Goleta Valley Cottage Hospital Foundation: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
Goleta Valley Cottage Hospital Foundation (EIN 77-0003554)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-09-30
IRS object ID
202112739349301646
Schema version
2020v4.0
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)
Return2021-09-30T17:30:42-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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
Phone8056967918PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 So Patterson Ave Attn FinanceAddressLine1Txt
CityGoletaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93111ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTony VallejoPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2021-09-30SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTonyPersonFirstNm
Person LastVallejoPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eric SealeBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 So Patterson Ave Attn FinanceAddressLine1Txt
CityGoletaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93111ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,304,502GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$531,475PYContributionsGrantsAmt
CY Contributions Grants$839,221CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$170,961PYInvestmentIncomeAmt
CY Investment Income$28,725CYInvestmentIncomeAmt
PY Other Revenue-$15,820PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$686,616PYTotalRevenueAmt
CY Total Revenue$867,946CYTotalRevenueAmt
PY Grants And Similar Paid$319,738PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$93,160CYGrantsAndSimilarPaidAmt
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
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$110,545CYTotalFundraisingExpenseAmt
PY Other Expenses$276,970PYOtherExpensesAmt
CY Other Expenses$277,904CYOtherExpensesAmt
PY Total Expenses$596,708PYTotalExpensesAmt
CY Total Expenses$371,064CYTotalExpensesAmt
PY Revenues Less Expenses$89,908PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$496,882CYRevenuesLessExpensesAmt
Total Assets BOY$8,382,197TotalAssetsBOYAmt
Total Assets EOY$9,001,254TotalAssetsEOYAmt
Total Liabilities BOY$31,771TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,328TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,350,426NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,979,926NetAssetsOrFundBalancesEOYAmt
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$93,765ExpenseAmt
Grant$93,160GrantAmt
DescTo support equipment needs and operations of Goleta Valley Cottage HospitalDesc
Total Program Service Expenses$93,765TotalProgramServiceExpensesAmt
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 ActivitiesfalseFundraisingActivitiesInd
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 Document2IRPDocumentCnt
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
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Anne Pazier
Secretary2.00Yes (X)Yes (X)$0$0$0
Eric Seale
Chair3.00Yes (X)Yes (X)$0$0$0
Peter Brown
Vice Chair3.00Yes (X)Yes (X)$0$0$0
Tony Vallejo
Treasurer2.00Yes (X)Yes (X)$0$0$0
Antoinette McCauley
Director2.00Yes (X)$0$0$0
Donna Lewis
Director2.00Yes (X)$0$0$0
Jack Turney
Director2.00Yes (X)$0$0$0
Jim Knight
Past Chair2.00Yes (X)$0$0$0
John McFadden
Director2.00Yes (X)$0$0$0
Julio Soares
Director2.00Yes (X)$0$0$0
Kirsten Deshler
Director2.00Yes (X)$0$0$0
Mark Ingalls
Director2.00Yes (X)$0$0$0
Martin Plourd
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$220,821CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$839,221AllOtherContributionsAmt
Total Contributions$839,221TotalContributionsAmt

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$77,153TotalRevenueColumnAmt
Exclusion$77,153ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,388,128SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,436,556SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$48,428SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$48,428TotalRevenueColumnAmt
Exclusion-$48,428ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

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$867,946TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$28,725ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$51,999TotalAmt
Program Services$51,999ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$41,161TotalAmt
Program Services$41,161ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

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

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

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

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$192,358TotalAmt
Program Services$0ProgramServicesAmt
Management And General$96,179ManagementAndGeneralAmt
Fundraising$96,179FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,724TotalAmt
Program Services$0ProgramServicesAmt
Management And General$35,724ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,355TotalAmt
Program Services$0ProgramServicesAmt
Management And General$12,355ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,893TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$13,893FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,496TotalAmt
Program Services$0ProgramServicesAmt
Management And General$22,496ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOther expensesDesc
Total$1,078TotalAmt
Program Services$605ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$473FundraisingAmt

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$371,064TotalAmt
Program Services$93,765ProgramServicesAmt
Management And General$166,754ManagementAndGeneralAmt
Fundraising$110,545FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$261,845BOYAmt
EOY$225,607EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$200,182BOYAmt
EOY$318,317EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,077,495BOYAmt
EOY$4,431,487EOYAmt

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$2,159,717BOYAmt
EOY$3,904,691EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,592,088BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$90,870BOYAmt
EOY$121,152EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,382,197BOYAmt
EOY$9,001,254EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,771BOYAmt
EOY$21,328EOYAmt

Grants Payable GrantsPayableGrp

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

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$31,771BOYAmt
EOY$21,328EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,626,755BOYAmt
EOY$2,628,346EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,723,671BOYAmt
EOY$6,351,580EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,350,426BOYAmt
EOY$8,979,926EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,382,197BOYAmt
EOY$9,001,254EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$496,882ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$131,844NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$774OtherChangesInNetAssetsAmt
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$503,388CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$477,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$702,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$543,275CurrentTaxYearMinus1YearAmt
Current Tax Year$839,765CurrentTaxYearAmt
Total$3,066,706TotalAmt

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$503,388CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$477,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$702,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$543,275CurrentTaxYearMinus1YearAmt
Current Tax Year$839,765CurrentTaxYearAmt
Total$3,066,706TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,307,828SubstantialContributorsTotAmt
Public Support Total170$1,758,878PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$122,745CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$103,340CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$93,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,146CurrentTaxYearMinus1YearAmt
Current Tax Year$76,610CurrentTaxYearAmt
Total$465,359TotalAmt

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$3,532,065TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.4980PublicSupportCY170Pct
Public Support PY1700.5334PublicSupportPY170Pct
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
Contributions$0ContributionsAmt
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$155,293BeginningYearBalanceAmt
Contributions$144,707ContributionsAmt
End Year Balance$300,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$137,192ContributionsAmt
End Year Balance$137,192EndYearBalanceAmt
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$1,013,918TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$131,844NetUnrealizedGainsInvstAmt
Other Revenue$774OtherRevenueAmt
Revenue Not Reported$132,618RevenueNotReportedAmt
Revenue Subtotal$881,300RevenueSubtotalAmt
Investment Expenses Not Incld$11,646InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$25,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$13,354RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$867,946TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$384,418TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$25,000OtherExpensesIncludedAmt
Expenses Not Reported$25,000ExpensesNotReportedAmt
Expenses Subtotal$359,418ExpensesSubtotalAmt
Investment Expenses Not Incld2$11,646InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,646ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$371,064TotalExpensesPerForm990Amt

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 2016.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Change in value of pledge receivable - 774
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsBad debt expense - -25000
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Bad debt expense - 25000

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
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93111ZIPCd
FieldValueIRS element (for citing)
Recipient EIN952413596RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$51,999CashGrantAmt
Purpose Of GrantSupport of Capital 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 families with medical needsGrantTypeTxt
Recipient108RecipientCnt
Cash Grant$41,161CashGrantAmt

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 - 774;

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