VALLEY REGIONAL HEALTHCARE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY REGIONAL HEALTHCARE INC (EIN 02-0397338)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201212279349302716
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T14:00:29-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020397338 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Healthcare Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VALL | NameControl |
| Phone | 6035427771 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Steven L Monette | Name |
| Title | CFO | Title |
| Phone | 6035427771 | Phone |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| Phone | 2077752387 | Phone |
| Date Prepared | 2012-08-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Claire Bowen | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5857283 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.vrh.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | Parent organization to Valley Regional Hospital, Inc. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 119 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 412185 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 402572 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5461483 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4855393 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 59332 | InvestmentIncomePriorYear |
| Investment Income Current Year | 107141 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 43666 | OtherRevenuePriorYear |
| Other Revenue Current Year | 70736 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5976666 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5435842 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4394 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4785147 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4405200 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1178472 | OtherExpensePriorYear |
| Other Expenses Current Year | 954599 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5968013 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5359799 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8653 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 76043 | RevenuesLessExpensesCY |
| Total Assets BOY | 2909491 | TotalAssetsBOY |
| Total Assets EOY | 2821141 | TotalAssetsEOY |
| Total Liabilities BOY | 949332 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 868147 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1960159 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1952994 | NetAssetsOrFundBalancesEOY |
| Mission Description | Valley Regional Healthcare, Inc. is organized to coordinate and support the activities of health care organizations, including Valley Regional Hospital, Inc. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4572564 | Expense |
| Revenue | 4855393 | Revenue |
| Description | 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. Valley Regional Healthcare also operates Connecticut Valley Home Care, a home health care agency. | Description |
| Total Program Service Expense | 4572564 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 119 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Monette | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6035427771 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Volker Bradley MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Albert Leahy Jr | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Debra Livingston | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Nancy Merrill | |||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael O'Connell | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael L Prozzo Jr | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Alison Raymond | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Lisa Richmond | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Bernard Rosen MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael Satzow | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Evelyn Schlosser | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Carol Vivian | |||||||
| Vice Chairman | 1.00 | X | 0 | 0 | 0 | X | |
| Jim Wimberg | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Claire Bowen | |||||||
| President/CEO/Secretary | 40.00 | X | 292065 | 0 | 10030 | X | |
| Robert Porter | |||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | X | |
| Randolph Knight MD | |||||||
| Past Medical Staff President | 40.00 | X | 0 | 241120 | 24915 | X | |
| Robert Cricco MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Allen Damren | |||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael Fuerst | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Oliver Herfort MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Sherwood Moody | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Carol Boerner MD | |||||||
| Medical Staff President | 40.00 | X | 0 | 0 | 0 | X | |
| Charlene Lovett | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Steven Monette | |||||||
| CFO/Treasurer | 40.00 | 144947 | 0 | 889 | X | ||
| Margaret Burns | |||||||
| VP of Patient Services | 40.00 | 154098 | 0 | 4209 | X | ||
| Gregg Burdett | |||||||
| VP of Administration | 40.00 | 139760 | 0 | 19195 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 730870 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 241120 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 59238 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 363503 | GovernmentGrants |
| All Other Contributions | 39069 | AllOtherContributions |
| Total Contributions | 402572 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenu | 621610 | 2535559 | 2535559 |
| Management Services | 621610 | 2136699 | 2136699 |
| Miscellaneous Revenue | 900099 | 183135 | 183135 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4855393 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42395 | TotalRevenueColumn |
| Exclusion | $42,395 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17244 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 51151 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -33907 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -33907 | TotalRevenueColumn |
| Exclusion | -$33,907 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 435036 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 370290 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 64746 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64746 | TotalRevenueColumn |
| Exclusion | $64,746 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 104643 | TotalRevenueColumn |
| Exclusion | $104,643 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 104643 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5435842 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4855393 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $177,877 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 447930 | Total |
| Program Services | 66668 | ProgramServices |
| Management And General | 381262 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2983743 | Total |
| Program Services | 2983743 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15504 | Total |
| Program Services | 15504 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 726300 | Total |
| Program Services | 658610 | ProgramServices |
| Management And General | 67690 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231723 | Total |
| Program Services | 207934 | ProgramServices |
| Management And General | 23789 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1118 | Total |
| Management And General | 1118 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17500 | Total |
| Management And General | 17500 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12069 | Total |
| Management And General | 12069 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278488 | Total |
| Program Services | 75547 | ProgramServices |
| Management And General | 202941 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65866 | Total |
| Program Services | 65866 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174680 | Total |
| Program Services | 163152 | ProgramServices |
| Management And General | 11528 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124105 | Total |
| Program Services | 112357 | ProgramServices |
| Management And General | 11748 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111306 | Total |
| Program Services | 109016 | ProgramServices |
| Management And General | 2290 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 549 | Total |
| Program Services | 549 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39792 | Total |
| Program Services | 39665 | ProgramServices |
| Management And General | 127 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54255 | Total |
| Management And General | 54255 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for Bad Debts | 38966 | 38966 | 0 |
| Miscellaneous | 29279 | 28361 | 918 |
| Purchased Services | 6626 | 6626 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5359799 | Total |
| Program Services | 4572564 | ProgramServices |
| Management And General | 787235 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50 | BOY |
| EOY | 50 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121984 | BOY |
| EOY | 206239 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356725 | BOY |
| EOY | 289128 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13074 | BOY |
| EOY | 14412 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 464697 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 214525 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267755 | BOY |
| EOY | 250172 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1400767 | BOY |
| EOY | 1459973 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 749136 | BOY |
| EOY | 601167 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2909491 | BOY |
| EOY | 2821141 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428143 | BOY |
| EOY | 377653 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54904 | BOY |
| EOY | 101833 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 466285 | BOY |
| EOY | 388661 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 949332 | BOY |
| EOY | 868147 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1960159 | BOY |
| EOY | 1913902 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 39092 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1960159 | BOY |
| EOY | 1952994 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2909491 | BOY |
| EOY | 2821141 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 76043 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -83208 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222118 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $5,359,799 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 5359799 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 464697 | OtherCostOrOtherBasis |
| Depreciation | 214525 | Depreciation |
| Book Value | 250172 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 250172 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliates | 311984 |
| Cash Surrender Value of Life Insurance | 289183 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 601167 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates | $292,282 |
| Reserve for Self-Funded Insurance | $96,379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 388661 | TotalOfAmounts |
| Total Revenue | 5435842 | TotalRevenue |
| Total Expenses | 5359799 | TotalExpenses |
| Excess Or Deficit For Year | 76043 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -83208 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -83208 | TotalAdjustments |
| Excess Or Deficit Per FS | -7165 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5391716 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -83208 | NetUnrealizedGainsInvestments |
| Other Revenues | 51151 | OtherRevenues |
| Revenue Not Rptd F990 | -32057 | RevenueNotRptdF990 |
| Revenue Subtotal | 5423773 | RevenueSubtotal |
| Investment Expenses Not Included | 12069 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 12069 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5435842 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5398881 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 51151 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 51151 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5347730 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 12069 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 12069 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5359799 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XII, Line 2d - Other Adjustments: | Rental Expenses 51,151. |
| Part XIII, Line 2d - Other Adjustments: | Rental Expenses 51,151. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Claire Bowen | |||||||||||||
| 253252 | 0 | 27520 | 0 | 11293 | 0 | 2132 | 0 | 7898 | 0 | 302095 | 0 | 0 | 0 |
| Randolph Knight MD | |||||||||||||
| 0 | 223768 | 0 | 2670 | 0 | 14682 | 0 | 1972 | 0 | 22943 | 0 | 266035 | 0 | 0 |
| Margaret Burns | |||||||||||||
| 143028 | 0 | 6561 | 0 | 4509 | 0 | 1476 | 0 | 2733 | 0 | 158307 | 0 | 0 | 0 |
| Gregg Burdett | |||||||||||||
| 128622 | 0 | 7297 | 0 | 3841 | 0 | 0 | 0 | 19195 | 0 | 158955 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 6 | ReturnReference |
| Explanation | Claire Bowen (CEO) received a bonus that is derived by a number of different factors. There is a fixed dollar amount that is set as a potential bonus. The board sets objectives for the CEO to achieve with a weighted percentage on each objective that will factor into the bonus amount. These weighted amounts equal 100% of the potential bonus. For Margaret Burns, Gregg Burdett, and Steven Monette (Senior VPs), 15% of their salary is eligible for a bonus. They too have a weighted percent on objectives to meet during the year in determining the bonus amount they will receive. For fiscal year 10-11, one of the objectives for the senior management was meeting the budgeted operating return. This counted as 35% of their potential bonus amount. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| 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 11 | The Organization's CFO reviews the draft Form 990 prior to its filing. The CFO then goes over the document with the board's finance committee. | |
| The executive committee of the board of trustees convenes on an annual basis to review the compensation of the CEO. At this time, Olney & Associates CEO Survey is used to determine an appropriate rate of pay. Other determining factors include overall hospital performance and completion of individual CEO goals and objectives. | Form 990, Part VI, Section B, line 15 | |
| The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized losses on investments: -83,208. | Form 990, Part XI, line 5: |
| Oversight of Audit | The audit process has not changed from the prior year. | Form 990, Part XI, Line 2c |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Hospital Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222118 | EIN |
| Primary Activities | Critical Access Hospital | PrimaryActivities |
| Legal Domicile State | NH | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Health Care Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |