Skip to content
Nonprofiteer
← MEDICAL STAFF OF SANTA BARBARA COTTAGE HOSPITAL

Form 990 for tax year 2022

Filed by MEDICAL STAFF OF SANTA BARBARA COTTAGE HOSPITAL.

Totals

Total revenue
$270,938
Total expenses
$214,829
Contributions and grants received
$270,938
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$471,979
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$471,979
Program services expenses (Part IX)
$200,656
Management and general expenses
$14,173
Fundraising expenses
$0
Program service expenses (Part III)
$200,656

Program services were 93.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1b · Membership dues

    $160,097

  • 1f · All other contributions, gifts and grants

    $110,841

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 24a · Other expenses: Honoraria

    total $166,098 · program services $166,098

  • 24b · Other expenses: Professional fees

    total $30,300 · program services $30,300

  • 24c · Other expenses: Meetings and awards

    total $13,938 · management and general $13,938

  • 24d · Other expenses: Assessment program

    total $4,258 · program services $4,258

  • 24e · All other expenses

    total $235 · program services $0 · management and general $235 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $412,588 · end of year $468,697

  • 2 · Savings and temporary cash investments

    beginning of year $3,282 · end of year $3,282

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $415,870 · end of year $471,979

Mission and programs · 2022

Mission

The purpose of the Medical Staff of Santa Barbara is to assure that all patients admitted to or treated at Cottage Health facilities (hospitals) receive a uniform standard of quality care, treatment and efficiency consistent with generally accepted standards attainable within the hospitals' means and circumstances. It also organizes and supports professional education and community health education and medical support services. It provides a means for the Medical Staff, Board of Directors of Cottage Health (Board) and Administration of Cottage Health to discuss issues of mutual concern and to implement education and changes intended to continuously improve the quality of patient care. It provides for accountability of the Medical Staff to the Board through the MEC. It exercises its rights and responsibilities in a manner that does not jeopardize the hospitals' licenses, Medicare and Medi-Cal provider status, accreditation, or tax exempt status.

Activities or mission (Part I)

Association of physicians formed to ensure quality medical services are provided by physicians at Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital and Santa Ynez Valley Cottage Hospital.

  • Medical Staff Departments and Medical Staff Committees hold monthly meetings to review quality and patient outcomes to improve and standardize care.

    Expenses $200,656 · Revenue $270,938

As filed on the 2022 return.

Listed in Part VII

  • Dr Alexander Morf MD

    Vice Chief of Staff-Goleta Valley

    Total calculated
    $6,615
    From this org
    $6,615
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

    Schedule J breakdown matched by us

    Base
    $6,615
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $6,615

  • Dr Anne O Rodriguez MD

    Vice Chief of Staff-Santa Barbara

    Total calculated
    $37,500
    From this org
    $37,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    5

    Schedule J breakdown matched by us

    Base
    $37,500
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $37,500

  • Dr David Vierra MD

    Secretary Treasurer-Goleta

    Total calculated
    $2,730
    From this org
    $2,730
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

    Schedule J breakdown matched by us

    Base
    $2,730
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $2,730

  • Dr Gustavo Dascanio MD

    Chief of Staff-Santa Ynez Valley

    Total calculated
    $12,593
    From this org
    $12,593
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

    Schedule J breakdown matched by us

    Base
    $12,593
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $12,593

  • Dr Michael Shenoda MD

    Secretary Treasurer-Santa Barbara

    Total calculated
    $24,750
    From this org
    $24,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    5

    Schedule J breakdown matched by us

    Base
    $24,750
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $24,750

  • Dr Robin Malone MD

    Chief of Staff-Goleta Valley

    Total calculated
    $28,988
    From this org
    $28,988
    From related orgs
    $0
    Other
    $0
    Hours/week
    6

    Schedule J breakdown matched by us

    Base
    $28,988
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $28,988

  • Dr Sandra Wilson MD

    Vice Chief of Staff-Santa Ynez Valley

    Total calculated
    $2,408
    From this org
    $2,408
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

    Schedule J breakdown matched by us

    Base
    $2,408
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $2,408

  • Dr Travis Mellon MD

    Secretary Treasurer-Santa Ynez

    Total calculated
    $3,818
    From this org
    $3,818
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

    Schedule J breakdown matched by us

    Base
    $3,818
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $3,818

  • Dr Andrew Mester MD

    Board Member

    Total calculated
    $3,800
    From this org
    $3,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Angela Hsu MD

    Board Member

    Total calculated
    $6,825
    From this org
    $6,825
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Benjamin Johnson MD

    Board Member

    Total calculated
    $1,575
    From this org
    $1,575
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Brent Kovacs MD

    Board Member

    Total calculated
    $1,200
    From this org
    $1,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Brett Wilson MD

    Board Member

    Total calculated
    $5,225
    From this org
    $5,225
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Bryan Emmerson MD

    Board Member

    Total calculated
    $1,613
    From this org
    $1,613
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Bryan Garber MD

    Board Member

    Total calculated
    $3,900
    From this org
    $3,900
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Christopher Quijano MD

    Board Member

    Total calculated
    $1,538
    From this org
    $1,538
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Christopher Thrash MD

    Board Member

    Total calculated
    $7,800
    From this org
    $7,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Daniel Litten MD

    Board Member

    Total calculated
    $1,350
    From this org
    $1,350
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Dante Pieramici MD

    Board Member

    Total calculated
    $3,150
    From this org
    $3,150
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr David Birken MD

    Board Member

    Total calculated
    $1,463
    From this org
    $1,463
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Georgia Korbakis MD

    Board Member

    Total calculated
    $4,988
    From this org
    $4,988
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Jervis Yau MD

    Board Member

    Total calculated
    $5,500
    From this org
    $5,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr John Wrench MD

    Board Member

    Total calculated
    $1,650
    From this org
    $1,650
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr K Charmian Dresel-Velasquez MD

    Board Member

    Total calculated
    $6,125
    From this org
    $6,125
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Kevin Casey MD

    Board Member

    Total calculated
    $7,100
    From this org
    $7,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Matthew DeNicola MD

    Board Member

    Total calculated
    $2,250
    From this org
    $2,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Michael Charles MD

    Board Member

    Total calculated
    $8,650
    From this org
    $8,650
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Paul Erickson MD

    Board Member

    Total calculated
    $3,525
    From this org
    $3,525
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Robin Knauss MD

    Board Member

    Total calculated
    $1,313
    From this org
    $1,313
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Roy Bryan MD

    Board Member

    Total calculated
    $3,900
    From this org
    $3,900
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Sam Ahmad MD

    Board Member

    Total calculated
    $2,100
    From this org
    $2,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Scott Tobis MD

    Board Member

    Total calculated
    $1,950
    From this org
    $1,950
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Taylor Holve MD

    Board Member

    Total calculated
    $5,850
    From this org
    $5,850
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Thomas Beamer MD

    Board Member

    Total calculated
    $4,825
    From this org
    $4,825
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dr Alex Soffici MD

    Chief of Staff-Santa Barbara

    Total calculated
    $102,525
    From this org
    $102,525
    From related orgs
    $0
    Other
    $0
    Hours/week
    12

    Schedule J breakdown matched by us

    Base
    $102,525
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $102,525

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part II Compensation from unrelated organizations
All Chiefs of Staff, Vice Chiefs of Staff and Secretary-Treasurers reported on this Schedule J receive compensation from an unrelated organization (a specific hospital) for their services as officers of the reporting entity.
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. ROBIN MALONE, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 26625.000000, NAME OF UNRELATED ORGANIZATION - GOLETA VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. GUSTAVO DASCANIO, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 12592.500000, NAME OF UNRELATED ORGANIZATION - SANTA YNEZ VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. ANNE O RODRIGUEZ, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 37500.000000, NAME OF UNRELATED ORGANIZATION - SANTA BARBARA COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. ALEXANDER MORF, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 6615.000000, NAME OF UNRELATED ORGANIZATION - GOLETA VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. SANDRA WILSON, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 2407.500000, NAME OF UNRELATED ORGANIZATION - SANTA YNEZ VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. MICHAEL SHENODA, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 24750.000000, NAME OF UNRELATED ORGANIZATION - SANTA BARBARA COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. DAVID VIERRA, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 1305.000000, NAME OF UNRELATED ORGANIZATION - GOLETA VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. TRAVIS MELLON, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 3817.500000, NAME OF UNRELATED ORGANIZATION - SANTA YNEZ VALLEY COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL
NAME - DR. ALEX SOFFICI, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 102525.000000, NAME OF UNRELATED ORGANIZATION - SANTA BARBARA COTTAGE HOSPITAL, TYPE OF COMPENSATION - CHECK

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
29 August 2023
IRS schema version
2022v5.0
Source object
202302419349301010

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.