Mountain Valley Hospice

Nonprofit profile at a glance

EIN
561346589
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Dobson, NC, US
Phone
(336) 789-2922
Rating
79
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Hospices

Official website

Reported finances

Revenue
$45,279,106
Expenses
$44,865,223
Assets
$19,808,205
Liabilities
$5,803,254

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • BARRY S DOWELL (CHIEF EXECUTIVE OFFICER)
  • TRACEY DOBSON (CHIEF EXECUTIVE OFFICER)
  • ANNA MARIA HAYES (SENIOR VICE PRESIDENT OF STRATEGY & INNOVATIO)

Highest reported compensation

  • GLENN D GOLASZEWSKI (CHIEF MEDICAL OFFICER): $322,155 total reported compensation
  • MICHAEL CAPRIOLA (MEDICAL DIRECTOR): $319,480 total reported compensation
  • ALEXANDER WAITE (MEDICAL DIRECTOR): $295,301 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

We focus on your family or loved one's well-being first.

What it reported doing in 2024

The mission, vision, and values of mountain valley are the driving force behind the care and services provided to our patients and families. Our mission is "creating the best experience for those facing serious illness...every patient, every family, every time." this mission is fulfilled through the mountain valley way, an organizational philosophy centered on delivering an exceptional patient and family experience. Mountain valley provides hospice, palliative care, and serious illness services throughout an 18-county service area in North Carolina and Virginia. In addition to providing care in patients' homes, nursing facilities, assisted living facilities, and hospitals, mountain valley operates two inpatient hospice facilities: the joan and howard woltz hospice home and the secu hospice care center. Our continued success is driven by a commitment to high-quality clinical care, strong community relationships, ongoing education and outreach, innovative programs, and a steadfast focus on meeting the evolving needs of those we serve. During fiscal year 2025, mountain valley served 2,686 hospice patients and their families, with an average daily census of 498 patients. In addition to hospice care, mountain valley's consultative palliative care and serious illness program served 519 patients, extending supportive care earlier in the course of serious illness and helping many patients transition seamlessly to hospice services when appropriate. Mountain valley continues to offer specialized programs that address the unique needs of our community, including kids path for pediatric patients and the nationally recognized we honor veterans program. These specialized programs enhance the quality of life for patients and families while distinguishing mountain valley as a regional leader in compassionate, patient-centered care. Mountain valley remains committed to identifying innovative opportunities to expand access to care, improve the patient and family experience, and ensure the long-term sustainability of its mission.

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 79
  • Accountability: 95
  • Sustainability: 32
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 84.4%; rating input score 84
  • Program expense ratio: 84.7%; rating input score 85
  • Fundraising efficiency: $1.51 raised per $1 spent on fundraising; rating input score 4; 4th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 0.9%; rating input score 37; 37th percentile among comparable filings
  • Total-asset coverage ratio: 0.44; rating input score 13; 13th percentile among comparable filings
  • Liabilities to assets ratio: 0.29; rating input score 47; 47th percentile among comparable filings
  • Officer compensation ratio: 5.4%; rating input score 48; 48th percentile among comparable filings

Growth

  • Program expense growth: 8.6% per year; rating input score 100; 64th percentile among comparable filings
  • Revenue growth: 6.8% per year; rating input score 100; 58th percentile among comparable filings
  • Asset growth: 5.7% per year; rating input score 100; 40th percentile among comparable filings

Details

  • What they do: 8 programs and campaigns described on the official site
  • Where the money goes: 84.4% of revenue deployed · 84.7% of spending went to programs
  • Governance: 2 of 2 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $38M in reported program spending
  • Leadership: top reported pay $322K · 14 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.8M reported
  • Consistency: 37 of 37 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Fundraising efficiency scored 4/100.
  • Moderate — Sustainability: Operating margin scored 37/100.
  • High — Sustainability: Total-asset coverage ratio scored 13/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • Moderate — Sustainability: Liabilities to assets ratio scored 47/100.
  • Moderate — Sustainability: Officer compensation ratio scored 48/100.