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SMYTH COUNTY CHARITABLE FUND: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SMYTH COUNTY CHARITABLE FUND (EIN 31-1650055)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-05-15
IRS object ID
201531359349303333
Schema version
2013v4.0
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)
Return2015-05-15T10:47:13-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541458296PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HODGES JONES & MABRY PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1902 PRICES FORK ROAD STE 130AddressLine1
CityBLACKSBURGCity
StateVAState
ZIP Code24060ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311650055EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSMYTBusinessNameControlTxt
Phone2767812743PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBOB WATKINSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2767812745PhoneNum
Signature2015-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES C DUNNPreparerPersonNm
PTINP00549077PTIN
Phone5404439955PhoneNum
Preparation2015-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBOB WATKINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,820,991GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SMYTHFOUNDATION.COMWebsiteAddressTxt
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 Employee70TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,314PYContributionsGrantsAmt
CY Contributions Grants$14,553CYContributionsGrantsAmt
PY Program Service Revenue$1,228,980PYProgramServiceRevenueAmt
CY Program Service Revenue$1,260,060CYProgramServiceRevenueAmt
PY Investment Income$346,045PYInvestmentIncomeAmt
CY Investment Income$612,493CYInvestmentIncomeAmt
PY Other Revenue-$594PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,576,745PYTotalRevenueAmt
CY Total Revenue$1,887,106CYTotalRevenueAmt
PY Grants And Similar Paid$200,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,028CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$743,528PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$661,879CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$915,466PYOtherExpensesAmt
CY Other Expenses$868,734CYOtherExpensesAmt
PY Total Expenses$1,858,994PYTotalExpensesAmt
CY Total Expenses$1,536,641CYTotalExpensesAmt
PY Revenues Less Expenses-$282,249PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$350,465CYRevenuesLessExpensesAmt
Total Assets BOY$15,665,376TotalAssetsBOYAmt
Total Assets EOY$15,621,102TotalAssetsEOYAmt
Total Liabilities BOY$1,134,766TotalLiabilitiesBOYAmt
Total Liabilities EOY$327,419TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,530,610NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,293,683NetAssetsOrFundBalancesEOYAmt
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$1,267,528ExpenseAmt
Grant$6,028GrantAmt
Revenue$1,260,060RevenueAmt
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$1,267,528TotalProgramServiceExpensesAmt
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 StmtYes (1)IndependentAuditFinclStmtInd
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
Employee70EmployeeCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 VERNONBusinessNameLine1
FieldValueIRS element (for citing)
Phone2767821199PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BOB SHULTS
TREASURER1.00Yes (X)$0$0$0
GARY PEACOCK
CHAIRMAN OF THE BOARD0.50Yes (X)$0$0$0Yes (X)
ALLEN ABEL
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$0Yes (X)
JOANNE GROSECLOSE
DIRECTOR0.30Yes (X)$0$0$0Yes (X)
AMANDA CURRIN
DIRECTOR0.30Yes (X)$0$0$0
DAVID BEAR
VICE-CHAIRMAN0.50Yes (X)$0$0$0
JAMES PATTERSON
DIRECTOR0.30Yes (X)$0$0$0
JOHN GRAHAM
DIRECTOR0.30Yes (X)$0$0$0
MICHAEL ROBINSON
DIRECTOR0.30Yes (X)$0$0$0
ED STRINGER
SECRETARY0.50Yes (X)$0$0$0
ROBERT WATKINS
EXECUTIVE DIRECTOR40.00$77,449$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$77,449TotalReportableCompFromOrgAmt
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$14,553AllOtherContributionsAmt
Total Contributions$14,553TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LIFETIME WELLNESS MEMBERSHIP FEES713940$1,147,402$1,147,402
RENTAL INCOME FROM SCCH FOR PHYSI532000$112,658$112,658
FieldValueIRS element (for citing)
Total Program Service Revenue$1,260,060TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$204,282TotalRevenueColumnAmt
Exclusion$204,282ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,342,096SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,933,885SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$408,211SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$408,211TotalRevenueColumnAmt
Exclusion$408,211ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,887,106TotalRevenueColumnAmt
Related Or Exempt Func Income$1,260,060RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$612,493ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,028TotalAmt
Program Services$6,028ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$77,449TotalAmt
Program Services$77,449ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$470,097TotalAmt
Program Services$436,547ProgramServicesAmt
Management And General$33,550ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$69,721TotalAmt
Program Services$69,721ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$44,612TotalAmt
Program Services$44,612ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,985TotalAmt
Management And General$6,985ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,426TotalAmt
Program Services$8,676ProgramServicesAmt
Management And General$3,750ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,709TotalAmt
Management And General$21,709ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,359TotalAmt
Program Services$35,359ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,719TotalAmt
Program Services$47,719ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,577TotalAmt
Program Services$5,565ProgramServicesAmt
Management And General$12ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$264,751TotalAmt
Program Services$263,939ProgramServicesAmt
Management And General$812ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,383TotalAmt
Program Services$2,383ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$34,254TotalAmt
Management And General$34,254ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$220,948TotalAmt
Program Services$62,741ProgramServicesAmt
Management And General$158,207ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,018TotalAmt
Program Services$43,978ProgramServicesAmt
Management And General$7,040ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$74,315$74,315
EQUIPMENT RENTAL AND MA$45,965$45,965
OTHER EXPENSES$22,674$22,404$270
BANK AND CREDIT CARD FE$17,275$17,275

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,376TotalAmt
Program Services$2,852ProgramServicesAmt
Management And General$2,524ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,536,641TotalAmt
Program Services$1,267,528ProgramServicesAmt
Management And General$269,113ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,515BOYAmt
EOY$13,265EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,742BOYAmt
EOY$43,740EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,633BOYAmt
EOY$12,253EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$21,119BOYAmt
EOY$31,955EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,828,424LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,314,865LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,666,280BOYAmt
EOY$3,513,559EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,465,568BOYAmt
EOY$7,550,873EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,882,463BOYAmt
EOY$2,888,117EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$68,056BOYAmt
EOY$67,340EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,665,376BOYAmt
EOY$15,621,102EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$100,088BOYAmt
EOY$119,927EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$27,906BOYAmt
EOY$21,278EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$906,772BOYAmt
EOY$186,214EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,134,766BOYAmt
EOY$327,419EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,586,460BOYAmt
EOY$4,260,930EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,944,150BOYAmt
EOY$11,032,753EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,530,610BOYAmt
EOY$15,293,683EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,665,376BOYAmt
EOY$15,621,102EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$350,465ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$412,610NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN540794913EIN
Organization TypeHOSPITALOrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Supported Org Notified0SupportedOrgNotifiedInd
US OrganizedYes (1)USOrganizedInd
Support$0SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$223,285InvestmentCostOrOtherBasisAmt
Book Value$223,285BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$7,051,891InvestmentCostOrOtherBasisAmt
Depreciation$4,205,829DepreciationAmt
Book Value$2,846,062BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,553,248InvestmentCostOrOtherBasisAmt
Depreciation$2,109,036DepreciationAmt
Book Value$444,212BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,513,559TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
REAL ESTATE AND OTHER INVESTMENTS$2,883,151F
INTEREST RECEIVABLE$4,321F
MONEY MARKET ACCOUNT$645F
FieldValueIRS element (for citing)
Total Book Value Securities$2,888,117TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$2,299,716TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$412,610NetUnrealizedGainsInvstAmt
Revenue Not Reported$412,610RevenueNotReportedAmt
Revenue Subtotal$1,887,106RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,887,106TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,536,643TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2OtherExpensesIncludedAmt
Expenses Not Reported$2ExpensesNotReportedAmt
Expenses Subtotal$1,536,641ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,536,641TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 2D - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationROUNDINGExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PROJECT CROSSROADS INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136 SNIDER BRANCH ROADAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode
FieldValueIRS element (for citing)
Recipient EIN541702770RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$6,000CashGrantAmt
Purpose Of GrantASSIST PROJECT CROSSROADS IN CARRYING OUT ITS MISSION OF PROVIDING HOME REPAIR, EMERGENCY ASSISTANCE AND PRIMARY CARE MEDICAL ASSISTANCE TO QUALIFYING INDIVIDUALS IN SMYTH COUNTYPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

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 ALL 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 ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW.
FORM 990, PART XI, LINE 9:ROUNDING -2.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LIFETIME WELLNESS CENTER LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode
FieldValueIRS element (for citing)
EIN320185801EIN
Primary ActivitiesOPERATES WELLNESS CENTERPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$1,260,060TotalIncomeAmt
End Of Year Assets$330,362EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY FOUNDATIONBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1565 RADIO HILL ROADAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode
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 LLCBusinessNameLine1
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 HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeJTransactionTypeTxt
Involved$112,658InvolvedAmt
Method Of Amount DeterminationSIGNED LEASE AGREEMENTMethodOfAmountDeterminationTxt