2012-08-14T08:33:44-05:00 2011-09-30 HODGES JONES & MABRY PC PO BOX 648 WYTHEVILLE VA 24382 990 2010-10-01 311650055 SMYTH COUNTY COMMUNITY FOUNDATION SMYT 2767812743 1 HEALTH WAY MARION VA 24354 SUZANNE B JENNINGS 2767812745 2012-08-13 1 JAMES C DUNN 2762283181 2012-08-10 2010 2016-02-24 21:20:13Z SUZANNE B JENNINGS 1 HEALTH WAY MARION VA 24354 15303203 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 72 0 0 0 0 0 1313888 1311870 395547 357460 14172 428750 1723607 2098080 0 500000 0 0 706112 777788 0 0 0 1317539 1216982 2023651 2494770 -300044 -396690 23509677 15601689 3010558 2785956 20499119 12815733 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 1340097 1311870 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. 500000 TO ESTABLISH A PHYSICAL THERAPY PROGRAM AT EMORY & HENRY COLLEGE IN CONJUNCTION WITH SMYTH COUNTY COMMUNITY HOSPITAL AND MOUNTAIN STATES HEALTH ALLIANCE TO ADDRESS THE SHORTAGE OF PHYSICAL THERAPISTS AND RELATED SERVICES IN THE AREA. 1840097 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 0 1 8 0 72 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 1 1 1 1 0 0 0 0 0 X KEVIN VERNON 2767821199 1 HEALTH WAY MARION VA 24354 BOB SHULTS 1.00 X 0 0 0 GARY PEACOCK 0.50 X 0 0 0 ALLEN ABEL 0.30 X 0 0 0 SAM BURKETT 0.30 X 0 0 0 HERBERT CLAY 0.30 X 0 0 0 RUTH RHEA COX 0.30 X 0 0 0 JIM MCDOWELL 0.30 X 0 0 0 MARVIN CRAIG 0.30 X 0 0 0 JOANNE GROSECLOSE 0.30 X 0 0 0 KEITH HUNGATE 0.30 X 0 0 0 DAVID BEAR 0.50 X 0 0 0 JAMES PATTERSON 0.30 X 0 0 0 MARK GROSECLOSE 0.30 X 0 0 0 DANNY ROSE 0.30 X 0 0 0 ED STRINGER 0.50 X 0 0 0 SUZANNE JENNINGS 40.00 X 0 71191 0 0 71191 0 0 0 0 0 0 LIFETIME WELLNESS MEMB 713940 1202656 1202656 RENTAL INCOME FROM SCC 532000 109214 109214 1311870 202451 202451 12435 12435 12435 12435 13360132 13205123 155009 155009 155009 INSURANCE REIMBURSEMEN 713940 351370 351370 GAIN ON SALE OF BUILDI 713940 64945 64945 416315 2098080 1311870 0 786210 500000 500000 71191 71191 574339 574339 80382 80382 51876 51876 13311 13311 14000 9448 4552 20000 20000 38174 35201 2973 20762 20762 13122 13008 114 234318 227771 6547 4919 4852 67 141368 141368 498352 46125 452227 47497 40889 6608 OPERATING SUPPLIES 69792 69792 REPAIRS AND MAINTENANCE 53051 52851 200 OTHER EXPENSES 43580 40546 3034 MEALS 3172 3172 DUES AND SUBSCRIPTIONS 1564 1064 500 2494770 1840097 654673 0 93822 69593 16837 0 17491 21997 8464 17245 35700 29229 9666483 5474671 4761760 4191812 8904489 8116095 2877724 3080955 6793390 74763 23509677 15601689 126549 124429 400000 32086 23788 2851923 2237739 3010558 2785956 X 1158134 1123983 19340985 11691750 20499119 12815733 23509677 15601689 X -396690 -7286696 X 0 1 1 X 0 X X X 0 0 0 SMYTH COUNTY COMMUNITY HOSPITAL 540794913 HOSPITAL 1 0 1 0 1 0 125000 125000 7149447 3811538 3337909 2392036 1663133 728903 4191812 REAL ESTATE AND OTHER INVESTMENTS 3074381 F INTEREST RECEIVABLE 6491 F MONEY MARKET ACCOUNT 83 F 3080955 2098080 2494770 -396690 -573591 -6713105 -7286696 -7683386 1524489 -573591 -573591 2098080 0 2098080 2494770 0 2494770 0 2494770 1 EMORY & HENRY COLLEGE PO BOX 947 EMORY VA 24327 540505892 500000 TO ESTABLISH A PHYSICAL THERAPY PROGRAM AT EMORY & HENRY COLLEGE IN CONJUNCTION WITH SMYTH COUNTY COMMUNITY HOSPITAL AND MOUNTAIN STATES HEALTH ALLIANCE TO ADDRESS THE SHORTAGE OF PHYSICAL THERAPISTS AND RELATED SERVICES IN THE AREA. 1 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWED THE ORGANIZATION'S FORM 990 AND THEN PROVIDED IT TO THE FINANCE COMMITTEE 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 19 A COPY OF THE FORM 990 WAS PROVIDED TO MANAGEMENT FOR THEIR REVIEW. MANAGEMENT THEN PROVIDED IT TO THE FINANCE COMMITTEE FOR THEIR REVIEW. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -573,591. PRIOR PERIOD ADJUSTMENTS: -6,713,105. TOTAL TO FORM 990, PART XI, LINE 5: -7,286,696. LIFETIME WELLNESS CENTER LLC 1 HEALTH WAY MARION VA 24354 320185801 OPERATES WELLNESS CENTER VA 1310282 384497 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 1 0 0 0 0 0 0 0 0 0