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SMYTH COUNTY CHARITABLE FUND: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SMYTH COUNTY CHARITABLE FUND (EIN 31-1650055)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-17
IRS object ID
202032309349302733
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-17T15:52:30-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 648AddressLine1Txt
CityWYTHEVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24382ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311650055EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSMYTBusinessNameControlTxt
Phone2767812743PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1Txt
CityMARION VACityNm
State AbbreviationVAStateAbbreviationCd
ZIP24354ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBOB WATKINSPersonNm
Person TitleCFOPersonTitleTxt
Phone2767812745PhoneNum
Signature2020-08-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES C DUNNPreparerPersonNm
PTINP00549077PTIN
Phone2762283181PhoneNum
Preparation2020-08-17PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.248.228.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-17IPDt
IP Tm15:34:09IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEBA07DE786458F522E6F178C39F95D3247B03D6AAtSubmissionCreationDeviceId
At Submission Filing Device Id6124439F003FFCE9F1D4ABC8E880D916175A924EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN VERNONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1Txt
CityMARION VACityNm
State AbbreviationVAStateAbbreviationCd
ZIP24354ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,152,207GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee64TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$26,214PYContributionsGrantsAmt
CY Contributions Grants$500CYContributionsGrantsAmt
PY Program Service Revenue$1,315,538PYProgramServiceRevenueAmt
CY Program Service Revenue$1,288,046CYProgramServiceRevenueAmt
PY Investment Income$340,079PYInvestmentIncomeAmt
CY Investment Income$503,165CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,681,831PYTotalRevenueAmt
CY Total Revenue$1,791,711CYTotalRevenueAmt
PY Grants And Similar Paid$134,040PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$38,554CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$794,558PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$811,321CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$825,865PYOtherExpensesAmt
CY Other Expenses$838,702CYOtherExpensesAmt
PY Total Expenses$1,754,463PYTotalExpensesAmt
CY Total Expenses$1,688,577CYTotalExpensesAmt
PY Revenues Less Expenses-$72,632PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$103,134CYRevenuesLessExpensesAmt
Total Assets BOY$15,843,982TotalAssetsBOYAmt
Total Assets EOY$15,835,333TotalAssetsEOYAmt
Total Liabilities BOY$166,599TotalLiabilitiesBOYAmt
Total Liabilities EOY$207,331TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,677,383NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,628,002NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,434,339ExpenseAmt
Grant$38,554GrantAmt
Revenue$1,288,046RevenueAmt
DescTO 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.Desc
Total Program Service Expenses$1,434,339TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee64EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEVIN VERNONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2767821199PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1Txt
CityMARIONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24354ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DAWN ARCHER
DIRECTOR0.30Yes (X)$0$0$0
PAUL HOLCOMBE
TREASURER1.00Yes (X)$0$0$0Yes (X)
CHELSEA HAMMONDS
DIRECTOR0.30Yes (X)$0$0$0
AMY BLUE-SPIKER
DIRECTOR0.30Yes (X)$0$0$0
SANDRA CATALAN
DIRECTOR0.30Yes (X)$0$0$0
SCOTT RICHARDS
DIRECTOR0.30Yes (X)$0$0$0
CHRISTOPHER SNODGRASS
DIRECTOR0.30Yes (X)$0$0$0
BRIAN THOMPSON
DIRECTOR0.30Yes (X)$0$0$0
BRIAN HAYNES
DIRECTOR0.30Yes (X)$0$0$0
AMANDA CURRIN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
LYNDA HELTON
DIRECTOR0.30Yes (X)$0$0$0
JOHN GRAHAM
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
MICHAEL ROBINSON
VICE CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
DARA WATSON
DIRECTOR0.30Yes (X)$0$0$0
ROBERT WATKINS
EXECUTIVE DIRECTOR40.00Yes (X)$95,616$0$0Yes (X)
MERRILL WARD
DIRECTOR0.30Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$95,616TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$500AllOtherContributionsAmt
Total Contributions$500TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LIFETIME WELLNESS MEMBERSHIP FEES713940$1,170,782$1,170,782
RENTAL INCOME FROM SCCH FOR PHYSI532000$117,264$117,264
FieldValueIRS element (for citing)
Total Program Service Revenue$1,288,046TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$254,464TotalRevenueColumnAmt
Exclusion$254,464ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,609,197SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,360,496SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$248,701SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$248,701TotalRevenueColumnAmt
Exclusion$248,701ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,791,711TotalRevenueColumnAmt
Related Or Exempt Func Income$1,288,046RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$503,165ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$38,554TotalAmt
Program Services$38,554ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$95,616TotalAmt
Program Services$95,616ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$548,588TotalAmt
Program Services$509,153ProgramServicesAmt
Management And General$39,435ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$116,624TotalAmt
Program Services$116,624ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$50,493TotalAmt
Program Services$50,493ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$469TotalAmt
Management And General$469ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,250TotalAmt
Program Services$3,625ProgramServicesAmt
Management And General$3,625ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$20,314TotalAmt
Management And General$20,314ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,216TotalAmt
Program Services$15,216ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,870TotalAmt
Program Services$2,870ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$225,769TotalAmt
Program Services$214,607ProgramServicesAmt
Management And General$11,162ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$239,103TotalAmt
Program Services$69,492ProgramServicesAmt
Management And General$169,611ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,180TotalAmt
Program Services$44,496ProgramServicesAmt
Management And General$6,684ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$104,424$104,424
REPAIRS AND MAINTENANCE$100,577$100,577
CONTRACT LABOR$28,567$28,567
BANK AND CREDIT CARD FE$18,387$18,097$290

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,576TotalAmt
Program Services$21,928ProgramServicesAmt
Management And General$2,648ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,688,577TotalAmt
Program Services$1,434,339ProgramServicesAmt
Management And General$254,238ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$82,695BOYAmt
EOY$243,912EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,595BOYAmt
EOY$72,972EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,500,000BOYAmt
EOY$1,500,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,643BOYAmt
EOY$10,858EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$58,600BOYAmt
EOY$28,305EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,283,589LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,546,675LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,554,809BOYAmt
EOY$3,736,914EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,383,910BOYAmt
EOY$8,506,961EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,128,701BOYAmt
EOY$1,668,382EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$67,029BOYAmt
EOY$67,029EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,843,982BOYAmt
EOY$15,835,333EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$151,628BOYAmt
EOY$195,073EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$14,971BOYAmt
EOY$12,258EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$166,599BOYAmt
EOY$207,331EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,079,988BOYAmt
EOY$4,256,670EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,597,395BOYAmt
EOY$11,371,332EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,677,383BOYAmt
EOY$15,628,002EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,843,982BOYAmt
EOY$15,835,333EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$103,134ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$152,515NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN540794913EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir Trst0PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION A, LINE 6:THE ORGANIZATION PROVIDED GRANTS TOTALING $38,554 TO THE MEL LEMAN 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.
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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$125,000InvestmentCostOrOtherBasisAmt
Book Value$125,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,007,110InvestmentCostOrOtherBasisAmt
Depreciation$2,671,693DepreciationAmt
Book Value$3,335,417BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,272,214InvestmentCostOrOtherBasisAmt
Depreciation$2,268,111DepreciationAmt
Book Value$4,103BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,879,265InvestmentCostOrOtherBasisAmt
Depreciation$2,606,871DepreciationAmt
Book Value$272,394BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,736,914TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
REAL ESTATE FUND INVESTMENT$925,537F
INTEREST RECEIVABLE$2,545F
MONEY MARKET ACCOUNT$740,300F
FieldValueIRS element (for citing)
Total Book Value Securities$1,668,382TotalBookValueSecuritiesAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
MEL LEAMAN FREE CLINIC
601 RADIO HILL ROADMARIONVA24354541993876501(C)(3)$6,000ASSIST ORGANIZATION IN PURCHASE OF DENTAL EQUIPMENT FOR USE IN PROVIDING SERVICES TO PATIENTS
RAM SMYTH COUNTY
601 RADIO HILL ROADMARIONVA24354473636199501(C)(3)$11,375ASSIST ORGANIZATION IN PURCHASE OF MEDICAL SUPPLIES FOR USE IN PROVIDING SERVICES TO PATIENTS

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS ARE APPROVED BY THE BOARD OF DIRECTORS THROUGH AN APPLICATION PROCESSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CANNUALLY, ALL DIRECTORS ARE REQUIRED TO SIGN A CONFIDENTIALITY / COMPLIANCE DOCUMENT.
FORM 990, PART VI, SECTION C, LINE 18AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION'S FORM 990 WAS GIVEN TO MANAGEMENT WHO THEN PROVIDED IT TO DEEMED MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LIFETIME WELLNESS CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1Txt
CityMARIONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24354ZIPCd
FieldValueIRS element (for citing)
EIN320185801EIN
Primary ActivitiesOPERATES WELLNESS CENTERPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY FOUNDATIONBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1565 RADIO HILL ROADAddressLine1Txt
CityMARIONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24354ZIPCd
FieldValueIRS element (for citing)
EIN540794913EIN
Primary ActivitiesPROVIDES MEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Exempt Code SectionPROVIDES MEDICAL SERExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN STATES HEALTH ALLIANCE LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeJTransactionTypeTxt
Involved$117,264InvolvedAmt
Method Of Amount DeterminationSIGNED LEASE AGREEMENTMethodOfAmountDeterminationTxt