WEST TENNESSEE HEALTHCARE FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WEST TENNESSEE HEALTHCARE FOUNDATION (EIN 58-1671241)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-07
IRS object ID
201223129349300212
Schema version
2011v1.2
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)
Timestamp2012-11-07T08:54:32-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER THOMPSON ARNOLD PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1227 OIL WELL RDAddressLine1
CityJACKSONCity
StateTNState
ZIP Code38305ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581671241EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WEST TN HEALTHCARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone7319842141Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1620 SKYLINE DRIVEAddressLine1
CityJACKSONCity
StateTNState
ZIP Code38301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANK MCMEENName
TitleDIRECTORTitle
Phone7319842141Phone
Date Signed2012-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACK M MATTHISName
Phone7314278571Phone
Date Prepared2012-11-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFRANK MCMEENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1620 SKYLINE DRIVEAddressLine1
CityJACKSONCity
StateTNState
ZIP Code38301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3822901GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionEDUCATION AND OUTREACH TO SUPPORT THE MINISTRY OF HEALTH AND HEALING THROUGHOUT WEST TENNESSEEActivityOrMissionDescription
Nbr Voting Members Governing Body30NbrVotingMembersGoverningBody
Nbr Independent Voting Members30NbrIndependentVotingMembers
Total Nbr Employees6TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3244347ContributionsGrantsPriorYear
Contributions Grants Current Year3402750ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2713207InvestmentIncomePriorYear
Investment Income Current Year172437InvestmentIncomeCurrentYear
Other Revenue Prior Year128063OtherRevenuePriorYear
Other Revenue Current Year186158OtherRevenueCurrentYear
Total Revenue Prior Year6085617TotalRevenuePriorYear
Total Revenue Current Year3761345TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2141056GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1646747GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year300183SalariesEtcPriorYear
Salaries Etc Current Year326706SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year142846OtherExpensePriorYear
Other Expenses Current Year164503OtherExpensesCurrentYear
Total Expenses Prior Year2584085TotalExpensesPriorYear
Total Expenses Current Year2137956TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3501532RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1623389RevenuesLessExpensesCY
Total Assets BOY19901221TotalAssetsBOY
Total Assets EOY21498199TotalAssetsEOY
Total Liabilities BOY974797TotalLiabilitiesBOY
Total Liabilities EOY948386TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18926424NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20549813NetAssetsOrFundBalancesEOY
Mission DescriptionEDUCATION AND OUTREACH TO SUPPORT THE MINISTRY OF HEALTH AND HEALING THROUGHOUT WEST TENNESSEEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1747398Expense
Grants1646747Grants
DescriptionFUNDS DISBURSED FOR HEALTHCARE AND EDUCATIONAL PURPOSES FOR THE NEEDY OF WEST TENNESSEEDescription
Total Program Service Expense1747398TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundstrueDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Taxable DistributionsfalseTaxableDistributions
Distribution To DonortrueDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members30NbrVotingGoverningBodyMembers
Number Independent Voting Members30NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKRIS BIRDINENamePerson
Telephone Number7319842140TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1708 WEST FORREST AVEAddressLine1
CityJACKSONCity
StateTNState
ZIP Code38301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
FRANK MCMEEN
DIRECTOR40.00XX100651011843
HARBERT ALEXANDER
VICE CHAIR1.00XX000
VICKI BURCH
BOARD MEMBER1.00XX000
ROBERT CALDWELL
CHAIR1.00XX000
PATSY CAMP
BOARD MEMBER1.00X000
GREG ALEXANDER
BOARD MEMBER1.00X000
THERESA BLEDSOE
BOARD MEMBER1.00X000
ROY HEATHERLY
SECRETARY1.00X000
CARL KIRKLAND
BOARD MEMBER1.00X000
JAKE MCINNIS
NOMINATIONS1.00X000
DANA CAREY
BOARD MEMBER1.00X000
SALLY RAINEY
BOARD MEMBER1.00X000
JAY SATTERFIELD
TREASURER1.00XX000
SAM HAMADY
BOARD MEMBER1.00X000
DANNY SMITH
HUMBOLDT CHA1.00X000
MARY JANE MCWHERTER
BOARD MEMBER1.00X000
BILL RICHARDSON
BOARD MEMBER1.00X000
MELVIN WRIGHT
BOARD MEMBER1.00X000
ROBERT WALDEN
ALLOCATIONS1.00X000
JIM OVERALL
BOARD MEMBER1.00X000
BOBBY ARNOLD
BOARD MEMBER1.00X000
BILL BUCKLEY
BOARD MEMBER1.00X000
SUSAN COX
BOARD MEMBER1.00X000
TIM CROSSETT
BOARD MEMBER1.00X000
BEN MARKS
CAMDEN CHAPT1.00X000
JERRY SMITH
BOARD MEMBER1.00X000
ASHLEY TEAGUE
BOARD MEMBER1.00X000
KATHY WATTS
BOARD MEMBER1.00X000
BILL WHITE
BOARD MEMBER1.00X000
DON YOUNG
BOLIVAR CHAP1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org100651TotalReportableCompFromOrg
Total Other Compensation11843TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants122236GovernmentGrants
All Other Contributions3280514AllOtherContributions
Noncash Contributions389119NoncashContributions
Total Contributions3402750TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column172437TotalRevenueColumn
Related Or Exempt Function Income172437RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events247714GrossIncomeFundraisingEvents
Fundraising Direct Expenses61556FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column186158TotalRevenueColumn
Exclusion$163,729ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3761345TotalRevenueColumn
Related Or Exempt Function Income172437RelatedOrExemptFunctionIncome
Exclusion$163,729ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1646747Total
Program Services1646747ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total100651Total
Program Services100651ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total188645Total
Management And General188645ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total37410Total
Management And General37410ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total363Total
Management And General363ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total72337Total
Management And General72337ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11716Total
Management And General11716ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4508Total
Management And General4508ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32322Total
Management And General32322ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
MISCELLANEOUS3900839008
DUES AND SUBSCRIPTIONS42494249

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2137956Total
Program Services1747398ProgramServices
Management And General390558ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1853622BOY
EOY901619EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY40707BOY
EOY24238EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1315748LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec141347LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1206724BOY
EOY1174401EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16800168BOY
EOY19397941EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19901221BOY
EOY21498199EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15000BOY
EOY1053EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY959797BOY
EOY947333EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY974797BOY
EOY948386EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3513376BOY
EOY3818681EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3829005BOY
EOY4176465EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11584043BOY
EOY12554667EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18926424BOY
EOY20549813EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19901221BOY
EOY21498199EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1623389ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6158432CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2681226CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8374519CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3244347CurrentTaxYearMinus1Year
Current Tax Year3402750CurrentTaxYear
Total23861274Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6158432CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2681226CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8374519CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3244347CurrentTaxYearMinus1Year
Current Tax Year3402750CurrentTaxYear
Total23861274Total
FieldValueIRS element (for citing)
Public Support Total17023861274PublicSupportTotal170

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year127063CurrentTaxYearMinus1Year
Current Tax Year162729CurrentTaxYear
Total289792Total
FieldValueIRS element (for citing)
Total Support24151066TotalSupport
Gross Receipts From Admissions Etc208299GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98800PublicSupportPertcentage170
Public Support Pertcent Prior Year0.94810PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number DA Fs Held5NumberDAFsHeld
Number Funds Held420NumberFundsHeld
Contrib To Funds And Other Accounts3402750ContribToFundsAndOtherAccounts
Grants Paid From Donor Funds110897GrantsPaidFromDonorFunds
Grants Funds And Other Accounts1535850GrantsFundsAndOtherAccounts
Aggregate DAF Value102746AggregateDAFValue
Aggregate Fund Value19660259AggregateFundValue
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15413048BeginningOfYearBalance
Contributions2626184Contributions
Investment Earnings Or Losses290442InvestmentEarningsOrLosses
Other Expenditures1598541OtherExpenditures
End Of Year Balance16731133EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance12997974BeginningOfYearBalance
Contributions2317303Contributions
Investment Earnings Or Losses1609267InvestmentEarningsOrLosses
Other Expenditures1511496OtherExpenditures
End Of Year Balance15413048EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
End Of Year Balance12997974EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.75000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.25000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis400100OtherCostOrOtherBasis
Book Value400100BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis879648OtherCostOrOtherBasis
Depreciation115597Depreciation
Book Value764051BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis36000OtherCostOrOtherBasis
Depreciation25750Depreciation
Book Value10250BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1174401TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO JMCGH$736,000
ANNUITY GIFT LIABILITIES$128,313
AFFILIATE CLEARING$83,020
FieldValueIRS element (for citing)
Total Of Amounts947333TotalOfAmounts
Total Revenue3761345TotalRevenue
Total Expenses2137956TotalExpenses
Excess Or Deficit For Year1623389ExcessOrDeficitForYear
Excess Or Deficit Per FS1623389ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3822901TotRevenueEtcAuditedFinclStmt
Other Revenues61556OtherRevenues
Revenue Not Rptd F99061556RevenueNotRptdF990
Revenue Subtotal3761345RevenueSubtotal
Total Revenue Per Form9903761345TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2199512TotExpensesEtcAuditedFinclStmt
Other Expenses Included61556OtherExpensesIncluded
Expenses Not Rptd F99061556ExpensesNotRptdF990
Expenses Subtotal2137956ExpensesSubtotal
Total Expenses Per Form9902137956TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8FUNDRAISING EXPENSES REPORTED AS EXPENSE IN FINANCIALS 61,556 FUNDRAISING EXPENSES REPORTED AS EXPENSE IN FINANCIALS -61,556
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EXPENSES REPORTED AS EXPENSE IN FINANCIALS 61,556
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DFUNDRAISING EXPENSES REPORTED AS EXPENSE IN FINANCIALS 61,556

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesTNLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1173678GrossReceiptsEvent1
Gross Revenue Event1173678GrossRevenueEvent1
Non Cash Prizes Event11301NonCashPrizesEvent1
Rent Facility Costs Event112553RentFacilityCostsEvent1
Food And Beverage Event1886FoodAndBeverageEvent1
Entertainment Event115450EntertainmentEvent1
Other Direct Expenses Event113561OtherDirectExpensesEvent1
Name Of Event2STRIKES FOR TIKNameOfEvent2
Gross Receipts Event230894GrossReceiptsEvent2
Gross Revenue Event230894GrossRevenueEvent2
Non Cash Prizes Event2105NonCashPrizesEvent2
Rent Facility Costs Event2353RentFacilityCostsEvent2
Food And Beverage Event2250FoodAndBeverageEvent2
Other Direct Expenses Event22868OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events43142GrossReceiptsOtherEvents
Gross Revenue Other Events43142GrossRevenueOtherEvents
Food And Beverage Other Events560FoodAndBeverageOtherEvents
Other Direct Expenses Other Events13669OtherDirectExpensesOtherEvents
Gross Receipts Total247714GrossReceiptsTotal
Gross Revenue Total Events247714GrossRevenueTotalEvents
Non Cash Prizes Total Events1406NonCashPrizesTotalEvents
Rent Facility Costs Total Events12906RentFacilityCostsTotalEvents
Food And Beverage Total Events1696FoodAndBeverageTotalEvents
Entertainment Total Events15450EntertainmentTotalEvents
Other Direct Expenses Total Events30098OtherDirectExpensesTotalEvents
Direct Expense Summary Events61556DirectExpenseSummaryEvents
Net Income Summary186158NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (64 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ADOPTION FOSTER CARE & FAMILY
620 SKYLINE DRIVEJACKSONTN3830158167124135066CHARITABLE
ANTHONY MEEKS
620 SKYLINE DRIVEJACKSONTN38301581671241310016CHARITABLE
ANTI DRUG COALITION
620 SKYLINE DRIVEJACKSONTN383015816712413122000CHARITABLE
BALLARD MCCALLUM PROFESSORSHIP
620 SKYLINE DRIVEJACKSONTN38301581671241346543CHARITABLE
BREAST CANCER AWARENESS
620 SKYLINE DRIVEJACKSONTN38301581671241311703CHARITABLE
CAMO ANGELS OF WEST TN
620 SKYLINE DRIVEJACKSONTN38301581671241310688CHARITABLE
CAMP BLUEBIRD OPERATING
620 SKYLINE DRIVEJACKSONTN38301581671241338338CHARITABLE
CAMP WINGS CHILDRENS GRIEF CAMP
620 SKYLINE DRIVEJACKSONTN38301581671241312457CHARITABLE
CARL AND ALICE KIRKLAND
620 SKYLINE DRIVEJACKSONTN383015816712413115000CHARITABLE
CHYANNE SCOTT FUND
620 SKYLINE DRIVEJACKSONTN3830158167124137504CHARITABLE
CME
620 SKYLINE DRIVEJACKSONTN38301581671241335605CHARITABLE
CONFLICT RESOLUTION
620 SKYLINE DRIVEJACKSONTN3830158167124135230CHARITABLE
CROSSETT SPECIAL NEEDS
620 SKYLINE DRIVEJACKSONTN38301581671241320392CHARITABLE
DIABETIC CARE
620 SKYLINE DRIVEJACKSONTN3830158167124137709CHARITABLE
DR LAMB MYHR HUMAN RELATIONS
620 SKYLINE DRIVEJACKSONTN3830158167124136349CHARITABLE
DR LAMB MYHR INDIGENT FUND
620 SKYLINE DRIVEJACKSONTN3830158167124136444CHARITABLE
ENDOWMENT FOR CHILDREN
620 SKYLINE DRIVEJACKSONTN3830158167124136234CHARITABLE
EWOH CHARITABLE FUND
620 SKYLINE DRIVEJACKSONTN38301581671241319166CHARITABLE
FRIENDS OF MORGAN KELLEY
620 SKYLINE DRIVEJACKSONTN3830158167124136032CHARITABLE
GLORY TO GOD
620 SKYLINE DRIVEJACKSONTN38301581671241390505CHARITABLE
GREER CAMPAIGN
620 SKYLINE DRIVEJACKSONTN38301581671241326001CHARITABLE
HANDS UP
620 SKYLINE DRIVEJACKSONTN38301581671241317383CHARITABLE
HAYWOOD CO COLLEGE ACCESS
620 SKYLINE DRIVEJACKSONTN3830158167124135492CHARITABLE
HOSPICE
620 SKYLINE DRIVEJACKSONTN3830158167124135073CHARITABLE
INFECTIOUS DISEASE RESEARCH
620 SKYLINE DRIVEJACKSONTN38301581671241316656CHARITABLE
JACKSON GENERALS BASEBALL
620 SKYLINE DRIVEJACKSONTN38301581671241312200CHARITABLE
JACKSON CHORAL SOCIETY
620 SKYLINE DRIVEJACKSONTN38301581671241322361CHARITABLE
JEAN AND CURTIS GRAVES FOUNDATION
620 SKYLINE DRIVEJACKSONTN38301581671241333000CHARITABLE
JENNY FARMER MEMORIAL
620 SKYLINE DRIVEJACKSONTN3830158167124139990CHARITABLE
JEREMIAH FUND
620 SKYLINE DRIVEJACKSONTN38301581671241323249CHARITABLE
JHS ROBOTICS
620 SKYLINE DRIVEJACKSONTN38301581671241332861CHARITABLE
JMCGH PHARMACY
620 SKYLINE DRIVEJACKSONTN38301581671241331180CHARITABLE
KCC - ACS TRANS GRANT
620 SKYLINE DRIVEJACKSONTN3830158167124135811CHARITABLE
KCC MEDICAL ONCOLOGY RESEARCH
620 SKYLINE DRIVEJACKSONTN3830158167124136451CHARITABLE
KCC PATIENT NEEDS
620 SKYLINE DRIVEJACKSONTN3830158167124136492CHARITABLE
KCC SURVIVORSHIP CONFERENCE
620 SKYLINE DRIVEJACKSONTN3830158167124138432CHARITABLE
KCCD SPECIAL NEEDS
620 SKYLINE DRIVEJACKSONTN38301581671241341712CHARITABLE
KIRKLAND CANCER CENTER
620 SKYLINE DRIVEJACKSONTN3830158167124136841CHARITABLE
LIFELINE SUBSCRIBERS
620 SKYLINE DRIVEJACKSONTN38301581671241350203CHARITABLE
LULLABY LANE
620 SKYLINE DRIVEJACKSONTN38301581671241311074CHARITABLE
MAYCI'S MIRACLE FUND
620 SKYLINE DRIVEJACKSONTN3830158167124136500CHARITABLE
MCKINNEY MEMORIAL HOSPITAL
620 SKYLINE DRIVEJACKSONTN3830158167124135580CHARITABLE
MICAH FUND
620 SKYLINE DRIVEJACKSONTN3830158167124136500CHARITABLE
MIRACLES CHILD
620 SKYLINE DRIVEJACKSONTN3830158167124138841CHARITABLE
OUER RICHARD FUND
620 SKYLINE DRIVEJACKSONTN3830158167124139300CHARITABLE
PLAYTHINGS FOR PEDIATRICS
620 SKYLINE DRIVEJACKSONTN3830158167124137268CHARITABLE
REHABILITATION HUMANITARIAN
620 SKYLINE DRIVEJACKSONTN3830158167124137267CHARITABLE
RIFA
620 SKYLINE DRIVEJACKSONTN3830158167124136500CHARITABLE
ROTARY CHARIABLE
620 SKYLINE DRIVEJACKSONTN38301581671241321276CHARITABLE
ROTARY YOUTH TOWN
620 SKYLINE DRIVEJACKSONTN3830158167124138476CHARITABLE
SAM BOMAR MEMORIAL SCHOLARSHIP
620 SKYLINE DRIVEJACKSONTN3830158167124135250CHARITABLE
SHANNON SHACKELFORD MEMORIAL
620 SKYLINE DRIVEJACKSONTN3830158167124136268CHARITABLE
SPECIAL NEEDS ATHLETICS FOUNDATION
620 SKYLINE DRIVEJACKSONTN38301581671241322018CHARITABLE
TN DENTAL ASSOC FOUNDATION OPER
620 SKYLINE DRIVEJACKSONTN38301581671241315000CHARITABLE
TN HEART & VASCULAR CENTER
620 SKYLINE DRIVEJACKSONTN38301581671241312090CHARITABLE
TRAUMA CENTER
620 SKYLINE DRIVEJACKSONTN3830158167124137311CHARITABLE
UNDER 5000
620 SKYLINE DRIVEJACKSONTN383015816712413389497CHARITABLE
VILLAGE CHURCH HISTORICAL
620 SKYLINE DRIVEJACKSONTN3830158167124138070CHARITABLE
VOLUNTEER AUXILLARY
620 SKYLINE DRIVEJACKSONTN38301581671241321145CHARITABLE
WEST TN CENTER FOR CHILD DEVELOPMEN
620 SKYLINE DRIVEJACKSONTN38301581671241330814CHARITABLE
WEST TN HEALTHCARE SPONSORSHIP
620 SKYLINE DRIVEJACKSONTN38301581671241344900CHARITABLE
WEST TN REHAB CONT EDUCATION
620 SKYLINE DRIVEJACKSONTN3830158167124137785CHARITABLE
WHEELCHAIR BASKETBALL
620 SKYLINE DRIVEJACKSONTN3830158167124138289CHARITABLE
WOMEN'S HEALTH CONFERENCE
620 SKYLINE DRIVEJACKSONTN38301581671241320359CHARITABLE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants66TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationALL GRANT REQUESTS ARE REVIEWED BY THE FINANCIAL ASSISTANT PRIOR TO ISSUING CHECKS TO ENSURE THE USE MATCHED THE MISSION OF THE FUND. ALL GRANT REQUESTS ARE ALSO REVIEWED AND APPROVED BY THE FOUNDATION'S PRESIDENT BEFORE CHECKS ARE ISSUED.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F990389119NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE AND FINANCE COMMITTEE REVIEW THE 990 AND RECOMMEND IT FOR APPROVAL TO THE FULL BOARD OF DIRECTORS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE CONFLICT OF INTEREST FORMS ARE FORWARDED TO THE COMPLIANCE OFFICER OF THE HOSPITAL AND REVIEWED FOR ANY CONFLICTS, WHICH MUST THEN BE DISCLOSED TO OUR FULL BOARD FOR ACTION.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE FOUNDATION IS AN AFFILIATE OF THE JACKSON MADISON COUNTY GENERAL HOSPITAL; ALL COMPENSATION IS DETERMINED BY THE HOSPITAL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

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