2017-08-09T10:52:55-05:00 2016-09-30 540504608 BROWN EDWARDS & COMPANY LLP PO BOX 648 WYTHEVILLE VA 24382 990 2015-10-01 311650055 SMYTH COUNTY COMMUNITY FOUNDATION SMYT 2767821199 1 HEALTH WAY MARION VA VA 24354 BOB WATKINS EXECUTIVE DIRECTOR 2767812745 2017-08-01 1 JAMES C DUNN P00549077 2762283181 2017-07-25 X 2015 2021-01-29 14:40:06Z BOB WATKINS 1 HEALTH WAY MARION VA VA 24354 11922779 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 82 0 0 0 40 1500 1286002 1301629 400799 285916 0 0 1686841 1589045 7230 158795 0 0 695024 753811 0 0 0 846713 842527 1548967 1755133 137874 -166088 14812068 15501995 141441 91753 14670627 15410242 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 1496386 158795 1301629 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. 1496386 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 2 0 82 1 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 ROBERT SHULTS TREASURER 1.00 X X 0 0 0 PAUL HOLCOMBE DIRECTOR 0.30 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 RUTH RHEA COX DIRECTOR 0.30 X 0 0 0 JAMES MCDOWELL DIRECTOR 0.30 X 0 0 0 MARVIN CRAIG DIRECTOR 0.30 X 0 0 0 BRIAN HAYNES DIRECTOR 0.30 X 0 0 0 AMANDA CURRIN SECRETARY 0.30 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 0 0 0 ED STRINGER DIRECTOR 0.30 X 0 0 0 ROBERT WATKINS EXECUTIVE DIRECTOR 40.00 X X 88124 0 0 88124 0 0 0 0 0 0 0 1500 1500 LIFETIME WELLNESS MEMBERSHIP FEES 713940 1186669 1186669 RENTAL INCOME FROM SCCH FOR PHYSI 532000 114960 114960 1301629 207175 207175 10412475 10333734 78741 78741 78741 1589045 1301629 0 285916 158795 158795 88124 88124 537744 499277 38467 74999 74999 52944 52944 6000 3000 3000 26568 26568 25440 25040 400 34004 34004 3315 3315 242334 242334 1214 1214 259529 74412 185117 38186 37634 552 SUPPLIES 88180 88180 REPAIRS AND MAINTENANCE 62226 62226 OTHER EXPENSES 40560 36062 4498 BANK AND CREDIT CARD FE 13066 13066 1905 1760 145 1755133 1496386 258747 0 74822 64541 48697 68564 3500000 4500000 15390 15441 33378 79262 10383243 6796168 3463222 3587075 5411422 5309140 2198108 1810943 67029 67029 14812068 15501995 121593 78565 19848 13188 0 141441 91753 X 4268579 4496075 10402048 10914167 14670627 15410242 14812068 15501995 -166088 905703 0 X X 1 X 0 1 0 X X 1 SMYTH COUNTY COMMUNITY HOSPITAL 540794913 3 1 82600 0 1 82600 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 INCLUDING THE CHAIRMAN AND TREASURER. PART IV, SECTION A, LINE 6: THE ORGANIZATION PROVIDED GRANTS TOTALING $7,691 TO PROJECT CROSSROADS. PROJECTS CROSSROADS PROVIDED HOME REPAIR, EMERGENCY ASSISTANCE AND PRIMARY MEDICAL ASSISTANCE TO QUALIFYING INDIVIDUALS IN SMYTH COUNTY. THE ORGANIZATION PROVIDED GRANTS TOTALING $68,504 TO THE MEL LEAMAN FREE CLINIC AND RAM SMYTH COUNTY FOR THE PURCHASE OF MEDICAL EQUIPMENT AND SUPPLIES FOR USE IN PROVIDING MEDICAL SERVICES TO INDIVIDUALS IN SMYTH COUNTY. 125000 125000 5245916 2202292 3043624 2272214 2263678 8536 2740113 2330198 409915 3587075 REAL ESTATE FUND INVESTMENT 1024423 F INTEREST RECEIVABLE 2058 F MONEY MARKET ACCOUNT 733670 F INVESTMENT PROCEEDS RECEIVABLE 50792 F 1810943 1 PROJECT CROSSROADS INC 136 SNIDER BRANCH ROAD MARION VA 24354 541702770 501(C)(3) 7691 ASSIST PROJECT CROSSROADS IN CARRYING OUT ITS MISSION OF PROVIDING HOME REPAIR, EMERGENCY ASSISTANCE AND PRIMARY CARE MEDICAL ASSISTANCE TO QUALIFYING INDIVIDUALS IN SMYTH COUNTY SMYTH COUNTY COMMUNITY HOSPITAL 565 RADIO HILL ROAD MARION VA 24354 540794913 82600 ASSIST HOSPITAL WITH CAPITAL ASSET PURCHASE - SIGN MEL LEAMAN FREE CLINIC 601 RADIO HILL ROAD MARION VA 24354 541993876 501(C)(3) 49672 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) 18832 ASSIST ORGANIZATION IN PURCHSE OF MEDICAL SUPPLIES FOR USE IN PROVIDING SERVICES TO PATIENTS PART I, LINE 2: GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS THROUGH AN APPLICATION PROCESS FORM 990, PART VI, SECTION B, LINE 11 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. FORM 990; PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. LIFETIME WELLNESS CENTER LLC 1 HEALTH WAY MARION VA 24354 320185801 OPERATES WELLNESS CENTER VA 1301595 316765 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 114960 SIGNED LEASE AGREEMENT