WALTON COUNTY HEALTH CARE FOUNDATION INC: Form 990, tax year 2016
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- Organization
- WALTON COUNTY HEALTH CARE FOUNDATION INC (EIN 20-1376389)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-06-15
- IRS object ID
- 201811669349300621
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-06-15T11:04:15-04:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 274012075 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KS Accounting LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 566 | AddressLine1Txt |
| City | Monroe | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30655 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201376389 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALTON CO HEALTH CARE FOUNDATION IN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WALT | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1026 | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30655 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BEN E GARRETT | PersonNm |
| Person Title | EXEC DIRECTOR | PersonTitleTxt |
| Phone | 7702071408 | PhoneNum |
| Signature | 2018-06-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kitty J Smith CPA | PreparerPersonNm |
| PTIN | P00383716 | PTIN |
| Phone | 7702070019 | PhoneNum |
| Preparation | 2018-06-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.186.92.193 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-06-15 | IPDt |
| IP Tm | 11:05:13 | IPTm |
| Federal Original Submission Id | 6788802018166iwl2nbk | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-06-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 62F2272AF9A59E97ABD2A38E8CED8E3B53429128 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 62F2272AF9A59E97ABD2A38E8CED8E3B53429128 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,809,929 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | PROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIA | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $2,275 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,727,410 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,141,917 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,727,410 | PYTotalRevenueAmt |
| CY Total Revenue | $1,144,192 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $257,953 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $497,429 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $70,543 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,873 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $238,875 | PYOtherExpensesAmt |
| CY Other Expenses | $255,112 | CYOtherExpensesAmt |
| PY Total Expenses | $567,371 | PYTotalExpensesAmt |
| CY Total Expenses | $787,414 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,160,039 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $356,778 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,033,589 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,400,225 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,684 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,542 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $46,030,905 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $46,387,683 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIA | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $261,160 | ExpenseAmt |
| Grant | $175,140 | GrantAmt |
| Desc | A 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 Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $248,562 | ExpenseAmt |
| Grant | $166,692 | GrantAmt |
| Desc | TO PROVIDE DOMESTIC VIOLENCE COUNSELING OF BATTERED AND ABUSED WOMEN AND CHILDREN WHO ARE RESIDENTS OF WALTON COUNTY. TO PROVIDE EYE EXAMS FOR STUDENTS ENTERING FIRST GRADE AND INITIATE CORRECTIVE TREATMENT. TO PROVIDE ASSISTANCE TO RESIDENTS FACING CANCER TREATMENTS WHO HAVE NO MEANS OF PAYMENT FOR THE SERVICES. GRANTS WERE MADE TO PROVIDE SUPPLIES AND EQUIPMENT FOR EMT TRAINING AND ASSISTANCE IN PURCHASING MEDICAL TESTING EQUIPMENT. TO PROVIDE FLU SHOTS AND HEALTH EXAMS FOR RESIDENTS OF WALTON COUNTY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $128,249 | ExpenseAmt |
| Grant | $86,007 | GrantAmt |
| Desc | GRANTS WERE ISSUED TO THE CITY OF SOCIAL CIRCLE FOR USE BY THE FIRE DEPARTMENT TO PURCHASE VEHICLE EXTRICATION EQUIPMENT AND CARDIAC MONITOR IN ORDER TO PROVIDE EMERGENCY SERVICES TO THE CITIZENS OF SOCIAL CIRCLE AND SOUTH WALTON COUNTY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $102,144 | ExpenseAmt |
| Grant | $68,500 | GrantAmt |
| Desc | A GRANT WAS ISSUED TO LOGANVILLE COMMUNITY MINISTRY VILLAGE FOR ESTABLISHING A DRUG ADDICTION PROGRAM TO AID INDIVIDUALS AND FAMILIES IN WALTON COUNTY BY PROVIDING COUNSELING, BOTH IN-PATIENT AND OUT-PATIENT CARE, PROVIDE COPING SKILLS AND HEALTHY LIFESTYLES THAT WILL ALLOW CLIENTS TO BE RESTORED TO THE COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $102,144 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $68,500 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $740,115 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | 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 | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | 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 | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (true) | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BEN E GARRETT | PersonNm |
| Phone | 7702671408 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1026 | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30655 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| T HENRY WALL | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SUE MCCULLERS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BOBBY BOSS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MYRA C SMITH | |||||||||
| TREASURER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| RANDY GARRETT | |||||||||
| VICE CHAIRMAN | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| CHARLOTTE GEORGE | |||||||||
| SECRETARY | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| SCOTT SIMPKINS | |||||||||
| CHAIRMAN | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| BEN E GARRETT | |||||||||
| EXEC DIRECTOR | 35.00 | 0.00 | $7,450 | $0 | $0 | Yes (X) | |||
| JOHN T PRESTON | |||||||||
| EXEC DIRECTOR | 30.00 | 0.00 | $22,867 | $0 | $2,237 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $30,317 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,237 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $2,275 | AllOtherContributionsAmt |
| Total Contributions | $2,275 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,053,227 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,053,227 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $754,427 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $665,737 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $88,690 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,690 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,690 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,144,192 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,141,917 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,429 | TotalAmt |
| Program Services | $497,429 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,317 | TotalAmt |
| Program Services | $25,769 | ProgramServicesAmt |
| Management And General | $4,548 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $686 | TotalAmt |
| Program Services | $583 | ProgramServicesAmt |
| Management And General | $103 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551 | TotalAmt |
| Program Services | $1,318 | ProgramServicesAmt |
| Management And General | $233 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,319 | TotalAmt |
| Program Services | $1,971 | ProgramServicesAmt |
| Management And General | $348 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,910 | TotalAmt |
| Program Services | $34,774 | ProgramServicesAmt |
| Management And General | $6,136 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,578 | TotalAmt |
| Program Services | $14,941 | ProgramServicesAmt |
| Management And General | $2,637 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,732 | TotalAmt |
| Program Services | $142,572 | ProgramServicesAmt |
| Management And General | $25,160 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $925 | TotalAmt |
| Program Services | $786 | ProgramServicesAmt |
| Management And General | $139 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,922 | TotalAmt |
| Program Services | $4,184 | ProgramServicesAmt |
| Management And General | $738 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249 | TotalAmt |
| Management And General | $249 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,279 | TotalAmt |
| Program Services | $8,737 | ProgramServicesAmt |
| Management And General | $1,542 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $499 | TotalAmt |
| Program Services | $499 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,708 | TotalAmt |
| Program Services | $6,552 | ProgramServicesAmt |
| Management And General | $1,156 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| MEALS & ENTERTAINMENT | $860 | $860 |
| DUES & SUBSCRIPTIONS | $2,570 | $2,570 |
| MISCELLANEOUS | $880 | $880 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,414 | TotalAmt |
| Program Services | $740,115 | ProgramServicesAmt |
| Management And General | $47,299 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,385 | BOYAmt |
| EOY | $33,115 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,163 | BOYAmt |
| EOY | $22,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,337 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,982 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,854 | BOYAmt |
| EOY | $1,355 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,911,187 | BOYAmt |
| EOY | $46,343,166 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,033,589 | BOYAmt |
| EOY | $46,400,225 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,684 | BOYAmt |
| EOY | $2,423 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,119 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,684 | BOYAmt |
| EOY | $12,542 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,030,905 | BOYAmt |
| EOY | $46,387,683 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,030,905 | BOYAmt |
| EOY | $46,387,683 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,033,589 | BOYAmt |
| EOY | $46,400,225 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $356,778 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALTON COUNTY HOSPITAL AUTHORI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 586001917 | EIN |
| Organization Type | 6 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $496,339 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $496,339 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,982 | DepreciationAmt |
| Book Value | $1,355 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,355 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| A CHILDS VOICE CHILD ADVOCACY CENT | |||||||
| 216 BROOKSTONE PLACE | SOCIAL CIRCLE | GA | 30025 | 753214817 | 501C3 | $40,000 | HEALTH SERVICES |
| WALTON COUNTY BOARD OF COMMISSIONER | |||||||
| 303 S HAMMOND DR | MONROE | GA | 30655 | 586000902 | GOVT | $68,089 | HEALTH SERVICESAND EDUCATION |
| JOHNSTON INSTITUTE INC | |||||||
| 603 S BROAD ST | MONROE | GA | 30655 | 474858545 | $13,380 | EDUCATION | |
| WALTON CO CHAMBER OF COMMERCE | |||||||
| 132 E SPRING ST | MONROE | GA | 30655 | 581185309 | $2,500 | HEALTH SERVICES | |
| PREGNANCY RESOURCE CENTER OF WALTON | |||||||
| PO BOX 1714 | LOGANVILLE | GA | 30052 | 582581209 | 501C3 | $7,572 | HEALTH SERVICES |
| CITY OF LOGANVILLE | |||||||
| PO BOX 39 | LOGANVILLE | GA | 30052 | 586000608 | GOVT | $100 | HEALTH SERVICES |
| PROJECT RENEWAL | |||||||
| PO BOX 1205 | CONYERS | GA | 30012 | 582397407 | 501C3 | $7,700 | HEALTH SERVICES |
| WALTON WELLNESS INC | |||||||
| CHURCH ST | MONROE | GA | 30655 | 273659660 | 501C3 | $175,140 | HEALTH SERVICES |
| CANCER FOUNDATION OF NE GEORGIA | |||||||
| PO BOX 49309 | ATHENS | GA | 30604 | 203378035 | 501C3 | $24,529 | HEALTH SERVICES |
| WALTON COUNTY HEALTH DEPARTMENT | |||||||
| 1404 S MADISON AVE | MONROE | GA | 30655 | 586009573 | GOVT | $2,450 | HEALTH SERVICES |
| CITY OF MONROE | |||||||
| 100 N BROAD ST | MONROE | GA | 30655 | GOVT | $372 | FARMERS MARKET | |
| LOGANVILLE COMMUNITY MINISTRY VILLA | |||||||
| 678 TOM BREWER RD | LOGANVILLE | GA | 30052 | 203741748 | 501C3 | $68,500 | ADDICTION SERVICES |
| CITY OF SOCIAL CIRCLE | |||||||
| 166 N CHEROKEE RD | SOCIAL CIRCLE | GA | 30025 | GOVT | $86,007 | MEDICAL EQUIPMENT | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Monitoring procedures (Part I, line 2) | FormAndLineReferenceDesc |
| Explanation | EXECUTIVE DIRECTOR REVIEWS GRANT APPLICATIONS FOR COMPLETENESS AND SUBMITS THEM TO BOARD OF DIRECTORS FOR APPROVAL OR REJECTION | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN T PRESTON | PersonNm |
| Title | EXEC DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $22,867 | BaseCompensationFilingOrgAmt |
| Nontaxable Benefits Filing Org | $2,237 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $25,104 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Governing body decisions Part VI line 7b | BOARD MEMBERS FOR THE SUPPORTING ORGANIZATION ARE SELECTED BY THE SUPPORTED ORGANIZATION. ONE NEW BOARD MEMBER WAS SELECTED TO FILL A PREVIOUSLY VACATED POSITION. |
| Governing body meeting documentation Part VI line 8a | MINUTES ARE RECORDED AT EACH BOARD OF DIRECTORS MEETING AND APPROVED BY THE BOARD MEMBERS |
| Committee meeting documentation Part VI line 8b | MINUTES 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 11 | EXECUTIVE DIRECTOR REVIEWS FORM 990 WITH THE PREPARER AND DISTRIBUTES COPIES TO OFFICERS AND DIRECTORS FOR REVIEW |
| Conflict of interest policy compliance Part VI line 12c | CONFLICT 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 15a | THE 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 18 | FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST |
| Governing documents etc available to public Part VI line 19 | GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALTON COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1026 | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30655 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 586001917 | EIN |
| Primary Activities | LOCAL GOVERNMENT | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Exempt Code Section | 170CA | ExemptCodeSectionTxt |
| Public Charity Status | 12A | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |