COMMUNITY HEALTH CHARITIES OF TENNESSEE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CHARITIES OF TENNESSEE (EIN 23-7456385)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-01-12
- IRS object ID
- 201510129349301281
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-01-12T14:18:34-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 620713250 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRAFTCPAS PLLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 GREAT CIRCLE ROAD | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37228 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237456385 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CHARITIES OF TENNESSEE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 6159153750 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 ATHENS WAY NO 480 | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37228 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HAROLD D SAMORIAN JR | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6159153750 | PhoneNum |
| Signature | 2015-01-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRANCES E LEAHY | PreparerPersonNm |
| PTIN | P00713593 | PTIN |
| Phone | 6152427351 | PhoneNum |
| Preparation | 2015-01-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HAROLD D SAMORIAN JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 ATHENS WAY NO 480 | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37228 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,258,909 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://TENNESSEE.HEALTHCHARITIES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | TO UNITE CARING DONORS IN THE WORKPLACE WITH OUR NATION'S MOST TRUSTED HEALTH CHARITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 4 | TotalEmployeeCnt |
| Total Volunteers | 51 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,609,618 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,246,282 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $933 | PYInvestmentIncomeAmt |
| CY Investment Income | $442 | CYInvestmentIncomeAmt |
| PY Other Revenue | $330 | PYOtherRevenueAmt |
| CY Other Revenue | $12,185 | CYOtherRevenueAmt |
| PY Total Revenue | $1,610,881 | PYTotalRevenueAmt |
| CY Total Revenue | $1,258,909 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,284,366 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,049,226 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $144,335 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $152,267 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $77,022 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $150,869 | PYOtherExpensesAmt |
| CY Other Expenses | $137,154 | CYOtherExpensesAmt |
| PY Total Expenses | $1,579,570 | PYTotalExpensesAmt |
| CY Total Expenses | $1,338,647 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $31,311 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$79,738 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,914,776 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,435,080 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,329,463 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $929,505 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $585,313 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $505,575 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UNITE CARING DONORS IN THE WORKPLACE WITH THE NATION'S MOST TRUSTED HEALTH CHARITIES. WE WORK ON BEHALF OF HEALTH CHARITIES AND EMPLOYERS TO PROVIDE INDIVIDUALS IN THE WORKPLACE OPPORTUNITIES TO VOLUNTEER, PARTICIPATE IN HEALTH AND WELLNESS PROGRAMS/SERVICES AND OPPORTUNITIES TO GIVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,241,669 | ExpenseAmt |
| Grant | $1,049,226 | GrantAmt |
| Desc | THE ORGANIZATION CONDUCTS COORDINATED FUNDRAISING CAMPAIGNS AMONG GOVERNMENT AND CORPORATE EMPLOYEES FOR THE BENEFIT OF MEMBER CHARITABLE ORGANIZATIONS ON A QUARTERLY BASIS. THE MEMBER AGENCIES' MISSION INCLUDE ACTIVITIES RELEVANT TO MEDICAL RESEARCH, PATIENT SERVICES AND EDUCATIONAL PROGRAMS. ALLOCATIONS ARE BASED ON DESIGNATIONS RECEIVED FROM THE DONOR. | Desc |
| Total Program Service Expenses | $1,241,669 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CHARITIES SACRAMENTO SERVICE CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9162851820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1331 GARDEN HWY | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95833 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| CHERYL CHUNN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| WALKER WILLSE | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RICH FORD | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LOUISE HARDAWAY | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PATRICK SPOLETINI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARC OVERLOCK | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SHERRY HAMMOND | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| HAROLD SAMORIAN | ||||||
| EXECUTIVE DIRECTOR | 10.00 | $24,000 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $24,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,246,282 | AllOtherContributionsAmt |
| Total Contributions | $1,246,282 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $442 | TotalRevenueColumnAmt |
| Exclusion | $442 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $12,185 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,185 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,185 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,258,909 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,185 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $442 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,049,226 | TotalAmt |
| Program Services | $1,049,226 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Program Services | $14,400 | ProgramServicesAmt |
| Management And General | $4,800 | ManagementAndGeneralAmt |
| Fundraising | $4,800 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,999 | TotalAmt |
| Program Services | $83,760 | ProgramServicesAmt |
| Management And General | $3,966 | ManagementAndGeneralAmt |
| Fundraising | $27,273 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,128 | TotalAmt |
| Program Services | $3,021 | ProgramServicesAmt |
| Management And General | $124 | ManagementAndGeneralAmt |
| Fundraising | $983 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,140 | TotalAmt |
| Program Services | $6,689 | ProgramServicesAmt |
| Management And General | $274 | ManagementAndGeneralAmt |
| Fundraising | $2,177 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,146 | TotalAmt |
| Program Services | $21,146 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,751 | TotalAmt |
| Program Services | $7,638 | ProgramServicesAmt |
| Management And General | $1,410 | ManagementAndGeneralAmt |
| Fundraising | $2,703 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,965 | TotalAmt |
| Program Services | $1,277 | ProgramServicesAmt |
| Management And General | $236 | ManagementAndGeneralAmt |
| Fundraising | $452 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,131 | TotalAmt |
| Program Services | $3,205 | ProgramServicesAmt |
| Management And General | $592 | ManagementAndGeneralAmt |
| Fundraising | $6,334 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,123 | TotalAmt |
| Program Services | $2,242 | ProgramServicesAmt |
| Management And General | $302 | ManagementAndGeneralAmt |
| Fundraising | $579 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,858 | TotalAmt |
| Program Services | $32,409 | ProgramServicesAmt |
| Management And General | $5,982 | ManagementAndGeneralAmt |
| Fundraising | $11,467 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,766 | TotalAmt |
| Program Services | $7,495 | ProgramServicesAmt |
| Management And General | $542 | ManagementAndGeneralAmt |
| Fundraising | $4,729 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $875 | TotalAmt |
| Program Services | $569 | ProgramServicesAmt |
| Management And General | $105 | ManagementAndGeneralAmt |
| Fundraising | $201 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,313 | TotalAmt |
| Program Services | $2,803 | ProgramServicesAmt |
| Management And General | $518 | ManagementAndGeneralAmt |
| Fundraising | $992 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CAMPAIGN EXPENSES | $11,582 | $0 | $0 | $11,582 |
| EQUIPMENT RENTAL | $6,220 | $4,043 | $746 | $1,431 |
| MISCELLANEOUS | $2,326 | $1,247 | $267 | $812 |
| COMPUTER TECHNOLOGY | $737 | $479 | $88 | $170 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361 | TotalAmt |
| Program Services | $20 | ProgramServicesAmt |
| Management And General | $4 | ManagementAndGeneralAmt |
| Fundraising | $337 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,338,647 | TotalAmt |
| Program Services | $1,241,669 | ProgramServicesAmt |
| Management And General | $19,956 | ManagementAndGeneralAmt |
| Fundraising | $77,022 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,300 | BOYAmt |
| EOY | $502,357 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,321,560 | BOYAmt |
| EOY | $922,599 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,410 | BOYAmt |
| EOY | $5,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,306 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,821 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,360 | BOYAmt |
| EOY | $1,485 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,146 | BOYAmt |
| EOY | $3,146 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,914,776 | BOYAmt |
| EOY | $1,435,080 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,847 | BOYAmt |
| EOY | $15,659 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,327,616 | BOYAmt |
| EOY | $913,846 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,329,463 | BOYAmt |
| EOY | $929,505 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,313 | BOYAmt |
| EOY | $505,575 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,313 | BOYAmt |
| EOY | $505,575 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,914,776 | BOYAmt |
| EOY | $1,435,080 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$79,738 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,797,125 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,608,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,762,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,609,618 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,246,282 | CurrentTaxYearAmt |
| Total | $8,024,630 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,797,125 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,608,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,762,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,609,618 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,246,282 | CurrentTaxYearAmt |
| Total | $8,024,630 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $8,024,630 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $780 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,599 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $933 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $442 | CurrentTaxYearAmt |
| Total | $4,089 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $659 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,185 | CurrentTaxYearAmt |
| Total | $14,262 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $8,042,981 | TotalSupportAmt |
| Public Support CY170 | 0.99770 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99920 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $31,306 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $29,821 | DepreciationAmt |
| Book Value | $1,485 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,485 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO CHARITIES | Desc |
| Amt | $913,846 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $913,846 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $281,683 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $281,683 | RevenueSubtotalAmt |
| Other Revenues Not Included | $977,226 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $977,226 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,258,909 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $361,421 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $361,421 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $977,226 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $977,226 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,338,647 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 ORGANIZATION'S INCOME TAX RETURN TO DETERMINE WHETHER 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 THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE WERE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATED TO UNCERTAIN INCOME TAX POSITIONS ON THE AGENCY'S BOOKS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | AMOUNTS RAISED FOR OTHERS |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AMOUNTS RAISED FOR OTHERS |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ALZHEIMER'S ASSOC TN MIDSOUTH CHAPTER NASHVILLE OFFICE | |||||||
| 4825 TROUSDALE DRIVE SUITE 220 | NASHVILLE | TN | 37220 | 621860364 | 501(C)3 | $12,917 | GENERAL OPERATING GRANT |
| ALZHEIMERS ASSOCIATION | |||||||
| 225 NORTH MICHIGAN AVE 17TH FLOOR | CHICAGO | IL | 60601 | 133039601 | 501(C)3 | $10,554 | GENERAL OPERATING GRANT |
| ALZHEIMER'S TENNESSEE INC | |||||||
| 5801 KINGSTON PIKE | KNOXVILLE | TN | 37919 | 621206312 | 501(C)3 | $5,564 | GENERAL OPERATING GRANT |
| AMERICAN CANCER SOCIETY TN MIDSOUTH DIVISION NASHVILLE AREA | |||||||
| 2000 CHARLOTTE AVENUE | NASHVILLE | TN | 37203 | 131788491 | 501(C)3 | $14,101 | GENERAL OPERATING GRANT |
| AMERICAN CANCER SOCIETY | |||||||
| 1315 EIGHTH AVENUE SOUTH | NASHVILLE | TN | 37203 | 131788491 | 501(C)3 | $30,617 | GENERAL OPERATING GRANT |
| AMERICAN DIABETES ASSOCIATION | |||||||
| 2480 WEST 26TH AVE SUITE 120B | DENVER | CO | 80211 | 131623888 | 501(C)3 | $8,563 | GENERAL OPERATING GRANT |
| AMERICAN DIABETES ASSOCIATION | |||||||
| 220 GREAT CIRCLE ROAD SUITE 134 | NASHVILLE | TN | 37228 | 131623888 | 501(C)3 | $18,453 | GENERAL OPERATING GRANT |
| AMERICAN HEART ASSOC TN NASHVILLE | |||||||
| 1818 PATTERSON STREET | NASHVILLE | TN | 37203 | 135613797 | 501(C)3 | $10,927 | GENERAL OPERATING GRANT |
| AMERICAN HEART ASSOCIATION | |||||||
| 1101 NORTHCHASE PARKWAY | MARIETTA | GA | 30067 | 135613797 | 501(C)3 | $18,846 | GENERAL OPERATING GRANT |
| CROHN'S & COLITIS FOUNDATION OF AMERICA TENNESSEE CHAPTER | |||||||
| 95 WHITE BRIDGE ROAD SUITE 209 | NASHVILLE | TN | 37205 | 136193105 | 501(C)3 | $6,021 | GENERAL OPERATING GRANT |
| CYSTIC FIBROSIS FOUNDATION TN CHAPTER NASHVILLE OFFICE | |||||||
| 4825 TROUSDALE DRIVE SUITE 230 | NASHVILLE | TN | 37220 | 620851705 | 501(C)3 | $7,408 | GENERAL OPERATING GRANT |
| JDRF INTERNATIONAL - MIDDLE TN CHAPTER | |||||||
| 105 WESTPARK DRIVE SUITE 415 | BRENTWOOD | TN | 37025 | 231907729 | 501(C)3 | $34,044 | GENERAL OPERATING GRANT |
| LEUKEMIA & LYMPHOMA SOCIETY TENNESSEE CHAPTER | |||||||
| 404 BNA DRIVE SUITE 102 | NASHVILLE | TN | 37217 | 135644916 | 501(C)3 | $6,333 | GENERAL OPERATING GRANT |
| LUPUS FOUNDATION OF AMERICA TENNESSEE MID-SOUTH CHAPTER | |||||||
| 4004 HILLSBORO ROAD SUITE 216-B | NASHVILLE | TN | 37215 | 621204893 | 501(C)3 | $8,216 | GENERAL OPERATING GRANT |
| MAKE-A-WISH FOUNDATION OF MIDDLE TENNESSEE | |||||||
| 8119 ISABELLA LANE SUITE 105A | BRENTWOOD | TN | 37027 | 621833327 | 501(C)3 | $6,997 | GENERAL OPERATING GRANT |
| MARCH OF DIMES FOUNDATION NASHVILLE | |||||||
| 1101 KERMIT DRIVE SUITE 201 | NASHVILLE | TN | 37217 | 131846366 | 501(C)3 | $6,442 | GENERAL OPERATING GRANT |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY MID SOUTH | |||||||
| 214 OVERLOOK CIRCLE SUITE 153 | BRENTWOOD | TN | 37027 | 620693217 | 501(C)3 | $8,693 | GENERAL OPERATING GRANT |
| SUSAN G KOMEN MEMPHIS MIDSOUTH AFFILIATE | |||||||
| 6025 WALNUT GROVE ROAD SUITE 503 | MEMPHIS | TN | 38120 | 752942859 | 501(C)3 | $12,468 | GENERAL OPERATING GRANT |
| SUSAN G KOMEN GREATER NASHVILLE CHAPTER | |||||||
| 4009 HILLSBORO ROAD SUITE 209 | NASHVILLE | TN | 37215 | 621671774 | 501(C)3 | $14,616 | GENERAL OPERATING GRANT |
| SUSAN G KOMEN | |||||||
| 5005 LBJ FWY SUITE 250 | DALLAS | TX | 75244 | 751835298 | 501(C)3 | $7,495 | GENERAL OPERATING GRANT |
| ST JUDE CHILDREN'S RESEARCH HOSPITAL TENNESSEE | |||||||
| 262 DANNY THOMAS PLACE | MEMPHIS | TN | 38105 | 351044585 | 501(C)3 | $450,122 | GENERAL OPERATING GRANT |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | IN OCTOBER OF 2012, THE BOARD ELECTED TO ENTER INTO A MANAGEMENT AGREEMENT WITH THE HOME OFFICE OF COMMUNITY HEALTH CHARITIES AND SUBSEQUENTLY COMMUNITY HEALTH CHARITIES OF VIRGINIA FOR HAROLD SAMORIAN TO SERVE AS EXECUTIVE DIRECTOR AT A MONTHLY RATE PLUS EXPENSES. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD AUDIT COMMITTEE PRIOR TO SUBMISSION OF THE RETURN TO THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS FURNISHED TO THE ENTIRE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST STATEMENT AND POLICY ARE REVIEWED AND SIGNED BY THE BOARD MEMBERS ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS OF DETERMINING THE COMPENSATION FOR THE PRESIDENT/EXECUTIVE DIRECTOR IS COMPLETED BY THE BOARD OF DIRECTORS. THE BOARD EVALUATES AND REVIEWS THE MARKET USING SURVEYS AND OTHER RESOURCES TO DETERMINE COMPENSATION FOR SIMILAR POSITIONS IN THE NON-PROFIT INDUSTRY. ALL OTHER EMPLOYEE COMPENSATION IS DETERMINED BY THE PRESIDENT/EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION PROVIDES THESE DOCUMENTS UPON WRITTEN OR IN-PERSON REQUESTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS, FORM 990S AND ANNUAL REPORTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST. ALL OTHER GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART VII, LINE 12: | THE EXECUTIVE DIRECTOR, HAROLD SAMORIAN, IS EMPLOYED BY COMMUNITY HEALTH CHARITIES - VIRGINIA. BOTH ORGANIZATIONS HAVE SIMILAR MISSIONS, BUT THERE IS NO OVERLAP OF BOARD MEMBERS OR OTHER OFFICERS. IT IS NOT DETERMINED TO BE RELATED TO COMMUNITY HEALTH CHARITIES - TENNESSEE AT THIS TIME. THE EXECUTIVE DIRECTOR'S TOTAL COMPENSATION IS DISCLOSED ON THE FORM 990, PART VII OF COMMUNITY HEALTH CHARITIES - VIRGINIA. THE AMOUNT THAT IS REIMBURSED THAT ENTITY FROM COMMUNITY HEALTH CHARITIES - TENNESSEE IS SHOWN ON THIS RETURN. |