FURP.ORG / PUBLIC DATA EXPLORER

WALTON COUNTY HEALTH CARE FOUNDATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WALTON COUNTY HEALTH CARE FOUNDATION INC (EIN 20-1376389)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-04
IRS object ID
202142169349300449
Schema version
2019v5.1
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)
Return2021-08-04T15:39:37-04:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

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 Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201376389EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBENJAMIN E GARRETTPersonNm
Person TitleEXEC DIRECTORPersonTitleTxt
Phone7702071408PhoneNum
Signature2021-07-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKitty J Smith CPAPreparerPersonNm
PTINP00383716PTIN
Phone7702070019PhoneNum
Preparation2021-08-04PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$13,401,797GrossReceiptsAmt
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$250,000CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,278,891PYInvestmentIncomeAmt
CY Investment Income$2,736,194CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,278,891PYTotalRevenueAmt
CY Total Revenue$2,986,194CYTotalRevenueAmt
PY Grants And Similar Paid$530,060PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,084,814CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$96,239PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$96,239CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$217,177PYOtherExpensesAmt
CY Other Expenses$189,462CYOtherExpensesAmt
PY Total Expenses$843,476PYTotalExpensesAmt
CY Total Expenses$1,370,515CYTotalExpensesAmt
PY Revenues Less Expenses$1,435,415PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,615,679CYRevenuesLessExpensesAmt
Total Assets BOY$47,866,920TotalAssetsBOYAmt
Total Assets EOY$49,482,948TotalAssetsEOYAmt
Total Liabilities BOY$14,170TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,519TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$47,852,750NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,468,429NetAssetsOrFundBalancesEOYAmt
MissionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$808,533ExpenseAmt
Grant$664,814GrantAmt
DescGRANTS WERE ISSUED TO VARIOUS SCHOOL SYSTEMS AND SUPPORT ORGANIZATIONS TO PROVIDE PPE EQUIPMENT FOR USE BY TEACHERS, STAFF, AND STUDENTS. GRANTS WERE MADE TO VARIOUS ORGANIZATIONS TO PROVIDE DOMESTIC VIOLENCE COUNSELING OF BATTERED AND ABUSED WOMEN AND CHILDREN WHO ARE RESIDENTS OF WALTON COUNTY. GRANTS WERE MADE TO PROVIDE ASSISTANCE TO RESIDENTS FACING CANCER TREATMENTS WHO HAVE NO MEANS OF PAYMENT FOR THE SERVICES. GRANTS WERE MADE TO PROVIDE MEALS TO SCHOOL AGE CHILDREN DURING SUMMER VACATION. GRANTS WERE MADE TO THE COURT SYSTEM TO PROVIDE DRUG TESTING. A GRANT WAS MADE TO WALTON COUNTY FOR PPE EQUIPMENT AND SUPPLIES. GRANTS WERE MADE TO PROVIDE FLU SHOTS AND HEALTH EXAMS FOR WALTON COUNTY RESIDENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$304,857ExpenseAmt
Grant$250,000GrantAmt
DescA GRANT WAS ISSUED TO YMCA OF GEORGIAS PIEDMONT TO AID THEM IN THEIR CAPITAL CAMPAIGN TO BUILD A YMCA IN WALTON COUNTY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$212,074ExpenseAmt
Grant$170,000GrantAmt
DescA GRANT WAS ISSUED TO WALTON WELLNESS TO EDUCATE THE COMMUNITY ON THE BENEFITS OF NUTRITION AND EXERCISE AND TO OUTFIT A MOBILE FARMACY BUS TO SERVE AS A MOBILE HANDS ON HEALTH LEARNING EXPERIENCE FOR FARMERS MARKET, SCHOOL FIELD TRIPS, CITY FESTIVALS AND COMMUNITY OUTREACH.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,325,464TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To 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 With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
SUE MCCULLERS
DIRECTOR1.000.00Yes (X)$0$0$0
CHARLES PRESTON
DIRECTOR1.000.00Yes (X)$0$0$0
TONJA PARR
DIRECTOR1.000.00Yes (X)$0$0$0
MELISSA SHANNAHAN
DIRECTOR1.000.00Yes (X)$0$0$0
MYRA C SMITH
TREASURER1.000.00$0$0$0Yes (X)
RANDY GARRETT
VICE CHAIRMAN1.000.00$0$0$0Yes (X)
CHARLOTTE GEORGE
SECRETARY1.000.00$0$0$0Yes (X)
SCOTT SIMPKINS
CHAIRMAN5.000.00$0$0$0Yes (X)
BEN E GARRETT
EXEC DIRECTOR35.000.00$89,400$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$89,400TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Related Organizations$250,000RelatedOrganizationsAmt
Total Contributions$250,000TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,529,514TotalRevenueColumnAmt
Related Or Exempt Func Income$1,529,514RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,622,283SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,415,603SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,206,680SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,206,680TotalRevenueColumnAmt
Related Or Exempt Func Income$1,206,680RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,986,194TotalRevenueColumnAmt
Related Or Exempt Func Income$2,736,194RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,084,814TotalAmt
Program Services$1,084,814ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$59TotalAmt
Management And General$59ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,850TotalAmt
Program Services$16,872ProgramServicesAmt
Management And General$2,978ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$142,230TotalAmt
Program Services$120,895ProgramServicesAmt
Management And General$21,335ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$345TotalAmt
Program Services$293ProgramServicesAmt
Management And General$52ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,643TotalAmt
Program Services$3,097ProgramServicesAmt
Management And General$546ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$360TotalAmt
Program Services$306ProgramServicesAmt
Management And General$54ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,813TotalAmt
Program Services$10,041ProgramServicesAmt
Management And General$1,772ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$280TotalAmt
Program Services$238ProgramServicesAmt
Management And General$42ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,359TotalAmt
Program Services$7,105ProgramServicesAmt
Management And General$1,254ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
MEALS$603$603
DUES & SUBSCRIPTIONS$1,540$1,540
MISCELLANEOUS$350$350
TAXES$30$30

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,370,515TotalAmt
Program Services$1,325,464ProgramServicesAmt
Management And General$45,051ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$57,914BOYAmt
EOY$202,816EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,698BOYAmt
EOY$10,968EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$770BOYAmt
EOY$12,942EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,337LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,115LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$502BOYAmt
EOY$222EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$47,797,036BOYAmt
EOY$49,256,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,866,920BOYAmt
EOY$49,482,948EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,170BOYAmt
EOY$14,519EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,170BOYAmt
EOY$14,519EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,852,750BOYAmt
EOY$49,468,429EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,852,750BOYAmt
EOY$49,468,429EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,866,920BOYAmt
EOY$49,482,948EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,615,679ReconcilationRevenueExpnssAmt
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$1,084,814SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,084,814SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,337OtherCostOrOtherBasisAmt
Depreciation$6,115DepreciationAmt
Book Value$222BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$222TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
A CHILDS VOICE CHILD ADVOCACY CENT
216 BROOKSTONE PLACESOCIAL CIRCLEGA30025753214817501C3$40,000HEALTH SERVICES
BRIDGE OF GEORGIA SCHOOLS INC
PO BOX 542MONROEGA30655464862717501C3$12,215HEALTH SERVICES
CAMP TWIN LAKES INC
1100 SPRING ST STE 260ATLANTAGA30309581826782501C3$15,000EDUCATION
WALTON CO CHAMBER OF COMMERCE
132 E SPRING STMONROEGA30655581185309$2,500SPONSORSHIP
JOHNSTON INSTITUTE INC
603 S BROAD STMONROEGA30655474858545501C3$4,916SPONSORSHIPHEALTH SERVICES
PROJECT RENEWAL
PO BOX 1205CONYERSGA30012582397407501C3$8,718HEALTH SERVICES
WALTON WELLNESS INC
CHURCH STMONROEGA30655273659660501C3$170,000HEALTH SERVICES
CANCER FOUNDATION OF NE GEORGIA
PO BOX 49309ATHENSGA30604203378035501C3$23,847HEALTH SERVICES
WALTON COUNTY HEALTH DEPARTMENT
1404 S MADISON AVEMONROEGA30655586009573GOVT$1,250HEALTH SERVICES
A CENTER OF HOPE CPC INC
3060 HIGHWAY 81LOGANVILLEGA30052582581209501C3$106,036HEALTH SERVICES
FAITH IN SERVING HUMANITY MEDICAL
PO BOX 1838MONROEGA30655460901738501C3$50,588MEDICAL SERVICES
SOCIAL CIRCLE CITY SCHOOLS
147 ALCOVA DRSOCIAL CIRCLEGA30025580871915GOVT$50,768MEDICAL EQUIPMENT
FAITH IN SERVING HUMANITY
PO BOX 1838MONROEGA30655460901738501C3$30,000FEEDING PROGRAM
SHEPHERDS STAFF MINISTRIES INC
76 BAY CREEK RD STE NLOGANVILLEGA30052582570529501C3$10,000HEALTH SERVICES
TEAM UP MENTORING INC
PO BOX 523MONROEGA30655204927509501C3$25,196HEALTH SERVICES
LOGANVILLE LIONS CLUB
PO BOX 1431LOGANVILLEGA30052$2,000HEALTH SERVICES
LOGANVILLE CHRISTIAN ACADEMY
2575 HIGHWAY 81LOGANVILLEGA30052582227554$78,393HEALTH SERVICES
STUDENT SUCCESS ALLIANCE
PO BOX 611MONROEGA30655$2,000SPONSORSHIP
MONROE FARMERS MARKET
PO BOX 725MONROEGA30655586000626GOVT$1,504HEALTH SERVICES
UNBRIDLED JOY INC
3755 LOVERS LANEMONROEGA30656814334846501C3$10,000HEALTH SERVICES
WALTON COUNTY BOARD OF EDUCATION
200 DOUBLE SPRINGS CHURCH RDMONROEGA30656586000339GOVT$141,728HEATLH SERVICES
WALTON CO RESOURCE COURT
1124 CLARK STREETCOVINGTONGA30014586000902GOVT$12,820HEALTH SERVICES
WALTON COUNTY BOARD OF COMMISSIONER
303 S HAMMOND DRMONROEGA30655586000902GOVT$28,335HEALTH SERVICES
WALTON YOUTH PROJECT INC
PO BOX 566MONROEGA30655474103530501C3$7,000HEALTH SERVICES
YMCA OF GEORGIAS PIEDMONT INC
50 BRAD AKINS DRWINDERGA30680201759275501C3$250,000HEALTH SERVICES
FieldValueIRS element (for citing)
Total501c3 Org21Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1026AddressLine1Txt
CityMONROECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30655ZIPCd
FieldValueIRS element (for citing)
EIN586001917EIN
Primary ActivitiesLOCAL GOVERNMENTPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Exempt Code Section170CAExemptCodeSectionTxt
Public Charity Status12APublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$250,000InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt