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WALTON COUNTY HEALTH CARE FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WALTON COUNTY HEALTH CARE FOUNDATION INC (EIN 20-1376389)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-10
IRS object ID
202312229349300341
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-10T11:41:57-04:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN274012075PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KS Accounting LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 566AddressLine1Txt
CityMonroeCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30655ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201376389EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WALTON CO HEALTH CARE FOUNDATION INBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWALTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1026AddressLine1Txt
CityMONROECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30655ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBENJAMIN E GARRETTPersonNm
Person TitleEXEC DIRECTORPersonTitleTxt
Phone7702071408PhoneNum
Signature2023-08-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBENJAMINPersonFirstNm
Person LastGARRETTPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKitty J Smith CPAPreparerPersonNm
PTINP00383716PTIN
Phone7702070019PhoneNum
Preparation2023-08-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$6,742,402GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$12,000CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,072,620PYInvestmentIncomeAmt
CY Investment Income$1,050,709CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,072,620PYTotalRevenueAmt
CY Total Revenue$1,062,709CYTotalRevenueAmt
PY Grants And Similar Paid$622,854PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$531,300CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$96,239PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$96,239CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$197,130PYOtherExpensesAmt
CY Other Expenses$178,437CYOtherExpensesAmt
PY Total Expenses$916,223PYTotalExpensesAmt
CY Total Expenses$805,976CYTotalExpensesAmt
PY Revenues Less Expenses$1,156,397PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$256,733CYRevenuesLessExpensesAmt
Total Assets BOY$50,639,691TotalAssetsBOYAmt
Total Assets EOY$44,771,060TotalAssetsEOYAmt
Total Liabilities BOY$14,865TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,356TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$50,624,826NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,755,704NetAssetsOrFundBalancesEOYAmt
MissionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$435,549ExpenseAmt
Grant$298,178GrantAmt
DescGRANTS WERE MADE TO WALTON WELLNESS TO EDUCATE THE COMMUNITY ON THE BENEFITS OF NUTRITION AND EXERCISE AND TO OUTFIT A MOBILE FARMACY BUS TO SERVE AS A MOBILE HANDS ON HEALTH LEARNING EXPERIENCE FOR FARMERS MARKET, SCHOOL FIELD TRIPS, CITY FESTIVALS AND COMMUNITY OUTREACH. GRANTS WERE MADE TO VARIOUS ORGANIZATIONS TO PROVIDE DOMESTIC VIOLENCE COUNSELING OF BATTERED AND ABUSED WOMEN AND CHILDREN WHO ARE RESIDENTS OF WALTON COUNTY. GRANTS WERE MADE TO ORGANIZATIONS WHO PROVIDE ASSISTANCE TO RESIDENTS FACING CANCER TREATMENTS WHO HAVE NO MEANS OF PAYMENT FOR THE SERVICES. GRANTS WERE MADE TO ORGANIZATIONS WHO PROVIDE FOOD TO UNDERSERVED RESIDENTS. GRANTS WERE MADE TO ORGANIZATIONS WHO PROVIDE MEDICAL ASSISTANCE AND FOOD ASSISTANCE TO CITIZENS OF WALTON COUNTY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$238,333ExpenseAmt
Grant$163,000GrantAmt
DescA GRANT WAS ISSUED TO WALTON WELLNESS TO EDUCATE THE COMMUNITY ON THE BENEFITS OF NUTRITION AND EXERCISE AND TO OUTFIT A MOBILE FARMACY BUS TO SERVE AS A MOBILE HANDS ON HEALTH LEARNING EXPERIENCE FOR FARMERS MARKET, SCHOOL FIELD TRIPS, CITY FESTIVALS AND COMMUNITY OUTREACH.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$87,566ExpenseAmt
Grant$60,122GrantAmt
DescA GRANT WAS ISSUED TO CITY OF SOCIAL CIRCLE TO PROVIDE MEDICAL EQUIPMENT FOR EMERGENCY RESPONDERS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$761,448TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBEN E GARRETTPersonNm
Phone7702071408PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1026AddressLine1Txt
CityMONROECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30655ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
BEN E GARRETT
EXEC DIRECTOR35.000.00Yes (X)$89,400$0$0
TONJA PARR
DIRECTOR1.000.00$0$0$0Yes (X)
CHARLES PRESTON
DIRECTOR1.000.00$0$0$0Yes (X)
SUE MCCULLERS
DIRECTOR1.000.00$0$0$0Yes (X)
MELISSA SHANNAHAN
DIRECTOR1.000.00$0$0$0Yes (X)
SCOTT SIMPKINS
CHAIRMAN5.000.00$0$0$0Yes (X)
MYRA C SMITH
TREASURER1.000.00$0$0$0Yes (X)
RANDY GARRETT
VICE CHAIRMAN1.000.00$0$0$0Yes (X)
CHARLOTTE GEORGE
SECRETARY1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$89,400TotalReportableCompFromOrgAmt
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
All Other Contributions$12,000AllOtherContributionsAmt
Total Contributions$12,000TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,070,014TotalRevenueColumnAmt
Related Or Exempt Func Income$1,070,014RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,660,388SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,679,693SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$19,305SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,305TotalRevenueColumnAmt
Related Or Exempt Func Income-$19,305RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,062,709TotalRevenueColumnAmt
Related Or Exempt Func Income$1,050,709RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$521,300TotalAmt
Program Services$521,300ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$10,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$89,400TotalAmt
Program Services$75,990ProgramServicesAmt
Management And General$13,410ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,839TotalAmt
Program Services$5,813ProgramServicesAmt
Management And General$1,026ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$75TotalAmt
Management And General$75ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,140TotalAmt
Program Services$18,819ProgramServicesAmt
Management And General$3,321ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$128,690TotalAmt
Program Services$109,387ProgramServicesAmt
Management And General$19,303ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$815TotalAmt
Program Services$693ProgramServicesAmt
Management And General$122ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,587TotalAmt
Program Services$2,199ProgramServicesAmt
Management And General$388ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$180TotalAmt
Program Services$153ProgramServicesAmt
Management And General$27ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,338TotalAmt
Program Services$9,637ProgramServicesAmt
Management And General$1,701ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,773TotalAmt
Program Services$7,457ProgramServicesAmt
Management And General$1,316ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
MEALS$953$953
DUES & SUBSCRIPTIONS$2,320$2,320
MISCELLANEOUS$476$476
TAXES$90$90

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$805,976TotalAmt
Program Services$761,448ProgramServicesAmt
Management And General$44,528ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$143,529BOYAmt
EOY$233,038EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,239BOYAmt
EOY$11,530EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,903BOYAmt
EOY$1,058EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,337LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,337LandBldgEquipAccumDeprecAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$50,478,020BOYAmt
EOY$44,525,434EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$50,639,691BOYAmt
EOY$44,771,060EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,865BOYAmt
EOY$15,356EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,865BOYAmt
EOY$15,356EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,624,826BOYAmt
EOY$44,755,704EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,624,826BOYAmt
EOY$44,755,704EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,639,691BOYAmt
EOY$44,771,060EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$256,733ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,125,855NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHORIBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN586001917EIN
Organization Type6OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$531,300SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$531,300SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,337OtherCostOrOtherBasisAmt
Depreciation$6,337DepreciationAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
A CHILDS VOICE CHILD ADVOCACY CENT
216 BROOKSTONE PLACESOCIAL CIRCLEGA30025753214817501C3$100,000HEALTH SERVICES
CITY OF SOCIAL CIRCLE
PO BOX 310SOCIAL CIRCLEGA30025586000665GOVT$60,122MEDICAL EQUIPMENT
CAMP TWIN LAKES INC
1100 SPRING ST STE 260ATLANTAGA30309581826782501C3$10,000EDUCATION
WALTON CO CHAMBER OF COMMERCE
132 E SPRING STMONROEGA30655581185309$2,500SPONSORSHIP
JOHNSTON INSTITUTE INC
603 S BROAD STMONROEGA30655474858545501C3$1,000SPONSORSHIP
PROJECT RENEWAL
PO BOX 1205CONYERSGA30012582397407501C3$3,500HEALTH SERVICES
WALTON WELLNESS INC
CHURCH STMONROEGA30655273659660501C3$163,000HEALTH SERVICES
CANCER FOUNDATION OF NE GEORGIA
PO BOX 49309ATHENSGA30604203378035501C3$40,405HEALTH SERVICES
WALTON COUNTY HEALTH DEPARTMENT
1404 S MADISON AVEMONROEGA30655586009573GOVT$1,145HEALTH SERVICES
GEORGE WALTON ACADEMY
ONE BULLDOG DRIVEMONROEGA30655581077042SCHOOL$7,009CLASSROOM SUPPLIES
FAITH IN SERVING HUMANITY MEDICAL
PO BOX 1838MONROEGA30655460901738501C3$50,000MEDICAL SERVICES
FOUR WINDS MINISTRY
678 TOM BREWER RDLOGANVILLEGA30052203741748501C3$10,000EDUCATION
TEAM UP MENTORING INC
PO BOX 523MONROEGA30655204927509501C3$24,967EDUCATION
SHARON ELEMENTARY PTO
2700 WHITE ROADLOGANVILLEGA30052814196149$1,132HEALTH SERVICES
THE SHEPHERDS STAFF MINISTRIES INC
76 BAY CREEK RD STE NLOGANVILLEGA30052582570529501C3$15,000NUTRITION
STUDENT SUCCESS ALLIANCE
PO BOX 611MONROEGA30655$2,500SPONSORSHIP
LOGANVILLE POLICE DEPT
PO BOX 725MONROEGA30655586000626GOVT$100SPONSORSHIP
WALTON COUNTY BOARD OF EDUCATION
200 DOUBLE SPRINGS CHURCH RDMONROEGA30656586000339GOVT$23,920MEDICAL SUPPLIES
AUGUSTA UNIVERSITY
1120 15TH STREETAUGUSTAGA30912SCHOOL$10,000SCHOLARSHIP
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPGrantTypeTxt
Recipient1RecipientCnt
Cash Grant$10,000CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Governing body decisions Part VI line 7bBOARD MEMBERS FOR THE SUPPORTING ORGANIZATION ARE SELECTED BY THE SUPPORTED ORGANIZATION.
Governing body meeting documentation Part VI line 8aMINUTES ARE RECORDED AT EACH BOARD OF DIRECTORS MEETING AND APPROVED BY THE BOARD MEMBERS
Committee meeting documentation Part VI line 8bMINUTES ARE RECORDED AT EACH COMMITTEE MEETING AND APPROVED BY THE COMMITTEE AND THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR APPROVAL
Form 990 governing body review Part VI line 11EXECUTIVE DIRECTOR REVIEWS FORM 990 WITH THE PREPARER AND DISTRIBUTES COPIES TO OFFICERS AND DIRECTORS FOR REVIEW
Conflict of interest policy compliance Part VI line 12cCONFLICT OF INTEREST POLICY IS INCLUDED IN THE BYLAWS WHICH ARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND MONITORED BY THE FOUNDATION STAFF
CEO executive director top management comp Part VI line 15aTHE CHAIRMAN AND TREASURER OF THE ORGANIZATION REVIEW PERFORMANCE AND BENEFIT PACKAGES OF SIMILAR ORGANIZATIONS BEFORE RECOMMENDING THE SALARY FOR THE EXECUTIVE DIRECTOR.
Form 990 availability to public Part VI line 18FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST
Governing documents etc available to public Part VI line 19GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHORITYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1026AddressLine1Txt
CityMONROECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30655ZIPCd
FieldValueIRS element (for citing)
EIN586001917EIN
Primary ActivitiesLOCAL GOVERNMENTPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Exempt Code Section170CAExemptCodeSectionTxt
Public Charity Status12APublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd