THE GOVERNOR'S FOUNDATION FOR HEALTH AND: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
THE GOVERNOR'S FOUNDATION FOR HEALTH AND (EIN 45-3635908)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-03-24
IRS object ID
202000849349300905
Schema version
2018v3.1
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)
Return2020-03-24T13:25:51-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN620713250PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KRAFTCPAS PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 GREAT CIRCLE ROADAddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37228ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453635908EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GOVERNOR'S FOUNDATION FOR HEALTH ANDBusinessNameLine1Txt
Business Name Line2WELLNESSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGOVEBusinessNameControlTxt
Phone6156101880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13796 BEDFORD AVENUE NO 202AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37215ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD JOHNSONPersonNm
Person TitleCEOPersonTitleTxt
Phone6156101880PhoneNum
Signature2020-03-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFRANCES E LEAHYPreparerPersonNm
PTINP00713593PTIN
Phone6152427351PhoneNum
Preparation2020-03-24PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.198.206.98IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-03-24IPDt
IP Tm10:34:30IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1859125A1FFEB578F7BB16A7BCB2D4782BFF1E26AtSubmissionCreationDeviceId
At Submission Filing Device IdEE7BB5FE320B8FB13B25121C5E937124580CA208AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerRICHARD JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13796 BEDFORD AVENUE NO 202AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37215ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$69,505GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHEALTHIERTN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$135,826PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$45,060PYInvestmentIncomeAmt
CY Investment Income$59,990CYInvestmentIncomeAmt
PY Other Revenue$11,301PYOtherRevenueAmt
CY Other Revenue$2,000CYOtherRevenueAmt
PY Total Revenue$192,187PYTotalRevenueAmt
CY Total Revenue$61,990CYTotalRevenueAmt
PY Grants And Similar Paid$187,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$74,031CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,199,074PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,399,145CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$324,718PYOtherExpensesAmt
CY Other Expenses$331,734CYOtherExpensesAmt
PY Total Expenses$1,711,292PYTotalExpensesAmt
CY Total Expenses$1,804,910CYTotalExpensesAmt
PY Revenues Less Expenses-$1,519,105PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,742,920CYRevenuesLessExpensesAmt
Total Assets BOY$4,266,617TotalAssetsBOYAmt
Total Assets EOY$2,490,139TotalAssetsEOYAmt
Total Liabilities BOY$51,627TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,248TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,214,990NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,478,891NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS IS TO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,412,413ExpenseAmt
Grant$74,031GrantAmt
DescTHE HEALTHIER TENNESSEE COMMUNITIES PROGRAM WAS LAUNCHED IN MARCH 2015 WITH NINE PILOT COMMUNITIES. AT THE END OF JUNE 2019, THERE WERE MORE THAN 100 COMMUNITIES ACROSS THE STATE THAT WERE PARTICIPATING. THE INITIATIVE IS GEARED TOWARDS CREATING HEALTHIER CITIES, TOWNS, COUNTIES, AND NEIGHBORHOODS AT THE GRASSROOTS LEVEL. EACH COMMUNITY MUST FORM A COMMITTEE THAT DRIVES THE EFFORT. THEY MUST DEVELOP AND IMPLEMENT SEVEN HEALTHY INITIATIVES - THREE FOCUSED ON INCREASING PHYSICAL EXERCISE, THREE FOCUSED ON BETTER NUTRITION, AND AT LEAST ONE FOCUSED ON TOBACCO ABSTINENCE. THE INITIATIVES MUST BE MEASURABLE, SUSTAINABLE, AND AVAILABLE TO THE ENTIRE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescTHE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS CONTINUED TO COMMUNICATE ITS KEY MESSAGES THROUGH NON-PAID, NEWS MEDIA COVERAGE OF PROGRAMS AND SERVICES, INCLUDING ARTICLES AND PHOTOGRAPHS IN DAILY AND WEEKLY NEWSPAPERS, NEWSLETTERS, AND OTHER MEDIA OUTLETS. IT ALSO SUSTAINED ITS ON-LINE PRESENCE THROUGH ITS WEBSITE AND THE USE OF SOCIAL MEDIA OUTLETS THAT INCLUDED FACEBOOK, TWITTER, AND INSTAGRAM. AT THE END OF THE FISCAL YEAR, THERE WERE MORE THAN 89,000 INDIVIDUALS WHO HAD ACCESSED AT LEAST ONCE THE FOUNDATION'S WEB-BASED TOOLS, CALLED "SMALL STARTS, AND AN APP DEVELOPED BY THE FOUNDATION CALLED "STREAKS FOR SMALL STARTS." MORE THAN 2,400 WORKPLACES HAD ACCESSED ITS ON-LINE TOOLS FOR EMPLOYEE WELLNESS, AND MORE THAN 740 FAITH-BASED ORGANIZATIONS THAT HAD ACCESSED ITS TOOLS FOR WELLNESS PROGRAMS AT PLACES OF WORSHIP.THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS CONTINUED TO PROMOTE ITS WEB-BASED PROGRAM FOR PARENTS AND CAREGIVERS OF CHILDREN FROM BIRTH TO EARLY CHILDHOOD, CALLED "SMALL STARTS FOR FAMILIES." THIS RESOURCE PROVIDES TIPS AND TOOLS THAT ARE DIVIDED INTO FOUR HEALTH-RELATED CATEGORIES - NUTRITION, PHYSICAL ACTIVITY, TOBACCO ABSTINENCE, AVOIDANCE OF SECOND-HAND SMOKE, DENTAL AND ORAL HYGIENE, AND BETTER SLEEP.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescOTHER PROGRAM SERVICES INCLUDE GENERAL MARKETING, RESEARCH, AND ASSISTANCE GIVEN TO OTHER ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,412,413TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee17EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6156101880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13796 BEDFORD AVENUE NO 202AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37215ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
AGENIA CLARK
DIRECTOR1.00Yes (X)$0$0$0
BRYAN JORDAN
DIRECTOR1.00Yes (X)$0$0$0
LARRY MARTIN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
C WRIGHT PINSON MD
BOARD CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
PERRY STUCKEY
DIRECTOR1.00Yes (X)$0$0$0
HEATHER J ROHAN
DIRECTOR1.00Yes (X)$0$0$0
DR KENNETH ROBINSON
DIRECTOR1.00Yes (X)$0$0$0
RICHARD JOHNSON
CEO40.00Yes (X)$240,350$0$18,127Yes (X)
JOHN CHOBANIAN
VP OF OPERATIONS40.00$153,744$0$17,668Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$394,094TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$35,795TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,560TotalRevenueColumnAmt
Exclusion$58,560ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,400RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,545OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,115OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,430OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,430TotalRevenueColumnAmt
Exclusion$1,430ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$2,000TotalRevenueColumnAmt
Exclusion$2,000ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,990TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$61,990ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$74,031TotalAmt
Program Services$74,031ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$447,142TotalAmt
Program Services$254,837ProgramServicesAmt
Management And General$192,305ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$742,635TotalAmt
Program Services$742,635ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,479TotalAmt
Program Services$19,479ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$111,124TotalAmt
Program Services$105,376ProgramServicesAmt
Management And General$5,748ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$78,765TotalAmt
Program Services$66,684ProgramServicesAmt
Management And General$12,081ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,572TotalAmt
Management And General$16,572ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$88,504TotalAmt
Program Services$35,402ProgramServicesAmt
Management And General$53,102ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,491TotalAmt
Program Services$7,491ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,466TotalAmt
Management And General$16,466ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$54,322TotalAmt
Management And General$54,322ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,338TotalAmt
Program Services$52,402ProgramServicesAmt
Management And General$1,936ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$36,403TotalAmt
Program Services$36,403ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,313TotalAmt
Management And General$7,313ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,813TotalAmt
Management And General$10,813ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEALS & ENTERTAINMENT$14,018$8,411$5,607
DUES & SUBSCRIPTIONS$12,101$12,101
REWARDS AND RECOGNITION$5,706$5,706
GIFTS & PRIZES$2,691$2,691

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,996TotalAmt
Program Services$3,556ProgramServicesAmt
Management And General$1,440ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,804,910TotalAmt
Program Services$1,412,413ProgramServicesAmt
Management And General$392,497ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$766,843BOYAmt
EOY$1,136,745EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,921,922BOYAmt
EOY$1,262,722EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$531,668BOYAmt
EOY$50,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,849BOYAmt
EOY$2,160EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$67,888LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,802LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,614BOYAmt
EOY$29,086EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,721BOYAmt
EOY$9,426EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,266,617BOYAmt
EOY$2,490,139EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$51,627BOYAmt
EOY$11,248EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,627BOYAmt
EOY$11,248EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,634,326BOYAmt
EOY$2,428,753EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$580,664BOYAmt
EOY$50,138EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,214,990BOYAmt
EOY$2,478,891EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,266,617BOYAmt
EOY$2,490,139EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,742,920ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,822NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$288,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,610,446CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,135,684CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,567CurrentTaxYearMinus1YearAmt
Total$4,187,697TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$288,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,610,446CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,135,684CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,567CurrentTaxYearMinus1YearAmt
Total$4,187,697TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,113,410SubstantialContributorsTotAmt
Public Support Total170$3,074,287PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,849CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,441CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,087CurrentTaxYearMinus1YearAmt
Current Tax Year$58,560CurrentTaxYearAmt
Total$160,146TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$3,750CurrentTaxYearMinus1YearAmt
Total$3,750TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$85CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$11,301CurrentTaxYearMinus1YearAmt
Current Tax Year$2,000CurrentTaxYearAmt
Total$13,386TotalAmt
FieldValueIRS element (for citing)
Total Support$4,364,979TotalSupportAmt
Public Support CY1700.70430PublicSupportCY170Pct
Public Support PY1700.74080PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,869OtherCostOrOtherBasisAmt
Depreciation$21,692DepreciationAmt
Book Value$8,177BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,019OtherCostOrOtherBasisAmt
Depreciation$17,110DepreciationAmt
Book Value$20,909BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,086TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMON TABLE HEALTH ALLIANCEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16027 WALNUT GROVE ROAD STE 215AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38120ZIPCd
FieldValueIRS element (for citing)
Recipient EIN621820264RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$6,031CashGrantAmt
Purpose Of GrantHTC GRANTS AWARDED TO THE TOP PERFORMING COMMUNITIES TO SUPPORT LOCAL EFFORTS.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationONLY PARTICIPATING HEALTHIER TENNESSEE COMMUNITIES ARE ELIGIBLE FOR GRANT FUNDS FROM THE FOUNDATION. FOR CRITERIA-BASED GRANTS - COMMUNITIES WERE REQUIRED TO SUBMIT A "USE OF FUNDS" PLAN OUTLINING THEIR BUDGET, INTENDED PROJECT, AND EXPECTED OUTCOMES. FOR CURRENT PROJECT BASED GRANT OPPORTUNITIES - COMMUNITIES ARE REQUIRED TO SUBMIT A PROJECT PROPOSAL, BUDGET, AND EXPECTED OUTCOMES. ADDITIONALLY, THESE AWARDEES ARE REQUIRED TO SUBMIT A PROJECT SUMMARY/OUTCOMES REPORT WITHIN ONE-YEAR OF RECEIVING THE FUNDING. IN ADDITION TO THE FORMAL DOCUMENTATION REQUIRED WITH THE GRANT OPPORTUNITIES, ALL FUNDED PROJECTS ARE MONITORED BY THE COMMUNITY'S ASSIGNED HEALTHIER TENNESSEE REGIONAL OR NEIGHBORHOOD DIRECTOR ON A MONTHLY BASIS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD JOHNSON
CEO$240,350$0$0$0$0$0$4,968$0$13,159$0$258,477$0$0$0
JOHN CHOBANIAN
VP OF OPERATIONS$153,744$0$0$0$0$0$4,769$0$12,899$0$171,412$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE TAX RETURN IS PREPARED BY AN ACCOUNTING FIRM AND SUBMITTED TO SENIOR MANAGEMENT WITHIN THE ORGANIZATION FOR INTERNAL REVIEW. COPIES ARE THEN PROVIDED TO EACH BOARD MEMBER FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15BTHE BOARD OF DIRECTORS HAS FORMED A COMPENSATION COMMITTEE. THIS COMMITTEE EVALUATES THE CEO'S PERFORMANCE AND APPROVES ANY COMPENSATION CHANGES FOR ALL STAFF.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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