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GEORGIA REHABILITATION INSTITUTE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GEORGIA REHABILITATION INSTITUTE INC (EIN 58-1705662)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201241359349305349
Schema version
2010v3.4
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)
Timestamp2012-05-14T16:00:11-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT & HOLLAND LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11029 GREENE STREETAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581705662EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GEORGIA REHABILITATION INSTITUTE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGEORNameControl
Phone7068238779Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11355 INDEPENDENCE DRIVEAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code309011037ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL A HARRELLName
TitleCFOTitle
Phone7068238779Phone
Date Signed2012-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameELIZABETH MORRISONName
Phone7067243557Phone
Date Prepared2012-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL A HARRELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11355 INDEPENDENCE DRIVEAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code309011037ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20021309GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WRH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionMEDICAL REHABILITATION FOLLOWING TEMPORARY ILLNESS, INJURY, OR LIFE-CHANGING DISABILITYActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees257TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year201526ContributionsGrantsPriorYear
Contributions Grants Current Year199387ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20838112ProgramServiceRevenuePriorYear
Program Service Revenue CY19712887ProgramServiceRevenueCY
Investment Income Prior Year58288InvestmentIncomePriorYear
Investment Income Current Year109035InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year21097926TotalRevenuePriorYear
Total Revenue Current Year20021309TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13673598SalariesEtcPriorYear
Salaries Etc Current Year12567397SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7611385OtherExpensePriorYear
Other Expenses Current Year8291486OtherExpensesCurrentYear
Total Expenses Prior Year21284983TotalExpensesPriorYear
Total Expenses Current Year20858883TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-187057RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-837574RevenuesLessExpensesCY
Total Assets BOY18750768TotalAssetsBOY
Total Assets EOY18008023TotalAssetsEOY
Total Liabilities BOY15671339TotalLiabilitiesBOY
Total Liabilities EOY15347402TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3079429NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2660621NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWALTON REHABILITATION HOSPITAL RESTORES ABILITY, HOPE, AND INDEPENDENCE TO PEOPLE WHO NEED MEDICAL REHABILITATION AND/OR COMMUNITY SUPPORT FOLLOWING TEMPORARY ILLNESS, INJURY, OR A LIFE-CHANGING DISABILITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17393179Expense
Revenue19712887Revenue
DescriptionCHOOSING WHERE TO RECEIVE YOUR HEALTH CARE IS AN IMPORTANT DECISION. PATIENTS WHO CHOOSE TO COME TO WALTON REHABILITATION HEALTH SYSTEM BENEFIT FROM OUR CONTINUUM OF CARE IN REHABILITATION, WHICH INCLUDES:A SPECIALIZED REHABILITATION HOSPITAL ACCREDITED IN REHABILITATION AND WITH A SPECIALTY CERTIFICATION IN STROKE, OFFERING STATE-OF-THE-ART CARE PROVIDED BY COMPASSIONATE, HIGHLY-TRAINED HEALTH CARE PROFESSIONALS IN THE AREAS OF STROKE, BRAIN INJURY, SPINAL CORD INJURY, AMPUTATION, ORTHOPEDIC REHABILITATION AND GENERAL REHABILITATION;OUTPATIENT THERAPY CENTERS IN AUGUSTA AND AIKEN, STAFFED BY DEDICATED THERAPISTS USING THE LATEST EQUIPMENT AND THERAPIES, INCLUDING THE AREA'S ONLY HEATED AQUATIC THERAPY POOL;PHYSICIAN SERVICES WITH FELLOWSHIP-TRAINED SPECIALISTS TO MANAGE PAIN, HEADACHE, OTHER MUSCULOSKELETAL CONDITIONS AS WELL AS FOLLOW-UP CARE FOR SURVIVORS OF STROKE, BRIAN INJURY AND SPINAL CORD INJURY;A TRANSITIONAL LIVING CENTER THAT ASSISTS BRAIN INJURY AND STROKE SURVIVORS IN RELEARNING ACTIVITIES OF DAILY LIVING AS THEY TRANSITION FROM HOSPITAL TO HOME;COMMUNITY SERVICES, INCLUDING SUPPORT GROUPS, SPORTS AND LEISURE PROGRAMS, HARRISON HEIGHTS ASSISTED AND INDEPENDENT LIVING, AS WELL AS ACCESSIBLE/AFFORDABLE HOUSING;OTHER SPECIALIZED SERVICES, INCLUDING WOUND CARE AND INFUSION.AS A CENTER OF EXCELLENCE IN REHABILITATION , WALTON EXCELS IN PROVIDING HIGH-QUALITY CARE TO PATIENTS, SUCCESSFUL OUTCOMES AND CUTTING-EDGE TECHNOLOGY. OUR EXTENSIVE REHABILITATION SERVICES ARE OFFERED TO TREAT A WIDE RANGE OF CONDITIONS. REGARDLESS OF YOUR CONDITION, WE ENSURE YOU WILL BE PLEASED WITH THE CARE YOU RECEIVE FROM OUR EXPERT TEAM OF MEDICAL PROFESSIONALS WHO WILL WORK WITH YOU TO DEVELOP A TREATMENT PLAN AND HELP YOU MEET YOUR REHABILITATION GOALS.WALTON TAKES MORE MEDICALLY COMPLEX REHAB PATIENTS THAN THE NATIONAL AVERAGE, OUR DISCHARGE TO HOME RATE > 70% IS HIGHER THAN THE NATIONAL AVERAGE, AND OUR FUNCTIONAL INDEX MEASURE (FIM) SCORES ARE EXCELLENT WHICH RESULT IN BETTER FUNCTIONAL INDEPENDENCE FOR THE PATIENTS.Description
Total Program Service Expense17393179TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees257NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1V J NAPLESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7068238779TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11355 INDEPENDENCE DRIVEAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS BLANCHARD III
BOARD MEMBER1.00X000
NORMAN CHUTKAN MD
BOARD MEMBER1.00X000
BROCK DANIELS SPHR
SECRETARY1.00X000
DON HOWARD
BOARD MEMBER1.00X000
DONALD SHAPIRO
BOARD MEMBER1.00X000
RHETT N SINCLAIR CFP CLU
BOARD MEMBER1.00X000
PRESTON SIZEMORE SR
BOARD MEMBER1.00X000
BRENT SMITH
CHAIR FINANCE1.00X000
ROBERT TAYLOR
CHAIR GRI1.00X000
DENNIS B SKELLEY
CEO40.00223457036696XXX
MICHAEL A HARRELL
CFO40.00130162021791X
ROBERT ORSINI
COO40.0096234012481X
ELIZABETH MILLER
VP WCS SERVICES40.0090415014105X
JENNIFER YANG
PHYSICIAN PM & R40.00158685020359XX
ANDREW DENNISON
PHYSICIAN PM & R40.00176588020414XX
JOHN NICHOLSON
PHYSICIAN PM & R40.00155468020029XX
JEREMY HERTZA
DIR BEHAVIORAL MEDICINE40.00106820015298X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1137829TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation161173TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PHARMACARE SVCS
111 N CAUSEWAY BLVDMANDEVILLELA70448PHARMACY MANAGEMENT SERVICES978232
MEDEX ASSOCIATES LLC
811 13TH STREET STE 10AUGUSTAGA30901PHYSICIAN SERVICES356277
REFLECTX SERVICES INC
15072 COLLECTIONS CTR DRCHICAGOIL60693THERAPY STAFF288823
MEDICAL STAFFING NETWORK
PO BOX 840416DALLASTX75284NURSING STAFF250638
UNIVERSITY HOSPITAL
1350 WALTON WAYAUGUSTAGA30910LAB SERVICE208162
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants199387GovernmentGrants
Total Contributions199387TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6211101858862418588624
OTHER PROG SERV REVENU621110656355656355
MAINTENANCE & MANAGE722210419047419047
CAFETERIA AND VENDING7222104886148861
FieldValueIRS element (for citing)
Total Program Service Revenue19712887TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column75392TotalRevenueColumn
Exclusion$75,392ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities33643Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities33643Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column33643TotalRevenueColumn
Exclusion$33,643ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20021309TotalRevenueColumn
Related Or Exempt Function Income19712887RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$109,035ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total430902Total
Management And General430902ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9130757Total
Program Services7742063ProgramServices
Management And General1388694ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2267969Total
Program Services1980086ProgramServices
Management And General287883ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total737769Total
Program Services702866ProgramServices
Management And General34903ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29505Total
Program Services29505ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65800Total
Program Services65800ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total345930Total
Program Services293598ProgramServices
Management And General52332ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total777900Total
Program Services766131ProgramServices
Management And General11769ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total61692Total
Program Services40631ProgramServices
Management And General21061ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26562Total
Program Services18613ProgramServices
Management And General7949ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total569936Total
Program Services569936ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total959670Total
Program Services959670ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES21078931169717938176
COSTS OF GOODS SOLD ALL957189957189
SUPPLIES AND MINOR EQ788459496424292035
ADMINISTRATIVE & GENERA668993668993
PURCHASED SERVICES - NU379940379940

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total552017Total
Program Services552017ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20858883Total
Program Services17393179ProgramServices
Management And General3465704ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY76526BOY
EOY81876EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2419944BOY
EOY1453269EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2917399BOY
EOY3399062EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY58770BOY
EOY59465EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY601828BOY
EOY620113EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26755976LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17077493LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10282418BOY
EOY9678483EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2393883BOY
EOY2715755EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18750768BOY
EOY18008023EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1673203BOY
EOY1806603EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12142000BOY
EOY11717000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1856136BOY
EOY1823799EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15671339BOY
EOY15347402EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3079429BOY
EOY2660621EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3079429BOY
EOY2660621EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18750768BOY
EOY18008023EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-837574ReconcilationRevenueExpenses
Reconcilation Other Changes418766ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1388258OtherCostOrOtherBasis
Book Value1388258BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16373835OtherCostOrOtherBasis
Depreciation9637454Depreciation
Book Value6736381BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8993883OtherCostOrOtherBasis
Depreciation7440039Depreciation
Book Value1553844BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9678483TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
FUNDED DEPRECIATION2314691
DEFERRED DEBT ISSUES COSTS, NET192243
OTHER ASSETS208821
FieldValueIRS element (for citing)
Total Book Value Other Assets2715755TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ESTIMATED 3RD PARTY SETTLEMENT$920,000
INTEREST RATE SWAP$588,186
BOND INTEREST PAYABLE$130,098
NOTES PAYABLE$185,515
FieldValueIRS element (for citing)
Total Of Amounts1823799TotalOfAmounts
Total Revenue20021309TotalRevenue
Total Expenses20858883TotalExpenses
Excess Or Deficit For Year-837574ExcessOrDeficitForYear
Other$418,766OtherAmount
Total Adjustments418766TotalAdjustments
Excess Or Deficit Per FS-418808ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE SYSTEM HAS EVALUATED THE EFFECT OF GAAP ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THAT BECAME EFFECTIVE LAST YEAR. THE SYSTEM (EXCLUSIVE OF WALTON INNOVATIONS) IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON UNRELATED BUSINESS INCOME. MANAGEMENT BELIEVES THAT THE SYSTEM CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2011. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THE SYSTEM HAD NO UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2011.
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED GAIN ON MARKETABLE SECURITIES 186,418. LOSS ON BOND DERIVATIVE 232,348.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense564331TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense564331NetCommunityBenefitExpense
Percent Of Total Expense0.02700PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense619834TotalCommunityBenefitExpense
Direct Offsetting Revenue506454DirectOffsettingRevenue
Net Community Benefit Expense380282NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1184165TotalCommunityBenefitExpense
Direct Offsetting Revenue506454DirectOffsettingRevenue
Net Community Benefit Expense944613NetCommunityBenefitExpense
Percent Of Total Expense0.04520PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1184165TotalCommunityBenefitExpense
Direct Offsetting Revenue506454DirectOffsettingRevenue
Net Community Benefit Expense944613NetCommunityBenefitExpense
Percent Of Total Expense0.04520PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$207,691BadDebtExpenseAmount
Amount Reimbursed By Medicare8964816AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8008861CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall955955MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1WALTON REHABILITATION HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11355 INDEPENDENCE DRIVEAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherREHABILITATION HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WALTON REHABILITATION HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Provided On AdmissionXProvidedOnAdmission
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HARISON HEIGHTS
3648 WALTON WAY EXTENSIONAUGUSTAGA30909ASSISTED LIVING HOME
WALTON WEST
2501 CENTER WEST PARKWAYAUGUSTAGA30909TRANSITIONAL LIVING CENTER & POST-ACUTE REHABILITATION PROGRAM

Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART II: 1
PART III, LINE 8: PART 1, LINE 3C - N/A1. PART 1, LINE 7, COLUMM (F) = $207,691PART 1, LINE 7, WORKSHEET 2, RATIO OF PATIENT CARE COSTS TO CHARGES WAS BASED ON TOTAL EXPENSES NET OF BAD DEBT, LESS OTHER REVENUE FROM THE AUDITED FINANCIAL STATEMENT. THE ADJUSTED PATIENT CARE COST WAS DIVIDED BY THE GROSS PATIENT CHARGES.PART III, LINE 4, BAD DEBT AT COST WAS BASED ON THE MEDICARE COST REPORT CHARGES CONVERTED TO COST BASED ON THE WORKSHEET 2 RATIO, LESS THE DIRECT REIMBURSEMENT FROM MEDICAID.PART III, LINE 8 - THE MEDICARE COST REPORT WITH ACTUAL DATA WAS USED TO SHOW THE REVENUE RECEIVED AND COSTS AS COMPUTED BY THE MEDICARE COST REPORT, COST TO CHARGE FORMULAS, AND SPECIFIC GUIDELINE ALLOCATIONS.PART III, LINE 9B - THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY FROM THE STATE OF GEORGIA CERTIFICATE OF NEEDS DATA; REFERRAL AND FEEDBACK TRENDS FROM LOCAL HOSPITALS; PHYSICIAN FEEDBACK; AND DATA COLLECTED FROM AGENCIES AND ORGANIZATIONS ON INDIVIDUALS WITH PHYSICAL DISABILITIES.
PART III, LINE 9B: 2. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY FROM THE STATE OF GEORGIA CERTIFICATE OF NEEDS DATA; REFERRAL AND FEEDBACK TRENDS FROM LOCAL HOSPITALS; PHYSICIAN FEEDBACK; AND DATA COLLECTED FROM AGENCIES AND ORGANIZATIONS ON INDIVIDUALS WITH PHYSICAL DISABILITIES.3. THE HOSPITAL PROVIDES PATIENT EDUCATION FOR AVAILABILITY FOR ASSISTANCE DURING THE PRE-ADMISSIONS PROCESS AND UPON ADMISSION. A PATIENT INFORMATION BOOKLET IS PROVIDED, AND THE ADMISSIONS REPRESENTATIVE VERBALLY EXPLAINS THE BILLING PROCESS. A CASE MANAGER IS ALSO AVAILABLE TO ASSIST THE PATIENT WITH COORDINATING BILLING ISSUES. A PATIENT ACCOUNT REPRESENTATIVE IS ASSIGNED TO EVERY PATIENT ACCOUNT FOR FOLLOW-UP OR TO PROVIDE ASSISTANCE.4. GRI RESIDES IN RICHMOND COUNTY, GEORGIA, SERVING OVER 539,000 WITHIN A 90-MILE RADIUS. IN 2008, THE DEPARTMENT OF COMMUNITY HEALTH ISSUED A GEORGIA HEALTH DISPARITIES REPORT, WHICH LISTED RICHMOND COUNTY AS HAVING 53% BLACK, 44% WHITE, AND THE REMAINING 3% MOSTLY HISPANIC WITH SOME ASIANS AND AMERICAN INDIANS. APPROXIMATELY 19% OF THE POPULATION IS BELOW THE FEDERAL POVERTY GUIDELINES; 7.5% OF THE ADULT POPULATION COMPLETING LESS THAN THE 9TH GRADE; 9.2% OF THE ADULT POPULATION IS UNEMPLOYED; AND APPROXIMATELY 18% ARE UNINSURED.5. THE GRI GOVERNING BOARD MEMBERS ARE COMPRISED OF CITIZENS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS. GRI BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND ARE FOCUSED ON IMPROVING THE HEALTH AND WELFARE OF INDIVIDUALS WITH DISABILITIES IN THE COMMUNITY. OVER 70% OF THE PATIENTS RETURN HOME TO LIVE INDEPENDENTLY. THERE ARE ALSO MANY OTHER SUPPORT PROGRAMS TO ENSURE MAXIMUM INDEPENDENCE IS OBTAINED; RESIDENTIAL COMMUNITY RE-ENTRY; ASSISTED LIVING; DAY TREATMENT COMMUNITY RE-ENTRY; SPORTS AND LEISURE PROGRAMS FOR THE DISABLED; A WEEK-LONG CAMP IS PROVIDED FOR PEDIATRICS WITH BRAIN INJURIES; AS WELL AS SUPPORT GROUPS FOR INDIVIDUALS WITH STROKES AND AMPUTEES. THE ORGANIZATION ALSO HAS A MEDICAL STAFF TO MONITOR AND IMPROVE PATIENT CARE. ALL SURPLUS FUNDS ARE REINVESTED BACK INTO CAPITAL IMPROVEMENTS TO BENEFIT THE PATIENTS OR SUPPORT THE OPERATIONS THAT PROVIDE THOSE SERVICES.6. N/A
GA,SCREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DENNIS B SKELLEY
2234570000072100294860260153000
MICHAEL A HARRELL
1301620000052130165780151953000
JENNIFER YANG
1586850000063990139600179044000
ANDREW DENNISON
1765880000036000168140197002000
JOHN NICHOLSON
1554680000041850158440175497000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DEVEOPMENT AUTHORITY OF RICHMOND COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN581309430IssuerEIN
Date Issued2007-12-31DateIssued
Issue Price9565000IssuePrice
Description Of PurposeSPONSORSHIP DISTRIBUTION AND COVENANT NOT TO COMPETEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired9565000AmountRetired
Total Proceeds2494661TotalProceeds
Issuance Costs From Proceeds183527IssuanceCostsFromProceeds
Capital Expenditures6886812CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonPRESTON SIZEMORENamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBERRelationship
Amount Of Transaction137961AmountOfTransaction
Description Of TransactionPRESTON SIZMORE HAS A BUSINESS RELATIONSHIP WITH SIZEMORE, INC. THE ORGANIZATION PAID SIZEMORE, INC FOR SECURITY SERVICES. AN INDEPENDENT EXPENSE REDUCTION CONSULTANT AND RFP'S CONFIRMED THIS ARRANGEMENT WAS THE LOW-COST PROVIDER FOR SERVICE.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11AN INDEPENDENT ACCOUNTING FIRM COMPLETES AN AUDIT OF THE CORPORATION AND THEN PREPARES THE FORM 990 WITH ASSISTANCE FROM THE ACCOUNTING DEPARTMENT STAFF. THE CONTROLLER REVIEWS A PRELIMINARY DRAFT OF THE FORM 990 FOR ACCURACY AND THE FINAL DOCUMENTS ARE REVIEWED BY THE CFO BEFORE SIGNING.
ALL EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT AT ORIENTATION. ALL QUESTIONABLE ISSUES ARE REVIEWED BY THE CFO/CORPORATE COMPLIANCE OFFICER. IF FURTHER REVIEW IS NEEDED, THE PRESIDENT/CEO WILL RESOLVE.FORM 990, PART VI, SECTION B, LINE 12C
THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMS AN ANNUAL REVIEW OF THE CEO AND EXECUTIVE COMPENSATION PLANS AFTER THE HUMAN RESOURCES DIRECTOR PERFORMS A COMPENSATION ANALYSIS TO ENSURE SALARIES ARE COMPARABLE WITH OTHER HEALHCARE ORGANIZATIONS IN THE AREA.FORM 990, PART VI, SECTION B, LINE 15A
FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OR ACCOUNTING OFFICE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:UNREALIZED GAIN ON MARKETABLE SECURITIES 186,418. LOSS ON BOND DERIVATIVE 232,348. TOTAL TO FORM 990, PART XI, LINE 5: 418,766.FORM 990, PART XI, LINE 5:
AUDIT COMMITTEEORGANIZATION'S FINANCE COMMITTEE AND BOARD OF DIRECTORS ASSUME THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR.FORM 990, PAGE 11

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
WALTON FOUNDATION FOR INDEPENDENCE INC
1355 INDEPENDENCE DRIVEAUGUSTAGA30901582408395RAISING FUND FOR HOSPITALGA501 (C)(3)70
WALTON TECHNOLOGIES INC
1355 INDEPENDENCE DRIVEAUGUSTAGA30901412067189RESEARCH SUPPORT FOR CLINICAL TRIALS, ASSISTIVE TECHNOLOGY DEVELOPMENTGA501 (C)(3)LINE 11A, I0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WALTON INNOVATIONS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11355 INDEPENDENCE DRIVEAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
EIN260539414EIN
Primary ActivityBUSINESS SUPPORTPrimaryActivity
Legal Domicile StateGALegalDomicileState
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WALTON FOUNDATION FOR INDEPENDENCE
P160277AUDITED FINANCIAL STATEMENT
WALTON INNOVATION
P956825AUDITED FINANCIAL STATEMENT