Civic Intelligence

Great Smokies Health Foundation

EIN 56-1967734 • 501(c)3 • Sylva, NC

Profile

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

PO Box 176Sylva, NC 28779

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

7th percentile

0.00x

Higher debt load relative to assets than 7% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

7th percentile

0.01x

Higher debt load relative to revenue than 7% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Net Margin

27th percentile

-11%

Higher net margin than 27% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

12th percentile

$70,901

Higher top officer pay than 12% of similar nonprofits.

Top officer pay equals 10.1% of source-year revenue.

NTEE E • $10M-$25M nonprofits • Source year 2024

Asset Growth

80th percentile

17%

Faster asset growth than 80% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Assets

Up

$11,063,780

Up $1,645,323 (+17%) from 2023

Liabilities

Up

$10,504

Up $6,515 (+163%) from 2023

Net Assets

Up

$11,053,276

Up $1,638,808 (+17%) from 2023

Revenue

Up

$700,616

Up $793,048 (+858%) from 2023

Expenses

Up

$778,697

Up $146,553 (+23%) from 2023

Net Income

Up

-$78,081

Up $646,495 (+89%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2010: $0Liabilities 2010: $0Net Assets 2010: $02010Assets 2011: $0Liabilities 2011: $0Net Assets 2011: $02011Assets 2012: $0Liabilities 2012: $0Net Assets 2012: $02012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013Assets 2014: $9,000,000Liabilities 2014: $0Net Assets 2014: $9,000,0002014Assets 2015: $10,794,211Liabilities 2015: $277,598Net Assets 2015: $10,516,6132015Assets 2016: $10,336,572Liabilities 2016: $260,186Net Assets 2016: $10,076,3862016Assets 2017: $10,231,144Liabilities 2017: $3,057Net Assets 2017: $10,228,0872017Assets 2018: $9,961,361Liabilities 2018: $23,714Net Assets 2018: $9,937,6472018Assets 2019: $9,828,720Liabilities 2019: $19,311Net Assets 2019: $9,809,4092019Assets 2020: $9,813,827Liabilities 2020: $11,575Net Assets 2020: $9,802,2522020Assets 2021: $11,170,971Liabilities 2021: $14,736Net Assets 2021: $11,156,2352021Assets 2022: $8,781,893Liabilities 2022: $8,716Net Assets 2022: $8,773,1772022Assets 2023: $9,418,457Liabilities 2023: $3,989Net Assets 2023: $9,414,4682023Assets 2024: $11,063,780Liabilities 2024: $10,504Net Assets 2024: $11,053,2762024

Highlighted filing

2024

Assets$11,063,780
Liabilities$10,504
Net Assets$11,053,276

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0M$0-$2.0M-$4.0MExpenses 2010: $302,9192010Expenses 2011: $207,5152011Expenses 2012: $180,8782012Revenue 2013: $196,575Expenses 2013: $196,575Net Income 2013: $02013Revenue 2014: -$2,927,623Expenses 2014: $101,258Net Income 2014: -$3,028,8812014Revenue 2015: $165,125Expenses 2015: $512,944Net Income 2015: -$347,8192015Revenue 2016: $180,008Expenses 2016: $740,966Net Income 2016: -$560,9582016Revenue 2017: $217,337Expenses 2017: $350,013Net Income 2017: -$132,6762017Revenue 2018: $161,276Expenses 2018: $645,216Net Income 2018: -$483,9402018Revenue 2019: $172,788Expenses 2019: $388,842Net Income 2019: -$216,0542019Revenue 2020: $630,800Expenses 2020: $987,542Net Income 2020: -$356,7422020Revenue 2021: $771,945Expenses 2021: $443,342Net Income 2021: $328,6032021Revenue 2022: $654,835Expenses 2022: $382,341Net Income 2022: $272,4942022Revenue 2023: -$92,432Expenses 2023: $632,144Net Income 2023: -$724,5762023Revenue 2024: $700,616Expenses 2024: $778,697Net Income 2024: -$78,0812024

Highlighted filing

2024

Revenue$700,616
Expenses$778,697
Net Income-$78,081

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$11.1$0.01$11.1$0.70$0.78$0.08
2023Detailed filing. Detailed filing data is available for this year.$9.42$0.00$9.41$0.09$0.63$0.72
2022Detailed filing. Detailed filing data is available for this year.$8.78$0.01$8.77$0.65$0.38$0.27
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.2$0.01$11.2$0.77$0.44$0.33
2020Detailed filing. Detailed filing data is available for this year.$9.81$0.01$9.80$0.63$0.99$0.36
2019Detailed filing. Detailed filing data is available for this year.$9.83$0.02$9.81$0.17$0.39$0.22
2018Detailed filing. Detailed filing data is available for this year.$9.96$0.02$9.94$0.16$0.65$0.48
2017Detailed filing. Detailed filing data is available for this year.$10.2$0.00$10.2$0.22$0.35$0.13
2016Detailed filing. Detailed filing data is available for this year.$10.3$0.26$10.1$0.18$0.74$0.56
2015Detailed filing. Detailed filing data is available for this year.$10.8$0.28$10.5$0.17$0.51$0.35
2014Summary only. Only limited summary data is available for this year.$9.00$0.00$9.00$2.93$0.10$3.03
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.20$0.20$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.18
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.21
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.30
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 15, 2025
Return Version
2023v6.0
Gross Receipts
$700,616
Mission and Program Overview

Mission

Improve healthcare in Jackson,

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$9,231,072$10,816,099▲ $1,585,027
Savings and Temporary Cash Investments$159,252$245,885▲ $86,633
Land, Buildings, and Equipment, Net$892$0▼ $892
Cash and Non-Interest-Bearing Accounts$14,503$487▼ $14,016
Inventories for Sale or Use-$300-
Accounts Receivable$1,338$109▼ $1,229
Total Assets$9,418,457$11,063,780▲ $1,645,323
Other Assets Total$11,400$900▼ $10,500
Liabilities
Accounts Payable and Accrued Expenses$2,001$7,973▲ $5,972
Other Liabilities$1,988$2,531▲ $543
Total Liabilities$3,989$10,504▲ $6,515
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,408,317$11,052,102▲ $1,643,785
Net Assets With Donor Restrictions$6,151$1,174▼ $4,977
Total Net Assets Fund Balance$9,414,468$11,053,276▲ $1,638,808
Total Liabilities and Net Assets / Fund Balance$9,418,457$11,063,780▲ $1,645,323

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$0$20,000-
Other Assets Org$900--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Shelley CarrawayExecutive DirectorFT$70,901$70,901

Board Members and Trustees

NameTitle
Heather BakerPresident
Brian McMahanDirector
Carmen NationsDirector
Doug KeskulaDirector
Ericka ZimmermanDirector
Gerald McKinneyDirector
Julie RichardsDirector
Larry Selby MDDirector
Ron LaroqueDirector
Thom BrooksDirector
Jacob BuchananSecretary
Scott ConnorTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$500
Program Service Revenue
$0
Investment Income
$553,250
Other Revenue
$146,866
All Other Contributions
$500
Change in Net Assets
$-78,081
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$498,214
Salaries, Compensation, and Employee Benefits$162,273
Other Expenses$118,210
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$498,214--$498,214
Current Officers, Directors, Trustees, and Key Employees$35,451$35,450$0$70,901
Other Salaries and Wages$31,520$31,520$0$63,040
Occupancy$10,586$10,586$0$21,172
Payroll Taxes$6,789$6,789$0$13,578
Other Employee Benefits$5,801$5,802$0$11,603
Fees for Services Accounting$0$7,500$0$7,500
Insurance$2,881$518$0$3,399
All Other Expenses$2,834$368$0$3,202
Pension Plan Contributions$1,575$1,576$0$3,151
Information Technology$0$2,678$0$2,678
Conferences and Meetings$674$674$0$1,348
Advertising$1,100$0$0$1,100
Office Expenses$544$543$0$1,087
Depreciation Depletion$892$0$0$892
Travel$0$871$0$871
Other Expenses$0$413$0$413
Total Functional Expenses$673,378$105,319$0$778,697
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Graham Co Board of EducationRobbinsville, NC-Community Health Programs$90,000
Jackson County Board of EducationSylva, NC-Community Health Programs$90,000
Swain County Board of EducationBryson City, NC-Community Health Programs$90,000
Vecinos IncCullowhee, NC-Community Health Programs$22,500
Uncomplicated KitchenSylva, NC-Community Health Programs$19,500
East Carolina University - School of Dental MedicineWaynesville, NC-Community Health Programs$15,643
Blue Ridge Free Dental ClinicCashiers, NC-Community Health Programs$15,000
Community TableDillsboro, NC-Community Health Programs$15,000
HIGHTS IncSylva, NC-Community Health Programs$15,000
Jackson County DSSSylva, NC-Community Health Programs$13,100
AWAKE Children's Advocacy CenterSylva, NC-Community Health Programs$10,000
Jackson Co Public SchoolsSylva, NC-Community Health Programs$10,000
Mountain ProjectsWaynesville, NC-Community Health Programs$10,000
Center for Domestic Peace IncSylva, NC-Community Health Programs$7,500
Child Medical Collaborative IncFranklin, NC-Community Health Programs$7,500
Graham County Health DeptRobbinsville, NC-Community Health Programs$6,200
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payroll liabilities$1,654
Sales and use tax liabilities$877
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Great Smokies Health Foundation
EIN
56-1967734
Phone
8285072270
Address
PO Box 176, Sylva, NC 28779

Signing Officer

Name
Shelley Carraway
Title
Executive Director
Phone
8285072270
Signed
2025-08-15

Organization Details

Principal Officer
Shelley Carraway
Formed
1997
Legal Domicile
Nc
Voting Board Members
11
Independent Board Members
11
Employees
7
Volunteers
40

Preparer

Firm
Brooks CPA PLLC
Address
PO Box 1483, Whittier, NC 28789
Preparer
Frances M Brooks CPA
Phone
8284975390
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

The tax return is prepared by an accounting firm and submitted to senior management within the organization for internal review. Copies are then provided to each board member for review prior to filing.

Pt VI, Line 12C

The organization requires that each board of trustees member and principal officer review the conflict of interest policy and provide disclosure of any activities which could constitute a conflict of interest or potential conflict of interest. Additionally, board of directors members are asked to recuse themselves on any matters of interest before the board in which a conflict of interest may exist. Any such recusal is documented within the minutes of the board or committee.

Pt VI, Line 19

The organizations governing documents, conflict of interset policy, and financial statements are made available to the public upon request.

Pt VI, Line 15A

The board of directors reviews and approves all salary amounts annually

Pt XI

Dividends and interest in investments

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0304399
IRS990/GrossReceiptsAmt0700616
IRS990/GrossSalesOfInventoryAmt0146866
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IRS990/InfoInScheduleOPartVIInd0X
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IRS990/InformationTechnologyGrp/FundraisingAmt00
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt02678
IRS990/InformationTechnologyGrp/ProgramServicesAmt00
IRS990/InformationTechnologyGrp/TotalAmt02678
IRS990/InsuranceGrp/FundraisingAmt00
IRS990/InsuranceGrp/ManagementAndGeneralAmt0518
IRS990/InsuranceGrp/ProgramServicesAmt02881
IRS990/InsuranceGrp/TotalAmt03399
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0300
IRS990/InvestmentExpenseAmt0-41173
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IRS990/InvestmentsPubTradedSecGrp/EOYAmt010816099
IRS990/IRPDocumentCnt00
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IRS990/LandBldgEquipAccumDeprecAmt020000
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0892
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IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0Improve healthcare in Jackson, Swain, Graham and Macon counties in North Carolina.
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IRS990/MoreThan5000KToOrgInd0false
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IRS990/NetUnrelatedBusTxblIncmAmt00
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IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt011052102
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IRS990/OfficeExpensesGrp/FundraisingAmt00
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IRS990/OfficeExpensesGrp/ProgramServicesAmt0544
IRS990/OfficeExpensesGrp/TotalAmt01087
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IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
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IRS990/OtherAssetsTotalGrp/EOYAmt0900
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt05802
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt05801
IRS990/OtherEmployeeBenefitsGrp/TotalAmt011603
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IRS990/OtherExpensesGrp/Desc1Bank service charges
IRS990/OtherExpensesGrp/Desc2Licenses
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IRS990/OtherExpensesGrp/ProgramServicesAmt074337
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IRS990/OtherExpensesGrp/TotalAmt131
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IRS990/OtherLiabilitiesGrp/BOYAmt01988
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IRS990/OtherSalariesAndWagesGrp/FundraisingAmt00
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IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt031520
IRS990/OtherSalariesAndWagesGrp/TotalAmt063040
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt06789
IRS990/PayrollTaxesGrp/ProgramServicesAmt06789
IRS990/PayrollTaxesGrp/TotalAmt013578
IRS990/PensionPlanContributionsGrp/FundraisingAmt00
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01576
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt01575
IRS990/PensionPlanContributionsGrp/TotalAmt03151
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0Shelley Carraway
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IRS990/PYExcessBenefitTransInd0false
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IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
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IRS990/RevenueAmt0147666
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0159252
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0245885
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt00
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IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt0130088
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus3YearsAmt0181429
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus4YearsAmt0154957
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0248851
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IRS990ScheduleA/InvestmentIncomeCYPct00.51350
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IRS990ScheduleA/PublicSupportCY170Pct00
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IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
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IRS990ScheduleA/Total509Grp/TotalAmt0793380
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IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt00
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IRS990ScheduleD/OtherAssetsOrgGrp/Desc1Security Deposit on Lease
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt020000
IRS990ScheduleD/OtherLandBuildingsGrp/InvestmentCostOrOtherBasisAmt020000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01654
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IRS990ScheduleD/TotalLiabilityAmt02531
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt010000
IRS990ScheduleI/RecipientTable/CashGrantAmt16200

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