Foundation
PO Box 689Santa BarbaraCA93102953802238FundraisingCA501(c)(3)7Santa Barbara Cottage Hospital1
Goleta Valley Professional Buildings Inc
PO Box 689Santa BarbaraCA93102770004202Medical Professional BuildingCA501(c)(3)11b-IICottage Health System1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Villa Riviera Real Estate CompanyBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1
CitySanta BarbaraCity
StateCAState
ZIP Code93102ZIPCode
FieldValueIRS element (for citing)
EIN272996284EIN
Primary ActivityWorkforce housing developerPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SBCHFndtnBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Santa Barbara Cottage Hospital
l50496063accrual
Santa Barbara Cottage Hospital
o379521accrual
Santa Barbara Cottage Hospital
p14141666accrual
Santa Barbara Cottage Hospital
q2949060accrual
Santa Barbara Cottage Hospital
s10000000accrual
Goleta Valley Cottage Hospital
l4768899accrual
Goleta Valley Cottage Hospital
p63083accrual
Goleta Valley Cottage Hospital
q116200accrual
Santa Ynez Valley Cottage Hospital Inc
l1213163accrual
Santa Ynez Valley Cottage Hospital Inc
q69744accrual
Santa Barbara Cottage Hospital Foundation
l2107103accrual
Santa Barbara Cottage Hospital Foundation
m1142104accrual
Santa Barbara Cottage Hospital Foundation
o235807accrual
Santa Barbara Cottage Hospital Foundation
q87260accrual