2016-02-12T09:48:21-06:00 2015-06-30 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2014-07-01 043717044 WILLIAMSON MEDICAL CENTER FOUNDATIONINC WILL 6154355170 4321 CAROTHERS PKWY NO 200 FRANKLIN TN 37067 STEVE SMITH EXECUTIVE DIRECTOR 6154355170 2016-02-11 1 JULIE BARTLETT P00742923 6153774600 2016-02-02 2014 2016-08-17 19:52:53Z STEVE SMITH 4321 CAROTHERS PKWY SUITE 200 FRANKLIN TN 37067 1799788 0 X WWW.WILLIAMSONMEDICALCENTER.ORG/WMCFOUNDATION X 2003 TN THE MISSION OF WILLIAMSON MEDICAL FOUNDATION INC. IS TO SERVE AS A CHARITABLE AND DEVELOPMENT ARM TO SUPPORT WILLIAMSON MEDICAL CENTER IN PROVIDING HEALTH CARE SERVICES. TO FUND CAPITAL PROJECTS AND HEALTH OUTREACH PROGRAMS OF WILLIAMSON MEDICAL CENTER, THE FOUNDATION SEEKS CHARITABLE GIFTS OF ALL TYPES, RESTRICTED AND UNRESTRICTED.DONATIONS TO WILLIAMSON MEDICAL FOUNDATION SUPPORT PROGRAMS AND SERVICES THAT FALL OUTSIDE THE NORMAL STRUCTURE OF HOSPITAL OPERATING EXPENDITURES.GIFTS MAY BE MADE TO HONOR OR MEMORIALIZE SOMEONE, ESTABLISH OR SUPPORT A PARTICULAR FUND, PURCHASE NEW EQUIPMENT OR EXPAND OR BUILD NEW AREAS.CONTRIBUTIONS MAY COME IN MANY FORMS, INCLUDING CASH, SECURITIES, REAL ESTATE, PERSONAL PROPERTY, LIFE INSURANCE, AND WILLS AND BEQUESTS. GIFTS MAY BE SMALL OR LARGE, ANONYMOUS OR RECOGNIZED, ONE-TIME OR PLANNED OVER TIME. 14 12 0 12 0 0 1006540 1413352 0 0 42622 36765 125628 57939 1174790 1508056 91085 192330 0 0 0 0 0 0 0 156661 144063 247746 336393 927044 1171663 1831243 2977200 0 0 1831243 2977200 X THE MISSION OF WILLIAMSON MEDICAL FOUNDATION INC. IS TO SERVE AS A CHARITABLE AND DEVELOPMENT ARM TO SUPPORT WILLIAMSON MEDICAL CENTER IN PROVIDING HEALTH CARE SERVICES. TO FUND CAPITAL PROJECTS AND HEALTH OUTREACH PROGRAMS OF WILLIAMSON MEDICAL CENTER, THE FOUNDATION SEEKS CHARITABLE GIFTS OF ALL TYPES, RESTRICTED AND UNRESTRICTED.DONATIONS TO WILLIAMSON MEDICAL FOUNDATION SUPPORT PROGRAMS AND SERVICES THAT FALL OUTSIDE THE NORMAL STRUCTURE OF HOSPITAL OPERATING EXPENDITURES.GIFTS MAY BE MADE TO HONOR OR MEMORIALIZE SOMEONE, ESTABLISH OR SUPPORT A PARTICULAR FUND, PURCHASE NEW EQUIPMENT OR EXPAND OR BUILD NEW AREAS.CONTRIBUTIONS MAY COME IN MANY FORMS, INCLUDING CASH, SECURITIES, REAL ESTATE, PERSONAL PROPERTY, LIFE INSURANCE, AND WILLS AND BEQUESTS. GIFTS MAY BE SMALL OR LARGE, ANONYMOUS OR RECOGNIZED, ONE-TIME OR PLANNED OVER TIME. 0 0 267763 169330 PURCHASED FURNTIURE, EQUIPMENT, AND EDUCATIONAL RESOURCE MATERIALS TO BENEFIT WILLIAMSON MEDICAL CENTER. 23000 23000 PROVIDED SCHOLARSHIPS FOR STUDENTS ENROLLED IN HEALTHCARE FIELD. 290763 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 14 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 TN X X STEVE SMITH 6154355170 4321 CAROTHERS PARKWAY SUITE 200 FRANKLIN TN 37067 STARLING EVINS CHAIRMAN 8.00 40.00 X X 0 339538 0 JAMEY PARKER VICE CHAIRMAN 0.30 X X 0 0 0 LARRY WESTBROOK TREASURER 0.30 X X 0 0 0 DON WEBB SECRETARY 0.30 40.00 X X 0 444945 0 JIM LACKEY DIRECTOR 0.30 X 0 0 0 CHARLES SARGENT DIRECTOR 0.30 X 0 0 0 DARRYL EDMONDS DIRECTOR 0.30 X 0 0 0 RALPH DRURY DIRECTOR 0.30 X 0 0 0 RICHARD HERRINGTON DIRECTOR 0.30 X 0 0 0 DAVID WHITE DIRECTOR 0.30 X 0 0 0 LARRY HOUGH DIRECTOR 0.30 X 0 0 0 MARY-KATE ANDERSON-BROWN DIRECTOR 0.30 X 0 0 0 PAM STEPHENS DIRECTOR 0.30 X 0 0 0 RUSSELL LITTLE DIRECTOR 0.30 X 0 0 0 0 784483 0 0 0 1 0 0 1413352 1413352 30505 30505 265009 258749 6260 6260 6260 90922 32983 57939 57939 1508056 0 0 94704 X 169330 169330 23000 23000 138944 98433 40511 BANK CHARGES 5119 5119 336393 290763 45630 0 7521 78850 199868 795206 880000 1353061 743854 750083 1831243 2977200 0 0 X 1831243 2977200 1831243 2977200 1831243 2977200 1171663 -25706 0 X 0 1 X 0 0 X X 1 WILLIAMSON MEDICAL CENTER 311702931 3 1 169330 0 1 169330 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 MUTUAL AND EXCHANGE TRADED FUNDS 750083 F 750083 X 1745935 -25706 263585 237879 1508056 0 1508056 599978 263585 263585 336393 0 336393 PART X, LINE 2: THE FOUNDATION IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE FOUNDATION HAS NO MATERIAL UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2015 AND 2014. THE FOUNDATION FILES U.S. FEDERAL INFORMATION TAX RETURNS WHICH ARE CURRENTLY OPEN TO AUDIT UNDER THE STATUTE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE FOR THE YEARS ENDED AFTER JUNE 30, 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY SALARIES FOR SERVICES 263,585. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY SALARIES FOR SERVICES 263,585. GOLF TOURNAMENT 59433 59433 26834 GALA 25000 25000 3610 2 6489 6489 2539 90922 90922 32983 32983 57939 1 WILLIAMSON MEDICAL CENTER 621501534 501(C)(3) 105652 CASH PURCHASE EQUIPMENT WILLIAMSON MEDICAL CENTER 621501534 501(C)(3) 63678 CASH REIMBURSE EDUCATION EXPENSES 1 1 FAY PORTER AWARD 23 23000 PART I, LINE 2: FUNDS ARE REQUESTED BY WILLIAMSON MEDICAL CENTER FOR A PARTICULAR PIECE OF EQUIPMENT OR EDUCATION RESOURCE. REQUESTS ARE APPROVED BY WILLIAMSON MEDICAL CENTER FOUNDATION. WILLIAMSON MEDICAL CENTER MATERIAL MANAGEMENT DIRECTOR PURCHASES THE EQUIPMENT AND THE EQUIPMENT IS PAID FOR BY WILLIAMSON MEDICAL CENTER. WILLIAMSON MEDICAL CENTER FOUNDATION IS THEN NOTIFIED THAT THE PURCHASE HAS BEEN MADE BY A COPY OF THE PURCHASE ORDER OR INVOICE. A CHECK IS ISSUED TO WILLIAMSON MEDICAL CENTER FOR THE AMOUNT OF THE EQUIPMENT BY WILLIAMSON MEDICAL CENTER FOUNDATION. 0 0 0 0 0 0 0 0 0 STARLING EVINS CHAIRMAN 0 339538 0 0 0 0 0 0 0 0 0 339538 0 0 DON WEBB SECRETARY 0 444945 0 0 0 0 0 0 0 0 0 444945 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO OF FOUNDING MEMBER WILL REVIEW FORM 990. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. THE 990 IS AVAILABLE ONLINE. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 98,433. MANAGEMENT AND GENERAL EXPENSES 40,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,944. WILLIAMSON MEDICAL CENTER 611501534 HOSPITAL TN 501(C)(3) LINE 3 WILLIAMSON COUNTY GOVERNMENT 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WILLIAMSON MEDICAL CENTER B 169330 CASH