The Spivey Hill Challenge is an annual endurance event honoring Dr. Jamie Epperson, Bill Spivey, and Spencer Street III. The race features both live and virtual participation options. Proceeds support Shine On for Women, Garments of Grace, and Graham Friends of the Arc, helping victims of domestic violence, providing clothing to children, and offering support for intellectually and developmentally disabled individuals. The event caters to all ages and fitness levels with various award categories based on age and gender. Participants receive T-shirts, and virtual registrants have items shipped directly to them.