2015-05-15T10:47:13-05:00 2014-09-30 541458296 HODGES JONES & MABRY PC 902 PRICES FORK ROAD STE 130 BLACKSBURG VA 24060 990 2013-10-01 311650055 SMYTH COUNTY COMMUNITY FOUNDATION SMYT 2767812743 1 HEALTH WAY MARION VA 24354 BOB WATKINS EXECUTIVE DIRECTOR 2767812745 2015-05-14 1 JAMES C DUNN P00549077 5404439955 2015-05-14 2013 2016-04-25 22:37:26Z BOB WATKINS 1 HEALTH WAY MARION VA 24354 4820991 0 X WWW.SMYTHFOUNDATION.COM 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 70 0 0 0 2314 14553 1228980 1260060 346045 612493 -594 0 1576745 1887106 200000 6028 0 0 743528 661879 0 0 0 915466 868734 1858994 1536641 -282249 350465 15665376 15621102 1134766 327419 14530610 15293683 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 1267528 6028 1260060 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. 1267528 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 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 70 1 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X KEVIN VERNON 2767821199 1 HEALTH WAY MARION VA 24354 BOB SHULTS TREASURER 1.00 X 0 0 0 GARY PEACOCK CHAIRMAN OF THE BOARD 0.50 X X 0 0 0 ALLEN ABEL 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 X 0 0 0 JOANNE GROSECLOSE DIRECTOR 0.30 X X 0 0 0 AMANDA CURRIN DIRECTOR 0.30 X 0 0 0 DAVID BEAR VICE-CHAIRMAN 0.50 X 0 0 0 JAMES PATTERSON DIRECTOR 0.30 X 0 0 0 JOHN GRAHAM DIRECTOR 0.30 X 0 0 0 MICHAEL ROBINSON DIRECTOR 0.30 X 0 0 0 ED STRINGER SECRETARY 0.50 X 0 0 0 ROBERT WATKINS EXECUTIVE DIRECTOR 40.00 X 77449 0 0 77449 0 0 0 0 0 0 0 14553 14553 LIFETIME WELLNESS MEMBERSHIP FEES 713940 1147402 1147402 RENTAL INCOME FROM SCCH FOR PHYSI 532000 112658 112658 1260060 204282 204282 3342096 2933885 408211 408211 408211 1887106 1260060 0 612493 6028 6028 77449 77449 470097 436547 33550 69721 69721 44612 44612 6985 6985 12426 8676 3750 21709 21709 35359 35359 47719 47719 5577 5565 12 264751 263939 812 2383 2383 34254 34254 220948 62741 158207 51018 43978 7040 SUPPLIES 74315 74315 EQUIPMENT RENTAL AND MA 45965 45965 OTHER EXPENSES 22674 22404 270 BANK AND CREDIT CARD FE 17275 17275 5376 2852 2524 1536641 1267528 269113 0 18515 13265 25742 43740 1500000 1500000 17633 12253 21119 31955 9828424 6314865 3666280 3513559 7465568 7550873 2882463 2888117 68056 67340 15665376 15621102 100088 119927 100000 0 27906 21278 906772 186214 1134766 327419 X 3586460 4260930 10944150 11032753 14530610 15293683 15665376 15621102 X 350465 412610 -2 X 0 1 X 1 0 X X X 0 0 0 SMYTH COUNTY COMMUNITY HOSPITAL 540794913 HOSPITAL 1 0 1 0 1 0 223285 223285 7051891 4205829 2846062 2553248 2109036 444212 3513559 REAL ESTATE AND OTHER INVESTMENTS 2883151 F INTEREST RECEIVABLE 4321 F MONEY MARKET ACCOUNT 645 F 2888117 2299716 412610 412610 1887106 0 1887106 1536643 2 2 1536641 0 1536641 PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 1 PROJECT CROSSROADS INC 136 SNIDER BRANCH ROAD MARION VA 24354 541702770 501(C)(3) 6000 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 1 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 ALL 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 ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. FORM 990, PART XI, LINE 9: ROUNDING -2. LIFETIME WELLNESS CENTER LLC 1 HEALTH WAY MARION VA 24354 320185801 OPERATES WELLNESS CENTER VA 1260060 330362 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 112658 SIGNED LEASE AGREEMENT