Investing In The Health Of Our Community


Fostering Wellness


Cottage Health System is a not-for-profit organization which belongs to the communities it serves. In 2011, to cover shortfalls and wellness programs, Cottage provided more than $120.7 million of services for the benefit of those most in need.


Government Underpayment

$96.4 million

(Unreimbursed cost of Medi-Cal, Medicare, and others) Underpayment is the difference between the costs incurred and the reimbursement received for delivering care to patients. Payment rates for Medicare and Medi-Cal are set by law. These payment rates are currently set below the costs of providing care, resulting in underpayment.

$120.7 million

Dollars spent to cover charity care, government shortfall and community outreach



Charity Care

$11.7 million

Charity Care

  1,653 patients assisted

Free or reduced-cost emergency care for patients who meet income eligibility requirements

Community Service

  343 patients assisted

Free or reduced-cost care for non-emergent but medically necessary services for patients who meet income-eligibility requirements

Health Education and Research

$3.3 million

Medical Residents

• 53 residents in the areas of internal medicine, radiology, general surgery

• 9 faculty physicians

Nursing Programs

• 2 California schools received nursing degree support

• Multiple students received nursing loans/scholarships

Reeves Medical Library

• 300 interactions with customers, including the general public

• 500 books, tapes, CDs, and videos on health topics

Benefits for Vulnerable Populations and Community


$9.3 million

Education and Wellness

  2,509 participated in birth and parent education classes
  550 calls placed to the Lactation Center’s Warm Line
  158 participated in CPR classes
  48 smoking cessation course graduates
  3,120 attendees at ‘Living Well with Diabetes’ classes
  918 Lifeline subscribers
  Weekly farmers market at SBCH

Clinics, Lectures and Seminars

  2,509 participated in birth and parent education classes
  140 child car seat safety checks
  70 low-cost safety helmets dispersed
  1,200 young students reached with Think First spinal cord and brain injury prevention program
  369 participants in Healthy Balance weight management program since its inception
  300 people attended Heart Smart lecture series
  4,000 Five Wishes Advance Healthcare Directive booklets distributed
  206 attendees at Empowerment through Medical Rehabilitation with speaker Trisha Meili, author of I Am the Central Park Jogger

Screenings and Health Fairs

  86% of Cancer Prevention Fair attendees were uninsured; 93 screenings provided
  69% of Heart Fair attendees were uninsured; 488 received low-cost blood chemistry panel
  1,250 Family Fitness & Baby Fair attendees
  200 attendees at Mental Health Fair
  868 attendees at Senior Expo, and 925 attendees, volunteers, and exhibitors received a flu shot
  361 flu shots provided and coupons for low-cost screening tests offered at the Santa Ynez Valley Cottage Hospital Annual Health Fair
  2,353 flu shots given at other clinics

Support Groups

  20 mother-baby couples joined the Mother’s Circle
  15 Aphasia Recovery Group participants
  41 Outlook Group participants
  30 Parkinson’s Society Group participants
  17 Project Re-Entry Stroke Support Group participants
  1,181 participated in support groups for caregivers of individuals with dementia, Huntington’s disease, stroke or traumatic brain injury

Adapted Recreation and Therapeutic Activities

  20 mother-baby couples joined the Mother’s Circle
  422 participated in aquatic wellness and exercise programs
  73 participated in adapted golf, kayak and driving programs
  37 children and teens attended Junior Wheelchair Sports Camp

Parish Nursing

  Served more than 12,500 individuals
  5 nurses provided 5,000 hours of care to homeless and mental health clients
  5 nurses provided more than 400 hours of health screenings and community education for low-income families and seniors at 8 sites

Other Services

  28 families of Cottage Children’s Hospital patients received help from The Family Assistance Fund to cover non-hospital related expenses, including groceries, housing rental, and funeral services
  694 patient referrals for Palliative Care Consultation Service
  593 callers for information and referrals, along with 703 hours of consultation and 4,450 hours of respite care provided by Coast Caregiver Resource Center
  To ensure coverage of patient needs, Cottage Health System provided stipends for on-call specialty emergency and trauma physicians

Community Funding & Donations

  14 grants to community organizations offering low-income individuals services such as mental health care, tattoo removal, dental care, transportation and homeless shelters
  60 sponsorships for community educational workshops, walks/runs, galas and luncheons related to health
  Medical supplies and used equipment donated to local organizations
  Provided leases at below-market rates for nonprofits



For more information about Cottage’s community benefit programs, contact Dana Goba, Community Health Coordinator 805-879-8992 or


The 2011 Family Fitness & Baby Fair welcomed more than 1,250 visitors to learn more about fitness and parenting, while offering games and educational programs for children.



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