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WALTON COUNTY HEALTH CARE FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WALTON COUNTY HEALTH CARE FOUNDATION INC (EIN 20-1376389)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-05-30
IRS object ID
201121519349300707
Schema version
2009v1.3
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)
Timestamp2011-05-30T08:53:34-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BYRD & BAKER LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11829 HIGHWAY 81 SUITE 105AddressLine1
CityLOGANVILLECity
StateGAState
ZIP Code30052ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201376389EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE WALTON COUNTY HEALTH CARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWALTNameControl
Phone7702071408Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1026AddressLine1
CityMONROECity
StateGAState
ZIP Code30655ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTROY PRESTONName
TitleEXECUTIVE DIRECTORTitle
Phone7702071408Phone
Date Signed2011-05-26DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMARSHA T BYRD CPAName
Phone7705549691Phone
Date Prepared2011-05-30DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTROY PRESTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1P O BOX 1026AddressLine1
CityMONROECity
StateGAState
ZIP Code30655ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26415695GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2646023InvestmentIncomePriorYear
Investment Income Current Year2366250InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2646023TotalRevenuePriorYear
Total Revenue Current Year2366250TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year370581GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY107885GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year63314SalariesEtcPriorYear
Salaries Etc Current Year64792SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year214278OtherExpensePriorYear
Other Expenses Current Year240380OtherExpensesCurrentYear
Total Expenses Prior Year648173TotalExpensesPriorYear
Total Expenses Current Year413057TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1997850RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1953193RevenuesLessExpensesCY
Total Assets BOY42136703TotalAssetsBOY
Total Assets EOY44001139TotalAssetsEOY
Total Liabilities BOY1660TotalLiabilitiesBOY
Total Liabilities EOY1677TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY42135043NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY43999462NetAssetsOrFundBalancesEOY
Mission DescriptionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense57328Expense
Grants17000Grants
DescriptionA GRANT WAS MADE TO WALTON COUNTY BOARD OF COMMISSIONERS ON BEHALF OF THE PARTNERSHIP FOR FAMILIES, CHILDREN AND YOUTH. THE PROGRAM WORKS TO EDUCATE YOUTHS IN THE COMMUNITY ON ISSUES RELATED TO SEX AND DRUG ABUSE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense129905Expense
Grants38522Grants
DescriptionGRANTS WERE ISSUED TO A CHILDS VOICE ADVOCACY CENTER, INC. TO AID IN OPERATION OF A CHILD FRIENDLY FACILITY WHERE INVESTIGATIVE INTERVIEWS AND EVALUATIONS CAN BE CONDUCTED TO DETERMINE AND TREAT INCIDENTS OF CHILD ABUSE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense125633Expense
Grants40000Grants
DescriptionA GRANT WAS ISSUED TO FAITH IN SERVING HUMANITY TO ASSIST THEM WITH THEIR SUMMER PROGRAM FOR FEEDING SCHOOL AGE CHILDREN IN THE COUNTY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense50948Expense
Grants12363Grants
DescriptionGRANTS ISSUED TO THE SENIOR CITIZENS GROUP, SOCIAL CIRCLE BETTER HOMETOWN PROGRAM, FAMILIES OF AUTISM, WALTON BETTER HOMETOWN PROGRAM, FAMILIES OF AUTISM, WALTON BETTER HOMETOWN PROGRAM, FAMILIES OF AUTISM, WALTON BETTER HOMETOWN PROGRAM, FAMILIES OF AUTISM, WALTONDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp50948TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt12363TotalOfOtherProgramServiceGrnt
Total Program Service Expense363814TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBYRD BAKER LLCNamePerson
Telephone Number7705549691TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11829 HWY 81 STE 105AddressLine1
CityLOGANVILLECity
StateGAState
ZIP Code30052ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JOHN T PRESTON III
EXECUTIVE DIRECTOR30.00XXX5398500
T HENRY WALL
CHAIRMAN1.00000X
SUE MCCULLERS
VICE CHAIRMAN1.00000X
BEN E GARRETT
SECRETARY1.00000X
MYRA C SMITH
TREASURER1.00000X
ALAN DUVAL
DIRECTOR1.00X000
BOBBY BOSS
DIRECTOR1.00X000
RANDY GARRETT
DIRECTOR1.00X000
CHARLOTTE GEORGE
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org53985TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2125242TotalRevenueColumn
Related Or Exempt Function Income2125242RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities24290453Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities24049445Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities241008Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column241008TotalRevenueColumn
Related Or Exempt Function Income241008RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2366250TotalRevenueColumn
Related Or Exempt Function Income2366250RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total107885Total
Program Services107885ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total64792Total
Program Services55073ProgramServices
Management And General9719ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2815Total
Program Services2393ProgramServices
Management And General422ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19435Total
Program Services16520ProgramServices
Management And General2915ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total184031Total
Program Services156426ProgramServices
Management And General27605ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1614Total
Program Services1372ProgramServices
Management And General242ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3746Total
Program Services3133ProgramServices
Management And General613ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total4249Total
Program Services3614ProgramServices
Management And General635ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4075Total
Program Services0ProgramServices
Management And General4075ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total519Total
Program Services441ProgramServices
Management And General78ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6851Total
Program Services5823ProgramServices
Management And General1028ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
AUTO271230410
DUES & SUBSCRIPTIONS1170011700
MISCELLENOUS48504850
MEALS & ENTERTAINMENT10649041600
LICENSES & PERMITS550550

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total413057Total
Program Services363814ProgramServices
Management And General49243ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8566BOY
EOY21567EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3004BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6063BOY
EOY19539EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3771LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec866LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1193BOY
EOY2905EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY42117877BOY
EOY43948193EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY8935EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42136703BOY
EOY44001139EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1660BOY
EOY1677EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1660BOY
EOY1677EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY42135043BOY
EOY43999462EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42135043BOY
EOY43999462EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42136703BOY
EOY44001139EOY
FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHBusinessNameLine1
FieldValueIRS element (for citing)
EIN586001917EIN
Type Of Organization6TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$107,885Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts107885SumOfAmounts
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3771OtherCostOrOtherBasis
Depreciation866Depreciation
Book Value2905BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2905TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRECEIVABLE FROM WALTON CO HOSP AUTHDescription
Book Value8935BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets8935TotalBookValueOtherAssets

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
WALTON COUNTY BOARD OF COMMISSIONERS
303 S HAMMOND DRMONROEGA30655586000902WALTON CO GA17000EDUCATION
FAITH IN SERVING HUMANITY
700 S MADISON AVEMONROEGA30655582113889501C340000NUTRITIONAL LUNCHES
A CHILD'S VOICE CHILD
678 TOM BREWER ROAD STE 202LOGANVILLEGA30052753214817501C338522MEDICAL EXAMS

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPt I Line 2Identifier
ExplanationTHE GRANTEE IS ASKED TO COMPLETE A PROGRESS REPORT. THE REPORTS ARE REVIEWD BY THE EXECUTIVE DIRECTOR AND COMPARED TO THE PURPOSE STATED IN THE GRANT APPLICATION. IF THERE ARE DIVIATIONS, THE EXECUTIVE DIRECTOR MAKES A SITE VISIT FOR A PERSONAL INTERVIEW WITH THE PERSON RESPONSIBLE FOR ADMINISTERING THE GRANT AND REPORTS TO DIRECTORS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11AEXECUTIVE DIRECTOR REVIEWS THE 990 WITH THE PREPARER AND
Pt VI-B, Line 11ADISTRIBUTES COPIES TO OFFICERS AND DIRECTORS FOR THEIR REVIEW.
Pt VI-B, Line 12cCONFLICT OF INTEREST POLICY IS INCLUDED IN THE BY-LAWS WHICH
Pt VI-B, Line 12cARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND MONITORED BY
Pt VI-B, Line 12cTHE FOUNDATION STAFF
Pt VI-B, Line 15THE FOUNDATION CHAIRMAN AND TREASURER REVIEW SALARY COMPARABILITY
Pt VI-B, Line 15DATA ANNUALLY AND MAKE A RECOMMENDATION TO THE BOARD OF DIRECTORS
Pt VI-B, Line 15CONCERNING COMPENSATION OF THE EXECUTIVE DIRECTOR.
Pt VI-C, Line 19DOCUMENTS ARE AVAILABLE UPON REQUEST AND POSTED ON THE
Pt VI-C, Line 19THE FOUNDATION'S WEBSITE

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHORITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O BOX 1026AddressLine1
CityMONROECity
StateGAState
ZIP Code30655ZIPCode
FieldValueIRS element (for citing)
EIN586001917EIN
Primary ActivitiesLOCAL GOVN'T AUTHORITYPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code SectionSEC 170C1ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypedTransactionType
Amount Involved8935AmountInvolved