2013-02-08T16:16:25-06:00 2012-06-30 621199757 LATTIMORE BLACK MORGAN & CAIN PC PO BOX 1869 BRENTWOOD TN 370241869 990 2011-07-01 043717044 WILLIAMSON MEDICAL CENTER FOUNDATIONINC WILL 6154355170 4321 CAROTHERS PKWY NO 200 FRANKLIN TN 37067 STEVE SMITH 6154355170 2013-02-06 1 BRIANA J MULLENAX P00897592 6153774600 2011 2016-02-25 16:41:14Z STEVE SMITH 4321 CAROTHERS PKWY SUITE 200 FRANKLIN TN 37067 248197 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. 20 18 0 0 0 0 169640 138908 0 0 23297 14961 12553 41839 205490 195708 102719 123751 0 0 0 0 0 0 0 9621 3889 112340 127640 93150 68068 732748 822756 0 0 732748 822756 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 95751 95751 PURCHASED FURNTIURE, EQUIPMENT, AND EDUCATIONAL RESOURCE MATERIALS TO BENEFIT WILLIAMSON MEDICAL CENTER. 28000 28000 PROVIDED SCHOLARSHIPS FOR STUDENTS ENROLLED IN HEALTHCARE FIELD. 123751 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 X 20 18 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 TN X X STEVE SMITH 6154355170 4321 CAROTHERS PARKWAY SUITE 200 FRANKLIN TN 37067 CYNTHIA HIMMELFARB 0.30 X 0 0 0 NANCY CONWAY 0.30 X 0 0 0 RUSSELL LITTLE 0.30 X 0 0 0 ANDY MILLER 0.30 X 0 0 0 CHARLES SARGENT 0.30 X 0 0 0 JUDY HAYES 0.30 X 0 0 0 SHANNON CURTIS 0.30 X 0 0 0 LARRY WESTBROOK 0.30 X 0 0 0 DARRYL EDMONDS 0.30 X 0 0 0 LARRY KING 0.30 X 0 0 0 NORMAN URMY 0.30 X 0 0 0 RALPH DRURY 0.30 X 0 0 0 BEVERLY SPEAKE 0.30 X 0 0 0 RICHARD HERRINGTON 0.30 X 0 0 0 DAVID WHITE 0.30 X 0 0 0 LARRY HOUGH 0.30 X 0 0 0 STARLING EVINS 0.30 X 0 0 0 C THOMAS NEILL 0.30 X 0 0 0 JERRY SHARBER 0.30 X 0 0 0 DENNIS MILLER 0.30 X 0 0 0 STEVE SMITH 0.30 X 0 133936 0 0 133936 0 0 0 0 0 0 138908 138908 14917 14917 44 0 44 44 44 94328 52489 41839 41839 195708 0 0 56800 95751 95751 28000 28000 BANK CHARGES 2843 2843 OTHER EXPENSES 996 996 SUPPLIES 50 50 127640 123751 3889 0 10347 4443 722401 818313 732748 822756 0 0 X 732748 822756 732748 822756 732748 822756 X 68068 21940 X 0 1 0 X 0 X X 0 0 0 WILLIAMSON MEDICAL CENTER 311702931 LINE 6 1 1 1 95751 1 95751 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 195708 127640 68068 21940 21940 90008 195958 250 250 195708 0 195708 127640 0 127640 0 127640 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION HAS NO MATERIAL UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GOLF TOURNAMENT 14123 14123 2766 SPORTING CLAYS 13584 13584 5520 2 66621 66621 44203 94328 94328 52489 52489 41839 1 WILLIAMSON MEDICAL CENTER 621501534 501(C)(3) 88250 CASH PURCHASE EQUIPMENT WILLIAMSON MEDICAL CENTER 621501534 501(C)(3) 7501 CASH REIMBURSE EDUCATION EXPENSES 1 1 FAY PORTER AWARD 27 28000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. FORM 990, PART VI, SECTION B, LINE 11 NONE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 21,940. WILLIAMSON MEDICAL CENTER 611501534 HOSPITAL TN 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WILLIAMSON MEDICAL CENTER B 95751 CASH