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Smyth County Community Hospital

Johnson City, TN · EIN 54-0794913 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Smyth County Community Hospital reported $57.2 million in revenue and $49.5 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $83.89 went to program services, $16.11 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 88.4% of the total. The highest compensation it reported for one person was $4,135,022 (Director, Chair). 2 people received more than $100,000 in reportable compensation. Revenue rose 4% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $49M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $57M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
83.9%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
16.1%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
Not reported$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
0.0%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.0%0.1%
Program service revenue share
Part VIII 2g ÷ 12
88.4%93.7%
Highest reported compensation
Part VII-A, columns D–F
$4,135,022$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
8.36%1.34%
People paid over $100,000
Part VII, line 2
227
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
11.56.6
Independent voting board members
Part VI 1a–1b
0 of 488.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$37M expenses · 89.9% of program spending · grants $10,807 · revenue $44M

No description in Part III; see the filing.

$4.2M expenses · 10.1% of program spending · revenue $6.5M

No description in Part III; see the filing.

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
Director, Chair
Director/trustee, officer, 1.00 hrs/week
$0$3,848,876$286,146$4,135,022
Director
Director/trustee, officer, 1.00 hrs/week
$0$1,747,698$137,400$1,885,098
Director
Director/trustee, officer, 1.00 hrs/week
$0$1,445,711$53,543$1,499,254
Former Officer
Former, 1.00 hrs/week
$0$1,101,262$76,184$1,177,446
BH EVP/CFO
Officer, 1.00 hrs/week
$0$988,163$113,059$1,101,222
Director, Secretary
Director/trustee, officer, 1.00 hrs/week
$0$976,689$102,286$1,078,975
Former Officer
Former, 0.00 hrs/week
$0$526,257$50,737$576,994
CFO Acute Svcs Reg'l Operations
Officer, 5.00 hrs/week
$0$498,867$44,489$543,356

2 people received more than $100,000 in reportable compensation from Smyth County Community Hospital (Part VII, line 2). Compensation of current officers, directors and key employees totaled $723K (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$57M$49M83.9%$47M$4,135,022
FY2024 ⓘ$51M$50M81.7%$39M$2,247,795
FY2023 ⓘ$46M$47M81.7%$38M$3,804,451
FY2022 ⓘ$55M$48M82.2%$36M$4,323,372
FY2021 ⓘ$52M$50M81.4%$106M$1,134,234
FY2020 ⓘ$55M$46M84.2%$98M$867,461

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b4 · 0 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aNo
  • Board given the 990 before filing Part VI 11aYes
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 54
  • Volunteers Part I, line 630

Private foundation grants it received

1 private foundation reported grants to Smyth County Community Hospital totaling $7,000 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from Smyth County Community Hospital's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Smyth County Community Hospital, you can publish a response that is linked from this page.

Questions people ask

How much of Smyth County Community Hospital's spending goes to programs?

In the fiscal year ending June 30, 2025, Smyth County Community Hospital reported that 83.9% of its $49.5 million in expenses went to program services, 16.1% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Smyth County Community Hospital pay its top executive?

The largest total compensation Smyth County Community Hospital reported for one person in the fiscal year ending June 30, 2025 was $4,135,022, for the role of Director, Chair (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Smyth County Community Hospital get its money?

Of $57.2 million in revenue in the fiscal year ending June 30, 2025, 0.0% came from contributions and grants (including 0.0% from government grants) and 88.4% from program service revenue (Form 990, Part VIII).

Is Smyth County Community Hospital a registered charity?

The IRS lists EIN 54-0794913 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202611329349305566 · read the filing · XML
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541279349302014 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401229349300730 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202341309349303379 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202211239349300836 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101329349304250 · read the filing

All filings for EIN 54-0794913: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.