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SMYTH COUNTY CHARITABLE FUND: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SMYTH COUNTY CHARITABLE FUND (EIN 31-1650055)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-09
IRS object ID
201732219349300643
Schema version
2015v3.0
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)
Return2017-08-09T10:52:55-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Begin2015-10-01TaxPeriodBeginDt

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
Phone2767821199PhoneNum

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 TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2767812745PhoneNum
Signature2017-08-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES C DUNNPreparerPersonNm
PTINP00549077PTIN
Phone2762283181PhoneNum
Preparation2017-07-25PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBOB WATKINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1Txt
CityMARION VACityNm
State AbbreviationVAStateAbbreviationCd
ZIP24354ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,922,779GrossReceiptsAmt
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 Independent16VotingMembersIndependentCnt
Total Employee82TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$40PYContributionsGrantsAmt
CY Contributions Grants$1,500CYContributionsGrantsAmt
PY Program Service Revenue$1,286,002PYProgramServiceRevenueAmt
CY Program Service Revenue$1,301,629CYProgramServiceRevenueAmt
PY Investment Income$400,799PYInvestmentIncomeAmt
CY Investment Income$285,916CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,686,841PYTotalRevenueAmt
CY Total Revenue$1,589,045CYTotalRevenueAmt
PY Grants And Similar Paid$7,230PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$158,795CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$695,024PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$753,811CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$846,713PYOtherExpensesAmt
CY Other Expenses$842,527CYOtherExpensesAmt
PY Total Expenses$1,548,967PYTotalExpensesAmt
CY Total Expenses$1,755,133CYTotalExpensesAmt
PY Revenues Less Expenses$137,874PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$166,088CYRevenuesLessExpensesAmt
Total Assets BOY$14,812,068TotalAssetsBOYAmt
Total Assets EOY$15,501,995TotalAssetsEOYAmt
Total Liabilities BOY$141,441TotalLiabilitiesBOYAmt
Total Liabilities EOY$91,753TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,670,627NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,410,242NetAssetsOrFundBalancesEOYAmt
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$1,496,386ExpenseAmt
Grant$158,795GrantAmt
Revenue$1,301,629RevenueAmt
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$1,496,386TotalProgramServiceExpensesAmt
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee82EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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 DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBERT SHULTS
TREASURER1.00Yes (X)Yes (X)$0$0$0
PAUL HOLCOMBE
DIRECTOR0.30Yes (X)$0$0$0
CHELSEA HAMMONDS
DIRECTOR0.30Yes (X)$0$0$0
AMY BLUE-SPIKER
DIRECTOR0.30Yes (X)$0$0$0
ANDY BLEVINS
DIRECTOR0.30Yes (X)$0$0$0
RUTH RHEA COX
DIRECTOR0.30Yes (X)$0$0$0
JAMES MCDOWELL
DIRECTOR0.30Yes (X)$0$0$0
MARVIN CRAIG
DIRECTOR0.30Yes (X)$0$0$0
BRIAN HAYNES
DIRECTOR0.30Yes (X)$0$0$0
AMANDA CURRIN
SECRETARY0.30Yes (X)Yes (X)$0$0$0
LYNDA HELTON
DIRECTOR0.30Yes (X)$0$0$0
ERIC SACKNOFF
DIRECTOR0.30Yes (X)$0$0$0
JOHN GRAHAM
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
MICHAEL ROBINSON
VICE CHAIRMAN1.00Yes (X)$0$0$0
ED STRINGER
DIRECTOR0.30Yes (X)$0$0$0
ROBERT WATKINS
EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$88,124$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$88,124TotalReportableCompFromOrgAmt
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$1,500AllOtherContributionsAmt
Total Contributions$1,500TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LIFETIME WELLNESS MEMBERSHIP FEES713940$1,186,669$1,186,669
RENTAL INCOME FROM SCCH FOR PHYSI532000$114,960$114,960
FieldValueIRS element (for citing)
Total Program Service Revenue$1,301,629TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,175TotalRevenueColumnAmt
Exclusion$207,175ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,412,475SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,333,734SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$78,741SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,741TotalRevenueColumnAmt
Exclusion$78,741ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,589,045TotalRevenueColumnAmt
Related Or Exempt Func Income$1,301,629RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$285,916ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$158,795TotalAmt
Program Services$158,795ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$88,124TotalAmt
Program Services$88,124ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$537,744TotalAmt
Program Services$499,277ProgramServicesAmt
Management And General$38,467ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$74,999TotalAmt
Program Services$74,999ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$52,944TotalAmt
Program Services$52,944ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,000TotalAmt
Program Services$3,000ProgramServicesAmt
Management And General$3,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$26,568TotalAmt
Management And General$26,568ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,440TotalAmt
Program Services$25,040ProgramServicesAmt
Management And General$400ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,004TotalAmt
Program Services$34,004ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,315TotalAmt
Program Services$3,315ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$242,334TotalAmt
Program Services$242,334ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,214TotalAmt
Program Services$1,214ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$259,529TotalAmt
Program Services$74,412ProgramServicesAmt
Management And General$185,117ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,186TotalAmt
Program Services$37,634ProgramServicesAmt
Management And General$552ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$88,180$88,180
REPAIRS AND MAINTENANCE$62,226$62,226
OTHER EXPENSES$40,560$36,062$4,498
BANK AND CREDIT CARD FE$13,066$13,066

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,905TotalAmt
Program Services$1,760ProgramServicesAmt
Management And General$145ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,755,133TotalAmt
Program Services$1,496,386ProgramServicesAmt
Management And General$258,747ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$74,822BOYAmt
EOY$64,541EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$48,697BOYAmt
EOY$68,564EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,500,000BOYAmt
EOY$4,500,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,390BOYAmt
EOY$15,441EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$33,378BOYAmt
EOY$79,262EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,383,243LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,796,168LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,463,222BOYAmt
EOY$3,587,075EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,411,422BOYAmt
EOY$5,309,140EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,198,108BOYAmt
EOY$1,810,943EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,812,068BOYAmt
EOY$15,501,995EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$121,593BOYAmt
EOY$78,565EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,848BOYAmt
EOY$13,188EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$141,441BOYAmt
EOY$91,753EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,268,579BOYAmt
EOY$4,496,075EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,402,048BOYAmt
EOY$10,914,167EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,670,627BOYAmt
EOY$15,410,242EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,812,068BOYAmt
EOY$15,501,995EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$166,088ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$905,703NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
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$82,600SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$82,600SupportSumAmt
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 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 INCLUDING THE CHAIRMAN AND TREASURER.
PART IV, SECTION A, LINE 6:THE ORGANIZATION PROVIDED GRANTS TOTALING $7,691 TO PROJECT CROSSROADS. PROJECTS CROSSROADS PROVIDED HOME REPAIR, EMERGENCY ASSISTANCE AND PRIMARY MEDICAL ASSISTANCE TO QUALIFYING INDIVIDUALS IN SMYTH COUNTY. THE ORGANIZATION PROVIDED GRANTS TOTALING $68,504 TO THE MEL LEAMAN 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.

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$5,245,916InvestmentCostOrOtherBasisAmt
Depreciation$2,202,292DepreciationAmt
Book Value$3,043,624BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,272,214InvestmentCostOrOtherBasisAmt
Depreciation$2,263,678DepreciationAmt
Book Value$8,536BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,740,113InvestmentCostOrOtherBasisAmt
Depreciation$2,330,198DepreciationAmt
Book Value$409,915BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,587,075TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
REAL ESTATE FUND INVESTMENT$1,024,423F
INTEREST RECEIVABLE$2,058F
MONEY MARKET ACCOUNT$733,670F
INVESTMENT PROCEEDS RECEIVABLE$50,792F
FieldValueIRS element (for citing)
Total Book Value Securities$1,810,943TotalBookValueSecuritiesAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PROJECT CROSSROADS INC
136 SNIDER BRANCH ROADMARIONVA24354541702770501(C)(3)$7,691ASSIST PROJECT CROSSROADS IN CARRYING OUT ITS MISSION OF PROVIDING HOME REPAIR, EMERGENCY ASSISTANCE AND PRIMARY CARE MEDICAL ASSISTANCE TO QUALIFYING INDIVIDUALS IN SMYTH COUNTY
SMYTH COUNTY COMMUNITY HOSPITAL
565 RADIO HILL ROADMARIONVA24354540794913$82,600ASSIST HOSPITAL WITH CAPITAL ASSET PURCHASE - SIGN
MEL LEAMAN FREE CLINIC
601 RADIO HILL ROADMARIONVA24354541993876501(C)(3)$49,672ASSIST ORGANIZATION IN PURCHASE OF DENTAL EQUIPMENT FOR USE IN PROVIDING SERVICES TO PATIENTS
RAM SMYTH COUNTY
601 RADIO HILL ROADMARIONVA24354473636199501(C)(3)$18,832ASSIST ORGANIZATION IN PURCHSE 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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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.
FORM 990; PART XII, LINE 2CNO CHANGE FROM PRIOR YEAR.

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
Total Income$1,301,595TotalIncomeAmt
End Of Year Assets$316,765EndOfYearAssetsAmt

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$114,960InvolvedAmt
Method Of Amount DeterminationSIGNED LEASE AGREEMENTMethodOfAmountDeterminationTxt