2025-08-13T11:56:37+00:00 2024-09-30 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-10-01 561346589 Hospice of Surry County Inc HOSP 3367892922 105 N Crutchfield St 2 PO Box 325 Dobson NC 27017 Barry S Dowell CFO 3367892922 2025-08-13 true Amy Bibby P00445891 8282542254 2025-08-08 2023 2025-03-06 01:10:19Z MOUNTAIN VALLEY HOSPICE AND PALLIATIVE CARE Tracey Dobson 105 N Crutchfield St 2 PO Box 325 Dobson NC 27017 42992324 false X WWW.MTNVALLEYHOSPICE.ORG X 1982 NC Our mission is creating the best experience for those facing serious illness - every patient, every family, every time. 2 2 518 117 0 0 809266 1559602 37580516 40842883 66275 224354 182422 259610 38638479 42886449 0 0 0 0 23808010 25903163 0 0 324523 15116101 16457909 38924111 42361072 -285632 525377 22817283 22182367 8766883 8590819 14050400 13591548 Our mission is creating the best experience for those facing serious illness - every patient, every family, every time. false false 35669330 41052374 The 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. 35669330 true true false false false false false false false true false false true true true true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false false true 36 0 true 518 true false false false false false false false false false false false false X 2 2 false false false false true true true true true false false false true true true true true true true false X Barry Dowell 3367892922 105 N Crutchfield St 2 PO Box 325 Dobson NC 27017 Andrea Hickling Secretary 1.0 X X 0 0 0 Chris Lumsden Vice Chairman 1.0 X X 0 0 0 Kent Thompson Treasurer 1.0 X X 0 0 0 Paul Hammes Chairman 1.0 X X 0 0 0 Angela Cagle Chief HR Officer 40.0 X 154324 0 16585 Barry S Dowell Chief Executive Officer 40.0 X 179232 0 24946 Glenn D Golaszewski Chief Medical Officer 40.0 X 306687 0 21988 Jenna Campbell Chief Clinical Operations Officer 40.0 X 178788 0 9560 Tracey Dobson Chief Executive Officer 40.0 X 248488 0 446 Alexander Waite Medical Director 40.0 X 277845 0 17621 Don Bivens Medical Director 40.0 X 278056 0 3708 Michael Capriola Medical Director 40.0 X 281232 0 14423 Ronda Blevins Nurse Practitioner 40.0 X 135776 0 9715 Victoria Mullins Nurse Practitioner 40.0 X 146397 0 9476 2186825 0 128468 16 false true false CMG CIT Acquisitions Inc 655 South Willow Manchester NH 03103 Contract Labor 1141820 Harbourview 542 Allred Mill Rioad Mount Airy NC 27030 Medical Payment 855568 Teleios Collaborative Network 571 South Allen Flat Rock NC 28726 Management 769626 The Citadel at Winston-Salem 1900 West 1st Street WinstonSalem NC 27104 Medical Payment 660149 Village Care of King 440 Ingram Road King NC 27021 Medical Payment 519620 18 1051952 507650 1559602 Patient Service Revenue 623000 35873571 35873571 Nursing Home Support 623000 4969312 4969312 0 0 0 0 40842883 222959 222959 0 0 62840 1144 62589 251 1144 1395 1395 93405 43286 50119 50119 209491 209491 209491 0 0 0 0 0 42886449 41052374 0 274473 X 1067519 485475 569620 12424 19404702 15294478 3906073 204151 276692 213274 60491 2927 3639436 2798244 802787 38405 1514814 1167616 331173 16025 579 579 121070 121070 12827 12827 7719884 7672490 47394 0 360087 360087 1358893 1058500 271968 28425 534507 513103 21404 831529 831529 609429 367352 241315 762 100303 98381 1922 97734 97734 1308127 1308127 68883 68883 Medical Supplies 3246495 3246495 Bad Debt 87562 87562 0 0 0 0 42361072 35669330 6367219 324523 6878239 5323443 12710 3882289 4275565 0 0 305661 299786 428942 310841 20101517 9542444 10234637 10559073 202862 140022 0 0 884653 1260927 22817283 22182367 2657873 6449095 0 6109010 2141724 8766883 8590819 X 14050400 13591548 14050400 13591548 22817283 22182367 X 525377 15771 -1000000 X false true X true false X 1804836 989483 2549936 809266 1559602 7713123 0 0 1804836 989483 2549936 809266 1559602 7713123 89102 7624021 240 146 12569 38226 222959 274140 0 0 0 0 0 0 0 7987263 173605894 0.9545 0.9798 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 942487 942487 7364236 3667869 3696367 62976 31366 31610 11731818 5843209 5888609 10559073 Sales Tax Receivable 9549 Deposits 13826 Other Receivables 692643 ROU Asset 544909 1260927 Capital Lease Obligation 1607230 Unearned Income -22799 Right of use liability 557293 2141724 X 42641466 15771 -260754 -244983 42886449 0 0 42886449 42100318 -260754 -260754 42361072 0 0 42361072 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 40th Anniversary Gala 66660 66660 2200 1500 11036 2000 6622 Port-A-Pit Fundraiser 26745 26745 5050 200 13589 1089 0 93405 93405 5050 2200 1700 24625 2000 7711 43286 50119 X X false false false false false false false false false Tracey Dobson Chief Executive Officer 223488 0 25000 0 0 0 0 0 446 0 248934 0 0 0 Glenn D Golaszewski Chief Medical Officer 296687 0 10000 0 0 0 0 0 21988 0 328675 0 0 0 Barry S Dowell Chief Executive Officer 154232 0 25000 0 0 0 0 0 24946 0 204178 0 0 0 Angela Cagle Chief HR Officer 129324 0 25000 0 0 0 0 0 16585 0 170909 0 0 0 Jenna Campbell Chief Clinical Operations Officer 153788 0 25000 0 0 0 0 0 9560 0 188348 0 0 0 Michael Capriola Medical Director 281232 0 0 0 0 0 0 0 14423 0 295655 0 0 0 Don Bivens Medical Director 278056 0 0 0 0 0 0 0 3708 0 281764 0 0 0 Victoria Mullins Nurse Practitioner 146397 0 0 0 0 0 0 0 9476 0 155873 0 0 0 Alexander Waite Medical Director 277845 0 0 0 0 0 0 0 17621 0 295466 0 0 0 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. 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.