Civic Intelligence

Hospice of Surry County Inc

EIN 56-1346589 • 501(c)3 • Dobson, NC

Profile

The mission of hospice of surry county, inc. Dba mountain valley hospice and palliative care is to improve the quality of life to those with a limited life expectancy and their families.

105 N Crutchfield St 2 PO Box 325Dobson, NC 27017

www.mtnvalleyhospice.org

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.39x

Higher debt load relative to assets than 62% of similar nonprofits.

NTEE P • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

44th percentile

0.20x

Higher debt load relative to revenue than 44% of similar nonprofits.

NTEE P • $25M-$50M nonprofits • Source year 2024

Net Margin

38th percentile

1.2%

Higher net margin than 38% of similar nonprofits.

NTEE P • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

60th percentile

$328,675

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

NTEE P • $25M-$50M nonprofits • Source year 2024

Asset Growth

14th percentile

-2.8%

Faster asset growth than 14% of similar nonprofits.

NTEE P • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

59th percentile

11%

Faster revenue growth than 59% of similar nonprofits.

NTEE P • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$22,182,367

Down $634,916 (-2.8%) from 2023

Liabilities

Down

$8,590,819

Down $176,064 (-2.0%) from 2023

Net Assets

Down

$13,591,548

Down $458,852 (-3.3%) from 2023

Revenue

Up

$42,886,449

Up $4,247,970 (+11%) from 2023

Expenses

Up

$42,361,072

Up $3,436,961 (+8.8%) from 2023

Net Income

Up

$525,377

Up $811,009 (+284%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $9,400,574Liabilities 2010: $2,987,136Net Assets 2010: $6,413,4382010Assets 2011: $10,168,532Liabilities 2011: $2,090,367Net Assets 2011: $8,078,1652011Assets 2012: $12,574,777Liabilities 2012: $2,751,517Net Assets 2012: $9,823,2602012Assets 2013: $10,117,391Liabilities 2013: $1,619,244Net Assets 2013: $8,498,1472013Assets 2014: $9,889,003Liabilities 2014: $1,164,088Net Assets 2014: $8,724,9152014Assets 2015: $11,020,261Liabilities 2015: $1,366,355Net Assets 2015: $9,653,9062015Assets 2016: $13,207,430Liabilities 2016: $2,743,553Net Assets 2016: $10,463,8772016Assets 2017: $15,466,454Liabilities 2017: $3,865,249Net Assets 2017: $11,601,2052017Assets 2018: $16,250,484Liabilities 2018: $4,028,019Net Assets 2018: $12,222,4652018Assets 2019: $15,792,536Liabilities 2019: $3,372,495Net Assets 2019: $12,420,0412019Assets 2020: $16,477,943Liabilities 2020: $3,967,897Net Assets 2020: $12,510,0462020Assets 2021: $15,624,175Liabilities 2021: $2,918,941Net Assets 2021: $12,705,2342021Assets 2022: $19,506,734Liabilities 2022: $5,165,679Net Assets 2022: $14,341,0552022Assets 2023: $22,817,283Liabilities 2023: $8,766,883Net Assets 2023: $14,050,4002023Assets 2024: $22,182,367Liabilities 2024: $8,590,819Net Assets 2024: $13,591,5482024

Highlighted filing

2024

Assets$22,182,367
Liabilities$8,590,819
Net Assets$13,591,548

Operations Trend

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

$60M$40M$20M$0-$20MExpenses 2010: $15,807,6532010Expenses 2011: $17,811,8692011Expenses 2012: $19,203,0512012Expenses 2013: $19,179,1732013Revenue 2014: $18,386,724Expenses 2014: $18,159,956Net Income 2014: $226,7682014Revenue 2015: $19,301,016Expenses 2015: $18,372,025Net Income 2015: $928,9912015Revenue 2016: $20,884,631Expenses 2016: $20,074,660Net Income 2016: $809,9712016Revenue 2017: $22,494,159Expenses 2017: $21,259,747Net Income 2017: $1,234,4122017Revenue 2018: $24,510,262Expenses 2018: $23,889,002Net Income 2018: $621,2602018Revenue 2019: $27,795,198Expenses 2019: $27,595,842Net Income 2019: $199,3562019Revenue 2020: $29,324,059Expenses 2020: $29,234,054Net Income 2020: $90,0052020Revenue 2021: $33,390,602Expenses 2021: $33,197,032Net Income 2021: $193,5702021Revenue 2022: $37,859,687Expenses 2022: $36,223,494Net Income 2022: $1,636,1932022Revenue 2023: $38,638,479Expenses 2023: $38,924,111Net Income 2023: -$285,6322023Revenue 2024: $42,886,449Expenses 2024: $42,361,072Net Income 2024: $525,3772024

Highlighted filing

2024

Revenue$42,886,449
Expenses$42,361,072
Net Income$525,377

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.2$8.59$13.6$42.9$42.4$0.53
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.8$8.77$14.1$38.6$38.9$0.29
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.5$5.17$14.3$37.9$36.2$1.64
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.6$2.92$12.7$33.4$33.2$0.19
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.5$3.97$12.5$29.3$29.2$0.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.8$3.37$12.4$27.8$27.6$0.20
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.3$4.03$12.2$24.5$23.9$0.62
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.5$3.87$11.6$22.5$21.3$1.23
2016Detailed filing. Detailed filing data is available for this year.$13.2$2.74$10.5$20.9$20.1$0.81
2015Detailed filing. Detailed filing data is available for this year.$11.0$1.37$9.65$19.3$18.4$0.93
2014Detailed filing. Detailed filing data is available for this year.$9.89$1.16$8.72$18.4$18.2$0.23
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.1$1.62$8.50$19.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.6$2.75$9.82$19.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.2$2.09$8.08$17.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.40$2.99$6.41$15.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 13, 2025
Return Version
2023v6.0
Gross Receipts
$42,992,324
Mission and Program Overview

Mission

The mission of hospice of surry county, inc. Dba mountain valley hospice and palliative care is to improve the quality of life to those with a limited life expectancy and their families.

Our mission is creating the best experience for those facing serious illness - every patient, every family, every time.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$10,234,637$10,559,073▲ $324,436
Savings and Temporary Cash Investments$6,878,239$5,323,443▼ $1,554,796
Accounts Receivable$3,882,289$4,275,565▲ $393,276
Prepaid Expenses and Deferred Charges$428,942$310,841▼ $118,101
Inventories for Sale or Use$305,661$299,786▼ $5,875
Investments in Publicly Traded Securities$202,862$140,022▼ $62,840
Pledges and Grants Receivable-$12,710-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$22,817,283$22,182,367▼ $634,916
Other Assets Total$884,653$1,260,927▲ $376,274
Liabilities
Accounts Payable and Accrued Expenses$2,657,873$6,449,095▲ $3,791,222
Other Liabilities$6,109,010$2,141,724▼ $3,967,286
Total Liabilities$8,766,883$8,590,819▼ $176,064
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$14,050,400$13,591,548▼ $458,852
Total Net Assets Fund Balance$14,050,400$13,591,548▼ $458,852
Total Liabilities and Net Assets / Fund Balance$22,817,283$22,182,367▼ $634,916

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$5,888,609$5,843,209$11,731,818
Buildings$3,696,367$3,667,869$7,364,236
Land$942,487-$942,487
Leasehold Improvements$31,610$31,366$62,976
Other Assets Org$544,909--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Glenn D GolaszewskiChief Medical OfficerFT$296,687$31,988$328,675
Michael CapriolaMedical DirectorFT$281,232$14,423$295,655
Alexander WaiteMedical DirectorFT$277,845$17,621$295,466
Don BivensMedical DirectorFT$278,056$3,708$281,764
Tracey DobsonChief Executive OfficerFT$223,488$25,446$248,934
Barry S DowellChief Executive OfficerFT$154,232$49,946$204,178
Jenna CampbellChief Clinical Operations OfficerFT$153,788$34,560$188,348
Angela CagleChief HR OfficerFT$129,324$41,585$170,909
Victoria MullinsNurse PractitionerFT$146,397$9,476$155,873
Ronda BlevinsNurse PractitionerFT$135,776$9,715$145,491

Board Members and Trustees

NameTitle
Paul HammesChairman
Chris LumsdenVice Chairman
Andrea HicklingSecretary
Kent ThompsonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
CMG CIT Acquisitions IncContract Labor655 South Willow, Manchester, NH 03103$1,141,820
HarbourviewMedical Payment542 Allred Mill Rioad, Mount Airy, NC 27030$855,568
Teleios Collaborative NetworkManagement571 South Allen, Flat Rock, NC 28726$769,626
The Citadel at Winston-SalemMedical Payment1900 West 1st Street, WinstonSalem, NC 27104$660,149
Village Care of KingMedical Payment440 Ingram Road, King, NC 27021$519,620
Revenue and Support

Revenue Composition

Contributions and Grants
$1,559,602
Program Service Revenue
$40,842,883
Investment Income
$224,354
Other Revenue
$259,610
All Other Contributions
$507,650
Change in Net Assets
$525,377

Audited Revenue Reconciliation

Revenue per Audited Statements
$42,886,449
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-244,983
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$42,641,466
Total Revenue per Form 990
$42,886,449
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$25,903,163
Other Expenses$16,457,909
Total Fundraising Expense$324,523
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,294,478$3,906,073$204,151$19,404,702
Fees for Services Other$7,672,490$47,394$0$7,719,884
Other Employee Benefits$2,798,244$802,787$38,405$3,639,436
Payroll Taxes$1,167,616$331,173$16,025$1,514,814
Office Expenses$1,058,500$271,968$28,425$1,358,893
Depreciation Depletion$1,308,127--$1,308,127
Current Officers, Directors, Trustees, and Key Employees$485,475$569,620$12,424$1,067,519
Occupancy$831,529--$831,529
Travel$367,352$241,315$762$609,429
Information Technology$513,103-$21,404$534,507
Advertising$360,087--$360,087
Pension Plan Contributions$213,274$60,491$2,927$276,692
Fees for Services Accounting-$121,070-$121,070
Conferences and Meetings$98,381$1,922-$100,303
Interest$97,734--$97,734
Other Expenses$87,562--$87,562
Insurance$68,883--$68,883
Fees for Service Investment Mgmnt Fees-$12,827-$12,827
Fees for Services Legal-$579-$579
Total Functional Expenses$35,669,330$6,367,219$324,523$42,361,072

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$42,361,072
Total Expenses per Form 990$42,361,072
Total Expenses per Audited Statements$42,100,318
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Expenses Not Reported on Form 990$-260,754
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$93,405
Fundraising Direct Expenses$43,286
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
40th Anniversary Gala$66,660$66,660$6,622$60,038
Port-A-Pit Fundraiser$26,745$26,745$1,089$25,656
Total Events$93,405$93,405$43,286$50,119
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease Obligation$1,607,230
Right of use liability$557,293
Unearned Income$-22,799
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15

The Board determines the CEO's compensation. Other officers and key figures of the organization are determined by a position control committee that represents Finance, Human Resources, the CEO and market comparability data.

Form 990, Part VI, Line 18

Recent filings of the form 990 are available upon request at the organization's administrative office. In addition, recent filings of the form 990 are available online at www.guidestar.org.

Form 990, Part VI, Line 6 Classes of members or stockholders

The organization has two members, hugh chatham memorial hospital, inc, and the northern hospital district of surry county.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The governing body consists of representatives appointed by the organization's members, hugh chatham memorial hospital and the northern hospital district of surry county.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The governing body consists of representatives appointed by the organization's members, hugh chatham memorial hospital and the northern hospital district of surry county. Decisions of the representatives are subject to approval of the member organizations.

Form 990, Part VI, Line 11B Review of form 990 by governing body

THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. UPON COMPLETION OF THE FORM 990, THE ORGANIZATION'S MANAGEMENT REVIEWED THE FORM 990. Due to the timing of the quarterly board meetings, THE completed and filed form 990 is provided to the board at the next scheduled meeting.

Form 990, Part VI, Line 12C Conflict of interest policy

Board of Members, Advisory Board and hospice staff submit a form to disclose personal or financial interests that could possibly interfere with their duties and responsibilities to the organization. Disclosure forms are submitted at the time of hire or Board appointment, annually and/or whenever a potential conflict arises. Failure to disclose existing or potential conflicts of interest is grounds for termination of employment or Board appointment.

Form 990, Part VI, Line 19 Required documents available to the public

Photocopies of the organization's governing documents, conflict of interest policy, and financial statements are available upon written request at the organization's administrative office.

Filing and Contact Details

Filer

Filer Name
Hospice of Surry County Inc
EIN
56-1346589
Phone
3367892922
Address
105 N Crutchfield St 2 PO Box 325, Dobson, NC 27017
Doing Business As
Mountain Valley Hospice and Palliative Care

Signing Officer

Name
Barry S Dowell
Title
CFO
Phone
3367892922
Signed
2025-08-13
Discuss with paid preparer
Yes

Organization Details

Formed
1982
Legal Domicile
Nc
Voting Board Members
2
Independent Board Members
2
Employees
518
Volunteers
117

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Room & Board Fees - Total Expense: 5086967, Program Service Expense: 5086967, Management and General Expenses: , Fundraising Expenses: ; Medical Fees - Total Expense: 1574457, Program Service Expense: 1574457, Management and General Expenses: , Fundraising Expenses: ; Other Professional Fees - Total Expense: 1058460, Program Service Expense: 1011066, Management and General Expenses: 47394, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Equity Transfer - -1000000;

Form 990, Part XII, Line 2C

This process has not changed from the prior year.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The hospice is a not-for-profit organization that has been recognized by the internal revenue service as taxexempt under internal revenue code section 501 (c)(3). The hospice follows the fasb's authoritative guidance on accounting for uncertainty in income taxes. The guidance clarifies the accounting for the recognition and measurement of the benefits of individual tax positions in the financial statements. Tax positions must meet a recognition threshold of more-likely-than-not in order for the benefit of those tax positions to be recognized in the hospice's financial statements. The hospice has determined that it does not have any material unrecognized tax benefits or obligations as of september 30, 2024.

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

Gain on Sale of Asset - -1144 Fundraising Income - -50119 Thrift Shop Gross Receipts - -209491

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Gain on Sale of Assets - -1144 Fundraising Income - -50119 Thrift Shop Gross Receipts - -209491

Raw XML AppendixShowing 400 of 780 raw XML fields

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/Desc0The mission, vision, and values of Mountain Valley Hospice and Palliative Care (MHVPC) are the main drivers of care and services provided to our patients and families. Our goal is to provide services based on the "Mountain Valley Way" which focuses on the patient and family experience during care. Our mission is "Creating the best experience for those facing serious illness...Every patient, Every family, Every time". MVHPC has expanded its regional footprint in both North Carolina and Virginia, serving patients from a 18-county service area. In addition, we serve patients in our two inpatient facilities: The Joan and Howard Woltz Hospice Home and the SECU Hospice Care Center. Our overall success can be attributed to providing high quality care, ongoing awareness, and marketing activities, offering multiple programs, fostering relationships and engaging the community. In FY 2024, MVHPC served 2,701 total hospice patients and their families. The organization served an average daily census of 489 patients at home; in long-term care facilities, assisted living facilities, hospitals, and hospice inpatient units. In addition to hospice services, MVHPC also served patients through a consultative Palliative Care and Serious Illness Program with many eventually transitioning to hospice. For our specialty populations MVHPC offers hospice and palliative care services for pediatric patients through the Kids Path Program; and veterans through the We Honor Veterans Program; and a Pet Peace of Mind Program. Programs such as these makes our organization unique. Finally, we are continually looking for new and innovative opportunities to meet the needs of our patients and sustain our programs.
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