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        <ManagementAndGeneral>565527</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>49081</EOY>
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        <EOY>24187</EOY>
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        <EOY>70599</EOY>
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        <EOY>15814815</EOY>
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        <EOY>122481</EOY>
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      <GrantsPayable>
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        <EOY>0</EOY>
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        <EOY>27102</EOY>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>1589968</EOY>
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      <TotalLiabilities>
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        <EOY>1739551</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1123983</BOY>
        <EOY>3178254</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>11691750</BOY>
        <EOY>10897010</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>12815733</BOY>
        <EOY>14075264</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>15601689</BOY>
        <EOY>15814815</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>171605</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1087926</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type1>X</SupportingOrg509a3Type1>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>SMYTH COUNTY COMMUNITY HOSPITAL</BusinessNameLine1>
        </Name>
        <EIN>540794913</EIN>
        <TypeOfOrganization>HOSPITAL</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>0</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>0</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <InvestmentCostOrOtherBasis>223285</InvestmentCostOrOtherBasis>
        <BookValue>223285</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>7149747</InvestmentCostOrOtherBasis>
        <Depreciation>3953484</Depreciation>
        <BookValue>3196263</BookValue>
      </Buildings>
      <Equipment>
        <InvestmentCostOrOtherBasis>2354243</InvestmentCostOrOtherBasis>
        <Depreciation>1938214</Depreciation>
        <BookValue>416029</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3835577</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>REAL ESTATE AND OTHER INVESTMENTS</Description>
        <BookValue>2824529</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>INTEREST RECEIVABLE</Description>
        <BookValue>4699</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>MONEY MARKET ACCOUNT</Description>
        <BookValue>20150</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>2849378</TotalOfBookValueSecurities>
      <TotalRevenue>2019712</TotalRevenue>
      <TotalExpenses>1848107</TotalExpenses>
      <ExcessOrDeficitForYear>171605</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>1087926</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>1087926</TotalAdjustments>
      <ExcessOrDeficitPerFS>1259531</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>3107638</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>1087926</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>1087926</RevenueNotRptdF990>
      <RevenueSubtotal>2019712</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
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      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>1848107</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>1848107</TotalExpensesPerForm990>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>MANAGEMENT REVIEWED THE ORGANIZATION'S FORM 990 AND THEN PROVIDED IT TO THE FINANCE COMMITTEE FOR THEIR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY, ALL DIRECTORS ARE REQUIRED TO SIGN A CONFIDENTIALITY / COMPLIANCE DOCUMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>A COPY OF THE FORM 990 WAS PROVIDED TO MANAGEMENT FOR THEIR REVIEW. MANAGEMENT THEN PROVIDED IT TO THE FINANCE COMMITTEE FOR THEIR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 1,087,926.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LIFETIME WELLNESS CENTER LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 HEALTH WAY</AddressLine1>
          <City>MARION</City>
          <State>VA</State>
          <ZIPCode>24354</ZIPCode>
        </AddressUS>
        <EIN>320185801</EIN>
        <PrimaryActivities>OPERATES WELLNESS CENTER</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>1281257</TotalIncome>
        <EOYAssets>388382</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMYTH COUNTY COMMUNITY FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SMYTH COUNTY COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>565 RADIO HILL ROAD</AddressLine1>
          <City>MARION</City>
          <State>VA</State>
          <ZIPCode>24354</ZIPCode>
        </AddressUS>
        <EIN>540794913</EIN>
        <PrimaryActivities>PROVIDES MEDICAL SERVICES</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>PROVIDES MEDICAL SER</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNTAIN STATES HEALTH ALLIANCE LLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>