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Tennessee · Nonprofit

Smyth County Community Hospital

Smyth County Community Hospital (Tennessee) receives grants from 1 organization whose IRS filings report $26,840 to it, the largest being Ballad Health Auxiliary ($26,840). 1 of them have funded it in more than one year.

Revenue FY2025
$57M
Funders on record
1
Grants received
$27k
Net assets
$47M
1/1 repeat funderspeak grant-dependency 0%
01What it does

What Smyth County Community Hospital does

Mission

Honor those we serve by delivering the best possible care.Ballad Health is dedicated to improving the health of the 29-county Appalachian Highlands region.

As stated on its FY2025 Form 990.

Programs

On its FY2024 return the organization reported a significant change in how it conducts a program.

Frances Marion Manor, operated by SCCH, ceased operations of its skilled and long-term care facility following the sale of all real estate, furniture, fixtures and equipment on 05/01/2025.

Its own explanation, from Schedule O of that return (Part III, line 3).

  1. Smyth County Community Hospital's (SCCH) membership consists of Mountain States Health Alliance. SCCH is also a member of the Ballad Health network. Ballad Health (Ballad) is an integrated healthcare delivery system consisting of 20 hospitals in Northeast Tennessee and Southwest Virginia, including a Level 1 Trauma Center, dedicated children's hospital, several community hospitals, four critical access hospitals, a behavioral health hospital, an addiction treatment facility, long-term care facilities, home care and hospice services, retail pharmacies, outpatient services and a comprehensive medical management corporation. Ballad works closely with an active independent medical community and community stakeholders to improve the health and well-being of over one million people in 29 counties of the Appalachian Highlands in Northeast Tennessee, Southwest Virginia, Northwest North Carolina, and Southeast Kentucky. Ballad is a Tennessee non-profit corporation and is the main provider of healthcare services in Northeast Tennessee and Southwest Virginia. Ballad Health is a tax-exempt entity and the parent corporation of both Mountain States Health Alliance (MSHA) and Wellmont Health…

    $37,321,344 spentof which $10,807 as grants$44,051,974 earned by the program
    90% of program spending
  2. Not described on the e-filed return.

    $4,175,687 spent$6,514,593 earned by the program
    10% of program spending

The 2 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $41,497,031.

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 ($46M) Expenses 100 ($46M) Net assets 100 ($81M)2018 Revenue 109 ($50M) Expenses 101 ($46M) Net assets 105 ($85M)2019 Revenue 117 ($53M) Expenses 104 ($48M) Net assets 111 ($90M)2020 Revenue 121 ($55M) Expenses 101 ($46M) Net assets 120 ($98M)2021 Revenue 115 ($52M) Expenses 109 ($50M) Net assets 130 ($106M)2022 Revenue 122 ($55M) Expenses 104 ($48M) Net assets 44 ($36M)2023 Revenue 102 ($46M) Expenses 103 ($47M) Net assets 47 ($38M)2024 Revenue 111 ($51M) Expenses 108 ($50M) Net assets 48 ($39M)2025 Revenue 126 ($57M) Expenses 107 ($49M) Net assets 58 ($47M)
'17'18'19'20'21'22'23'24'25
Revenue (126)Expenses (107)Net assets (58)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 $132M to $60M (−55%).

$102M
$105M
$109M
$126M
$132M
$60M
$59M
$59M
$67M
'17'18'19'20'21'22'23'24'25
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
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 0% · 2018 0% · 2019 0% · 2020 0% · 2021 1% · 2022 0% · 2023 0% · 2024 2% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of Smyth County Community Hospital’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 9 reported years ran a deficit.

−$543k
’17
$3.2M
’18
$5.2M
’19
$8.4M
’20
$1.8M
’21
$7.6M
’22
−$1.2M
’23
$964k
’24
$7.7M
’25
0.0
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

Dale Clark

CEO, scch

Board chair

Alan Levine BH PresCEO

Director, Chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed171921202426161819
Joined·+10+6+3+8+10+4+7+6
No longer listed·844481455
03Who funds it

Who funds it, year by year

2018 → 2019: the base held at 1 funder, grant income rose $6k → $20k.

Funder
'18
'19
total
$27k
funders
1
1

Left out of every figure on this page: $5k from one payer (the payer shares this organization's board, largest Mountain States Foundation). These are real filings, and they are not money Smyth County Community Hospital raised.

From the IRS filings of Smyth County Community Hospital’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

100% of Smyth County Community Hospital's grant income comes from Tennessee funders.

TN

In-state vs out-of-state, by year

’18
’19
Tennessee out of state home

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

Smyth County Community Hospital runs a healthier operating margin than three-quarters of the 2,843 health nonprofits its size.

Operating margin14% · top quartile
Months of reserve0.0mo · bottom quartile
Revenue growth (annualized)3% · below the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Government funding Smyth County Community Hospital receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $530 on record.

Federal$530
grants $0contracts $530
Top agencies
  • Consumer Product Safety Commission$530

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like Smyth County Community Hospital

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 Tennessee

Nationally

05Profile & governance

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

Where the money goes

84% of spending goes to programs.

Program 84%Management 16%Fundraising 0%

Governance

4
board members
0%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Files a return copy in 2 states

VA
TN

Part of a family of 34 related entities

  • Abingdon Physician Partners · exempt
  • Ballad Health · exempt
  • Ballad Health Center for Early Learning · exempt
  • Ballad Health Foundation · exempt
  • Dickenson Community Hospital · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Smyth County Community Hospital: 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.

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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 Smyth County Community Hospital?
Smyth County Community Hospital (Tennessee) receives grants from 1 organization whose IRS filings report $26,840 to it, the largest being Ballad Health Auxiliary ($26,840). 1 of them have funded it in more than one year.
How many funders does Smyth County Community Hospital have?
IRS filings report 1 organization giving $26,840 in grants to Smyth County Community Hospital, 1 of which have funded it in more than one year.
Who is the largest funder of Smyth County Community Hospital?
Ballad Health Auxiliary is the largest funder on record, with $26,840 in grants. The full list of funders is on this page.
How can an organization like Smyth County Community Hospital find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Tennessee. 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 FY2025 (financials across 2017–2025), 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