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Great Smokies Health Foundation at a glanceAlso receives grants: funding profile →

· Public charity

Great Smokies Health Foundation

Improve healthcare in Jackson, Swain, Graham and Macon counties in North Carolina.

$498k
Granted FY2024still arriving
16
Grants FY2024still arriving
1
States reached
$90k
Largest
01What it fundsRead
02The needRead
03Its granteesRead
04Its fieldRead
01What it funds
01100% classified

What it funded, over time

Every grant placed by its stated purpose and the recipient’s mission, by year, FY2017 to 2024.

Health$613kFood & Nutrition$110kCrime & Legal$73kHuman Services$20kEnvironment$15kYouth Development$10kRecreation & Sports$8kEducation$6kOther$0
02FY2024 · 16 grants

Where the money goes

Grants by size, and the largest recipients.

How this is measured
The 16 grants below total $436,943, the rows itemized in this filing. The $498,214 headline is the total grant expense on the return; the other $61,271 is giving the schedule does not break out (grants under the $5,000 itemization floor, grants to individuals, grants on other schedules). Every figure below describes the itemized rows only.

By grant size · FY2024

  • Under $10k3 grants · $21k
  • $10k–50k10 grants · $146k
  • $50k–250k3 grants · $270k
$15,000
Median grant
1
States reached
$11M
Total assets
Largest grants
RecipientAmount
Graham Co Board of Education$90,000
Swain County Board of Education$90,000
Jackson County Board of Education$90,000
Vecinos Inc$22,500
Uncomplicated Kitchen$19,500
East Carolina University - School of Dental Medicine$15,643
Community Table$15,000
Blue Ridge Free Dental Clinic$15,000
HIGHTS Inc$15,000
Jackson County DSS$13,100
AWAKE Children's Advocacy Center$10,000
Jackson Co Public Schools$10,000
Mountain Projects$10,000
Center for Domestic Peace Inc$7,500
Child Medical Collaborative Inc$7,500
02The need
03

Does the money reach high-need areas?

Each grant placed by the hardship in its grantee’s ZIP, against the area’s typical level.

show:

Its human-services grants (FY23–24, $35k) land where the poverty rate runs at 16%, against an area that typically sits at 11%. 100% of those dollars go to grantees based in above-average-need neighborhoods. Most of its grants land in higher-need ZIPs.

area typical 11%5 Point Center: $15k → 15%AWAKE Children's Advocacy Center: $10k → 18%AWAKE Children's Advocacy Center: $10k → 18%0%20%40%50%more need →
grant to an above-average-need area below average· circle size = grant amount
How this is measured
Matched: human-services grants are those whose grantee’s IRS cause code is Human Services. Placed by people below the poverty line in the grantee’s ZIP, averaged from the tracts in that ZIP.
How this is measured
US grants placed by each grantee’s ZIP, which can differ from where services are delivered. Need from public data (U.S. Census/ACS, CDC PLACES, Eviction Lab, USDA), shown as context about the area, never attributed to the funder’s giving.
03Its grantees
repeat funding

Who it funds again

Organizations funded in more than one year, against those funded once.

82%of every dollar goes to organizations it has funded before.
$703k · 13 repeat orgs$157k to everyone else

Grantees it renews have grown median revenue +70% since the first grant, against +34% for those funded once.

13 repeat relationships: 13 still active in FY2024, 0 since wound down; 2 grantees were first funded in FY2024 (too recent to call).

How the two cohorts compare

Re-uppedFunded once

Organizations

13
6

Total granted

$703k
$52k

Median revenue growth · since first grant

+70%
+34%

Still filing today

62%
67%

New vs renewed · share of each year

In FY2024, 76% of grant dollars renewed an existing relationship; $105k went to new ones.

50%100%’17’18’19’20’21’23’24
RenewedFirst-time

Where new relationships form · theme of each grantee’s first grant

’17’18’19’20’21’23’24
Food & NutritionHealthHuman ServicesCrime & LegalEnvironmentOther
How this is measured
First-time means a grantee’s first year in the filing window; renewed means funded in an earlier year too. The renewed share climbs naturally as a portfolio matures, so the signal is a year that bucks it (a wave of new grantees). The earliest year is left-censored: relationships that predate the data read as new. Theme is the grantee’s IRS cause.

Backed again, and grew

  • CF
    Center for Domestic Peace Inc
    5× · 2018–2024 · $73k · revenue ×21
  • TC
    The Community Table Inc
    3× · 2020–2024 · $45k · revenue +93%
  • VECINOS INC
    2× · 2023–2024 · $30k · revenue ×12

Funded once

  • FP
    FIVE POINT CENTER INCgraduated
    one grant, 2023 · $15k · revenue +256%
  • SC
    Swain County Recreation Dept
    one grant, 2020 · $10k
  • TG
    The Giving Spoon Inc
    one grant, 2020 · $8k · revenue +51%
How this is measured

Repeat means funded in two or more distinct years. Growth and survival are read from each grantee’s own subsequent IRS filings.

04Its field

Closest unfunded matches

The nonprofits that most resemble its grantees but are not funded by it, scored along the direction from the rest of the field toward the portfolio. A resemblance in what they say they do, not a recommendation.

1
Cook Community Clinic Inc

To create a medical home for uninsured families and individuals in the communities that we serve.

Health
2
Counseling Center of Highlands

The Counseling Center strives to strengthen families and individuals by providing access to quality mental health services regardless of financial ability.

Health
3
Appalachian Childrens Center Inc

Serve abused and/or neglected children in the Gilmer County area via counseling and other social services.

Recreation & Sports
4
Black Mountain Counseling Center in

As a non-profit, the black mountain counseling center provides mental health counseling without regard to a client's ability to pay. services are provided by licensed, experienced counselors working with children, adults and families…

Health
5
Wnc Lighthouse Inc

The mission of WNC Lighthouse Inc is Changing lives, by being a light for Christ our Lord. Our vision is To be fully devoted to Jesus Christ, by opening our arms and providing Christian services to the underseved children, adults and…

Human Services
6
Wnc Health Network Inc

WNC Health Network, Inc supports people and organizations to improve community health and wellbeing across Western North Carolina.

Health
7
Carolina Therapeutic Services Community Development Inc

CTS Community Development is a behavioral health provider committed to helping individuals from underserved communities to live safe, productive, and meaningful lives

Human Services
8
Macon Volunteer Clinic Inc

Macon Volunteer Clinic (MVC)provides free primary medical and dental care, as well as medication assistance, to uninsured, working adult residents of Middle Georgia. All patients live at or below 200% of federal poverty level.

Health
9
Vermilion County Child Advocacy Center

Perform forensic interviews on minor children in response to calls from either the Department of Children and Family Services or law enforcement, regarding potential abuse of the child. The Center works as an advocate for the child with…

Crime & Legal
10
U Care Inc

To provide direct services and emergency shelter to victims of domestic violence and sexual assault in sampson county, north carolina

Community Improvement
11
Grace Clinic of Yadkin Valley

Provide medical care to low income and uninsured adults.

Human Services
12
Hope Springs Counseling Center

Provide affordable counseling services to those in our community.

Health
How this is measured
The grantee most central to the portfolio’s shape is Mountain Projects Inc; the most unlike its peers is Westbridge Vocational Inc. Resemblance is measured on each organization’s own IRS 990 mission text; it reflects how work is described, not its quality or impact.
04the grantee network

15 grantees tracked through their own filings, 2017–2025.

Each grant beside the grantee’s revenue from every source, year by year.

How this is measured

Counted here: distinct organizations funded across 2017 to 2025, not grant rows in a single year, so this will not match the grant count on the cover. 15 of the 21 grantees resolved in that span have returns of their own we could reconcile.

Each grantee is resolved to its own IRS returns. Association, dated; never a causal claim.

0
Load-bearing (≥25% of a budget)
8
Early backer (in before they grew)
14/15
Grantees still filing
15/15
Grew since first funded

Where the money sits, by cause and then by grantee

Graham County Health Dept: $131,235 · OtherGraham County Health DeptJackson County Schools: $129,045 · OtherJackson County SchoolsSwain County Schools: $107,600 · OtherSwain County SchoolsGraham County Schools: $90,000 · OtherGraham County SchoolsCounty of Jackson: $42,606 · OtherCounty of JacksonMOUNTAIN PROJECTS INC: $29,000 · OtherEAST CAROLINA UNIVERSITY: $23,143 · Other+4 more: $29,470 · OtherCenter for Domestic Peace Inc: $73,285 · Crime & LegalCenter for …Child Medical Collaborative Inc: $15,000 · Crime & LegalChild Medic…The Community Table Inc: $45,200 · Food & NutritionThe Commun…Uncomplicated Kitchen: $27,000 · Food & NutritionUncomplica…The Giving Spoon Inc: $7,500 · Food & NutritionThe Giving…VECINOS INC: $30,000 · HealthBLUE RIDGE MOUNTAINS HEALTH PROJECT INC: $30,000 · HealthAdults Working & Advocating for Kids Empowerment Inc: $20,000 · Human ServicesFIVE POINT CENTER INC: $15,000 · Human ServicesHIGHTS Inc: $15,000 · Environment
Other$582,099Crime & Legal$88,285Food & Nutrition$79,700Health$60,000Human Services$35,000Environment$15,000

Each grantee by its size and the funder’s share of it; top left is load-bearing

25%50%75%100%$1.0M$10Mgrantee revenue →↑ funder's share of their budgetCenter for Domestic Peace Inc: $73,285 over 5y, 24% of budgetThe Community Table Inc: $45,200 over 3y, 2.8% of budgetVECINOS INC: $30,000 over 2y, 0.5% of budgetBLUE RIDGE MOUNTAINS HEALTH PROJECT INC: $30,000 over 2y, 3.1% of budgetMOUNTAIN PROJECTS INC: $29,000 over 4y, 0.1% of budgetUncomplicated Kitchen: $27,000 over 2y, 12% of budgetAdults Working & Advocating for Kids Empowerment Inc: $20,000 over 2y, 1.5% of budgetChild Medical Collaborative Inc: $15,000 over 2y, 1.4% of budgetHIGHTS Inc: $15,000 over 2y, 0.4% of budgetFIVE POINT CENTER INC: $15,000 over 1y, 2.6% of budgetThe Giving Spoon Inc: $7,500 over 1y, 5.2% of budgetUNITED CHRISTIAN MINISTRIES OF JACKSON COUNTY: $7,500 over 1y, 1.4% of budgetSOUTHWESTERN CHILD DEVELOPMENT COMMISSION INC: $6,000 over 1y, 0.1% of budgetWESTBRIDGE VOCATIONAL INC: $5,970 over 1y, 0.3% of budget
Grantee by grantee: a decade per organization, before and after funding

A decade per grantee: revenue shaded, grants as bars, all rows on one timeline.

Co-funders

Grantmakers whose grantees overlap with this funder’s far more than size alone predicts. Closer means stronger alignment; arcs show where they also fund each other. Here they form a tightly interlocked group: most of these funders back each other's grantees too.

The Community Foundat…Nantahala Health Foun…Dogwood Health TrustHighlands Cashiers He…Wnc Bridge FoundationEvergreen FoundationManna Food Bank IncFoundation for the Ca…North Carolina Commun…The Golden Leaf IncDuke Energy FoundationRegion a Partnership …
The Community Foundation of Western North Carolina IncNC37.4× affinity16 shared granteesties to 11 of 11Hover any node to trace its alignments.Compare side by side →

Open a dossier: The Community Foundation of Western North Carolina Inc · Nantahala Health Foundation · Dogwood Health Trust · Highlands Cashiers Health Foundation Inc · Wnc Bridge Foundation · Evergreen Foundation · Manna Food Bank Inc · Foundation for the Carolinas · North Carolina Community Foundation · The Golden Leaf Inc · Duke Energy Foundation · Region a Partnership for Children

How this is measured
Affinity is a Gamma-Poisson posterior co-funding rate, re-centered on the typical rate, so thin evidence shrinks toward no signal. Overlap is association, not proof of shared intent.

How much its grantees rely on government

Each dot is one organization Great Smokies Health Foundation funds: left to right is the share of its income from government, bottom to top the share from Great Smokies Health Foundation. Bigger dots raise more.

2024
’20’21’22’23’24’25
no gov · 00%1%4%8%15%funder's share of their income ↑0%8%15%22%30%share of the org’s income from government →
    no gov moneyreceives it· size = income
    0get no government money at all
    6report government grants on their 990 we could not trace to a source (not plotted)
    0rely on government for over half their income
    ⤢ axis zoomed · 0–30%
    typical government reliance, FY20–25
    How this is measured
    Government income is each org’s traced federal awards (USASpending grants and contracts) plus state payments (open checkbooks) as a share of its total revenue (IRS Form 990); the self-reported government-grant line (990 line 1e) is carried for cross-check: a grantee that reports government grants we could not trace to a source is left off the chart rather than shown as receiving none. An association, not a claim that a grant caused the public funding. Coverage is precision-first, a floor rather than a census; state records exist for 9 states, so a grantee outside them shows no state figure (dimmed) rather than a false zero. Federal award amounts are obligations, which can span years, so a single-year share is indicative. 990 filings lag 12 to 24 months.

    On method. Every financial figure here is read from IRS e-file XML, the funder’s own 990/990-PF, and from the multi-year returns of the 21 grantees we resolved, each linked to its source. Grantee outcomes are each organization’s own program-service reporting (Form 990, Part III), read as association with funding, never as caused by it. Low-confidence name matches are suppressed rather than guessed. How we build these →

    How this is measured
    Each figure carries one of six labels. Filed is what the funder reported on its return. Official is another government record about an organization, such as a federal award or a charity register, joined by name where no shared identifier exists. Resolved is an identity we worked out where the filing named a recipient without an EIN, kept only above a measured confidence threshold. Computed is arithmetic over those, like themes, portfolio clusters and co-funder strength. Context is a statistic about a place rather than about an organization, which is what the need overlay is: it describes the area a grantee’s address sits in, not where its work lands. Inferred is drawn by a model from text, like the partnerships read out of public news and organization websites. Each is labeled where it appears.

    Generated from the IRS Form 990 e-file return for fiscal year 2024, released 2024. Filings run roughly 12 to 24 months behind; figures are dated accordingly.

    Source object · view filing

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    More from the funding graph

    The unnamed billions
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    The regranting layer
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    The endowment market
    who holds foundation money, and what just moved
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    By state
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