Goleta Valley Cottage Hospital Foundation: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
Goleta Valley Cottage Hospital Foundation (EIN 77-0003554)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-07-12
IRS object ID
202331939349301213
Schema version
2022v5.0
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)
Return2023-07-12T17:30:06+00:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770003554EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Goleta Valley Cottage Hospital FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOLEBusinessNameControlTxt
Phone8052876903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Attn Finance PO Box 689AddressLine1Txt
CityGoletaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93102ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKristin TufvessonPersonNm
Person TitleVP FinancePersonTitleTxt
Signature2023-07-12SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTonyPersonFirstNm
Person LastVallejoPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Anne PazierBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Attn Finance PO Box 689AddressLine1Txt
CityGoletaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93102ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,668,790GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.cottagehealth.org/donate/santa-barbara-cottage-hospital-foundation/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionGoleta Valley Cottage Hospital Foundation operates solely for the benefit of Goleta Valley Cottage Hospital. It is organized specifically to develop, manage and channel the community's philanthropic support on behalf of the Goleta Valley Cottage Hospital.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$860,812PYContributionsGrantsAmt
CY Contributions Grants$851,408CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$228,462PYInvestmentIncomeAmt
CY Investment Income$107,426CYInvestmentIncomeAmt
CY Other Revenue-$13,727CYOtherRevenueAmt
PY Total Revenue$1,089,274PYTotalRevenueAmt
CY Total Revenue$945,107CYTotalRevenueAmt
PY Grants And Similar Paid$745,139PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$176,494CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$88,598CYTotalFundraisingExpenseAmt
PY Other Expenses$313,409PYOtherExpensesAmt
CY Other Expenses$203,885CYOtherExpensesAmt
PY Total Expenses$1,058,548PYTotalExpensesAmt
CY Total Expenses$380,379CYTotalExpensesAmt
PY Revenues Less Expenses$30,726PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$564,728CYRevenuesLessExpensesAmt
Total Assets BOY$9,122,583TotalAssetsBOYAmt
Total Assets EOY$9,482,475TotalAssetsEOYAmt
Total Liabilities BOY$23,325TotalLiabilitiesBOYAmt
Total Liabilities EOY$172,430TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,099,258NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,310,045NetAssetsOrFundBalancesEOYAmt
MissionGoleta Valley Cottage Hospital Foundation operates solely for the benefit of Goleta Valley Cottage Hospital. It is organized specifically to develop, manage and channel the community's philanthropic support on behalf of the Goleta Valley Cottage Hospital.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$181,311ExpenseAmt
Grant$176,494GrantAmt
Revenue$0RevenueAmt
DescTo support equipment needs and operations of Goleta Valley Cottage HospitalDesc
Total Program Service Expenses$181,311TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Martha VitalariBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8053249903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16550 HollisterAddressLine1Txt
CityGoletaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93117ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Anne Pazier
Chair3.00Yes (X)Yes (X)$0$0$0
Antoinette McCauley
Vice Chair3.00Yes (X)Yes (X)$0$0$0
Eric Seale
Chair (Immediate Past Chair)2.00Yes (X)Yes (X)$0$0$0
Tony Vallejo
Treasurer3.00Yes (X)Yes (X)$0$0$0
Dr Julio Soares MD
Director2.00Yes (X)$0$0$0
Jack Turney
Director2.00Yes (X)$0$0$0
James Kyriaco
Director2.00Yes (X)$0$0$0
Jeff Cole
Director2.00Yes (X)$0$0$0
Kirsten Deshler
Secretary3.00Yes (X)$0$0$0
Kristen Miller
Director2.00Yes (X)$0$0$0
Martin Plourd
Director2.00Yes (X)$0$0$0
Megan Stichter CPA
Director2.00Yes (X)$0$0$0
Nevin Pallad
Director2.00Yes (X)$0$0$0
Samantha Onnen
Director2.00Yes (X)$0$0$0
Susan Epstein
Director2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cottage HealthBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 689AddressLine1Txt
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93102ZIPCd
FieldValueIRS element (for citing)
ServicesAccounting services, Tax reporting, Management personnel, Fund raising administration supportServicesDesc
Compensation$157,491CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$91,650FundraisingAmt
All Other Contributions$759,758AllOtherContributionsAmt
Noncash Contributions$5,795NoncashContributionsAmt
Total Contributions$851,408TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,583TotalRevenueColumnAmt
Exclusion$126,583ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$671,184SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$690,341SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$19,157SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,157TotalRevenueColumnAmt
Exclusion-$19,157ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,615FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$91,650ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,342FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,727TotalRevenueColumnAmt
Exclusion-$13,727ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$945,107TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$93,699ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$156,730TotalAmt
Program Services$156,730ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$19,764TotalAmt
Program Services$19,764ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$133,886TotalAmt
Management And General$58,911ManagementAndGeneralAmt
Fundraising$74,975FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$372TotalAmt
Management And General$372ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,564TotalAmt
Management And General$33,564ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$15,197TotalAmt
Management And General$15,197ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,670TotalAmt
Program Services$4,817ProgramServicesAmt
Management And General$141ManagementAndGeneralAmt
Fundraising$11,712FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,748TotalAmt
Management And General$1,748ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,993TotalAmt
Management And General$82ManagementAndGeneralAmt
Fundraising$1,911FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
Dues and subscriptions$255$255
Taxes, licenses and fees$200$200

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$380,379TotalAmt
Program Services$181,311ProgramServicesAmt
Management And General$110,470ManagementAndGeneralAmt
Fundraising$88,598FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$190,629BOYAmt
EOY$499,977EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$167,141BOYAmt
EOY$238,604EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,714,450BOYAmt
EOY$5,190,307EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,932,448BOYAmt
EOY$3,267,517EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$115,758EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$117,915BOYAmt
EOY$170,312EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,122,583BOYAmt
EOY$9,482,475EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,325BOYAmt
EOY$172,430EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,325BOYAmt
EOY$172,430EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,807,793BOYAmt
EOY$2,348,790EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,291,465BOYAmt
EOY$6,961,255EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,099,258BOYAmt
EOY$9,310,045EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,122,583BOYAmt
EOY$9,482,475EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$564,728ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$569,541NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$215,600OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$702,508CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$543,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$839,765CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$864,312CurrentTaxYearMinus1YearAmt
Current Tax Year$851,408CurrentTaxYearAmt
Total$3,801,268TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$702,508CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$543,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$839,765CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$864,312CurrentTaxYearMinus1YearAmt
Current Tax Year$851,408CurrentTaxYearAmt
Total$3,801,268TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,207,853SubstantialContributorsTotAmt
Public Support Total170$1,593,415PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,518CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,146CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,610CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$141,766CurrentTaxYearMinus1YearAmt
Current Tax Year$126,583CurrentTaxYearAmt
Total$507,623TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$4,308,891TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.3698PublicSupportCY170Pct
Public Support PY1700.4078PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$300,000BeginningYearBalanceAmt
End Year Balance$300,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$300,000BeginningYearBalanceAmt
Contributions$0ContributionsAmt
End Year Balance$300,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$300,000BeginningYearBalanceAmt
Contributions$0ContributionsAmt
End Year Balance$300,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$300,000BeginningYearBalanceAmt
Contributions$0ContributionsAmt
End Year Balance$300,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$155,293BeginningYearBalanceAmt
Contributions$144,707ContributionsAmt
End Year Balance$300,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$609,311TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$569,541NetUnrealizedGainsInvstAmt
Other Revenue$215,600OtherRevenueAmt
Revenue Not Reported-$353,941RevenueNotReportedAmt
Revenue Subtotal$963,252RevenueSubtotalAmt
Investment Expenses Not Incld$15,197InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$33,342OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$18,145RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$945,107TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$398,524TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,342OtherExpensesIncludedAmt
Expenses Not Reported$33,342ExpensesNotReportedAmt
Expenses Subtotal$365,182ExpensesSubtotalAmt
Investment Expenses Not Incld2$15,197InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$15,197ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$380,379TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe Endowment fund is intended for the continuing support of Goleta Valley Cottage Hospital.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Foundation completed an analysis of its tax positions in accordance with Accounting Standards Codification (ASC) 740, Income Taxes, and determined that there are no uncertain tax positions taken or expected to be taken. The Foundation has recognized no interest or penalties related to uncertain tax positions. The Foundation is subject to routine audits by the taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Foundation believes it is no longer subject to income tax examinations for years prior to 2019.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Change in Value of Charitable Remainder Trusts - 215600
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsFund raising expenditures included in VIII line - Fund raising expenditures included in VIII line 8 - -33342
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Fund raising expenses in VIII line 8 - 33342

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Miles for MomsEvent1Nm
Gross Receipts Event1$111,265GrossReceiptsEvent1Amt
Charitable Contri Event1$91,650CharitableContriEvent1Amt
Gross Revenue Event1$19,615GrossRevenueEvent1Amt
Non Cash Prizes Event1$9,493NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,198RentFacilityCostsEvent1Amt
Food And Beverage Event1$130FoodAndBeverageEvent1Amt
Entertainment Event1$1,510EntertainmentEvent1Amt
Other Direct Expenses Event1$12,011OtherDirectExpensesEvent1Amt
Gross Revenue Event2$0GrossRevenueEvent2Amt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$111,265GrossReceiptsTotalAmt
Charitable Contributions Tot$91,650CharitableContributionsTotAmt
Gross Revenue Total Events$19,615GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$9,493NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$10,198RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$130FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,510EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$12,011OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,342DirectExpenseSummaryEventsAmt
Net Income Summary-$13,727NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Goleta Valley Cottage HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 So PattersonAddressLine1Txt
CityGoletaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93111ZIPCd
FieldValueIRS element (for citing)
Recipient EIN952413596RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$156,730CashGrantAmt
Purpose Of GrantSupport of capital expenditures and general operationsPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeAssistance to Needy FamiliesGrantTypeTxt
Recipient164RecipientCnt
Cash Grant$19,764CashGrantAmt
Non Cash AssistanceAssistance with food and transportation to patient famlies in needNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationThe Foundation's Board approves all grants made to Goleta Valley Cottage Hospital. The Family Assistance Fund Committee reviews all applications for grants to individuals.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 12a Conflict of interestBoard members submit an annual conflict of interest disclosure form. A board member who is deemed to have a conflict of interest is excused from decision making processes on matters involving a potential conflict of interest.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe accounting department prepares form 990 and it is reviewed by the accounting manager. The form is then provided to the Foundation administrator for review with a board member. Once reviewed, the 990 is finalized.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization will provide its governing documents and financial statements to the public upon request.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in value of pledge receivable - 215600;

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