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North Carolina · Nonprofit

Great Smokies Health Foundation

Great Smokies Health Foundation (North Carolina) receives grants from 1 organization whose IRS filings report $10,000 to it, the largest being PAUL AND ELIZABETH YOUNTS CHAR TUW ($10,000). 0 of them have funded it in more than one year.

Revenue FY2024
$701k
Funders on record
1
Grants received
$10k
Net assets
$11M
0/1 repeat funderspeak grant-dependency 1%
01What it does

What Great Smokies Health Foundation does

Mission

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

As stated on its FY2024 Form 990.

Program

  1. Great Smokies Health Foundation (GSHF) has expanded and enhanced healthcare in targeted areas by the provision of grants and supportive services. GSHF suppports programs, projects and initiatives focused on health, wellness, and prevention. Funding is provided to non-profit 501(c)(3) organizations and governmental agencies. We are currently working with our community healthcare providers and agencies to identify areas for future funding. GSHF operates the Jackson County Thrift Shop. The Thrift shop offers a great variety and excellent prices in gently used items.

    $792,956 spentof which $611,412 as grants$160,506 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $792,956.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($217k) Expenses 100 ($350k) Net assets 100 ($10M)2018 Revenue 74 ($161k) Expenses 184 ($645k) Net assets 97 ($9.9M)2019 Revenue 80 ($173k) Expenses 111 ($389k) Net assets 96 ($9.8M)2020 Revenue 290 ($631k) Expenses 282 ($988k) Net assets 96 ($9.8M)2021 Revenue 355 ($772k) Expenses 127 ($443k) Net assets 109 ($11M)2022 Revenue 301 ($655k) Expenses 109 ($382k) Net assets 86 ($8.8M)2023 Revenue -43 ($-92432) Expenses 181 ($632k) Net assets 92 ($9.4M)2024 Revenue 322 ($701k) Expenses 222 ($779k) Net assets 108 ($11M)
'17'18'19'20'21'22'23'24
Revenue (322)Expenses (222)Net assets (108)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2021 to 2022, from $11M to $8.8M (−21%).

$10M
$10.0M
$9.8M
$9.8M
$11M
$8.8M
$9.4M
$11M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

0% of Great Smokies Health Foundation’s revenue is contributions — more earned-revenue than three-quarters of its peers (82% for the typical peer).

This organization
Typical peer · 14,893 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 6 of the last 8 reported years ran a deficit.

−$133k
’17
−$484k
’18
−$216k
’19
−$357k
’20
$329k
’21
$272k
’22
−$725k
’23
−$78k
’24
3.8
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Shelley Carraway

Executive Director

As listed on its FY2024 Form 990.

The chief executive listed changed between the FY2023 and FY2024 filings.

'17'18'19'20'21'22'23'24
Listed1212131311111513
Joined·+0+1+0+1+3+5+2
No longer listed·0003314
03Who funds it

Who funds it, year by year

Grant support over time, funder by funder — shade shows the grant size each year.

Funder
'21
total
funders
1

From the IRS filings of Great Smokies Health Foundation’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

Great Smokies Health Foundation draws 100% of its grant income from funders outside North Carolina, across 1 state in all.

MO

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Great Smokies Health Foundation has grown faster than half of the 13,754 health nonprofits its size.

Operating margin−11% · bottom quartile
Months of reserve3.8mo · below the median
Revenue growth (annualized)18% · above the median

this organization peer median middle 50% of peers· 13,754 health nonprofits $100k–$1M, FY2024

Organizations like Great Smokies Health Foundation

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In North Carolina

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

86% of spending goes to programs.

Program 86%Management 14%Fundraising 0%

Governance

11
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990–Audited financials

Public support

49%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

NC

Screen this organization

A dated, signed PDF of the compliance screen for Great Smokies Health Foundation: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

A paid feature, included from the $75 plan up. Sign in to download.

Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Great Smokies Health Foundation?
Great Smokies Health Foundation (North Carolina) receives grants from 1 organization whose IRS filings report $10,000 to it, the largest being PAUL AND ELIZABETH YOUNTS CHAR TUW ($10,000). 0 of them have funded it in more than one year.
How many funders does Great Smokies Health Foundation have?
IRS filings report 1 organization giving $10,000 in grants to Great Smokies Health Foundation.
Who is the largest funder of Great Smokies Health Foundation?
PAUL AND ELIZABETH YOUNTS CHAR TUW is the largest funder on record, with $10,000 in grants. The full list of funders is on this page.
How can an organization like Great Smokies Health Foundation find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in North Carolina. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 1 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing