Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 566,170 | 553,735 | 748,136 | 294,849 | 1,112,391 | 3,275,281 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 566,170 | 553,735 | 748,136 | 294,849 | 1,112,391 | 3,275,281 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 3,275,281 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 566,170 | 553,735 | 748,136 | 294,849 | 1,112,391 | 3,275,281 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 303 | 294 | 96 | 22 | 113 | 828 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | 3,276,109 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF HEALTHY COMMUNITY COALITION (HCC) IS TO MEASURABLY IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN FRANKLIN COUNTY AND NEIGHBORING TOWNS, USING A COORDINATED APPROACH OF EDUCATION, HEALTH PROMOTION AND OUTREACH. HCC OFFERS HEALTH SCREENINGS, HEALTH EDUCATION, AND HEALTH PROMOTION TO SUPPORT HEALTHY LIFESTYLES THAT PREVENT DISEASE AND IMPROVE QUALITY OF LIFE FOR ALL COMMUNITY MEMBERS. |
| FORM 990 | FULL NAME OF ORGANIZATION IS "HEALTHY COMMUNITY COALITION," DOING BUSINESS AS "HEALTHY COMMUNITY COALITION OF GREATER FRANKLIN COUNTY." |
| FORM 990, PAGE 2, PART III, LINE 4A | (CONTINUED FROM 990, PART III, LINE 4A) SPRUCE MOUNTAIN HIGH SCHOOL FOR STUDENTS WHO HAVE VIOLATED THE SCHOOL'S SMOKING POLICY. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION: SNAP-ED NUTRITION EDUCATORS TAUGHT 53 CLASSES WITH 901 PARTICIPANTS AT HEAD START PROGRAMS, SCHOOLS, SENIOR HOUSING, HEALTH CENTERS, AND THE WIC OFFICE. CLASSES WERE FOCUSED ON NUTRITION AND PHYSICAL ACTIVITY TO INCLUDE THE ADDITIONAL TOPICS: MYPLATE GUIDELINES, LABEL READING, MEAL PLANNING, HEALTHY SNACK PREPARATION, COOKING, GROCERY SHOPPING ON A BUDGET, AND GROWING VEGETABLES IN A CONTAINER GARDEN. LET'S GO: THE COORDINATOR WORKED WITH 29 CHILD CENTRIC LET'S GO SITES TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY INCLUDING 9 CHILD CARE FACILITIES, 7 SCHOOLS, 6 OUT OF SCHOOL PROGRAMS AND 7 HEALTH CARE SITES. LET'S GO CHILD CARE SITES HAVE A REACH OF 123 CHILDREN, SCHOOLS HAVE A REACH OF 2,205 STUDENTS, OUT OF SCHOOL PROGRAMS HAVE A REACH OF 1,135 CHILDREN AND HEALTHCARE SITES HAVE A REACH OF 3,675 PATIENTS. IN THE SPRING OF 2015 NEARLY 3,000 IN MINI-GRANTS WAS DISTRIBUTED TO 17 LET'S GO SITES PRIMARILY FOR EQUIPMENT THAT PROMOTED PHYSICAL ACTIVITY AND MATERIALS THAT SUPPORTED HEALTHY MEALS, SNACKS OR CELEBRATIONS OR PROMOTED DRINKING WATER. IN THE FALL OF 2015 SEVEN CHILD CARE SITES, THREE HEALTHCARE SITES, THREE OUT OF SCHOOL SITES AND ONE SCHOOL RECEIVED RECOGNITION FROM LET'S GO FOR IMPLEMENTING ALL 5 EVIDENCE-BASED PRIORITY STRATEGIES. THE LET'S GO SCHOOL NUTRITION WORKGROUP MET REGULARLY TO ADDRESS HEALTHY SCHOOL MEALS AND INVOLVES SCHOOL NUTRITION DIRECTORS FROM ALL 5 SCHOOL DISTRICTS WITH A TOTAL REACH OF 4,822 STUDENTS. CAROL WHITE PEP GRANT: STAFF FROM HCC AND PARTICIPATING SCHOOLS HAVE IMPLEMENTED CURRICULUM CHANGES, STAFF TRAININGS, AND PHYSICAL FITNESS TESTING WITH STUDENTS THROUGHOUT THE THREE SCHOOL DISTRICTS THAT ARE PARTICIPATING IN THE GRANT. THERE HAS BEEN A POSITIVE AVERAGE INCREASE OF 13% FOR STUDENTS WHO ENGAGE IN 60 MINUTES OR MORE OF DAILY PHYSICAL ACTIVITY. A NEW SCHOOL WELLNESS TEAM HAS BEEN ENGAGED TO WORK ON IMPROVING SCHOOL WELLNESS POLICIES AS PER GRANT EXPECTATIONS. PHYSICAL EDUCATION EQUIPMENT (STRENGTH AND CARDIO, AND CANOES, KAYAKS AND PADDLEBOARDS) HAS BEEN PROVIDED FOR SCHOOLS AND COMMUNITY PARTNERS. HCC SPONSORED A SCHOOL FOOD SERVICE WORKSHOP DAY AT MT. BLUE RSD. THE WORKSHOP COVERED INTRODUCING NEW RECIPES AND COOKING TECHNIQUES FOR STAFF IN ADDITION TO HOW TO ADVERTISE TO YOUTH. AFTER SCHOOL AND SUMMER RECREATION PROGRAMS AS WELL AS ADVENTURE BASED COOPERATIVE LEARNING PROGRAMS TOOK PLACE THROUGHOUT THE SCHOOLS AND COMMUNITIES INVOLVED IN THIS GRANT. COMMUNITY EVENTS HAVE BEEN HELD TO INVOLVE FAMILIES IN PHYSICAL ACTIVITY AND NUTRITION EDUCATION OPPORTUNITIES SUCH AS FREE SKI NIGHTS, TASTE TESTING NIGHTS, SLEDDING DAYS, AND BOWLING NIGHTS. |
| FORM 990, PAGE 2, PART III, LINE 4B | (CONTINUED FROM 990, PART III, LINE 4B) HCC STAFF HAS PROVIDED EDUCATION AND FREE SCREENINGS TO OVER 600 INDIVIDUALS AT THE FOLLOWING EVENTS: -CHILDREN'S TASK FORCE -FARMINGTON HOME AND LEISURE SHOW -FARMINGTON HOMELESS SHELTER -FOUR FREE SKI NIGHTS THROUGH A MINI-GRANT FROM THE MAINE BUREAU OF HIGHWAY, HCC WAS ABLE TO REACH TEENAGE YOUTH THROUGHOUT FRANKLIN COUNTY TO DELIVER IMPORTANT DRIVING SAFETY MESSAGES AND OFFER SAFE DRIVER TEEN/PARENT DRIVING CONTRACTS. ONE TEXT OR CALL COULD WRECK IT ALL PROMOTION WAS PLACED IN HIGH SCHOOLS AND RAN AT THE NARROW GAUGE CINEMA BEFORE MOVIES. HCC RECEIVED A TOTAL OF 74 SIGNED SAFE DRIVER TEEN/PARENT DRIVING CONTRACTS AND POSITIVE FEEDBACK FROM OTHERS WHO TOOK A SAFE DRIVING CONTRACT TO REVIEW WITH THEIR FAMILY. DESPITE THE END OF THE GRANT, HCC IS STILL RECEIVING REQUESTS FROM THE COMMUNITY FOR SAFE DRIVING CONTRACTS. SUBSTANCE ABUSE PREVENTION HCC HAS BEEN DISSEMINATING INFORMATION ABOUT MARIJUANA, PRESCRIPTION DRUGS, TOBACCO, AND ALCOHOL THROUGH COMMUNITY PARTNERS AND IS PART OF THE STATE MARIJUANA WORKGROUP. THE GROUP CONTINUES TO WORK ON YOUTH MESSAGES IN ORDER TO DECREASE THE AMOUNT OF ADOLESCENT USE. THE FRANKTIPS PROGRAM HAS BEEN VERY SUCCESSFUL IN BUSTING A DRUG OPERATION. LOCAL LAW ENFORCEMENT CONTINUED THIS PROGRAM, BEYOND THE FUNDING PERIOD. 4 SUCCESSFUL RESPONSIBLE BEVERAGE SERVER TRAININGS WERE HELD - ONE OFF AND THREE ON PREMISE. ADS WERE SUBMITTED TO NARROW GAUGE CINEMA TO HELP EDUCATE THE COMMUNITY ABOUT ALCOHOLSCREENING.ORG, PRESCRIPTION DRUG ABUSE, AND MARIJUANA. EACH AD WAS PLAYED FOR AN ENTIRE MONTH. THE SUBSTANCE ABUSE PREVENTION COALITION, COMPRISED OF LOCAL LAW ENFORCEMENT, EDUCATORS, PARENTS, YOUTH AND COMMUNITY MEMBERS MET MONTHLY TO WORK ON VARIOUS YOUTH SUBSTANCE ABUSE INITIATIVES INCLUDING PARTY-BUSTER PATROLS AND PARENTS WHO HOST THE MOST CAMPAIGNS. |
| FORM 990, PAGE 2, PART III, LINE 4C | (CONTINUED FROM 990, PART III, LINE 4C) UNIT REACHING COMMUNITY MEMBERS THROUGHOUT THE COUNTY. THE MOBILE HEALTH UNIT STAFFED WITH RNS, NURSE PRACTITIONER, HEALTH EDUCATORS, AND MEDICAL PROVIDERS TRAVELED TO THE TOWNS OF RANGELEY, EUSTIS, KINGFIELD, PHILLIPS, FARMINGTON, STRONG, LIVERMORE FALLS, AND WILTON PROVIDING EDUCATION, FREE MEDICAL SCREENINGS AND 1:1 AND SMALL GROUP INSTRUCTION. A TOTAL OF 122 INDIVIDUALS RECEIVED A BODY COMPOSITION ANALYSIS. OVER 40 FLU VACCINES WERE PROVIDED. CANCER PREVENTION: OVER 1,000 INDIVIDUALS RECEIVED CANCER PREVENTION EDUCATION AND ASSISTANCE SCHEDULING PREVENTATIVE CARE APPOINTMENTS. THE MAIN FOCUS OF THIS PREVENTION EDUCATION WAS ON COLORECTAL, SKIN, BREAST, BLADDER AND LUNG CANCER. WORKSITE WELLNESS: HCC WORKED WITH FRANKLIN SAVINGS BANK, STRATTON LUMBER, RE-ENERGY, FRANKLIN CHRYSLER, THE PIERCE HOUSE, TRANSCANADA AND NORTHERN LIGHTS TO PROVIDE HEALTH SCREENINGS, VACCINATIONS, CPR/FIRST AID TRAINING, AND EDUCATION REACHING OVER 200 EMPLOYEES. WORK HEALTHY ANNUAL AWARD PROGRAM- TO HELP ASSIST EMPLOYERS WITH THEIR WORKSITE WELLNESS INITIATIVES IN CONJUNCTION WITH PROVIDING TECHNICAL ASSISTANCE ON CREATING AND REVISING WELLNESS, TOBACCO AND SUBSTANCE ABUSE POLICIES. THE 2015 WORK HEALTHY WORKSITE WELLNESS AWARDS WERE GIVEN TO FRANKLIN SAVINGS BANK, COMMUNITY CONCEPTS, WESTERN MAINE COMMUNITY ACTION, UNIVERSITY OF MAINE AT FARMINGTON, HEALTHQUEST AND LEAP. |
| FORM 990, PAGE 2, PART III, LINE 4D | TWO STAFF MEMBERS CERTIFIED AS NAVIGATORS TO ASSIST COMMUNITY MEMBERS WITH HEALTH INSURANCE MARKETPLACE ENROLLMENT PROVIDED EDUCATION TO OVER 300 INDIVIDUALS AND ENROLLMENT ASSISTANCE TO APPROXIMATELY 165 INDIVIDUALS THROUGHOUT FRANKLIN COUNTY. ADDITIONAL EDUCATION ABOUT THE HEALTH INSURANCE MARKETPLACE WAS PROVIDED THROUGH POSTS ON HEALTHBEAT RADIO SHOW, PUBLIC SERVICE ANNOUNCEMENTS, HEALTHBEAT TV SHOW ON LOCAL CABLE ACCESS, FACEBOOK AND THE FCHN AND HCC WEBSITES. |
| FORM 990, PAGE 6, PART VI, LINE 4 | THE PARENT ORGANIZATION FRANKLIN COMMUNITY HEALTH NETWORK (FCHN) (EIN 22- 3209406) AND IT'S SUBSIDIARIES, INCLUDING HEALTHY COMMUNITY COALITION (HCC), BECAME A MEMBER OF MAINEHEALTH (EIN 01-0431680) EFFECTIVE OCTOBER 1, 2014. THE HCC BY-LAWS HAVE BEEN AMENDED AND RESTATED TO REFLECT THIS CHANGE. |
| FORM 990, PAGE 6, PART VI, LINE 6 | FRANKLIN COMMUNITY HEALTH NETWORK (FCHN)(EIN: 22-3209406) IS THE SOLE CORPORATE MEMBER OF HEALTY COMMUNITY COALITION. MAINEHEALTH (EIN: 01- 0431680), AS THE SOLE MEMBER OF FCHN, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF FCHN AND IT'S SUBSIDIARIES. |
| FORM 990, PAGE 6, PART VI, LINE 7A | UPON THE OCCURRENCE OF A VACANCY ON THE BOARD OF DIRECTORS, THE SOLE MEMBER ELECTS DIRECTORS TO THE BOARD FROM AMONG THE NOMINEES SUBMITTED BY THE NOMINATIONS COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 7B | 1. TO APPROVE ALL AMENDMENTS AND RESTATEMENTS OF THE ARTICLES OF INCORPORATION AND BYLAWS, RECOMMENDED BY THE BOARD OF DIRECTORS; 2. TO ADOPT AMENDMENTS OF THE ARTICLES OF INCORPORATION AND THE BYLAWS TO EFFECT A TERMINATION OF THE MEMBERSHIP STATUS OF THE MEMBER; 3. TO APPROVE ANY MERGER OR CONSOLIDATION INVOLVING THE CORPORATION; 4. TO APPROVE THE DISSOLUTION OF THE CORPORATION; 5. TO APPROVE ANY SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; 6. TO APPROVE ANY MORTGAGE, LIEN, PLEDGE, OR SECURITY INTEREST IN ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; 7. TO ELECT OR REMOVE DIRECTORS; 8. TO APPROVE MAJOR FUNDRAISING ACTIVITY CONDUCTED BY THE CORPORATION; 9. TO DESIGNATE THE AUDITOR, CORPORATE COUNSEL AND REGISTERED AGENT FOR THE CORPORATION; 10. TO APPROVE THE STRATEGIC PLAN OF THE CORPORATION; 11. TO APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS RECOMMENDED BY THE BOARD OF DIRECTORS AND ANY MATERIAL DEPARTURE FROM THE ANNUAL BUDGETS SO APPROVED; 12. TO APPROVE THE SELECTION OR DISMISSAL OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER; 13. TO MAKE ANY ELECTIONS OR REVOCATIONS OF ELECTIONS UNDER SECION 501(H) OF THE INTERNAL REVENUE CODE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING THE TAX RETURN IN A FORM OF A PRESENTATION AND Q&A SESSION TO ADDRESS ANY QUESTIONS OR CONCERNS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ON AN ANNUAL BASIS BOARD MEMBERS AND OFFICERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT WHICH IS THEN REVIEWED BY THE COMPLIANCE COMMITTEE. THE COMPLIANCE COMMITTEE IS RESPONSIBLE FOR REGULARLY AND CONSISTENTLY MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ALL COMPENSATION IS DETERMINED VIA COMPENSATION SURVEYS AND COMPARABILITY DATA. EXECUTIVE COMPENSATION IS APPROVED BY THE ORGANIZATION'S HUMAN RESOURCE DEPARTMENT, THE BOARD CHAIRMAN AND THE CFO/CEO OF THE PARENT COMPANY, FRANKLIN COMMUNITY HEALTH NETWORK. |
| FORM 990, PAGE 6, PART VI, LINE 15B | ALL COMPENSATION IS DETERMINED VIA COMPENSATION SURVEYS AND COMPARABILITY DATA. EXECUTIVE COMPENSATION IS APPROVED BY THE ORGANIZATION'S HUMAN RESOURCE DEPARTMENT AND THE CEO OF THE PARENT COMPANY, FRANKLIN COMMUNITY HEALTH NETWORK. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | TRANSFER FROM AFFILIATE 90,000 |
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