2021-08-10T12:21:43-05:00 2020-09-30 010523282 Berry Dunn McNeil & Parker LLC PO BOX 1100 Portland ME 041041100 990 2019-10-01 020397338 Valley Regional Healthcare Inc VALL 6035427771 243 Elm Street Claremont NH 03743 Jean Shaw CFO 6035427771 2021-08-06 1 Barbara J McGuan CPA P00219457 2077752387 2021-08-06 2019 2022-09-23 18:48:47Z Jocelyn Caple 243 Elm Street Claremont NH 03743 2870036 0 X www.vrh.org X 1986 NH Parent organization to Valley Regional Hospital, Inc. 16 12 7 14 0 0 0 0 2379776 2080766 144654 58277 0 0 2524430 2139043 0 0 0 0 665971 769161 0 0 0 3181928 2434632 3847899 3203793 -1323469 -1064750 15148627 13950750 19288813 19031390 -4140186 -5080640 Valley Regional Healthcare, Inc. is organized to coordinate and support the activities of health care organizations, including Valley Regional Hospital, Inc. 0 0 1986397 2080766 Valley Regional Healthcare is the parent organization for Valley Regional Hospital. In this role, Valley Regional Healthcare provides integrated management and support services for the Hospital. 1986397 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 18 0 1 7 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 0 1 1 1 1 1 0 NH X Jean Shaw 6035427771 243 Elm Street Claremont NH 03743 Patricia Putnam Chair 0.10 0.90 X X 0 0 0 Terri Decker Vice Chair 0.10 0.90 X X 0 0 0 John Tomlinson Co-Vice Chair 0.10 0.90 X X 0 36000 0 Cynthia L Burr Secretary 0.10 0.90 X X 0 0 0 Juliann Barrett DO Trustee 0.10 39.90 X 0 267395 11117 James Borchert Trustee 0.10 0.90 X 0 0 0 Scott Bouranis Trustee 0.10 0.90 X 0 0 0 Eric Crainich Trustee 0.10 0.90 X 0 0 0 Bryan Huot Trustee 0.10 0.90 X 0 0 0 Katherine Lajoie Trustee 0.10 0.90 X 0 0 0 Steve LeBlanc Trustee 0.10 0.90 X 0 0 0 Lisa Richmond Trustee 0.10 0.90 X 0 0 0 Alex Scott Trustee 0.10 0.90 X 0 0 0 Tom Sullivan Trustee 0.10 0.90 X 0 0 0 Gailyn Thomas MD Trustee 0.10 0.90 X 0 0 0 James P Wilton DPM Past Trustee 0.10 39.90 X 0 273602 37767 Jocelyn Caple Interim CEO 1.60 38.40 X X 0 0 0 Deanna Howard Past Interim CEO 1.60 38.40 X X 316667 0 0 Allan Berggren MD Past Secretary 0.10 0.90 X X 0 0 0 Michael Fuerst Past Trustee 0.10 0.90 X 0 0 0 Jean Shaw CFO 2.80 37.20 X 159646 0 36412 Peter Wright Former CEO 0.00 X 160502 0 28469 636815 576997 113765 3 1 1 1 Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 CEO Contract Services 392796 1 Management Services 621610 989336 989336 Rental Income 531120 950695 950695 Miscellaneous Revenue 900099 101982 101982 Patient Service Revenu 621610 91200 91200 Contractual/Bad Debt A 621610 -52447 -52447 2080766 71794 71794 691765 25711 728603 2390 -36838 23321 -13517 -13517 2139043 2080766 0 58277 701697 578622 123075 25554 21072 4482 21112 17409 3703 20798 17150 3648 10915 10915 49170 49170 18277 18277 119990 98944 21046 71932 71932 18447 15211 3236 31153 25689 5464 776 640 136 609400 609400 1434038 1182514 251524 35189 35189 Dues and Subscriptions 23244 19167 4077 Miscellaneous 12048 9935 2113 Medical Supplies 53 44 9 3203793 1986397 1217396 0 X 192599 270249 810869 870539 6659 6512 18374 14009 44203809 34578970 11036756 9624839 2898176 3075071 185194 89531 15148627 13950750 146377 210186 116843 116935 18569063 18259225 456530 445044 19288813 19031390 X -4140262 -5080716 76 76 -4140186 -5080640 15148627 13950750 -1064750 124296 0 X 0 1 X 1 0 X X 1 Valley Regional Hospital Inc 020222118 3 1 1986397 0 1 1986397 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15931744 10987644 4944100 119313 115109 4204 27119299 22644510 4474789 1033453 831707 201746 9624839 Due to Affiliates 436635 Reserve for Self-Funded Insurance 8409 445044 X X X X 0 0 0 0 0 0 0 0 0 Juliann Barrett DO Trustee 0 237600 0 29610 0 185 0 339 0 10778 0 278512 0 0 James P Wilton DPM Past Trustee 0 265246 0 0 0 8356 0 426 0 37341 0 311369 0 0 Deanna Howard Past Interim CEO 316667 0 0 0 0 0 0 0 0 0 316667 0 0 0 Jean Shaw CFO 159434 0 0 0 212 0 259 0 36153 0 196058 0 0 0 Peter Wright Former CEO 160502 0 0 0 0 0 0 0 28469 0 188971 0 0 0 Form 990, Part VII, line 5: Peter Wright, Former CEO is paid by Mary Hitchcock Memorial Hospital, an unrelated organization via a professional services agreement. Mr. Wright left the organization on March 8, 2019. A breakdown of Mr. Wright's 2019 compensation is as follows: Salary: $160,502 Benefits: $28,469 Deanna Howard, past Interim CEO, is paid by Mary Hitchcock Memorial Hospital, an unrelated organization via a professional services agreement. A breakdown of Ms. Howard's 2019 compensation is as follows: Salary: $316,667 Benefits: $0 Form 990, Part VI, Section A, line 6 The Corporation has an assembly of Overseers. Form 990, Part VI, Section A, line 7a The Overseers elect directors to the Board. Additionally, the CEO of Dartmouth Hitchcock Medical Center has the right to appoint one representative to the Board of Directors. Form 990, Part VI, Section A, line 7b The power to alter, amend or repeal the bylaws or to adopt new bylaws shall be vested in the Assembly of Overseers. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the CFO, CEO, and the Finance Committee members prior to filing. Form 990, Part VI, Section B, line 15 The executive committee of the board of trustees convenes two to four times annually to review the compensation of the CEO. The amount of compensation shall be reviewed by the D-H independent compensation consultant for purposes of determining compliance with the rebuttable presumption, if necessary. The CEO compensation is tied to the strategic planning goals of the Organization. Regional compensation of like-sized organizations is used for comparison purposes. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Valley Regional Healthcare, Inc. 243 Elm Street Claremont, NH 03743 EIN: 02-0397338 Valley Regional Healthcare, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Valley Regional Hospital Inc 243 Elm Street Claremont NH 03743 020222118 Critical Access Hospital NH 501(c)(3) 3 Valley Regional Healthcare Inc 1 George H Stowell Trust 295 Windsor Rd Claremont NH 03743 Charitable Trust NH Valley Regional Hospital Inc T 0 Clarence H Martin Trust 243 Elm St Claremont NH 03743 Charitable Trust NH Valley Regional Hospital Inc T 0 McGuire Endowment 243 Elm St Claremont NH 03743 Charitable Trust NH Valley Regional Hospital Inc T 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 Valley Regional Hospital Inc L 1918208 Amounts Paid Valley Regional Hospital Inc A 928872 Amounts Received Valley Regional Hospital Inc M 989336 Amounts Received