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WALTON COUNTY HEALTH CARE FOUNDATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WALTON COUNTY HEALTH CARE FOUNDATION INC (EIN 20-1376389)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-06-22
IRS object ID
201721739349301022
Schema version
2015v3.0
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)
Return2017-06-22T15:22:41-04:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Begin2015-10-01TaxPeriodBeginDt

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)
PersonBEN E GARRETTPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone7702071408PhoneNum
Signature2017-06-20SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKitty J Smith CPAPreparerPersonNm
PTINP00383716PTIN
Phone7702070019PhoneNum
Preparation2017-06-22PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerT HENRY WALLPrincipalOfficerNm
Gross Receipts$5,978,787GrossReceiptsAmt
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$0CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$652,334PYInvestmentIncomeAmt
CY Investment Income$1,727,410CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$652,334PYTotalRevenueAmt
CY Total Revenue$1,727,410CYTotalRevenueAmt
PY Grants And Similar Paid$255,150PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$257,953CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$87,230PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$70,543CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$251,556PYOtherExpensesAmt
CY Other Expenses$238,875CYOtherExpensesAmt
PY Total Expenses$593,936PYTotalExpensesAmt
CY Total Expenses$567,371CYTotalExpensesAmt
PY Revenues Less Expenses$58,398PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,160,039CYRevenuesLessExpensesAmt
Total Assets BOY$44,873,116TotalAssetsBOYAmt
Total Assets EOY$46,033,589TotalAssetsEOYAmt
Total Liabilities BOY$2,250TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,684TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44,870,866NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,030,905NetAssetsOrFundBalancesEOYAmt
MissionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$185,715ExpenseAmt
Grant$95,040GrantAmt
DescA GRANT WAS ISSUED TO WALTON WELLNESS TO EDUCATE THE COMMUNITY ON THE BENEFITS OF NUTRITION AND EXERCISE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$149,878ExpenseAmt
Grant$76,700GrantAmt
DescGRANTS WERE ISSUED TO VARIOUS CHARITABLE ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$87,934ExpenseAmt
Grant$45,000GrantAmt
DescA GRANT WAS ISSUED TO MARROW MAN INC TO HELP EDUCATE THE PUBLIC ABOUT THE USES OF BONE MARROW AND THE IMPORTANCE OF DONORS TO THOSE FIGHTING LIFE-THREATENING DISEASES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$80,534ExpenseAmt
Grant$41,213GrantAmt
DescA GRANT WAS ISSUED TO A CHILDS VOICE ADVOCACY TO ASSIST WITH UPGRADING THEIR FORENSIC EXAMINATIONS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$80,534TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$41,213TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$504,061TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 IndividualsfalseGrantsToIndividualsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
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
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
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
Phone7702671408PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BOBBY BOSS
DIRECTOR1.000.00Yes (X)$0$0$0
RANDY GARRETT
DIRECTOR1.000.00Yes (X)$0$0$0
CHARLOTTE GEORGE
DIRECTOR1.000.00Yes (X)$0$0$0
SCOTT SIMPKINS
DIRECTOR1.000.00Yes (X)$0$0$0
JOHN T PRESTON
EXECUTIVE DIRECTOR35.000.00$57,362$0$8,794Yes (X)
T HENRY WALL
CHAIRMAN1.000.00$0$0$0Yes (X)
SUE MCCULLERS
VICE CHAIRMAN1.000.00$0$0$0Yes (X)
BEN E GARRETT
SECRETARY1.000.00$0$0$0Yes (X)
MYRA C SMITH
TREASURER1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$57,362TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,794TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,647,390TotalRevenueColumnAmt
Related Or Exempt Func Income$1,647,390RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,331,397SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,251,377SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$80,020SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,020TotalRevenueColumnAmt
Related Or Exempt Func Income$80,020RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,727,410TotalRevenueColumnAmt
Related Or Exempt Func Income$1,727,410RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$257,953TotalAmt
Program Services$257,953ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$57,361TotalAmt
Program Services$48,757ProgramServicesAmt
Management And General$8,604ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,073TotalAmt
Program Services$1,762ProgramServicesAmt
Management And General$311ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,721TotalAmt
Program Services$5,713ProgramServicesAmt
Management And General$1,008ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,388TotalAmt
Program Services$3,730ProgramServicesAmt
Management And General$658ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,200TotalAmt
Program Services$5,270ProgramServicesAmt
Management And General$12,930ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$186,847TotalAmt
Program Services$158,820ProgramServicesAmt
Management And General$28,027ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$97TotalAmt
Program Services$82ProgramServicesAmt
Management And General$15ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,048TotalAmt
Program Services$3,441ProgramServicesAmt
Management And General$607ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,295TotalAmt
Program Services$10,451ProgramServicesAmt
Management And General$1,844ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21TotalAmt
Program Services$18ProgramServicesAmt
Management And General$3ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,489TotalAmt
Management And General$4,489ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$411TotalAmt
Program Services$411ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,823TotalAmt
Program Services$7,500ProgramServicesAmt
Management And General$1,323ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
MEALS & ENTERTAINMENT$977$977
DUES & SUBSCRIPTIONS$1,970$1,970
TAXES & LICENSES$60$60
MISCELLANEOUS$457$457

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$567,371TotalAmt
Program Services$504,061ProgramServicesAmt
Management And General$63,310ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,094BOYAmt
EOY$92,385EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,608BOYAmt
EOY$28,163EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,337LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,483LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,100BOYAmt
EOY$1,854EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$44,820,314BOYAmt
EOY$45,911,187EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,873,116BOYAmt
EOY$46,033,589EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,250BOYAmt
EOY$2,684EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,250BOYAmt
EOY$2,684EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,870,866BOYAmt
EOY$46,030,905EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,870,866BOYAmt
EOY$46,030,905EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,873,116BOYAmt
EOY$46,033,589EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,160,039ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
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$257,953SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$257,953SupportSumAmt
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 D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,337OtherCostOrOtherBasisAmt
Depreciation$4,483DepreciationAmt
Book Value$1,854BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,854TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
A CHILDS VOICE ADVOCACY CENTER
216 BROOKSTONE PLACESOCIAL CIRCLEGA30025753214817501C3$41,213HEALTH SERVICES
MARROW MAN INC
324 EDWARDS STREETMONROEGA30655473518286501C3$45,000HEALTH SERVICES
ATHENS TECHNICAL COLLEGE
800 US HWY 29ATHENSGA30601581824771$7,365EDUCATION
WALTON CO CHAMBER OF COMMERCE
132 E SPRING STMONROEGA30655581185309$2,500HEALTH SERVICES
FAITH IN SERVING HUMANITY
PO BOX 1838MONROEGA30655460901738501C3$22,373HEALTH SERVICES
GA STATE UNIVERSITY RESEARCH FO
PO BOX 3999ATLANTAGA303023999581845423$10,600EDUCATION
THE BRIDGE OF GEORGIA SCHOOL INC
PO BOX 542MONROEGA30655464862717501C3$6,332HEALTH SERVICES
WALTON WELLNESS INC
324 EDWARDS STMONROEGA30655273659660501C3$95,040HEALTH SERVICES
CANCER FOUNDATION OF NE GEORGIA
PO BOX 49309ATHENSGA30604203378035501C3$13,880HEALTH SERVICES
WALTON COUNTY HEALTH DEPARTMENT
1404 S MADISON AVEMONROEGA30655586009573GOVT$2,550HEALTH SERVICES
LOGANVILLE POLICE DEPARTMENT
605 TOM BREWER ROADLOGANVILLEGA30052586000608GOVT$100HEALTH SERVICES
PREVENT BLINDNESS GEORGIA
739 W PEACHTREE NW STE 2OOATLANTAGA30308586050305501C3$11,000HEALTH SERVICES

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceMonitoring procedures (Part I, line 2)FormAndLineReferenceDesc
ExplanationEXECUTIVE DIRECTOR REVIEWS GRANT APPLICATIONS FOR COMPLETENESS AND SUBMITS THEM TO BOARD OF DIRECTORS FOR APPROVAL OR REJECTIONExplanationTxt

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 Status6PublicCharityStatusTxt
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