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SMYTH COUNTY CHARITABLE FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SMYTH COUNTY CHARITABLE FUND (EIN 31-1650055)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-15
IRS object ID
201321359349300757
Schema version
2011v1.2
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)
Timestamp2013-05-15T07:50:49-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN541458296EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1902 PRICES FORK ROAD STE 130AddressLine1
CityBLACKSBURGCity
StateVAState
ZIP Code24060ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311650055EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSMYTNameControl
Phone2767812743Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSUZANNE B JENNINGSName
TitleEXECUTIVE DIRECTORTitle
Phone2767812745Phone
Date Signed2013-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES C DUNNName
PTINP00549077PTIN
Phone5404439955Phone
Date Prepared2013-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUZANNE B JENNINGSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9396393GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SMYTHFOUNDATION.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees60TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year5739ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1311870ProgramServiceRevenuePriorYear
Program Service Revenue CY1281257ProgramServiceRevenueCY
Investment Income Prior Year357460InvestmentIncomePriorYear
Investment Income Current Year732716InvestmentIncomeCurrentYear
Other Revenue Prior Year428750OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2098080TotalRevenuePriorYear
Total Revenue Current Year2019712TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year500000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year777788SalariesEtcPriorYear
Salaries Etc Current Year735475SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1216982OtherExpensePriorYear
Other Expenses Current Year1112632OtherExpensesCurrentYear
Total Expenses Prior Year2494770TotalExpensesPriorYear
Total Expenses Current Year1848107TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-396690RevenuesLessExpensesPriorYear
Revenues Less Expenses CY171605RevenuesLessExpensesCY
Total Assets BOY15601689TotalAssetsBOY
Total Assets EOY15814815TotalAssetsEOY
Total Liabilities BOY2785956TotalLiabilitiesBOY
Total Liabilities EOY1739551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12815733NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14075264NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1282580Expense
Revenue1286996Revenue
DescriptionTO 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.Description
Total Program Service Expense1282580TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees60NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN VERNONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2767821199TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BOB SHULTS
DIRECTOR1.00X000
GARY PEACOCK
CHAIRMAN OF THE BOARD0.50X000
ALLEN ABEL
DIRECTOR0.30X000
SAM BURKETT
DIRECTOR0.30X000
ANDY BLEVINS
DIRECTOR0.30X000
RUTH RHEA COX
DIRECTOR0.30X000
JIM MCDOWELL
DIRECTOR0.30X000
MARVIN CRAIG
DIRECTOR0.30X000
JOANNE GROSECLOSE
DIRECTOR0.30X000
KEITH HUNGATE
DIRECTOR0.30X000
DAVID BEAR
TREASURER0.50X000
JAMES PATTERSON
DIRECTOR0.30X000
MARK GROSECLOSE
DIRECTOR0.30X000
DANNY ROSE
DIRECTOR0.30X000
ED STRINGER
SECRETARY0.50X000
SUZANNE JENNINGS
EXECUTIVE DIRECTOR40.007075700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org70757TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions5739AllOtherContributions
Total Contributions5739TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LIFETIME WELLNESS MEMB71394011685481168548
RENTAL INCOME FROM SCC532000112709112709
FieldValueIRS element (for citing)
Total Program Service Revenue1281257TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column246010TotalRevenueColumn
Exclusion$246,010ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7863387Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7376681Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities486706Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column486706TotalRevenueColumn
Exclusion$486,706ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2019712TotalRevenueColumn
Related Or Exempt Function Income1281257RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$732,716ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total70757Total
Program Services70757ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total547611Total
Program Services517607ProgramServices
Management And General30004ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total69364Total
Program Services69364ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total47743Total
Program Services47743ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6769Total
Management And General6769ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14425Total
Program Services7610ProgramServices
Management And General6815ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total24419Total
Management And General24419ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total34756Total
Program Services34756ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total19869Total
Program Services19869ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total245361Total
Program Services245361ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5103Total
Program Services5103ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total106064Total
Management And General106064ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total429924Total
Program Services56366ProgramServices
Management And General373558ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total50024Total
Program Services41761ProgramServices
Management And General8263ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OPERATING SUPPLIES8054780547
REPAIRS AND MAINTENANCE4543045430
OTHER EXPENSES39835384961339
DUES AND SUBSCRIPTIONS687618105066

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3230Total
Management And General3230ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1848107Total
Program Services1282580ProgramServices
Management And General565527ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY69593BOY
EOY49081EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21997BOY
EOY24187EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY1500000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY17245BOY
EOY19868EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY29229BOY
EOY14612EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9727275LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5891698LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4191812BOY
EOY3835577EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8116095BOY
EOY7451513EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3080955BOY
EOY2849378EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY74763BOY
EOY70599EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15601689BOY
EOY15814815EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY124429BOY
EOY122481EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY400000BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY23788BOY
EOY27102EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2237739BOY
EOY1589968EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2785956BOY
EOY1739551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1123983BOY
EOY3178254EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11691750BOY
EOY10897010EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12815733BOY
EOY14075264EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15601689BOY
EOY15814815EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses171605ReconcilationRevenueExpenses
Reconcilation Other Changes1087926ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1SMYTH COUNTY COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN540794913EIN
Type Of OrganizationHOSPITALTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified0SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis223285InvestmentCostOrOtherBasis
Book Value223285BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis7149747InvestmentCostOrOtherBasis
Depreciation3953484Depreciation
Book Value3196263BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2354243InvestmentCostOrOtherBasis
Depreciation1938214Depreciation
Book Value416029BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3835577TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
REAL ESTATE AND OTHER INVESTMENTS2824529F
INTEREST RECEIVABLE4699F
MONEY MARKET ACCOUNT20150F
FieldValueIRS element (for citing)
Total Of Book Value Securities2849378TotalOfBookValueSecurities
Total Revenue2019712TotalRevenue
Total Expenses1848107TotalExpenses
Excess Or Deficit For Year171605ExcessOrDeficitForYear
Net Unrealized GL On Investments1087926NetUnrealizedGLOnInvestments
Total Adjustments1087926TotalAdjustments
Excess Or Deficit Per FS1259531ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3107638TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1087926NetUnrealizedGainsInvestments
Revenue Not Rptd F9901087926RevenueNotRptdF990
Revenue Subtotal2019712RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902019712TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1848107TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1848107ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901848107TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT REVIEWED THE ORGANIZATION'S FORM 990 AND THEN PROVIDED IT TO THE FINANCE COMMITTEE 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 19A COPY OF THE FORM 990 WAS PROVIDED TO MANAGEMENT FOR THEIR REVIEW. MANAGEMENT THEN PROVIDED IT TO THE FINANCE COMMITTEE FOR THEIR REVIEW.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,087,926.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 HEALTH WAYAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode
FieldValueIRS element (for citing)
EIN320185801EIN
Primary ActivitiesOPERATES WELLNESS CENTERPrimaryActivities
Legal Domicile StateVALegalDomicileState
Total Income1281257TotalIncome
EOY Assets388382EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1565 RADIO HILL ROADAddressLine1
CityMARIONCity
StateVAState
ZIP Code24354ZIPCode
FieldValueIRS element (for citing)
EIN540794913EIN
Primary ActivitiesPROVIDES MEDICAL SERVICESPrimaryActivities
Legal Domicile StateVALegalDomicileState
Exempt Code SectionPROVIDES MEDICAL SERExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN STATES HEALTH ALLIANCE LLCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg