2020-03-25T07:35:39-05:00 2019-06-30 620713250 KRAFTCPAS PLLC 555 GREAT CIRCLE ROAD NASHVILLE TN 37228 990 2018-07-01 581671241 WEST TN HEALTHCARE FOUNDATION INC WEST 7319842141 620 SKYLINE DRIVE JACKSON TN 38301 FRANK MCMEEN PRESIDENT 7319842141 2020-03-24 1 FRANCES E LEAHY P00713593 6152427351 2020-03-24 65.198.206.98 2020-03-24 16:37:25 CD P 81C9AF68B6AF83A353B2446691C8E08A150718FC EE7BB5FE320B8FB13B25121C5E937124580CA208 2018 2020-09-23 17:36:50Z FRANK MCMEEN 620 SKYLINE DRIVE JACKSON TN 38301 18880432 0 X WWW.WTH.ORG/FOUNDATION X 1985 TN EDUCATION AND OUTREACH TO SUPPORT THE MINISTRY OF HEALTH AND HEALING THROUGHOUT WEST TENNESSEE 24 24 0 100 0 -1290 6444617 9392790 0 0 2738940 1133107 709980 -68883 9893537 10457014 4385522 5073973 0 0 0 0 0 0 617320 2926911 2598958 7312433 7672931 2581104 2784083 39420666 41731984 759540 196437 38661126 41535547 COMPRISED MAINLY OF RESTRICTED ENDOWMENTS, THE FOUNDATION PROVIDES ENDOWMENT MANAGEMENT SERVICES TO OTHER NONPROFITS AS WELL AS MANAGES ENDOWMENTS THAT PROVIDE FOR MANY OF THE HEALTHCARE NEEDS OF WEST TENNESSEE HEALTHCARE AND OUR COMMUNITIES. 0 0 6665496 5073973 ANNUAL DISTRIBUTIONS OF INCOME PROVIDE A STEADY, BUDGET-ABLE INCOME STREAM FOR THE NONPROFIT CAUSES WHILE THE GROWTH OF THE ENDOWMENT PROVIDES FOR GROWING NEEDS OF THE NONPROFIT OR CAUSE. 6665496 1 1 0 0 0 1 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 73 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 24 24 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 TN X X STEPHANIE FOWLER 7319842140 620 SKYLINE DRIVE JACKSON TN 38301 FRANK MCMEEN PRESIDENT 40.00 X 0 133540 15020 STEPHANIE FOWLER CFO 40.00 X 0 74330 23504 MARY JANE MCWHERTER BOARD CHAIR 1.00 X X 0 0 0 BILL WHITE - START JULY 2018 VICE CHAIR 1.00 X X 0 0 0 JAY SATTERFIELD TREASURER 1.00 X X 0 0 0 GREG ALEXANDER SECRETARY 1.00 X X 0 0 0 JANE ALDERSON BOARD MEMBER 0.50 X 0 0 0 THERESIA BLEDSOE BOARD MEMBER 0.50 X 0 0 0 ROBERT CALDWELL BOARD MEMBER 0.50 X 0 0 0 JEB CAMPBELL BOARD MEMBER 0.50 X 0 0 0 TIM CROSSETT - START JULY 2018 BOARD MEMBER 0.50 X 0 0 0 VAL EXUM BOARD MEMBER 0.50 X 0 0 0 DONNA FRANKLAND BOARD MEMBER 0.50 X 0 0 0 LOGAN HAMPTON BOARD MEMBER 0.50 X 0 0 0 YOUNG KIM BOARD MEMBER 0.50 X 0 0 0 CARL KIRKLAND - START JULY 2018 BOARD MEMBER 0.50 X 0 0 0 PAT MANN BOARD MEMBER 0.50 X 0 0 0 KELLI MCALISTER BOARD MEMBER 0.50 X 0 0 0 JAKE MCINNIS BOARD MEMBER 0.50 X 0 0 0 NANCY NANNEY - START JULY 2018 BOARD MEMBER 0.50 X 0 0 0 NATHAN PRIDE BOARD MEMBER 0.50 X 0 0 0 BRAD PRIESTER BOARD MEMBER 0.50 X 0 0 0 MOLLY RHENEY BOARD MEMBER 0.50 X 0 0 0 ROBERT WALDEN BOARD MEMBER 0.50 X 0 0 0 RAY WASHINGTON BOARD MEMBER 0.50 X 0 0 0 ARTHUR WOODS - START JULY 2018 BOARD MEMBER 0.50 X 0 0 0 0 207870 38524 0 0 0 0 0 248777 484644 8659369 2008671 9392790 985623 985623 8454263 8306779 147484 147484 147484 47756 248777 116639 -68883 -68883 10457014 0 0 1064224 4933091 4933091 140882 140882 14844 863 13981 25530 25530 221500 221500 682372 646746 33524 2102 14283 13783 500 1813 798 888 127 45602 45602 27067 11909 13263 1895 6757 3642 3115 CHARITABLE FUND EVENT E 550931 550931 SUPPLIES 426071 362823 9719 53529 PROGRAM EXPENSES 373081 373081 EDUCATION 96018 90415 5030 573 113089 41861 63065 8163 7672931 6665496 390115 617320 100 100 1431223 2132279 784850 1146046 21685 21705 1227000 359245 894822 867755 15944449 15549263 20343537 22014836 39420666 41731984 708076 119331 37731 51464 39375 759540 196437 X 11145434 10282978 27515692 31252569 38661126 41535547 39420666 41731984 X 2784083 65489 24849 X X 0 1 X 1 0 X 4488881 10644520 7516412 6444617 9392790 38487220 4488881 10644520 7516412 6444617 9392790 38487220 10273375 28213845 541162 546524 780947 920583 985623 3774839 28889 36924 19180 84993 100 1408 3088 738417 743013 43090065 0.65480 0.69400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32 3916452 2438045 3549075 1 1 27477314 185056 822309 1564703 26919976 29317718 425385 3654313 5920101 27477314 26767119 6849955 1578804 5878160 29317718 22602273 8974908 4810062 26767119 21723890 4351711 3473329 22602272 0.09140 0.90860 0 0 348000 348000 812000 302245 509755 36000 36000 0 31000 21000 10000 867755 GOVERNMENT SECURITIES 2071647 F FIXED INCOME COMPOSITE FUND 3171401 F EQUITY COMPOSITE FUND 3745392 F REAL RETURN COMPOSITE FUND 2595913 F LIQUID ALTERNATIVE FUND 3116478 F PARTNERSHIP INTERESTS 2694767 F PRIVATE EQUITY 1783391 F HEDGE FUNDS 2835847 F 22014836 ANNUITY GIFT LIABILITIES 39375 39375 X 10757884 65489 432032 1042 498563 10259321 221500 -23807 197693 10457014 7883463 432032 432032 7451431 221500 221500 7672931 PART V, LINE 4: THE FOUNDATION'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. A PORTION OF THESE FUNDS ARE APPROPRIATED FOR EXPENDITURE EACH YEAR IN ACCORDANCE WITH THE FOUNDATION'S SPENDING POLICY. PART X, LINE 2: MANAGEMENT PERFORMS AN EVALUATION OF ALL INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE LAND TRUST'S INCOME TAX RETURNS TO DETERMINE WHETHER THE INCOME TAX POSITIONS MEET A "MORE LIKELY THAN NOT" STANDARD OF BEING SUSTAINED UNDER EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL INCOME TAX POSITIONS TAKEN ON ALL OPEN INCOME TAX RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN ANNUITY VALUE 1,042. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT SPECIAL EVENT EXPENSES -23,807. SCHEDULE D PART V LINE 2 INVESTMENT EARNINGS FOR THE YEAR ENDING JUNE 30, 2018 INCLUDE $2,478,846 OF EARNINGS FROM PRIOR YEAR THAT WERE CLASSIFIED AS UNRESTRICTED FUNDS RATHER THAN AS ENDOWMENTS. THE JUNE 30, 2019 AUDITED FINANCIAL STATEMENTS INCLUDE A PRIOR PERIOD ADJUSTMENT TO CORRECTLY STATE THE BEGINNING BALANCE OF ENDOWMENT FUNDS AS OF JULY 1, 2018. ACTUAL INVESTMENT EARNINGS FOR THE YEAR ENDING JUNE 30, 2018 WERE $1,175,467. GALA 231483 194303 37180 3945 33743 25232 25020 SIMPLY SOUTHERN 34143 29618 4525 2700 6081 800 2907 2 30607 24856 5751 3013 225 56 12918 296233 248777 47456 3013 6870 39880 26032 40845 116640 -69184 0 ALL NATIONS CHURCH OF GOD 1340 N PARKWAY JACKSON TN 38305 621618734 501(C)3 29000 GENERAL SUPPORT ANDREW JACKSON FOUNDATION 4580 RACHELS LANE NASHVILLE TN 37076 620478087 501(C)3 25000 FOR 2019 ANNUAL FUND AREA RELIEF MINISTRIES 108 S CHURCH STREET JACKSON TN 38301 621142320 501(C)3 5600 GENERAL SUPPORT ASPELL RECOVERY CENTER PO BOX 2412 JACKSON TN 38301 581370560 501(C)3 15452 GENERAL SUPPORT ASSOCIATION FOR THE PRESERVATION OF TENNESSEE ANTIQUITIES 110 LEAKE AVE NASHVILLE TN 37205 620604627 501(C)3 541304 GENERAL SUPPORT BENTON COUNTY SCHOOL SYSTEM 197 BRIARWOOD AVENUE CAMDEN TN 38320 28000 FOR SCIENCE LABS AND COMPUTER LABS BOY SCOUNTS OF AMERICA 1995 HOLLYWOOD DR JACKSON TN 38305 620479368 501(C)3 6000 GENERAL SUPPORT BOYS & GIRLS CLUB OF JACKSON 832 LEXINGTON AVE JACKSON TN 38301 620784907 501(C)3 10381 GENERAL SUPPORT CALVARY BAPTIST CHURCH 119 OIL WELL ROAD JACKSON TN 38305 501(C)3 6500 GENERAL SUPPORT CARL PERKINS CENTER FOR THE PREVENTION OF CHILD ABUSE PO BOX 447 JACKSON TN 38302 621123112 501(C)3 40500 $17,500 FOR THE RESIDENTS OF BENTON COUNTY, $23,000 GENERAL SUPPORT CITY OF JACKSON 101 EAST MAIN ST SUITE 102 JACKSON TN 38301 50000 FOR THE ANIMAL CARE CENTER CITY OF MILAN PARKS AND RECREATION 701 ELLINGTON DR MILAN TN 38358 6295 FOR LIGHTING WARNING SYSTEM REPLACEMENT FOR MILAN CITY PARK COMPASSION INTERNATIONAL 12290 VOYAGER PKWY COLORADO SPRINGS CO 809970004 362423707 501(C)3 33288 GENERAL SUPPORT DISPENSARY OF HOPE 2700 BRICK CHURCH PIKE NASHVILLE TN 37207 501(C)3 20000 GENERAL SUPPORT DYERSBURG STATE COMMUNITY COLLEGE 1510 LAKE RD DYERSBURG TN 38024 11500 FOR STUDENT SCHOLARSHIPS FREED HARDEMAN UNIVERSITY DICKSON 855 HWY TN-46 DICKSON TN 37055 620518288 501(C)3 5500 GENERAL SUPPORT FIRST UNITED METHODIST CHURCH 200 S CHURCH ST JACKSON TN 38301 501(C)3 25500 $500 FOR MUSIC MINISTRY, $25,000 GENERAL SUPPORT FREED HARDEMAN UNIVERSITY 158 EAST MAIN ST HENDERSON TN 38340 620518288 501(C)3 8500 $500 FOR STUDENT SCHOLARSHIPS, $8,000 GENERAL SUPPORT GIRL SCOUTS HEART OF THE SOUTH PO BOX 240246 MEMPHIS TN 38124 620502197 501(C)3 13875 $875 FOR CAMP SCHOLARSHIPS, $13,000 FOR SCHOLARSHIPS GIRL SCOUTS OF MIDDLE TENNESSEE 4522 GRANNY WHITE PIKE NASHVILLE TN 37204 620589380 501(C)3 100000 $50,000 FOR CAMP SYCAMORE HILLS AQUATIC FACILITY, $50,000 GENERAL SUPPORT GOVERNORS BOOKS FROM BIRTH 312 ROSA L PARKS BLVD 27TH FLOOR NASHVILLE TN 37243 201115704 501(C)3 5711 FOR WEST TENNESSEE HEALTHCARE DELIVERED BABIES GRACE POINT CHURCH 1858 CAMPBELL STREET JACKSON TN 38305 501(C)3 57180 GENERAL SUPPORT HANDS UP INC 185 GREENFIELD DRIVE JACKSON TN 38305 454387989 501(C)3 41000 GENERAL SUPPORT HOSPITAL HOSPITALITY HOUSE OF NASHVILLE 214 REIDHURST AVENUE NASHVILLE TN 37203 620909363 501(C)3 1303600 $303,600 FOR OPERATING FUNDS FOR NEW BUILDING, $1,000,000 GENERAL SUPPORT IT IS WRITTEN PO BOX 6 CHATTANOOGA TN 37401 953667768 501(C)3 12000 FOR EYES FOR INDIA JACKSON CHAMBER P O BOX 1904 JACKSON TN 38302 020549530 501(C)3 17700 $6,000 FOR SCHOLARSHIP FUND, $10,000 FOR FORWARD JACKSON 2.0, $1,700 FOR LEADERSHIP JACKSON JACKSON CHRISTIAN SCHOOL 832 COUNTRY CLUB LN JACKSON TN 38305 620985812 501(C)3 11000 $10,000 FOR SCHOLARSHIPS, $1,000 GENERAL SUPPORT JACKSON-MADISON COUNTY GENERAL HOSPITAL 620 SKYLINE DRIVE JACKSON TN 38301 626010402 501(C)3 561894 $296,628.28 FOR AYERS CHILDREN'S MEDICAL CENTER, $7,804.31 FOR THE THERAPY & LEARNING CENTER, $8,977.51 FOR THE CARE OF INDIGENT PATIENTS, $197,883.92 FOR THE KIRKLAND CANCER CENTER. $50,600 GENERAL SUPPORT JACKSON MADISON COUNTY SPORTS HALL OF FAME 3989 CHRISTMASVILLE RD MEDINA TN 38355 621534416 501(C)3 7360 FOR STUDENT SCHOLARSHIPS JACKSON STATE COMMUNITY COLLEGE 2046 NORTH PARKWAY JACKSON TN 38301 621041983 501(C)3 10600 FOR STUDENT SCHOLARSHIPS JDRF 506 HALLE PARK DRIVE COLLIERVILLE TN 38017 231907729 501(C)3 25000 GENERAL SUPPORT LIBERTY CHURCH 200 FM 2025 CLEVELAND TX 77328 501(C)3 7908 GENERAL SUPPORT MAKE-A- WISH MID-SOUTH 1780 MORIAH WOODS BLVD STE 10 MEMPHIS TN 38117 621253153 501(C)3 50688 $35,000 FOR THE RESIDENTS OF BENTON COUNTY, $15,687.99 FOR THE RESIDENTS OF WEST TENNESSEE MILAN MUSTARD SEED 16 HUGHES LOOP MILAN TN 38358 621224019 501(C)3 15000 GENERAL SUPPORT MCMURRY UNIVERSITY 1 MCMURRY UNIVERSITY 938 ABILENE TX 79697 750855633 501(C)3 50000 GENERAL SUPPORT MISS TENNESSEE VOLUNTEER PAGEANT PO BOX 998 JACKSON TN 38302 313737 GENERAL SUPPORT NORTHSIDE UNITED METHODIST CHURCH 2571 N HIGHLAND AVE JACKSON TN 38305 501(C)3 35000 GENERAL SUPPORT PARSONSDECATUR CO HIGHER EDUCATION FOUNDATION PO BOX 217 PARSONS TN 38363 270456021 501(C)3 28800 FOR STUDENT SCHOLARSHIPS RIFA 133 AIRWAYS BLVD JACKSON TN 38301 591709875 501(C)3 9189 $1,689 FOR THE PACK THE BUS PROGRAM, $7,500 GENERAL SUPPORT SCARLET ROPE PO BOX 7937 JACKSON TN 38302 823942096 501(C)3 15212 GENERAL SUPPORT SKYLINE CHURCH OF CHRIST 1024 SKYLINE DR JACKSON TN 38301 501(C)3 32368 $1,000 FOR MISSIONS, $3,431.32 FOR FOOD AND MEDICATION FOR SIERRA LEONE, $500 FOR WELL PROJECT, $27,436.23 GENERAL SUPPORT ST MARY'S CATHOLIC CHURCH 1665 HWY 45 BYPASS JACKSON TN 38305 501(C)3 27140 $25,000 FOR NEW CEMETERY GATE, $640 FOR SEA CONTAINERS FOR HAITI, $1,500 GENERAL SUPPORT STAR CENTER 1119 OLD HUMBOLDT ROAD JACKSON TN 38305 621354152 501(C)3 8303 $5,000 FOR CHRISTMAS DISPLAY, $3,303.08 GENERAL SUPPORT TENNESSEE GOLF FOUNDATION 400 FRANKLIN RD FRANKLIN TN 37069 581893478 501(C)3 10379 FOR JACKSON JR. CENTER TENNESSEE HOMELESS SOLUTIONS 100 FEDERAL DRIVE JACKSON TN 38305 760826850 501(C)3 37500 FOR BENTON CO. COMMUNITY RESOURCE CENTER TENNESSEE STATE COLLABORATIVE ON REFORMING EDUCATION 1207 18TH AVE S NASHVILLE TN 37212 263670335 501(C)3 320000 $200,000 FOR EDUCATIONAL LEADERSHIP GRANT 8/1/18 - 6/30/19, $20,000 FOR PRIZE EVENT, $100,000 GENERAL SUPPORT TENNESSEE WILDLIFE RESOURCES FOUNDATION 5000 LINBAR DRIVE SUITE 275 NASHVILLE TN 37211 621806324 501(C)3 12500 GENERAL SUPPORT THE COMMUNITY FOUNDATION OF MIDDLE TENNESSEE 3833 CLEGHORN AVENUE NASHVILLE TN 37215 621471789 501(C)3 100000 FOR THE WOMEN'S FUND THE DREAM CENTER 1970 N HIGHLAND AVE SUITE E JACKSON TN 38305 202807836 501(C)3 6500 GENERAL SUPPORT THE JACKSON SYMPHONY ASSOCIATION 207 E LAFAYETTE STREET JACKSON TN 38301 620759052 501(C)3 63874 $4,543.87 FOR CLASSICAL ARTISTS, $808.21 FOR YOUTH SCHOLARSHIPS, $4,442 FOR INTERGRATIVE MEDICINE PROGRAM, $54,080 GENERAL SUPPORT THE SALVATION ARMY PO BOX 486 JACKSON TN 38302 501(C)3 10000 GENERAL SUPPORT THE UNIVERSITY OF MEMPHIS 115 WILDER TOWER MEMPHIS TN 38152 15200 FOR STUDENT SCHOLARSHIPS THE UNIVERSITY OF MEMPHIS FOUNDATION ANNUAL GIVING DEPARTMENT 238 PO BOX 1000 MEMPHIS TN 38101 626048540 501(C)3 106211 FOR NURSING SCHOLARSHIPS AT THE LAMBUTH CAMPUS THERAPY AND LEARNING CENTER 34 GARLAND DRIVE JACKSON TN 38305 205800973 501(C)3 51334 FOR EXPENSES RELATED TO THE HIPPOTHERAPY PROGRAM TN VETERANS CEMETERY PARKERS CROSSROADS SUPPORT COMMITTEE PO BOX 31 WILDERSVILLE TN 38388 824383304 501(C)3 25979 GENERAL SUPPORT UNION UNIVERSITY 1050 UNION UNIVERSITY DRIVE JACKSON TN 38305 620516509 501(C)3 9000 $4,000 FOR STUDENT SCHOLARSHIPS, $5,000 GENERAL SUPPORT UT MEMPHIS COLLEGE OF MEDICINE 62 SOUTH DUNLAP SUITE 400 MEMPHIS TN 38163 63897 FOR THE DIRECTORS POSITION FOR UT FAMILY PRACTICE CENTER WALNUT STREET CHURCH OF CHRIST 201 CENTER AVENUE DICKSON TN 37055 501(C)3 10000 GENERAL SUPPORT WEST CARROLL HOME RUN CLUB PO BOX 422 ATWOOD TN 38220 472127932 501(C)3 6725 TO UPGRADE BASEBALL DIAMONDS AT WEST CARROLL JUNIOR AND SENIOR SCHOOLS WOMEN OF HOPE CENTER PO BOX 94 MEDON TN 38356 271226306 501(C)3 7000 GENERAL SUPPORT YOUTH TOWN OF TENNESSEE INC 3641 YOUTH TOWN ROAD PINSON TN 38366 620674040 501(C)3 19384 GENERAL SUPPORT 54 7 ASSISTANCE WITH TUITION AT A SPECIAL NEEDS LIVING COMMUNITY - BADDOUR CENTER 1 10280 ASSISTANCE WITH ORAL CARE BEFORE CANCER TREATMENT AND DENTAL VOUCHERS FROM MISSION OF MERCY EVENT - HELPING HANDS OF MIDDLE & WEST TENNESSEE 400 35800 ASSISTANCE WITH SITTER COSTS FOR STROKE PATIENT - HOME INSTEAD SENIOR CARE 1 10778 ASSISTANCE WITH TUITION AND OTHER SCHOOL COSTS - JACKSON CHRISTIAN SCHOOL 3 16378 ASSISTANCE FOR UTILITY BILLS FOR CANCER PATIENTS AND EMPLOYEES OF WEST TENNESSEE HEALTHCARE - JACKSON ENERGY AUTHORITY 30 9173 ASSISTANCE WITH HOSPITAL CHARGES - JACKSON-MADISON COUNTY GENERAL HOSPITAL 15 6087 ASSISTANCE WITH PRESCRIPTION COST FOR INDIGENT PATIENTS - JACKSON-MADISON COUNTY GENERAL HOSPITAL PHARMACY 300 12535 ASSISTANCE WITH GROCERIES - KROGER STORE 165 19692 ASSISTANCE WITH GYM MEMBERSHIP DUES FOR NEEDY PATIENTS WITH A MEDICAL NEED - LIFT WELLNESS CENTER 180 8114 ASSISTANCE WITH ORAL CARE BEFORE CANCER TREATMENT - ORAL SURGERY ASSOCIATES 4 12045 FORM 990, SCHEDULE I, PART II ALL GRANT REQUESTS ARE REVIEWED BY A MEMBER OF THE FOUNDATION'S FINANCE TEAM PRIOR TO ISSUING CHECKS TO ENSURE THE USE MATCHES THE MISSION OF THE FUND. ALL GRANT REQUESTS ARE ALSO REVIEWED AND APPROVED BY THE FOUNDATION'S PRESIDENT BEFORE CHECKS ARE ISSUED. X 5461 THRIFT STORE VALUE X 5 1982633 SUBSEQUENT SELLING PRICE X DONATED SILENT AUCTION ITEMS 35 20577 AMOUNT RECEIVED AT A 0 0 0 PART I, COLUMN (B): COLUMN B LISTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE AND FINANCE COMMITTEE REVIEW THE FORM 990 AND RECOMMEND IT FOR APPROVAL TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST FORMS ARE FORWARDED TO THE COMPLIANCE OFFICER OF THE HOSPITAL AND REVIEWED FOR ANY CONFLICTS, WHICH MUST THEN BE DISCLOSED TO THE FULL BOARD FOR ACTION. FORM 990, PART VI, SECTION B, LINE 15A THE FOUNDATION IS AN AFFILIATE OF THE JACKSON MADISON COUNTY GENERAL HOSPITAL; ALL COMPENSATION IS DETERMINED BY THE HOSPITAL. THE HOSPITAL ALSO DONATED WAGES AND BENEFITS AS IN-KIND SERVICES, WHICH ARE ELIMINATED FOR PURPOSES OF THIS FORM 990 PER IRS INSTRUCTIONS. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN ANNUITY VALUE 1,042. DIRECT SPECIAL EVENT EXPENSES 23,807. FORM 990, PART XII, LINE 2C ORGANIZATION'S BOARD OF DIRECTORS OVERSEES THE PREPARATION OF THE AUDIT BY EXTERNAL ACCOUNTANTS. THE FOUNDATION CHARITABLE HOLDINGS LLC 620 SKYLINE DR JACKSON TN 38301 ACCEPT & SELL OR DISPOSE OF REAL ESTATE CONTRIBUTED TO THE FOUNDATION TN 100 WEST TN HEALTHCARE FOUNDATION INC