Goleta Valley Cottage Hospital Foundation: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: Goleta Valley Cottage Hospital Foundation (EIN 77-0003554)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-06-22
IRS object ID: 202201739349301655
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-06-22T16:00:37-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	770003554	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Goleta Valley Cottage Hospital Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GOLE	BusinessNameControlTxt
Phone	8056967918	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	351 So Patterson Ave Attn Finance	AddressLine1Txt
City	Goleta	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93111	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Kristin Tufvesson	PersonNm
Person Title	VP Finance	PersonTitleTxt
Signature	2022-06-22	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Tony	PersonFirstNm
Person Last	Vallejo	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	351 So Patterson Ave Attn Finance	AddressLine1Txt
City	Goleta	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93111	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,699,783	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.cottagehealth.org/donate/santa-barbara-cottage-hospital-foundation/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1988	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Goleta 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 Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	18	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$839,221	PYContributionsGrantsAmt
CY Contributions Grants	$860,812	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$28,725	PYInvestmentIncomeAmt
CY Investment Income	$228,462	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$867,946	PYTotalRevenueAmt
CY Total Revenue	$1,089,274	CYTotalRevenueAmt
PY Grants And Similar Paid	$93,160	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$745,139	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$169,393	CYTotalFundraisingExpenseAmt
PY Other Expenses	$277,904	PYOtherExpensesAmt
CY Other Expenses	$313,409	CYOtherExpensesAmt
PY Total Expenses	$371,064	PYTotalExpensesAmt
CY Total Expenses	$1,058,548	CYTotalExpensesAmt
PY Revenues Less Expenses	$496,882	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,726	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,001,254	TotalAssetsBOYAmt
Total Assets EOY	$9,122,583	TotalAssetsEOYAmt
Total Liabilities BOY	$21,328	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$23,325	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$8,979,926	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,099,258	NetAssetsOrFundBalancesEOYAmt
Mission	Goleta 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$745,736	ExpenseAmt
Grant	$745,139	GrantAmt
Revenue	$0	RevenueAmt
Desc	To support equipment needs and operations of Goleta Valley Cottage Hospital	Desc
Total Program Service Expenses	$745,736	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	5	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	8053249903	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6550 Hollister	AddressLine1Txt
City	Goleta	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93117	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Anne Pazier
Secretary	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Eric Seale
Chair	3.0	0	Yes (X)	Yes (X)	$0	$0	$0
Peter Brown
Vice Chair	3.0	0	Yes (X)	Yes (X)	$0	$0	$0
Tony Vallejo
Treasurer	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Antoinette McCauley
Director	2.0	0	Yes (X)		$0	$0	$0
Donna Lewis
Director	2.0	0	Yes (X)		$0	$0	$0
Jack Turney
Director	2.0	0	Yes (X)		$0	$0	$0
Jim Knight
Director	2.0	0	Yes (X)		$0	$0	$0
John McFadden
Director	2.0	0	Yes (X)		$0	$0	$0
Julio MD Soares
Director	2.0	0	Yes (X)		$0	$0	$0
Kirsten Deshler
Director	2.0	0	Yes (X)		$0	$0	$0
Kristen Miller
Director	2.0	0	Yes (X)		$0	$0	$0
Martin Plourd
Director	2.0	0	Yes (X)		$0	$0	$0
Samantha Onnen
Director	2.0	0	Yes (X)		$0	$0	$0
Susan Epstein
Director	2.0	0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

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

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 689	AddressLine1Txt
City	Santa Barbara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93102	ZIPCd

Field	Value	IRS element (for citing)
Services	Accounting services, Tax reporting, Management personnel, Fund raising administration support	ServicesDesc
Compensation	$231,636	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$860,812	AllOtherContributionsAmt
Noncash Contributions	$110,819	NoncashContributionsAmt
Total Contributions	$860,812	TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$0	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,766	TotalRevenueColumnAmt
Exclusion	$141,766	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$697,205	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$610,509	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$86,696	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,696	TotalRevenueColumnAmt
Exclusion	$86,696	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,089,274	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$228,462	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$728,130	TotalAmt
Program Services	$728,130	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$17,009	TotalAmt
Program Services	$17,009	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$208,716	TotalAmt
Management And General	$86,954	ManagementAndGeneralAmt
Fundraising	$121,762	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$135	TotalAmt
Management And General	$135	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$32,880	TotalAmt
Management And General	$32,880	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$20,039	TotalAmt
Management And General	$20,039	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$48,081	TotalAmt
Program Services	$597	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$47,484	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,836	TotalAmt
Management And General	$1,836	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$445	TotalAmt
Management And General	$445	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	Other expenses	Desc
Total	$1,277	TotalAmt
Management And General	$1,130	ManagementAndGeneralAmt
Fundraising	$147	FundraisingAmt

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,058,548	TotalAmt
Program Services	$745,736	ProgramServicesAmt
Management And General	$143,419	ManagementAndGeneralAmt
Fundraising	$169,393	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$225,607	BOYAmt
EOY	$190,629	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$318,317	BOYAmt
EOY	$167,141	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,431,487	BOYAmt
EOY	$4,714,450	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$0	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$0	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,904,691	BOYAmt
EOY	$3,932,448	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$121,152	BOYAmt
EOY	$117,915	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,001,254	BOYAmt
EOY	$9,122,583	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,328	BOYAmt
EOY	$23,325	EOYAmt

Grants Payable GrantsPayableGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,328	BOYAmt
EOY	$23,325	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,628,346	BOYAmt
EOY	$2,807,793	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,351,580	BOYAmt
EOY	$6,291,465	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,979,926	BOYAmt
EOY	$9,099,258	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,001,254	BOYAmt
EOY	$9,122,583	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$30,726	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$96,831	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,225	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$477,770	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$702,508	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$543,275	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$839,765	CurrentTaxYearMinus1YearAmt
Current Tax Year	$864,312	CurrentTaxYearAmt
Total	$3,427,630	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$477,770	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$702,508	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$543,275	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$839,765	CurrentTaxYearMinus1YearAmt
Current Tax Year	$864,312	CurrentTaxYearAmt
Total	$3,427,630	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,832,436	SubstantialContributorsTotAmt
Public Support Total170	$1,595,194	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$103,340	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$93,518	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$69,146	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$76,610	CurrentTaxYearMinus1YearAmt
Current Tax Year	$141,766	CurrentTaxYearAmt
Total	$484,380	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

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

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$3,912,010	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.4078	PublicSupportCY170Pct
Public Support PY170	0.5334	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$155,293	BeginningYearBalanceAmt
Contributions	$144,707	ContributionsAmt
End Year Balance	$300,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$137,192	BeginningYearBalanceAmt
Contributions	$18,101	ContributionsAmt
End Year Balance	$155,293	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,161,341	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$96,831	NetUnrealizedGainsInvstAmt
Other Revenue	-$8,225	OtherRevenueAmt
Revenue Not Reported	$88,606	RevenueNotReportedAmt
Revenue Subtotal	$1,072,735	RevenueSubtotalAmt
Investment Expenses Not Incld	$20,039	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$3,500	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$16,539	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,089,274	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,042,009	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,500	OtherExpensesIncludedAmt
Expenses Not Reported	$3,500	ExpensesNotReportedAmt
Expenses Subtotal	$1,038,509	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$20,039	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$20,039	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,058,548	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	The Endowment fund is intended for the continuing support of Goleta Valley Cottage Hospital.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	The 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 2018.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Change in value of pledge receivables - -8225
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	Bad Debt Expense - -3500
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	Bad Debt Expense - 3500

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Goleta Valley Cottage Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	351 So Patterson	AddressLine1Txt
City	Santa Barbara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93111	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	952413596	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$728,130	CashGrantAmt
Purpose Of Grant	Support of Capital expenditures and general operations	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Assistance to families with medical needs	GrantTypeTxt
Recipient	166	RecipientCnt
Cash Grant	$17,009	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	The 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 M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$110,819	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Securities - Publicly traded - Number of contributions	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 12a Conflict of interest	Board 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 body	The 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 public	The 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 balances	Change in value of pledge receivable - -8225;