2019-08-15T15:24:21-05:00 2018-09-30 540504608 BROWN EDWARDS & COMPANY LLP PO BOX 648 WYTHEVILLE VA 24382 990 2017-10-01 311650055 SMYTH COUNTY COMMUNITY FOUNDATION SMYT 2767812743 1 HEALTH WAY MARION VA VA 24354 BOB WATKINS CFO 2767812745 2019-08-15 1 JAMES C DUNN P00549077 2762283181 2019-08-15 X 206.248.228.130 2019-08-15 15:06:21 ED P D0156BD46B4B1FE921C9503B1D7FFBF99E37DBAB CE530EA759AC3AF6BB0EECEF8950573E07121913 2017 2019-02-21 02:37:17Z KEVIN VERNON 1 HEALTH WAY MARION VA VA 24354 5104048 0 X N/A X 1999 VA TO SUPPORT THE MISSION OF SMYTH COUNTY COMMUNITY HOSPITAL BY IDENTIFYING AND SUPPORTING QUALIFIED PROGRAMS AND PROJECTS THAT CONTRIBUTE TO THE IMPROVED PHYSICAL, MENTAL AND EMOTIONAL HEALTH STATUS OF THE CITIZENS OF SMYTH COUNTY AND THE SERVICE AREA OF THE HOSPITAL. 16 16 66 0 0 0 6499 26214 1324161 1315538 296080 340079 0 0 1626740 1681831 31935 134040 0 0 785565 794558 0 0 0 847087 825865 1664587 1754463 -37847 -72632 15952061 15843982 171478 166599 15780583 15677383 X TO SUPPORT THE MISSION OF SMYTH COUNTY COMMUNITY HOSPITAL BY IDENTIFYING AND SUPPORTING QUALIFIED PROGRAMS AND PROJECTS THAT CONTRIBUTE TO THE IMPROVED PHYSICAL, MENTAL AND EMOTIONAL HEALTH STATUS OF THE CITIZENS OF SMYTH COUNTY AND THE SERVICE AREA OF THE HOSPITAL. 0 0 1485313 134040 1315538 TO SUPPORT THE MISSION OF SMYTH COUNTY COMMUNITY HOSPITAL BY IDENTIFYING AND SUPPORTING QUALIFIED PROGRAMS AND PROJECTS THAT CONTRIBUTE TO THE IMPROVED PHYSICAL, MENTAL AND EMOTIONAL HEALTH STATUS OF THE CITIZENS OF SMYTH COUNTY AND THE SERVICE AREA OF THE HOSPITAL. 1485313 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 66 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X KEVIN VERNON 2767821199 1 HEALTH WAY MARION VA 24354 DAWN ARCHER DIRECTOR 0.30 X 0 0 0 PAUL HOLCOMBE TREASURER 1.00 X X 0 0 0 CHELSEA HAMMONDS DIRECTOR 0.30 X 0 0 0 AMY BLUE-SPIKER DIRECTOR 0.30 X 0 0 0 ANDY BLEVINS DIRECTOR 0.30 X 0 0 0 SCOTT RICHARDS DIRECTOR 0.30 X 0 0 0 CHRISTOPHER SNODGRASS DIRECTOR 0.30 X 0 0 0 BRIAN THOMPSON DIRECTOR 0.30 X 0 0 0 BRIAN HAYNES DIRECTOR 0.30 X 0 0 0 AMANDA CURRIN SECRETARY 1.00 X X 0 0 0 LYNDA HELTON DIRECTOR 0.30 X 0 0 0 ERIC SACKNOFF DIRECTOR 0.30 X 0 0 0 JOHN GRAHAM CHAIRMAN 1.00 X X 0 0 0 MICHAEL ROBINSON VICE CHAIRMAN 1.00 X X 0 0 0 DARA WATSON DIRECTOR 0.30 X 0 0 0 ROBERT WATKINS EXECUTIVE DIRECTOR 40.00 X X 93027 0 0 93027 0 0 0 0 0 0 0 26214 26214 LIFETIME WELLNESS MEMBERSHIP FEES 713940 1197774 1197774 RENTAL INCOME FROM SCCH FOR PHYSI 532000 117764 117764 1315538 204475 204475 3557821 3422217 135604 135604 135604 1681831 1315538 0 340079 134040 134040 93027 93027 538657 498086 40571 99176 99176 63698 63698 3202 1601 1601 33950 33950 26301 26301 18149 18149 4268 4268 237941 237266 675 465 433 32 382 382 262826 85275 177551 50918 42748 8170 SUPPLIES 81973 81973 REPAIRS AND MAINTENANCE 54735 54735 OTHER EXPENSES 22576 19780 2796 BANK AND CREDIT CARD FE 21353 21353 6826 3022 3804 1754463 1485313 269150 0 36544 82695 87716 54595 3500000 2500000 13412 13643 83746 58600 10862382 7307573 3679270 3554809 7572176 8383910 912168 1128701 67029 67029 15952061 15843982 155263 151628 16215 14971 171478 166599 X 4455200 4079988 11325383 11597395 15780583 15677383 15952061 15843982 -72632 -30568 0 X 0 0 0 X X 1 SMYTH COUNTY COMMUNITY HOSPITAL 540794913 3 1 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 6: THE ORGANIZATION PROVIDED GRANTS TOTALING $134,040 TO THE MEL LEMAN FREE CLINIC AND RAM SMYTH COUNTY FOR THE PURHCASE OF MEDICAL EQUIPMENT AND SUPPLIES FOR USE IN PROVIDING MEDICAL SERVICES TO INDIVIDUALS IN SMYTH COUNTY. THEY ALSO PROVIDED A $9,814 GRANT FOR A NEW PLAYGROUD FOR SUGAR GROVE ELEMENTARY SCHOOL. PART IV, SECTION B, LINE 1: A MAJORITY OF THE BOARD OF DIRECTORS OF THE SMYTH COUNTY COMMUNITY FOUNDATION ARE ALSO ON THE BOARD OF TRUSTEES FOR SMYTH COUNTY COMMUNITY HOSPITAL. 125000 125000 5641781 2503483 3138298 2272214 2266711 5503 2823387 2537379 286008 3554809 REAL ESTATE FUND INVESTMENT 1127603 F INTEREST RECEIVABLE 1091 F MONEY MARKET ACCOUNT 7 F 1128701 1 MEL LEAMAN FREE CLINIC 601 RADIO HILL ROAD MARION VA 24354 541993876 501(C)(3) 59333 ASSIST ORGANIZATION IN PURCHASE OF DENTAL EQUIPMENT FOR USE IN PROVIDING SERVICES TO PATIENTS RAM SMYTH COUNTY 601 RADIO HILL ROAD MARION VA 24354 473636199 501(C)(3) 11750 ASSIST ORGANIZATION IN PURCHASE OF MEDICAL SUPPLIES FOR USE IN PROVIDING SERVICES TO PATIENTS SMYTH COUNTY SCHOOL BOARD 121 BAGLEY CIRLCE MARION VA 24354 546001611 501(C)(3) 28143 ASSIST ORGANIZATION IN PURCHASE OF DENTAL EQUIPMENT FOR USE IN PROVIDING SERVICES TO PATIENTS SMYTH COUNTY HOSPITAL HEALTH T PO BOX 880 MARION VA 24354 581418862 501(C)(3) 25000 ASSIST ORGANIZATION IN PURCHASE OF MEDICAL SUPPLIES FOR USE IN PROVIDING SERVICES TO PATIENTS SUGAR GROVE ELEMENTARY 242 TEAS RD SUGAR GROVE VA 24375 546001611 501(C)(3) 9814 ASSIST ORGANIZATION IN PURCHASE OF A NEW PLAYGROUND FOR STUDENTS PART I, LINE 2: GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS THROUGH AN APPLICATION PROCESS FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION'S FORM 990 WAS GIVEN TO MANAGEMENT WHO THEN PROVIDED IT TO DEEMED MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL DIRECTORS ARE REQUIRED TO SIGN A CONFIDENTIALITY / COMPLIANCE DOCUMENT. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S FORM 990 WAS GIVEN TO MANAGEMENT WHO THEN PROVIDED IT TO DEEMED MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. LIFETIME WELLNESS CENTER LLC 1 HEALTH WAY MARION VA 24354 320185801 OPERATES WELLNESS CENTER VA 1315538 451967 SMYTH COUNTY COMMUNITY FOUNDATION SMYTH COUNTY COMMUNITY HOSPITAL 565 RADIO HILL ROAD MARION VA 24354 540794913 PROVIDES MEDICAL SERVICES VA PROVIDES MEDICAL SER MOUNTAIN STATES HEALTH ALLIANCE LLC 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 SMYTH COUNTY COMMUNITY HOSPITAL J 117264 SIGNED LEASE AGREEMENT