2019-03-28T08:30:58-05:00 2018-06-30 620713250 KRAFTCPAS PLLC 555 GREAT CIRCLE ROAD NASHVILLE TN 37228 990 2017-07-01 453635908 THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS GOVE 6156101880 511 UNION STREET NO 720 NASHVILLE TN 37219 ALFRED RICHARD JOHNSON CEO 6156101880 2019-03-27 1 FRANCES E LEAHY P00713593 6152427351 2019-03-26 207.86.221.194 2019-03-27 08:53:17 CD P 8956978200CA2D7F1C5DA5399CE61FC425DA87B2 EE7BB5FE320B8FB13B25121C5E937124580CA208 2017 2019-02-21 02:37:17Z ALFRED RICHARD JOHNSON 511 UNION STREET NO 720 NASHVILLE TN 37219 192999 0 X HEALTHIERTN.COM X 2011 TN TO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES. 11 10 14 0 0 2600 2135684 135826 0 0 18749 45060 0 11301 2154433 192187 108378 187500 0 0 1047887 1199074 0 0 14423 385548 324718 1541813 1711292 612620 -1519105 5746010 4266617 10395 51627 5735615 4214990 X THE MISSION OF THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS IS TO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES. 0 0 1263279 187500 10000 THE HEALTHIER TENNESSEE COMMUNITIES PROGRAM WAS LAUNCHED IN MARCH 2015 WITH NINE PILOT COMMUNITIES. AT THE END OF JUNE 2018, THERE WERE 104 COMMUNITIES ACROSS THE STATE THAT WERE PARTICIPATING. THE INITIATIVE IS GEARED TOWARDS CREATING HEALTHIER CITIES, TOWNS, COUNTIES, AND NEIGHBORHOODS AND CAMPUSES 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. THERE ARE TEN REGIONAL DIRECTORS WHO ARE RESPONSIBLE FOR RECRUITING AND SUPPORTING COMMUNITIES. THE 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. OTHER PROGRAM SERVICES INCLUDE GENERAL MARKETING, RESEARCH, AND ASSISTANCE GIVEN TO OTHER ORGANIZATIONS. 1263279 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 14 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 1 0 TN X THE ORGANIZATION 6156101880 511 UNION STREET NO 720 NASHVILLE TN 37219 AGENIA CLARK DIRECTOR 1.00 X 0 0 0 REGINALD COOPWOOD MD END 32018 DIRECTOR 1.00 X 0 0 0 BRYAN JORDAN DIRECTOR 1.00 X 0 0 0 LARRY MARTIN SECRETARY 1.00 X X 0 0 0 C WRIGHT PINSON MD BOARD CHAIRMAN 1.00 X X 0 0 0 PERRY STUCKEY DIRECTOR 1.00 X 0 0 0 JAMIE WOODSON END 62018 DIRECTOR 1.00 X 0 0 0 HEATHER J ROHAN DIRECTOR 1.00 X 0 0 0 DR KENNETH ROBINSON DIRECTOR 1.00 X 0 0 0 CRYSTAL WASHINGTON END 62018 DIRECTOR 1.00 X 0 0 0 ALFRED RICHARD JOHNSON CEO 40.00 X X 235600 0 18076 JOHN CHOBANIAN VP OF OPERATIONS 40.00 X 150856 0 17736 386456 0 35812 2 0 1 0 0 135826 135826 45087 45087 1301 0 1301 1301 1301 785 812 -27 -27 -27 ONE-TIME LEASE BUYOUT 531390 10000 10000 10000 192187 10000 0 46361 187500 187500 436500 214608 216637 5255 583040 573760 2334 6946 17361 16221 914 226 94418 80269 12968 1181 67755 52994 13946 815 74406 29762 44644 18034 18034 13948 13948 10789 835 9954 66393 66393 53263 45274 7989 1248 1248 10289 10289 10034 10034 HTC SUPPORT MATERIALS 17728 17728 RESEARCH, ANALYSIS, & R 15000 15000 DUES & SUBSCRIPTIONS 12076 12076 MEALS & ENTERTAINMENT 10225 3068 7157 11285 11064 221 1711292 1263279 433590 14423 283462 766843 3724442 2921922 1688478 531668 13394 13849 64772 40158 28657 24614 7577 7721 5746010 4266617 10395 51627 10395 51627 X 4088948 3634326 1646667 580664 5735615 4214990 5746010 4266617 -1519105 -1520 0 X 0 1 X 0 0 X 11592208 288000 1610446 2135684 153567 15779905 11592208 288000 1610446 2135684 153567 15779905 3995541 11784364 11035 13209 15849 27441 45087 112621 3750 3750 85 11301 11386 15907662 0.74080 X 29869 18619 11250 34903 21539 13364 24614 X 190694 -1520 -1520 192214 -27 -27 192187 1711319 27 27 1711292 0 1711292 PART X, LINE 2: THE FOUNDATION FOLLOWS FASB ASC GUIDANCE CONCERNING THE ACCOUNTING FOR INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A MINIMUM PROBABILITY THRESHOLD THAT A TAX POSITION MUST MEET BEFORE A FINANCIAL STATEMENT BENEFIT IS RECOGNIZED. THE MINIMUM THRESHOLD IS DEFINED AS A TAX POSITION THAT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION HAS NOT RECOGNIZED ANY TAX RELATED INTEREST AND PENALTIES IN THE ACCOMPANYING FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS RECLASSED -27. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS RECLASSED 27. 1 BARTLETT CHAMBER FOUNDATION 2969 ELMORE PARK ROAD BARTLETT TN 381348309 261993309 501(C)3 5000 GRANT TO FUND SEVERALT INITIATIVES SUCH AS MARATHON IN A MONTH AND NUTRITION CLASSES IN CONJUNCTION WITH HEALTHCHOICE (RENTAL SPACE AND INGREDIENTS). CAMPBELL COUNTY HEALTH COUNCIL PO BOX 149 JACKSBORO TN 37757 621688206 5000 HYDRATION STATIONS IN COUNTY SCHOOLS. CHEATHAM COUNTY 162 COUNTY SERVICES RD SUITE 200 ASHLAND CITY TN 37015 862846976 5000 FOR OUR WELLNESS TRACK AT THE CHEATHAM COUNTY HEALTH DEPARTMENT/LIBRARY; AND FOR INSURANCE FOR OUR BIKE EVENT. CITY OF JAMESTOWN POBOX 670 JAMESTOWN TN 38556 626007757 5000 TO RESURFACE THE CITY'S PARK BASKETBALL COURT. CLAIBORNE CO CHAMBER OF COMM 1732 MAIN STREET SUITE 1 TAZEWELL TN 37879 621165041 5000 BUY PROMOTIONAL MATERIALS, WATER BOTTLE REFILL STATIONS FOR A FEW SCHOOLS IN CLAIBORNE COUNTY TO KICK OFF OUR 'RETHINK YOUR DRINK' CAMPAIGN. CLAY COUNTY CHAMBER OF COMM 424 BROWN ST CELINA TN 38551 626000537 5000 STUDENT MEDIA SCHOLARSHIPS, WATER BOTTLE FILLING STATIONS, COMMUNITY EVENTS AND PROMOTION FAYETTE COUNTY GOVERNMENT 13095 NORTH MAIN STREET SOMERVILLE TN 38068 626000586 5000 FOR "YOUNG LUNGS AT PLAY" SIGNAGE AND BENCHES TO BE PUT IN THE PARK IN MOSCOW, TN. AND TO PROMOTE THE LOCAL FARMER'S MARKET. GRAINGER COUNTY HEALTH DEPT 771 RUTLEDGE PIKE BLAINE TN 37709 626000614 5000 FOR WATER REFILLING STATIONS IN THE HIGH SCHOOL, MIDDLE SCHOOL, ELEMENTARY SCHOOLS AND ONE IN THE COMMUNITY BUILDING. HANCOCK COUNTY PO BOX 267 SNEEDVILLE TN 37869 620985124 5000 INCREASE NUMBER/FREQUENCY OF COMMUNITY FITNESS PROGRAMS, EXPAND PHYSICAL ACTIVITY PROGRAMS IN SCHOOLS, IMPLEMENT PROGRAMS NUTRITION, EXPAND EMPLOYEE WELLNESS CHALLENGE. PROMOTE TOBACCO CESSATION. HAWKINS COUNTY HEALTH DEPT 201 PARK BOULEVARD ROGERSVILLE TN 37857 626016563 5000 SCHOOL WALKING TRAIL, COMMUNITY GARDEN, AND PROMOTION AND SUPPLIES HENRY COUNTY HEALTH DEPT 803 JOY ST PARIS TN 38242 626001445 5000 WATER REFILL STATIONS IN COUNTY ELEMENTARY SCHOOLS LAUGHLIN HEALTH CARE FDN 335 GRAPEVINE TRAIL GREENEVILLE TN 37745 582105493 501(C)3 5000 BUY WATER BOTTLE REFILL STATIONS FOR GREENE COUNTY SCHOOLS AND POSSIBLY $25 INCENTIVES TO ELEMENTARY TEACHERS FOR PROMOTING HEALTHY CHOICES IN THEIR CLASSROOMS. LAWRENCE COUNTY GOVERNMENT 202 DELLER STREET LAWRENCEBURG TN 38464 626000709 5000 ASSISTING THE CITY OF ETHRIDGE WITH OUTDOOR FITNESS EQUIPMENT FOR THEIR PARK REVITALIZATION PROJECT FOR ALEXANDER FIELD. LINCOLN COUNTY GOVERNMENT 112 MAIN AVENUE SOUTH ROOM B104 FAYETTEVILLE TN 37334 621451254 5000 FOR MARATHON IN A MONTH EVENT HELD IN LINCOLN COUNTY. FUNDS WILL GO TOWARDS SIGNAGE, INCENTIVES, T-SHIRTS, WATER, WATER BOTTLES, GRAND PRIZES, ETC. IF THERE IS A REMAINING BALANCE, ALL FUNDS WILL GO TOWARDS A COMMUNITY GARDEN FOR THE 2019 YEAR. PERRY COUNTY MEDICAL CTR PO BOX 916 LINDEN TN 37096 621027042 501(C)3 5000 CONTINUE PREMIUM GONOODLE IN ELEMENTARY SCHOOLS, PROMOTE SMOKE FREE INITIATIVE WITH PARK SIGNAGE PICKETT COUNTY GOVERNMENT 1 COURTHOUSE SQUARE SUITE 200 BYRDSTOWN TN 38549 620934254 5000 REFILLABLE WATER STATIONS AT THE TWO SCHOOLS IN THE PICKETT COUNTY SCHOOL SYSTEM. WILL PURCHASE REFILLABLE WATER BOTTLES FOR THE STUDENTS IN THE PICKETT COUNTY SCHOOL SYSTEM. ROANE COUNTY PO BOX 703 KINGSTON TN 37763 620900159 5000 INTERACTIVE EDUCATIONAL JOURNALISM, PROMOTIONAL PRODUCTS, PUBLIC RELATIONS REGARDING THE HEALTH OF OUR COMMUNITY SEQUATCHIE COUNTY PO BOX 595 DUNLAP TN 37327 626000826 5000 PLACE 1 RETROFIT WATER FOUNTAIN BETWEEN THE K-1ST HALLWAY. PROVIDE ALL K-1ST GRADE STUDENTS WITH NEW WATER BOTTLES. CONDUCT OPEN HOUSE EXHIBIT ON SUGAR DRINKS VS. WATER. HOST A PROMOTIONAL BREAKFAST KICK-OFF FOR BUSINESS OWNERS/MANAGERS SMITH COUNTY GOVERNMENT 122 TURNER HIGH CIRCLE CARTHAGE TN 37030 626000849 5000 REFILL WATER FOUNTAIN FOR ONE COUNTY SCHOOL. MILEAGE SIGN FOR LOCAL TRAILS, WATER FOUNTAIN FOR LOCAL WALKING/RUNNING TRACK. SPRING HILL PARKS & RECREATION PO BOX 789 SPRING HILL TN 37174 620692693 5000 INSTALL WATER BOTTLE REFILL STATIONS IN OUR PARKS, PLAN TO USE THE REMAINING MONEY ON PROMOTIONAL MATERIALS. STEWART CO HEALTHY SCHOOLS PO 367 110 NACTOR DRIVE DOVER TN 37058 813707911 5000 TO INSTALL BASKETBALL EQUIPMENT (POLES, RIMS, BACKBOARDS, ETC.) ON AN ALREADY ESTABLISHED COURT IN CUMBERLAND CITY THREE RIVERS HOSPITAL 451 HWY 13S WAVERLY TN 37185 261861676 501(C)3 5000 WATER BOTTLE REFILL STATIONS IN SCHOOLS TOWN OF ARLINGTON PO BOX 545 ARLINGTON TN 38002 621644959 5000 PRIZES FOR 1ST ANNUAL WALK ACROSS TN, HEALTHY RECIPE CARD DESIGN AND PRINTING, POSSIBLE WATER BOTTLE REFILL STATIONS IN SCHOOLS UNITED WAY OF ELIZABETHTON PO BOX 1715 ELIZABETHTON TN 37643 621104204 501(C)3 5000 SUPPORT YOUTH TOBACCO/SUBSTANCE ABUSE BOARD IN CONDUCTING A TOBACCO TAKE BACK DAY. PLACE STORY PLAQUES ALONG WALKING TRAILS FOR FAMILIES TO WALK AND READ PORTIONS OF STORIES ALONG THE WAY. LAUNCH FROM TWEETSIE TRAIL AND OTHER WALKING TRAILS USING THE HASHTAG #HEALTHYSELFIE TO PROMOTE LOCAL WALKING TRAILS VENUES; WATER BOTTLE REFILL STATIONS. INSTALL WATER BOTTLE STATIONS, PARTICULARLY AT HAMPTON HIGH SCHOOL. MARKETING & PROMOTION WARREN COUNTY 2548 MORRISON STREET MCMINNVILLE TN 37110 626000894 5000 PUT INDOOR BOTTLE REFILL STATIONS IN 5 OR MORE SCHOOLS IN WARREN COUNTY. ALSO PLAN TO USE $ FOR MARKETING. WAYNE COUNTY GOVERNMENT 100 COURT CIRCLE SUITE 300 WAYNESBORO TN 38485 626014122 5000 WATER BOTTLE REFILL STATIONS WHITE COUNTY SCHOOL HEALTH 136 BAKER STREET SPARTA TN 38583 626000911 5000 PURCHASE INDOOR WATER BOTTLE REFILL STATIONS. WILLIAMSON COUNTY HEALTH DEPT 1324 WEST MAIN STREET FRANKLIN TN 37064 626000913 501(C)3 5000 MONTHLY FAMILY NIGHTS FOCUSED ON GOOD NUTRITION AND REDUCING OBESITY AND PHYSICAL ACTIVITY, FOR COOKING CLASSES TO PROMOTE HEALTHY EATING, EXPLORING THE POSSIBILITY OF BUILDING A GAGA PIT TO INCREASE PHYSICAL ACTIVITY FOR THE COMMUNITY YMCA AT SCHILLING FARMS 1185 SCHILLING BLVD E COLLERVILLE TN 38017 620476304 501(C)3 5000 PURCHASE PROMO ITEMS WITH THE HEALTHIER COLLIERVILLE LOGO ON IT TO BE GIVEN AT VARIOUS EVENTS AS WELL AS OUR COUCH TO 5K INITIATIVE. FIRST CHRISTIAN CHURCH 401 W MAIN ST MOUNTAIN CITY TN 37683 100035883 501(C)3 7500 BRAND DEVELOPMENT SUCH AS PROMOTIONAL ITEMS AND INCENTIVES, EQUIPMENT FOR SUSTAINABLE PHYSICAL ACTIVITY AND COOKING PROGRAMS. SIGNAGE AND MAPS DIRECTING THE PUBLIC TO THE DOWNTOWN MILE+, TO THE GOOSE CREEK TRAIL AND RALPH STOUT PARK. UNITED WAY OF ROBERTSON CO 408 NORTH MAIN STREET SPRINGFIELD TN 37172 780052471 7500 SMALL STARTS STARTER KIT FOR WORKPLACES AND CHURCHES. MARKETING AND ADVERTISING. PURCHASING WATER STATIONS FOR WORKPLACES AND CHURCHES. 31 31 PART I, LINE 2: ONLY 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. X X X X X 0 0 0 0 0 0 0 0 0 ALFRED RICHARD JOHNSON CEO 235600 0 0 0 0 0 4871 0 13205 0 253676 0 0 0 JOHN CHOBANIAN VP OF OPERATIONS 150856 0 0 0 0 0 4676 0 13060 0 168592 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15B THE 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 18 THE 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.