2018-02-20T16:32:32-06:00 2017-06-30 620713250 KRAFTCPAS PLLC 555 GREAT CIRCLE ROAD NASHVILLE TN 37228 990 2016-07-01 453635908 THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS GOVE 6156101880 511 UNION STREET NO 720 NASHVILLE TN 37219 RICHARD JOHNSON PRESIDENT AND CEO 6156101880 2018-02-20 1 FRANCES E LEAHY P00713593 6152427351 2018-02-19 207.86.221.194 2018-02-20 14:35:26 CS P F861D0A0FB6A0BD4A646A7A57E346BAA24CB08EC FEF7EA5384E569CF9440904B7F4F35CEFEB20160 2016 2021-01-29 14:40:06Z RICHARD JOHNSON 511 UNION STREET NO 720 NASHVILLE TN 37219 2172160 0 X HEALTHIERTN.COM X 2011 TN TO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES. 10 9 10 0 0 0 1595446 2135684 15000 0 15849 18749 0 0 1626295 2154433 0 108378 0 0 1042797 1047887 0 0 13633 1001251 385548 2044048 1541813 -417753 612620 5132470 5746010 3068 10395 5129402 5735615 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 821050 106626 THE HEALTHIER TENNESSEE COMMUNITIES PROGRAM WAS LAUNCHED IN MARCH 2015 WITH NINE PILOT COMMUNITIES. AT THE END OF JUNE 2017, THERE WERE 97 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. THERE ARE SEVEN REGIONAL DIRECTORS WHO ARE RESPONSIBLE FOR RECRUITING AND SUPPORTING COMMUNITIES. 166864 876 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 75,000 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 1,500 WORKPLACES HAD ACCESSED ITS ON-LINE TOOLS FOR EMPLOYEE WELLNESS, AND MORE THAN 400 FAITH-BASED ORGANIZATIONS THAT HAD ACCESSED ITS TOOLS FOR WELLNESS PROGRAMS AT PLACES OF WORSHIP. 127887 876 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. 1115801 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 10 1 0 0 0 0 0 0 0 0 0 0 X 10 9 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 BILL CARPENTER END 12017 DIRECTOR 1.00 X 0 0 0 AGENIA CLARK DIRECTOR 1.00 X 0 0 0 REGINALD COOPWOOD MD DIRECTOR 1.00 X 0 0 0 STEVE CORBEIL END 52017 DIRECTOR 1.00 X 0 0 0 CYNTHIA GIBSON END 61317 DIRECTOR 1.00 X 0 0 0 ALFRED RICHARD JOHNSON CEO 40.00 X X 230567 0 18121 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 DIRECTOR 1.00 X 0 0 0 HEATHER J ROHAN DIRECTOR 1.00 X 0 0 0 DR ANDREA WILLIS END 62017 DIRECTOR 1.00 X 0 0 0 JOHN CHOBANIAN VP OF OPERATIONS 40.00 X 148064 0 15019 MOLLY SUDDERTH DIRECTOR OF COMMUNITY RELATIONS 40.00 X 103749 0 3162 482380 0 36302 3 0 1 0 REDPEPPER LLC 110 29TH AVE N SUITE 100 NASHVILLE TN 37203 MEDIA SERVICES 285782 1 1000000 1135684 2135684 27441 27441 9035 17727 -8692 -8692 -8692 2154433 0 0 18749 108378 108378 429849 268760 150728 10361 494996 455311 37749 1936 14099 12398 1588 113 47738 41116 6195 427 61205 48235 12174 796 84071 33628 50443 20878 20878 37731 37731 8074 883 7191 3519 3519 57381 57381 40149 34127 6022 8964 8964 10348 10348 HEALTHIER TN COMMUNITIE 33313 33313 RESEARCH, ANALYSIS & RE 30000 30000 DUES & SUBSCRIPTIONS 20672 20672 LEASED PARKING 11001 11001 19447 8402 11045 1541813 1115801 412379 13633 729633 283462 3190850 3724442 1138333 1688478 17878 13394 59605 30948 48640 28657 7136 7577 5132470 5746010 3068 10395 0 0 3068 10395 X 3991069 4088948 1138333 1646667 5129402 5735615 5132470 5746010 612620 -6407 0 X 0 1 X 0 0 X 1450000 11592208 288000 1610446 2135684 17076338 1450000 11592208 288000 1610446 2135684 17076338 4835590 12240748 11035 13209 15849 27441 67534 150 85 235 17144107 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25163 13248 11915 34442 17700 16742 28657 X 2156718 -6407 -6407 2163125 -8692 -8692 2154433 1550505 8692 8692 1541813 0 1541813 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 -8,692. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS RECLASSED 8,692. 0 TROUSDALE CO HEALTH COUNCIL 541 EAST MAIN ST PO BOX 366 HARTSVILLE TN 37074 454855963 501(C)3 5000 TO ADD EXERCISE EQUIPMENT AND WATER BOTTLE REFILL STATION FOR THEIR COMMUNITY PARK. LAUDERDALE CO GOVERNMENT 100 COURT SQUARE RIPLEY TN 38063 626000705 5000 WATER BOTTLE REFILL STATIONS IN RICE PARK HEALTHIER CROSSVILLE 392 NORTH MAIN STREET CROSSVILLE TN 38555 626000277 5000 EQUIPMENT FOR SCHOOLS/ COMMUNITY HEALTH AND WELL BEING PURPOSES. CITY WIDE EVENTS SUCH AS A 5K (SUCH AS START UP FUNDING). CANNON COUNTY GOVERNMENT 200 W MAIN ST WOODBURY TN 37190 620695041 5000 SUPPORT 3 ONGOING PROJECTS THAT WILL AFFECT OVER 300 PEOPLE, SUCH AS CONTINUING WALKING CLUBS IN SCHOOLS. LAKE COUNTY COORDINATED SCHOOL 819 MCBRIDE STREET TIPTONVILLE TN 38079 626000704 5000 OUTDOOR EXERCISE STATIONS AND SIGNS FOR PARKS HOUSTON COUNTY LION'S CHARITY 5 E HURRICANE RD TENNESSEE RIDGE TN 37178 320061320 501(C)3 5000 WATER BOTTLE REFILL STATIONS AND MILEAGE MARKERS AT THE PARK. UNIVERSITY OF TN EXTENSION 703 INDUSTRIAL PARK RD SELMER TN 38375 626001636 5000 OUTDOOR WATER BOTTLE REFILL STATIONS IN VARIOUS PUBLIC SITES IN THE COMMUNITY. YMCA OF DICKSON COUNTY 225 HENSLEE DRIVE DICKSON TN 37055 471215122 501(C)3 5000 WATER BOTTLE REFILL STATIONS IN 5 LOCATIONS. (LIBRARY, HEALTH DEPARTMENT, SCHOOLS) VAN BUREN COUNTY 445 COLLEGE STREET SPENCER TN 38585 626000887 5000 HELP FUND OUR PROJECT OF BUILDING WALKING TRACKS AT 3 OF OUR COMMUNITY CENTERS SO THAT COMMUNITY MEMBERS HAVE MORE ACCESS TO AN ENVIRONMENT WHICH PROMOTES PHYSICAL ACTIVITY. BODENHAM COMMUNITY CLUB 390 CHICKEN CREEK ROAD PULASKI TN 38478 5000 ASSIST WITH CURRENT PROJECT TO DEVELOP A WALKING TRACK FOR THE BODENHAM COMMUNITY CENTER. ANDERSON CO GOVERNMENT 100 NORTH MAIN ST RM 203 CLINTON TN 37716 626000477 5000 PROMOTIONAL VIDEO FOR ACTIVEANDERSONTN THROUGH ANDY GARRETT. THE VIDEOS WILL BE DISTINCTLY RECOGNIZABLE AS ANDERSON COUNTY AND NOT GENERIC. KEY FEATURE WILL INCLUDE ALL FOCUS AREA INITIATIVES AND INTERVIEWS WITH COMMUNITY LEADERS. MORGAN COUNTY SCHOOLS 136 FLAT FORK ROAD WARTBURG TN 37887 626000772 5000 WATER BOTTLE REFILL STATIONS AT SCHOOL LOCATIONS WITH OPEN USE POLICIES. GRUNDY COUNTY GOVERNMENT C/O OFFICE OF COUNTY MAYOR 68 CUMBERLAND STREET PO BOX 177 ALTAMONT TN 37301 626000626 5000 TO PURCHASE AND INSTALL WATER FILLING STATIONS IN 5 SEPARATE LOCATIONS THROUGHOUT THE COUNTY, RANGING FROM WORKPLACES, PARKS, AND OFFICE BUILDINGS. DEKALB COUNTY GOVERNMENT 1 PUBLIC SQUARE ROOM 204 SMITHVILLE TN 37166 265003829 5000 FITNESS CHALLENGE - PROVIDING FREE FITNESS CLASSES FOR RESIDENTS TIPTON COUNTY GOVERNMENT TIPTON COUNTY COURTHOUSE PO BOX 686 COVINGTON TN 38019 626000874 5000 WATER BOTTLE REFILL STATIONS, BRAND AWARENESS EFFORTS AND OUTDOOR EXERCISE EQUIPMENT CITY OF PIKEVILLE 25 MUNICIPAL DRIVE PIKEVILLE TN 37367 620714825 5000 $3,000 SPENT ON BASKETBALL GOALS FOR COUNTY PARK. COUNTY PICKING UP COST OF RESURFACING THE BASKETBALL COURTS. $2,000 PROPOSED FOR MATCHING FUNDS FOR FUTURE GRANTS. MARSHALL COUNTY HEALTH DEPARTMENT 206 LEGION AVENUE LEWISBURG TN 37091 626000739 5000 PURCHASE OF WATER BOTTLE REFILL STATIONS FOR PUBLIC USE AND PURCHASE OF "HEALTHY" SNACK SAMPLES TO PROVIDE AT EVENTS. HAMBLEN COUNTY HEALTHY HAMBLEN 331 WEST MAIN STREET MORRISTOWN TN 37814 821413072 5000 WATER BOTTLE FILLER IN PUBLIC PARK AND SCHOOL SYSTEM/NUTRITION IN FARMERS MARKET/SET UP NON PROFIT STATUS/MARKETING HEALTHIER INITIATIVE. MONROE COUNTY HEALTH COUNCIL 615 WARREN ST MADISONVILLE TN 37354 582046314 501(C)3 5000 PROMOTING FARMER'S MARKETS AND POP UP MARKETS WITHIN MONROE COUNTY AND DOING ANOTHER MONROE ON THE MOVE FITNESS FITNESS EXPO IN THE SPRING OF 2018. WE WILL ALSO PROMOTE THE USAGE OF GO NOODLE IN MONROE COUNTY AND SWEETWATER CITY SCHOOLS. WE HAVE CREATED A "TRAVELING GYM BAG" FOR CHURCHES AND BUSINESSES TO UTILIZE AND ARE DEVELOPING RESOURCES THAT WILL BE AVAILABLE TO CHURCHES AND BUSINESSES IN MONROE COUNTY TO PROMOTE HEALTHY LIFE CHOICES INCLUDING THE DEVELOPMENT OF A 6 WEEK TOBACCO CESSATION COURSE. CITY OF COLLEGEDALE 4910 SWINYAR DRIVE PO BOX 1880 COLLEGEDALE TN 37315 620806474 5000 SMOKING CESSATION, SPONSORING COOKING & ACTIVITY EVENTS, AND PRINTING MATERIAL. JEFFERSON COUNTY HEALTH COUNCIL 931 INDUSTRIAL PARK RD DANDRIDGE TN 37725 201487777 501(C)3 5000 TO SUPPLY THE SENIOR PRODUCE PROGRAM AND MARKETING/PROMOTIONAL ITEMS LIKE A VIDEO FEATURING OUR HEALTHIER TN BUSINESSES AND PLACES OF WORSHIP. 21 SCHEDULE I, PART 1, LINE 2 DURING THE APPLICATION PROCESS, COMMUNITIES NEED TO DESCRIBE TO US HOW THEY PLAN TO UTILIZE THE FUNDS, HOW MANY PEOPLE THEIR PROJECT(S) WILL IMPACT, DURING WHAT TIME FRAME THEY PLAN TO SPEND THE FUNDS (ALL AT ONCE OR OVER A PERIOD OF TIME), AND WHO WILL OVERSEE THE GRANT. X X X X X 0 0 0 0 0 0 0 0 0 ALFRED RICHARD JOHNSON CEO 230567 0 0 0 0 0 4775 0 13346 0 248688 0 0 0 JOHN CHOBANIAN VP OF OPERATIONS 148064 0 0 0 0 0 4573 0 10446 0 163083 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.