VALLEY REGIONAL HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
VALLEY REGIONAL HOSPITAL INC (EIN 02-0222118)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-14
IRS object ID
202602279349300100
Schema version
2024v5.1
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

FieldValueIRS element (for citing)
Return2026-08-14T22:55:16+00:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14801 OLYMPIA PARK PLAZA SUITE 4000AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP402412098ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222118EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY REGIONAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone6035427771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1243 ELM STREETAddressLine1Txt
CityCLAREMONTCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03743ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATTHEW MATTHIESSEN MBAPersonNm
Person TitleCFOPersonTitleTxt
Phone6035427771PhoneNum
Signature2026-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL SPURLOCKPreparerPersonNm
PTINP00520729PTIN
Phone5023263996PhoneNum
Preparation2026-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1MATTHEW FOSTER MD MMMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1243 ELM STREETAddressLine1Txt
CityCLAREMONTCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03743ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$96,896,555GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VRH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1893FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionVALLEY REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL DEDICATED TO IMPROVING COMMUNITY HEALTH, PATIENT EXPERIENCE, AND VALUE.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee469TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$33,841TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$30,540NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$382,904PYContributionsGrantsAmt
CY Contributions Grants$1,264,907CYContributionsGrantsAmt
PY Program Service Revenue$68,289,077PYProgramServiceRevenueAmt
CY Program Service Revenue$70,101,847CYProgramServiceRevenueAmt
PY Investment Income$1,472,715PYInvestmentIncomeAmt
CY Investment Income$8,467,688CYInvestmentIncomeAmt
PY Other Revenue-$2,488PYOtherRevenueAmt
CY Other Revenue$256,820CYOtherRevenueAmt
PY Total Revenue$70,142,208PYTotalRevenueAmt
CY Total Revenue$80,091,262CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,121CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,201,269PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,948,740CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$34,238,267PYOtherExpensesAmt
CY Other Expenses$35,164,932CYOtherExpensesAmt
PY Total Expenses$64,439,536PYTotalExpensesAmt
CY Total Expenses$70,117,793CYTotalExpensesAmt
PY Revenues Less Expenses$5,702,672PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,973,469CYRevenuesLessExpensesAmt
Total Assets BOY$76,525,625TotalAssetsBOYAmt
Total Assets EOY$83,821,173TotalAssetsEOYAmt
Total Liabilities BOY$17,178,105TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,596,326TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$59,347,520NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$64,224,847NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF VALLEY REGIONAL HOSPITAL, INC. IS TO IMPROVE COMMUNITY HEALTH, PATIENT EXPERIENCE, AND VALUE. OUR VISION IS TO PARTNER WITH THE COMMUNITY TO OPTIMIZE HEALTH BY ENSURING ACCESS TO HIGH VALUE HEALTH CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$59,036,763ExpenseAmt
Grant$4,121GrantAmt
Revenue$70,123,738RevenueAmt
DescVALLEY REGIONAL HOSPITAL IS A PROVIDER OF HEALTH SERVICES WITH FACILITIES IN THE CLAREMONT, NH AREA. THE HOSPITAL GRANTS CREDIT TO PATIENTS, SUBSTANTIALLY ALL OF WHOM ARE LOCAL RESIDENTS. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIALLY-ASSISTED CARE. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF FINANCIALLY-ASSISTED CARE IT PROVIDES. FOR THE YEAR ENDING SEPTEMBER 30, 2025, CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE CHARITY CARE POLICY WERE APPROXIMATELY $868,082. THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES WAS APPROXIMATELY $521,000. (CONTINUED ON SCHEDULE O)Desc
Total Program Service Expenses$59,036,763TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee469EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATTHEW MATHIESENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6035427771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1243 ELM STREETAddressLine1Txt
CityCLAREMONTCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03743ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALAN C KEILLER
TRUSTEE/TREASURER1.01.5Yes (X)Yes (X)$0$0$0
CATHARINE CRAWFORD MD
MED STAFF PRESIDENT/EX-OFFICIO (AS OF 8/27/25)40.00Yes (X)Yes (X)$251,217$0$0
JOCELYN CAPLE MD
INTERIM CEO (THROUGH 12/8/24)19.021.5Yes (X)Yes (X)$0$375,731$65,717
JOHN TANSEY
TRUSTEE/CHAIR1.02.0Yes (X)Yes (X)$0$0$0
JULIANN BARRETT DO
MED STAFF PRES (THROUGH 8/26/25)/CMO40.00Yes (X)Yes (X)$336,849$0$24,456
MATTHEW FOSTER
CEO (AS OF 12/9/24)19.021.5Yes (X)Yes (X)$0$37,005$2,236
PATRICIA PUTNAM
TRUSTEE/VICE CHAIR1.02.0Yes (X)Yes (X)$0$0$0
TERRI DECKER
TRUSTEE/SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
BRYAN HUOT
TRUSTEE0.50.5Yes (X)$0$0$0
CAROL VIVIAN
TRUSTEE0.50.5Yes (X)$0$0$0
CHRISTOPHER NESBITT
TRUSTEE (AS OF 8/27/25)0.50.5Yes (X)$0$0$0
DEANNA HOWARD
TRUSTEE1.01.5Yes (X)$0$0$0
ERIC CRAINICH
TRUSTEE1.01.0Yes (X)$0$0$0
JOHN GILMAN
TRUSTEE1.01.5Yes (X)$0$0$0
LISA RICHMOND
TRUSTEE0.50.5Yes (X)$0$0$0
MATTHEW S HOUDE
TRUSTEE / DH VP GOV'T RELATIONS1.041.0Yes (X)$0$319,691$70,463
MICHAEL FUERST
TRUSTEE0.50.5Yes (X)$0$0$0
PAMELA BROWN
TRUSTEE1.01.0Yes (X)$0$0$0
PATRICK F JORDAN III MBA
TRUSTEE (THROUGH 6/21/25)0.543.0Yes (X)$0$1,132,708$79,260
SAMUEL SHIELDS
TRUSTEE / DH VP - STRTGY0.541.0Yes (X)$0$399,147$30,060
STEPHEN D SURGENOR MD
TRUSTEE / DH DIRECTOR OF ANESTHESIOLOGY0.541.0Yes (X)$0$594,937$72,041
TOM SULLIVAN
TRUSTEE0.51.0Yes (X)$0$0$0
VINCENT FUSCA III
TRUSTEE (THROUGH 10/31/24)1.01.0Yes (X)$0$0$0
WILLIAM PALMER
TRUSTEE0.540.0Yes (X)$0$138,740$4,605
CELESTE PITTS
INTERIM CFO19.023.0Yes (X)$0$0$0
HANNAH BIANCHI
CHIEF OPERATING OFFICER20.020.0Yes (X)$0$236,194$8,803
FERNANDA MAGALHAES MILETTO MD
INTERNAL MEDICINE PHYSICIAN40.00$298,164$0$39,882Yes (X)
JAMES H PORTER MD
PHYSICIAN40.00$309,083$0$25,083Yes (X)
JOHN A LEBLANC DO
ORTHOPEDIC SURGEON40.00$657,610$0$15,947Yes (X)
LYNDSY MCINTYRE MSN RN
CHIEF NURSING OFFICER40.00$214,304$0$37,509Yes (X)
WHITNEY HILTON DO
PHYSICIAN40.00$290,120$0$35,764Yes (X)
JOSHUA R RUDNER MD
FORMER ER PHYSICIAN AND CMO0.00$143,117$0$5,547Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,500,464TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,234,153TotReportableCompRltdOrgAmt
Total Other Compensation$517,373TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMERICAN HEALTHCARE STAFFING ASSOCIATION
PO BOX670529DALLASTX752670529CONTRACTED STAFFING$3,290,323
BLUE WATER EMERGENCY PARTNERS LLC
14 MAINE STRBRUNSWICKME04011CONTRACTED STAFFING$2,088,138
HMS HOLDING LLC
PO BOX 660EXETERNH03833CONTRACTED STAFFING$1,509,546
MARY HITCHCOCK MEMORIAL HOSPITAL
1 MEDICAL CENTER DRLEBANONNH03756MEDICAL SERVICES$1,481,120
EM STAFF
PO BOX 540EXETERNH038330540CONTRACTED STAFFING$650,237
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,264,907AllOtherContributionsAmt
Noncash Contributions$200,146NoncashContributionsAmt
Total Contributions$1,264,907TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621400$69,154,902$69,154,902
OTHER PROGRAM REVENUE621400$946,945$946,945

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$70,101,847TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,166,018TotalRevenueColumnAmt
Unrelated Business Revenue$33,841UnrelatedBusinessRevenueAmt
Exclusion$1,132,177ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$11,202RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$15,309RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$4,107RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,107TotalRevenueColumnAmt
Exclusion-$4,107ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$24,091,654SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,662,857SecuritiesAmt
Other$127,127OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,428,797SecuritiesAmt
Other-$127,127OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,301,670TotalRevenueColumnAmt
Exclusion$7,301,670ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA INCOME722514$239,036$239,036
PURCHASE DISCOUNTS622110$21,891$21,891

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$260,927OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,091,262TotalRevenueColumnAmt
Related Or Exempt Func Income$70,123,738RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$33,841UnrelatedBusinessRevenueAmt
Exclusion$8,668,776ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,121TotalAmt
Program Services$4,121ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$788,364TotalAmt
Program Services$600,017ProgramServicesAmt
Management And General$188,347ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,741,008TotalAmt
Program Services$22,554,751ProgramServicesAmt
Management And General$3,186,257ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$496,206TotalAmt
Program Services$434,926ProgramServicesAmt
Management And General$61,280ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,073,085TotalAmt
Program Services$5,321,350ProgramServicesAmt
Management And General$751,735ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,850,077TotalAmt
Program Services$1,621,596ProgramServicesAmt
Management And General$228,481ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,438TotalAmt
Management And General$19,438ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,448,995TotalAmt
Program Services$11,398,344ProgramServicesAmt
Management And General$3,050,651ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$910TotalAmt
Program Services$910ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$353,116TotalAmt
Program Services$43,229ProgramServicesAmt
Management And General$309,887ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$998,996TotalAmt
Program Services$998,996ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,347,096TotalAmt
Program Services$106,466ProgramServicesAmt
Management And General$2,240,630ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,321TotalAmt
Program Services$19,181ProgramServicesAmt
Management And General$2,140ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$66,434TotalAmt
Program Services$65,053ProgramServicesAmt
Management And General$1,381ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,692,395TotalAmt
Program Services$1,574,444ProgramServicesAmt
Management And General$117,951ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,090,260TotalAmt
Program Services$1,086,467ProgramServicesAmt
Management And General$3,793ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$8,827,009$8,718,266$108,743
PROVIDER FEES$3,507,434$3,507,434
OTHER$756,352$529,456$226,896
BOOKS, SUBSCRIPTION, AND ED MATERIALS$308,096$38,789$269,307

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$727,080TotalAmt
Program Services$412,967ProgramServicesAmt
Management And General$314,113ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$70,117,793TotalAmt
Program Services$59,036,763ProgramServicesAmt
Management And General$11,081,030ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,137BOYAmt
EOY$2,831,329EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,727,863BOYAmt
EOY$8,645,647EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$964,991EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,368,660BOYAmt
EOY$9,302,842EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,303,896BOYAmt
EOY$727,582EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$760,865BOYAmt
EOY$1,740,968EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,034,393LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,923,737LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,930,624BOYAmt
EOY$24,110,656EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,673,791BOYAmt
EOY$5,778,264EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,250,147BOYAmt
EOY$28,095,663EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,856,812BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$643,830BOYAmt
EOY$1,623,231EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$76,525,625BOYAmt
EOY$83,821,173EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,293,066BOYAmt
EOY$11,537,091EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$172,920BOYAmt
EOY$107,560EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$101,803EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,712,119BOYAmt
EOY$7,849,872EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,178,105BOYAmt
EOY$19,596,326EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,438,249BOYAmt
EOY$53,786,342EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,909,271BOYAmt
EOY$10,438,505EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,347,520BOYAmt
EOY$64,224,847EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$76,525,625BOYAmt
EOY$83,821,173EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,973,469ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,993,940NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$897,798OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$15,704OtherActivitiesAmt
Total Lobbying Expenditures$15,704TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationVALLEY REGIONAL HOSPITAL PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES IN LINE 1I REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES PAYMENTS TO THESE OUTSIDE ORGANIZATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,724,888BeginningYearBalanceAmt
Investment Earnings Or Losses$490,173InvestmentEarningsOrLossesAmt
End Year Balance$9,215,061EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,171,456BeginningYearBalanceAmt
Investment Earnings Or Losses$1,553,432InvestmentEarningsOrLossesAmt
End Year Balance$8,724,888EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,314,371BeginningYearBalanceAmt
Investment Earnings Or Losses$941,032InvestmentEarningsOrLossesAmt
Other Expenditures$83,947OtherExpendituresAmt
End Year Balance$7,171,456EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,279,159BeginningYearBalanceAmt
Investment Earnings Or Losses-$891,253InvestmentEarningsOrLossesAmt
Other Expenditures$73,535OtherExpendituresAmt
End Year Balance$6,314,371EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,058,402BeginningYearBalanceAmt
Investment Earnings Or Losses$1,287,893InvestmentEarningsOrLossesAmt
Other Expenditures$67,136OtherExpendituresAmt
End Year Balance$7,279,159EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.7456PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.2544TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$250,667OtherCostOrOtherBasisAmt
Book Value$250,667BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,952,514OtherCostOrOtherBasisAmt
Depreciation$221,592DepreciationAmt
Book Value$2,730,922BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,583,998OtherCostOrOtherBasisAmt
Depreciation$521,927DepreciationAmt
Book Value$8,062,071BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,952,469OtherCostOrOtherBasisAmt
Depreciation$2,180,218DepreciationAmt
Book Value$3,772,251BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,294,745OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$9,294,745BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,110,656TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
INVESTMENT IN POOLED FUNDS$21,478,748F
BENEFICIAL INTEREST TRUSTS$6,616,915F
FieldValueIRS element (for citing)
Total Book Value Securities$28,095,663TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
FEDERAL INCOME TAXES
3RD PARTY ESTIMATE$6,461,714
RIGHT OF USE OBLIGATIONS$888,808
OTHER LIABILITIES$499,350
DUE TO AFFILIATES
FieldValueIRS element (for citing)
Total Liability$7,849,872TotalLiabilityAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDSFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION USES ITS ENDOWMENT FUNDS IN SUPPORT OF HEALTH CARE SERVICES, PURCHASES OF EQUIPMENT, HEALTH EDUCATION, AND INDIGENT CARE.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$521,260TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$521,260NetCommunityBenefitExpnsAmt
Total Expense0.00743TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,375,102TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,556,680DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,818,422NetCommunityBenefitExpnsAmt
Total Expense0.05446TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,896,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,556,680DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,339,682NetCommunityBenefitExpnsAmt
Total Expense0.06189TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$190,643TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$190,643NetCommunityBenefitExpnsAmt
Total Expense0.00272TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$213,121TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$213,121NetCommunityBenefitExpnsAmt
Total Expense0.00304TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,440TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,440NetCommunityBenefitExpnsAmt
Total Expense0.00002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$405,204TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$405,204NetCommunityBenefitExpnsAmt
Total Expense0.00578TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$13,301,566TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,556,680DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,744,886NetCommunityBenefitExpnsAmt
Total Expense0.06767TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,393TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,393NetCommunityBenefitExpnsAmt
Total Expense0.00008TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$168TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$168NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,561NetCommunityBenefitExpnsAmt
Total Expense0.00008TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$33,588,599ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$33,094,297CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$494,302MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY REGIONAL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1243 ELM STREETAddressLine1Txt
CityCLAREMONTCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03743ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.VRH.ORGWebsiteAddressTxt
State License00007StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1VALLEY REGIONAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://vrh.org/public-reports/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://vrh.org/public-reports/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://vrh.org/patients-visitors/patient-billing/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://vrh.org/patients-visitors/patient-billing/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://vrh.org/patients-visitors/patient-billing/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1FACILITY , 1 - VALLEY REGIONAL HOSPITAL, INC.. DURING THE PERIOD FEBRUARY THROUGH JULY 2024, VALLEY REGIONAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT OF ITS SERVICE AREA, IN PARTNERSHIP WITH NEW LONDON HOSPITAL, ALICE PECK DAY MEMORIAL HOSPITAL, DARTMOUTH HEALTH, MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, CHESHIRE MEDICAL CENTER AND VISITING NURSE AND HOSPICE FOR VERMONT. INFORMATION GATHERING METHODS UTILIZED IN THE ASSESSMENT INCLUDED THE FOLLOWING: 1. SURVEYS RECEIVED FROM 479 COMMUNITY RESIDENTS FROM ALL 15 TOWNS, MADE AVAILABLE ON-LINE AND PAPER SURVEYS PLACED IN NUMEROUS LOCATIONS THROUGHOUT THE REGION; 2. SERIES OF 4 COMMUNITY DISCUSSION GROUPS; 3. SUMMARY INFORMATION ASSOCIATED WITH OVER 2,000 PRIMARY CARE PATIENT ASSESSMENTS, COLLECTED FROM 2021-2023, IDENTIFYING GAPS IN SOCIAL DETERMINANTS OF HEALTH, WHICH COULD IMPACT MEDICAL HEALTH OUTCOMES. 4. DIRECT EMAIL SURVEY WITH 206 RESPONDING STAKEHOLDERS AND COMMUNITY LEADERS REPRESENTING MULTIPLE COMMUNITY SECTORS, INCLUDING, BUT NOT LIMITED TO, HUMAN SERVICES, MENTAL HEALTH, PUBLIC HEALTH, STATE & LOCAL GOVERNMENT, ADVOCATES FOR RACIAL & SOCIAL JUSTICE AND MEMBERS OF THE BUSINESS COMMUNITY.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1FACILITY , 1 - VALLEY REGIONAL HOSPITAL, INC.. DUE TO SIGNIFICANT OVERLAP IN SERVICE AREA, VALLEY REGIONAL HOSPITAL PARTNERED WITH THE FOLLOWING HOSPITALS TO IDENTIFY BOTH REGIONAL AND COMMUNITY-SPECIFIC NEEDS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT: - NEW LONDON HOSPITAL - ALICE PECK DAY MEMORIAL HOSPITAL, - DARTMOUTH-HITCHCOCK MEDICAL CENTER, - MT. ASCUTNEY HOSPITAL AND HEALTH CENTER - CHESHIRE MEDICAL CENTER THERE IS SIGNIFICANT OVERLAP IN SERVICE AREA AMONG THESE ORGANIZATIONS; THE CHNA IDENTIFIED BOTH REGIONAL AND COMMUNITY-SPECIFIC NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1FACILITY , 1 - VALLEY REGIONAL HOSPITAL, INC.. DUE TO SIGNIFICANT OVERLAP IN SERVICE AREA, VALLEY REGIONAL HOSPITAL PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO IDENTIFY BOTH REGIONAL AND COMMUNITY-SPECIFIC NEEDS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT: - DARTMOUTH HEALTH HOME CARE (F/N/A VISITING NURSE AND HOSPICE FOR VERMONT AND NEW HAMPSHIRE) THERE IS SIGNIFICANT OVERLAP IN SERVICE AREA AMONG THESE ORGANIZATIONS; THE CHNA IDENTIFIED BOTH REGIONAL AND COMMUNITY-SPECIFIC NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY , 1FACILITY , 1 - VALLEY REGIONAL HOSPITAL, INC.. THE CHNA WAS WIDELY DISTRIBUTED IN TRADITIONAL WAYS VIA HARD COPY MAILINGS, WEBSITE, SOCIAL MEDIA LINKS, PAPER COPY HANDOUTS AT COMMUNITY MEETINGS, AS WELL AS DISTRIBUTED THROUGH OUR PRIMARY CARE PRACTICES.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1FACILITY , 1 - VALLEY REGIONAL HOSPITAL, INC.. THE DIVERSE COMMUNITY ISSUES IDENTIFIED THROUGH THE ASSESSMENT PROCESS FAR EXCEED THE ABILITY OF A SINGLE ENTITY TO SOLVE THE ISSUES; HOWEVER, VALLEY REGIONAL IS COMMITTED TO BEING AN ACTIVE PARTNER IN DETERMINING WAYS TO ADDRESS ALL OF THE IDENTIFIED ISSUES, IN COLLABORATION WITH MANY OTHER LOCAL NONPROFIT GROUPS AND COMMUNITY LEADERS. PLEASE REFER TO THE CHIP-2025 ON OUR WEBSITE FOR FURTHER DETAILS. 1. AVAILABILITY OF PRIMARY CARE AND MEDICAL SUB-SPECIALTY SERVICES A. VRH WILL INCREASE ITS TEAM OF PRIMARY CARE PROVIDERS TO ADDRESS THE AVAILABILITY OF APPOINTMENTS FOR COMMUNITY MEMBERS B. PATIENTS WILL BE MADE AWARE OF NEW PROVIDERS AND HEALTH SAVINGS OPTIONS IN A TIMELY MANNER C. ESTABLISH SUB-SPECIALTY SERVICES TO BRIDGE GAPS IN CARE 2. AVAILABILITY OF MENTAL HEALTH SERVICES A. VRH WILL ENHANCE THEIR PRIMARY CARE STAFF WITH PROVIDERS WHO SPECIALIZE IN THE CARE OF PATIENTS WITH MENTAL HEALTH CHALLENGES. B. VRH WILL UTILIZE COLLABORATIONS WITH LOCAL MENTAL HEALTH PROGRAMS AND PROVIDERS TO ASSIST WITH THE REFERRAL PROCESS AND PROVIDE ON-SITE CARE WHEN APPROPRIATE. C. PATIENTS FACING MENTAL HEALTH CHALLENGES SEEN IN THE PRIMARY CARE SETTING WILL BENEFIT FROM AN ONSITE SOCIAL WORKER AND COMMUNITY HEALTH NAVIGATOR TO ASSIST WITH AREAS OF LIFE THAT MAY BE CONTRIBUTING TO A DECLINE IN HEALTH. D. VRH STAFF WILL COMPLETE TRAINING OPPORTUNITIES TO ENHANCE COMPASSIONATE TREATMENT AND CARE FOR PATIENTS ENTERING VRH SERVICE AREAS. E. INVESTIGATE THE INTEGRATION OF AN EMERGENCY DEPARTMENT SOCIAL WORKER WHO WILL PROVIDE BRIEF MENTAL HEALTH COUNSELING TO ASSESS EMERGENCY NEEDS F. VRH WILL COLLABORATE WITH DH OUTPATIENT SUBSTANCE USE DISORDER CLINIC TO ESTABLISH A SITE AND SERVICES ON THE VRH CAMPUS 3. COST OF HEALTH CARE SERVICES, INCLUDING MEDICATIONS, AFFORDABILITY OF HEALTH INSURANCE A. VRH WILL REVIEW AND ADJUST ITS FINANCIAL ASSISTANCE GUIDELINES TO PROVIDE GREATER OPPORTUNITY FOR PATIENTS TO ACCESS HEALTHCARE SERVICES B. PATIENTS WILL BE PRESENTED WITH HEALTH CARE OPTIONS, COMMUNITY SUPPORTS AND FINANCIAL ASSISTANCE OPTIONS BY THE COMMUNITY HEALTH NAVIGATOR, SOCIAL WORKERS & CASE MANAGERS IN THE PRIMARY CARE PRACTICES, AND EMERGENCY AND MED/SURG DEPARTMENTS. C. INDIGENT PATIENTS WILL BE PROVIDED WITH INFORMATION ABOUT VRH'S MEDICATION ASSISTANCE PROGRAM, PROVIDING DISCOUNTED OR FREE MEDICATIONS FROM PHARMACEUTICAL COMPANIES. 4. SERVICES FOR OLDER ADULTS INCLUDING OPPORTUNITIES FOR SOCIAL INTERACTIONS AND SUPPORT FOR AGING IN PLACE A. SUPPORT OLDER ADULTS WITH EDUCATION AND COMPLETION OF ADVANCE DIRECTIVES B. SUPPORT OLDER ADULTS AGING IN PLACE AND ESTABLISH A PAYOR SOURCE FOR LONG TERM CARE WHEN THEY CAN NO LONGER REMAIN AT HOME C. SUPPORT OLDER ADULTS WITH OBTAINING NECESSARY DURABLE MEDICAL EQUIPMENT TO SUPPORT THEIR DECISIONS TO AGE IN PLACE D. PROVIDE AN OPPORTUNITY FOR SOCIALIZATION AND HEALTH EDUCATION FOR AGING IN PLACE SENIORS E. OBTAIN CURRENT INFORMATION ABOUT COMMUNITY ORGANIZATIONS, NEW PROGRAMS AND SERVICES, AS WELL AS KEY CONTACTS TO PROVIDE ASSISTANCE TO PATIENTS 65 AND OLDER, ESPECIALLY THOSE CHOOSING TO AGE IN PLACE 5. AVAILABILITY AND AFFORDABILITY OF DENTAL SERVICES A. PROVIDERS WILL HAVE UP-TO-DATE INFORMATION ABOUT SERVICES AND REFERRALS OPTIONS TO PROVIDE PATIENTS B. ADDRESS ACUTE CONDITIONS WITH TREATMENT AND REFERRALS C. SUPPORT SULLIVAN ORAL HEALTH COLLABORATIVE WITH SENIOR TEAM MEMBER BOARD PARTICIPATION D. PROVIDE CREDIBLE SOURCES OF FINANCIAL ASSISTANCE FOR COMMUNITY MEMBERS ON A FIXED INCOME, WITH URGENT DENTAL NEEDS 6. HEALTH AND HUMAN SERVICE WORKFORCE SHORTAGES AND CHALLENGES NAVIGATING THE HEALTH CARE SYSTEM A. DECREASE ONBOARDING WAIT TIME OF NEW HEALTHCARE WORKERS MOVING INTO THE COMMUNITY AND STARTING WORK AT VRH B. INCREASE THE OPPORTUNITIES FOR HIGH SCHOOL STUDENTS TO INVESTIGATE HEALTH CARE CAREERS C. PROVIDE OPPORTUNITIES FOR CLINICAL ROTATION SKILL BUILDING FOR STUDENTS ATTENDING AREA COLLEGES AND TRADE SCHOOLS 7. SOCIAL DRIVERS OF HEALTH AND WELL-BEING SUCH AS AFFORDABLE ACCESS TO HOUSING, HEALTHY FOODS AND AFFORDABLE CHILDCARE A. ENHANCE THE COLLABORATION AND COMMUNICATION BETWEEN IN-PATIENT AND PRIMARY CARE FOR PATIENTS POSITIVE FOR SCREENS FOR SOCIAL DETERMINANTS OF HEALTH B. PATIENTS WILL BE REFERRED TO COMMUNITY ORGANIZATIONS AND RESOURCES, AS WELL AS GIVEN ASSISTANCE IN COMPLETING NECESSARY APPLICATIONS BY THE COMMUNITY HEALTH TEAM & INPATIENT CASE MANAGEMENT C. PROVIDE UP-TO-DATE INFORMATION TO THE KEY PATIENT PROVIDERS OF COMMUNITY RESOURCES D. PROVIDE PRIMARY CARE PATIENTS A RESOURCE FOR FRUIT AND VEGGIE PURCHASES WHEN INDICATING A POSITIVE FOOD INSECURITY ON THE PATIENT ASSESSMENT FORM E. PROVIDE SKILL BUILDING OPPORTUNITIES TO LEARN HEALTHY MEAL PREPARATION ON LIMITED BUDGETS FOR PATIENTS AND FAMILIES WITH IDENTIFIED FOOD INSECURITY CHALLENGES F. OBTAIN CURRENT INFORMATION ABOUT COMMUNITY ORGANIZATIONS, NEW PROGRAMS AND SERVICES, AS WELL AS KEY CONTACTS TO PROVIDE ASSISTANCE TO INDIVIDUALS AND FAMILIES IN NEED
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KANE ONCOLOGY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1243 ELM STREETAddressLine1Txt
CityCLAREMONTCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03743ZIPCd
FieldValueIRS element (for citing)
FacilityONCOLOGY CENTERFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C CRITERIA OTHER THAN FPLIN ADDITION TO FPG, THE ORGANIZATION ALSO CONSIDERS A PATIENT'S AVAILABLE ASSETS AND STATE OF RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART V, SECTION B, LINE 16 PRIMARY LANGUAGESBASED ON THE HOSPITAL'S ASSESSMENT OF THE COMMUNITY SERVED, ENGLISH IS THE ONLY LANGUAGE MEETING THE LEP THRESHOLD; THEREFORE, TRANSLATIONS OF THE FAP DOCUMENTS WERE NOT REQUIRED.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCETHE ORGANIZATION USED A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 FOR LINES 7A AND 7B. AMOUNTS LISTED ON LINES 7E, 7F AND 7I WERE DERIVED FROM INTERNAL FINANCIAL/COST ACCOUNTING SYSTEMS.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIESVALLEY REGIONAL HEALTHCARE BELIEVES THE SKILLS AND KNOWLEDGE OF ITS EMPLOYEES ARE THE MOST CRITICAL ASSETS TO BUILDING A STRONG AND HEALTHY COMMUNITY. VRH EMPLOYEES PARTICIPATE ON A WIDE VARIETY OF LOCAL BOARDS SERVING OR PARTICIPATING IN HEALTH AND WELLNESS MISSIONS, INCLUDING DENTAL HEALTH, DOMESTIC VIOLENCE, HIGHER EDUCATION, SCHOOL BOARDS, CHAMBERS OF COMMERCE, PUBLIC TRANSPORTATION, ELDER HEALTH, AND SUBSTANCE ABUSE. EMPLOYEES ALSO PARTICIPATE ON STATE LEVEL BOARDS AND WITHIN ELECTED GOVERNMENT, WORKING TO IMPROVE POLICY AND PRACTICE ON A BROAD SPECTRUM. LOCAL BUSINESSES RELY UPON COLLABORATIONS WITH VRH TO PROVIDE EDUCATION AND EXPERTISE IN COMMUNITY BUILDING ACTIVITIES SUCH AS THROUGH PUBLIC AND PRIVATE HEALTH FAIRS. VRH TAKES ADVANTAGE OF PUBLIC CHAMBER ACTIVITIES TO PROVIDE TABLES OF HEALTH INFORMATION AND FREE SCREENING ACTIVITIES. VRH ALSO PROVIDES FINANCIAL SUPPORT FOR NON-PROFIT ORGANIZATIONS WITH COMPLEMENTARY MISSIONS, IN THE FORM OF EVENT SPONSORSHIPS.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNTAS A RESULT OF ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGYBAD DEBT IS NO LONGER TREATED AS AN EXPENSE AS A RESULT OF ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606). AS A RESULT, AN AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS UNABLE TO BE REASONABLY ESTIMATED.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTEAS A RESULT OF ACCOUNTING CHANGES (ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. THEREFORE, THERE IS NO SEPARATE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSTHE COSTING METHODOLOGY WAS COMPLETED ACCORDING TO GUIDANCE PROVIDED BY THE INTERNAL REVENUE SERVICE.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCEPATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE FILE A FINANCIAL ASSISTANCE DETERMINATION APPLICATION WITH THE HOSPITAL. IF THE APPLICATION IS APPROVED, THE PATIENT'S ACCOUNT SHALL BE WRITTEN OFF, IN ACCORDANCE WITH THE LEVEL OF ADJUSTMENT THE APPLICANT WAS QUALIFIED TO RECEIVE. INFORMATION REVIEWED BY THE HOSPITAL AS PART OF A PATIENT'S FINANCIAL ASSISTANCE APPLICATION INCLUDES FEDERAL TAX RETURNS, EMPLOYMENT PAY STUBS AND FORMS W-2, A COPY OF SOCIAL SECURITY DISCLOSURE/CHECK (OR BANK STATEMENT SHOWING DEPOSIT OF FUNDS FROM US TREASURY), STATEMENT OF PENSION BALANCE (IF AVAILABLE), AND RECENT BANK STATEMENTS. IN INSTANCES WHEN A PATIENT APPEARS ELIGIBLE FOR FINANCIAL ASSISTANCE BUT NO FINANCIAL ASSISTANCE FORM IS ON FILE, THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ALLOWS FOR A FULL WRITE OFF OF ACCOUNT BALANCES BASED UPON REVIEW OF OTHER AVAILABLE FACTS AND CIRCUMSTANCES SUCH AS RECEIVING CARE FROM A HOMELESS CLINIC, RESIDENCY IN SUBSIDIZED HOUSING, AND ELIGIBILITY FOR FOOD STAMPS OR CERTAIN OTHER GOVERNMENT ASSISTANCE PROGRAMS.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE- VALLEY REGIONAL HOSPITAL, INC.: LINE 16A URL: HTTPS://VRH.ORG/PATIENTS-VISITORS/PATIENT-BILLING/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE- VALLEY REGIONAL HOSPITAL, INC.: LINE 16B URL: HTTPS://VRH.ORG/PATIENTS-VISITORS/PATIENT-BILLING/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE- VALLEY REGIONAL HOSPITAL, INC.: LINE 16C URL: HTTPS://VRH.ORG/PATIENTS-VISITORS/PATIENT-BILLING/;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENTIN ADDITION TO DISTRIBUTING SURVEYS BOTH IN PERSON AND ONLINE, VRH CONDUCTED STAKEHOLDER SURVEYS, STAKEHOLDER INTERVIEWS, COMMUNITY DISCUSSION GROUPS, AND PATIENT DATA ANALYSES AS PART OF ITS CHNA. BEYOND THESE ASSESSMENT ACTIVITIES, VRH STAFF MAINTAIN ONGOING RELATIONSHIPS WITH A BROAD NETWORK OF MUNICIPAL LEADERS, SCHOOL SYSTEMS, SERVICE ORGANIZATIONS, MEDIA REPRESENTATIVES, REGIONAL PLANNING AGENCIES, AND STATE PUBLIC HEALTH PARTNERS. STAFF ACTIVELY COLLABORATE WITH HEALTH-RELATED ORGANIZATIONS BY PROVIDING INPUT ON COMMUNITY INITIATIVES, SERVING ON BOARDS AND COMMITTEES, AND PARTICIPATING IN REGIONAL MEETINGS AND COMMUNITY RESOURCE INFORMATION-SHARING SESSIONS. VRH ALSO MONITORS PATIENT UTILIZATION TRENDS, QUALITY AND POPULATION HEALTH DATA, SOCIAL DRIVERS OF HEALTH SCREENING RESULTS, PATIENT EXPERIENCE FEEDBACK, AND IDENTIFIED BARRIERS TO ACCESSING CARE. IN ADDITION, QUANTITATIVE AND QUALITATIVE DATA GATHERED THROUGH RECENT STRATEGIC PLANNING ACTIVITIES AND COMMUNITY OUTREACH HAS FURTHER INFORMED VRH OF COMMUNITY HEALTH NEEDS AND OPPORTUNITIES
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE COMMUNITY ENGAGEMENT DEPARTMENT HAS CREATED AND POSTED SIGNAGE THROUGHOUT THE HOSPITAL AND CLINICS AND HAS POSTED INFORMATION ON THE HOSPITAL'S WEBSITE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATIONVALLEY REGIONAL SERVES A RURAL REGION WHICH INCLUDES THE 15 TOWNS OF SULLIVAN COUNTY AND PORTIONS OF EASTERN VERMONT, WITH A TOTAL RESIDENT POPULATION OF 43,356. SPANNING 552 SQUARE MILES, THE COUNTY IS THE 2ND LEAST POPULATED IN NH. 11.7% OF ALL PEOPLE AND 13% OF THE CHILDREN IN THE VRH SERVICE AREA LIVE BELOW 100% OF THE FEDERAL POVERTY LEVEL. 8.5% OF OUR SENIORS LIVE BELOW THE FPL. HOUSING COSTS IN THE VRH SERVICE AREA ARE HIGHER THAN THE REST OF NEW HAMPSHIRE WHEN COMPARED TO BEING GREATER THAN 30% OF HOUSEHOLD INCOME. COMMUNITY MEMBERS OF ALL AGES HAVE AT LEAST ONE FORM OF DISABILITY, WITH 4% UNDER THE AGE OF 18; 13.5% BETWEEN AGE 18 AND 64; AND 26.1% OVER THE AGE OF 65.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTHVALLEY REGIONAL HEALTHCARE RECOGNIZES ITS IMPORTANCE TO THE COMMUNITY - ECONOMICALLY, AS ONE OF THE LARGEST LOCAL EMPLOYERS, AND PHILOSOPHICALLY, AS A LARGE ENTITY ENTRUSTED WITH COMMUNITY WELLNESS. VRH LEADERSHIP INSTILLS IN EMPLOYEES THE SENSE OF RESPONSIBILITY TO BE INVOLVED IN SUPPORT OF THE COMMUNITY, ON BEHALF OF THE HOSPITAL. VRH EMPLOYEES PARTICIPATE AND LEND EXPERTISE AS BOARD MEMBERS OF OTHER NON-PROFITS, INCLUDING THOSE FOCUSED ON DENTAL HEALTH, COMMUNITY REVITALIZATION, HIGHER EDUCATION AND SCHOOL BOARDS, ELDER ISSUES, PUBLIC TRANSPORTATION, DOMESTIC VIOLENCE, SUBSTANCE MISUSE AND ABUSE, AND HEALTH AND WELLNESS INITIATIVES. EMPLOYEES ALSO PARTICIPATE ON STATE AND FEDERAL BOARDS AND COMMITTEES AS WELL AS CHAMBERS OF COMMERCE AND UNITED WAY, WORKING TO IMPROVE POLICY AND PRACTICE IN HEALTHCARE DELIVERY. BUSINESS COLLABORATIONS ARE A PRIORITY, PARTICULARLY WITH LARGE EMPLOYERS SUCH AS CLAREMONT PARKS AND RECREATION, WHELEN ENGINEERING, RIVER VALLEY TECHNICAL CENTER, CLAREMONT SAVINGS BANK, NATIONAL FIELD REPRESENTATIVES, STURM RUGER, RED RIVER AND THE CITY OF CLAREMONT. OUR COMMON GOALS INCLUDE HEALTH EDUCATION, HEALTH SCREENINGS, WORKER SAFETY AND EMPLOYMENT OPPORTUNITIES.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMEFFECTIVE 7/31/24, VALLEY REGIONAL HOSPITAL BECAME A MEMBER OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. THIS AFFILIATION HAS ALLOWED THE SHARING OF RESOURCES, BOTH MATERIAL AND HUMAN, AND IS A SIGNIFICANT OPPORTUNITY FOR A BROADER AVAILABILITY OF SERVICES AND EDUCATIONAL OPPORTUNITIES FOR OUR STAFF. THIS TRICKLES DOWN TO THE COMMUNITY WE SERVE. IN ADDITION, VALLEY PARTICIPATES IN COMMUNITY GROUPS, PROVIDING SPONSORSHIPS TO OTHER NON-PROFITS WHOSE MISSIONS ARE ALIGNED, CONTRIBUTING TO DISASTER AND INTERNATIONAL RELIEF EFFORTS AND PARTNERING WITH THE AMERICAN RED CROSS FOR BLOOD DRIVES. OUR PHYSICIANS AND OTHER PROVIDERS OFFER FREE WELLNESS PROGRAMMING AT LOCATIONS THROUGHOUT THE COMMUNITIES WE SERVE - AT SENIOR CENTERS, SCHOOLS, RECREATION VENUES.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTNH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOCELYN CAPLE MD
INTERIM CEO (THROUGH 12/8/24)$0$344,543$0$30,000$0$1,188$0$20,700$0$45,017$0$441,448$0$0
JULIANN BARRETT DO
MED STAFF PRES (THROUGH 8/26/25)/CMO$306,699$0$25,000$0$5,150$0$23,000$0$1,456$0$361,305$0$0$0
CATHARINE CRAWFORD MD
MED STAFF PRESIDENT/EX-OFFICIO (AS OF 8/27/25)$250,668$0$0$0$549$0$0$0$0$0$251,217$0$0$0
MATTHEW S HOUDE
TRUSTEE / DH VP GOV'T RELATIONS$0$285,450$0$30,000$0$4,241$0$30,985$0$39,478$0$390,154$0$0
STEPHEN D SURGENOR MD
TRUSTEE / DH DIRECTOR OF ANESTHESIOLOGY$0$572,073$0$0$0$22,864$0$32,970$0$39,071$0$666,978$0$0
SAMUEL SHIELDS
TRUSTEE / DH VP - STRTGY$0$347,386$0$35,000$0$16,761$0$26,070$0$3,990$0$429,207$0$0
PATRICK F JORDAN III MBA
TRUSTEE (THROUGH 6/21/25)$0$875,781$0$180,000$0$76,927$0$32,970$0$46,290$0$1,211,968$0$0
HANNAH BIANCHI
CHIEF OPERATING OFFICER$0$202,653$0$13,580$0$19,961$0$8,803$0$0$0$244,997$0$0
JOSHUA R RUDNER MD
FORMER ER PHYSICIAN AND CMO$143,086$0$0$0$31$0$4,054$0$1,493$0$148,664$0$0$0
JOHN A LEBLANC DO
ORTHOPEDIC SURGEON$656,026$0$0$0$1,584$0$11,973$0$3,974$0$673,557$0$0$0
JAMES H PORTER MD
PHYSICIAN$298,178$0$10,729$0$176$0$23,000$0$2,083$0$334,166$0$0$0
WHITNEY HILTON DO
PHYSICIAN$289,904$0$0$0$216$0$23,000$0$12,764$0$325,884$0$0$0
LYNDSY MCINTYRE MSN RN
CHIEF NURSING OFFICER$204,363$0$5,000$0$4,941$0$32,000$0$5,509$0$251,813$0$0$0
FERNANDA MAGALHAES MILETTO MD
INTERNAL MEDICINE PHYSICIAN$267,804$0$30,000$0$360$0$33,577$0$6,305$0$338,046$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATIONTHE CEO'S COMPENSATION AMOUNT IS DETERMINED BY A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE AND AN INDEPENDENT CONSULTANT TO ESTABLISH THE CEO'S COMPENSATION.
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTSINDIVIDUALS LISTED WITH INCENTIVE BONUS AMOUNTS ARE PHYSICIANS WHO UNDER THEIR EMPLOYMENT AGREEMENTS/CONTRACTS HAVE A PROVISION FOR INCENTIVE BONUSES BASED ON QUALITY, PATIENT SATISFACTION AND RELATIVE VALUE UNITS (RVUS) OF SERVICES EXCEEDING A TARGET AMOUNT.
FORM 990 PART VII SEC A LINE 5 - COMPENSATION PAID BY AN UNRELATED ORGCELESTE PITTS SERVES AS THE INTERIM CHIEF FINANCIAL OFFICER AND IS COMPENSATED BY HELMS & CO., AN INDEPENDENT ENTITY ENGAGED BY THE ORGANIZATION. MS. PITTS PERFORMS CERTAIN FINANCIAL AND MANAGEMENT FUNCTIONS UNDER THE SUPERVISION OF THE BOARD OF DIRECTORS. DURING CALENDAR YEAR 2024, VALLEY REGIONAL HEALTHCARE PAID HELMS & CO. A TOTAL OF $179,689 FOR THE INTERIM CFO SERVICES PROVIDED BY MS. PITTS. THE COMPENSATION PAID BY HELMS & CO. TO MS. PITTS FOR HER INTERIM CFO SERVICES RENDERED TO THE ORGANIZATION IS UNKNOWN TO THE ORGANIZATION. PURSUANT TO THE IRS INSTRUCTIONS FOR PART VII SECTION A OF FORM 990, THE FILING ORGANIZATION MUST REPORT PAYMENTS MADE TO AN OFFICER BY AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION IN THAT PERSON'S CAPACITY AS AN OFFICER OF THE FILING ORGANIZATION ON FORM 990 PART VII SECTION A AS COMPENSATION FROM THE FILING ORGANIZATION IF THE FILING ORGANIZATION HAS KNOWLEDGE OF THE ARRANGEMENT. THE COMPENSATION REPORTED ON FORM 990 PART VII SECTION A FOR MS. PITTS IS ZERO BECAUSE THE ORGANIZATION DOES NOT HAVE KNOWLEDGE OF THE ARRANGEMENT BETWEEN HELMS & CO. AND MS. PITTS REGARDING THE AMOUNT OF COMPENSATION PAID TO MS. PITTS FOR HER SERVICES RENDERED TO THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NH HEALTH AND EDUCATION FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN020279866BondIssuerEIN
CUSIP64461XMG7CUSIPNum
Bond Issued2025-05-28BondIssuedDt
Issue Price$14,250,347IssuePriceAmt
PurposeFINANCE NEW CAPITAL PROJECTS.PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$14,403,903TotalProceedsAmt
Capitalized Interest$398,043CapitalizedInterestAmt
Issuance Costs From Proceeds$101,803IssuanceCostsFromProceedsAmt
Unspent$13,904,057UnspentAmt
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Engage Bond Counsel ContractsfalseEngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Private Bus Use By Others0.0PrivateBusUseByOthersPct
Private Bus Concerning UBI0.0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropPct
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Term Of Hedge0TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Term Of GIC0TermOfGICPct
Regulatory Safe Harbor StsfdfalseRegulatorySafeHarborStsfdInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (F) BOND ATHIS FORM 990 SCHEDULE K REPRESENTS ONLY THE PORTION OF THE BOND ISSUE THAT IS ALLOCABLE TO VALLEY REGIONAL HOSPITAL, INC. THE PROCEEDS OF THIS PORTION OF THE ISSUE WILL BE USED TO FINANCE CAPITAL PROJECTS AND PAY A PORTION OF COST OF ISSUANCE.
SCHEDULE K, PART I BOND ATHE PROCEEDS OF THIS BOND ISSUE BENEFITED THE FOLLOWING SUBSIDIARIES OF DARTMOUTH-HITCHCOCK OBLIGATED GROUP - DARTMOUTH-HITCHCOCK HEALTH (EIN: 26-4812335), ALICE PECK DAY MEMORIAL HOSPITAL (EIN: 02-0222791), MARY HITCHCOCK MEMORIAL HOSPITAL (EIN: 02-0222140), CHESHIRE MEDICAL CENTER (EIN: 02-0354549), VALLEY REGIONAL HOSPITAL, INC. (EIN: 02-0222118), AND DARTMOUTH-HITCHCOCK CLINIC (EIN: 22-2519596). THE PORTION OF THE ISSUE THAT HAS BEEN LOANED TO EACH SUBSIDIARY IS BEING REPORTED ON THAT SUBSIDIARY MEMBER'S SCHEDULE K.
SCHEDULE K, PART II, LINE 3 BOND ATOTAL PROCEEDS EXCEED ISSUE PRICE LISTED IN PART DUE TO INVESTMENT PROCEEDS IN THE AMOUNT OF $153,556.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Contribution1ContributionCnt
Noncash Contributions Rpt F990$200,146NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONSFormAndLineReferenceDesc
ExplanationSECURITIES - PUBLICLY TRADED - THE NUMBER REPRESENTS THE NUMBER OF DONATIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)IN ADDITION, THE HOSPITAL PROVIDES A NUMBER OF OTHER SERVICES TO BENEFIT CERTAIN POOR AND ELDERLY PATIENTS. MEDICAID AND STATE PROGRAMS DO NOT COVER THE FULL COSTS INCURRED BY THE HOSPITAL OF PROVIDING MEDICAL CARE TO PATIENTS. THE HOSPITAL PROVIDES SERVICES TO RESIDENTS THROUGHOUT THE REGION. THOSE SERVICES INCLUDE HEALTH EVALUATIONS, SCREENINGS, AND FLU VACCINE ADMINISTRATION AT COMMUNITY EVENTS AND IN THE WORKPLACE. HEALTH EDUCATION, WELLNESS, CHRONIC DISEASE MANAGEMENT, FITNESS, AND ERGONOMIC PROGRAMS ARE ALSO WIDELY OFFERED. FOR THESE SERVICES, AND MANY OTHER COMMUNITY SERVICES, THE HOSPITAL RECEIVES LITTLE OR NO PAYMENT. OTHER COMMUNITY BENEFITS CAN'T BE QUANTIFIED OR ASSIGNED A VALUE. FOR EXAMPLE, THE HOSPITAL PROVIDES COMMITTEE AND BOARD PARTICIPANTS AND EXPERTISE TO ADDRESS COMMUNITY NEEDS; TO SUPPORT COMMUNITY HEALTH INITIATIVES; TO ADVOCATE FOR AND SUPPORT INDIVIDUALS WHO ARE SOCIALLY, ECONOMICALLY AND PHYSICALLY CHALLENGED; AND TO COLLABORATE WITH THE LOCAL PUBLIC SAFETY ORGANIZATIONS.
FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEEVALLEY REGIONAL HOSPITAL HAS AN EXECUTIVE COMMITTEE, CONSISTING OF THE CHAIR, VICE-CHAIR, SECRETARY AND TREASURER, AND D-HH CEO OR DESIGNEE. THIS COMMITTEE SHALL, IN THE INTERIM BETWEEN MEETINGS OF THE BOARD, EXERCISE ALL OF THE POWER OF THE BODY, BUT IN ACCORDANCE WITH THE GENERAL POWER OF THE HOSPITAL AND DIRECTION OF THE BOARD.
FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIESCELESTE PITTS SERVES AS THE INTERIM CHIEF FINANCIAL OFFICER AND IS COMPENSATED BY HELMS & CO., AN INDEPENDENT ENTITY ENGAGED BY THE ORGANIZATION. MS. PITTS PERFORMS CERTAIN FINANCIAL AND MANAGEMENT FUNCTIONS UNDER THE SUPERVISION OF THE BOARD OF DIRECTORS. DURING CALENDAR YEAR 2024, VALLEY REGIONAL HEALTHCARE PAID HELMS & CO. A TOTAL OF $179,689 FOR THE INTERIM CFO SERVICES PROVIDED BY MS. PITTS. THE COMPENSATION PAID BY HELMS & CO. TO MS. PITTS FOR HER INTERIM CFO SERVICES RENDERED TO THE ORGANIZATION IS UNKNOWN TO THE ORGANIZATION.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERSVALLEY REGIONAL HEALTHCARE, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF VALLEY REGIONAL HOSPITAL.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODYTHE ORGANIZATION'S TRUSTEES ARE NOMINATED AND ELECTED BY THE ORGANIZATION'S MEMBER AT THE ANNUAL MEETING OF THE CORPORATION. THE MEMBER'S MEMBER, DARTMOUTH-HITCHCOCK HEALTH, HAS THE RIGHT TO APPOINT UP TO ONE-THIRD OF THE DIRECTORS OF THE BOARD.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERSTHE FOLLOWING ACTIONS AND UNDERTAKINGS INVOLVING THE BUSINESS OF THE ORGANIZATION ARE SUBJECT TO RATIFICATION BY THE MEMBER: ADOPTION OF OPERATING BUDGET; ADOPTION OF CAPITAL BUDGETS; ADOPTION OF STRATEGIC PLANS; INITIATION OF SIGNIFICANT FUND-RAISING ACTIVITIES; IMPLEMENTATION OF INSTITUTIONAL AFFILIATIONS, MERGERS, CONSOLIDATIONS OR OTHER REORGANIZATIONS; MATERIAL MODIFICATION OF SERVICE AND BUSINESS OFFERINGS; MATERIAL ACQUISITIONS OR DISPOSITIONS OF ASSETS; CHANGES IN CERTIFIED PUBLIC ACCOUNTANTS, FISCAL YEAR OR MATERIAL ACCOUNTING PRACTICES; INCURRENCE OF MATERIAL INDEBTEDNESS; MATERIAL CHANGES IN INSURANCE PROGRAMS AND ARRANGEMENTS; MATERIAL CHANGES IN EMPLOYEE BENEFITS PLANS; ADOPTION OF QUALITY IMPROVEMENTS PLANS; ELECTION OF DIRECTORS; SELECTION OF THE PRESIDENT/CEO; AMENDMENT OF THE ORGANIZATION'S BYLAWS; AND AMENDMENT OF THE ARTICLES OF ASSOCIATION. THE MEMBER, ACTING SOLELY AT THE DIRECTION OR UPON APPROVAL OF DARTMOUTH-HITCHCOCK HEALTH, WILL HAVE THE RIGHT TO INITIATE THE FOLLOWING ACTIONS: REMOVAL OF TRUSTEES; HIRING, EVALUATING, COMPENSATING AND TERMINATION OF THE CEO; PARTICIPATION IN SYSTEM PROGRAMS AND INITIATIVES AND STRATEGIES; CHANGES IN CLINICAL SERVICES; REALLOCATION OF DARTMOUTH-HITCHCOCK HEALTH SYSTEM RESOURCES AND ALLOCATION OF THE CORPORATION'S SHARE OF SYSTEM EXPENSES.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODYTHE FORM 990 IS REVIEWED BY THE CFO AND A FULL COPY IS SHARED AND REVIEWED WITH THE CEO AND THE FINANCE COMMITTEE MEMBERS. THE FINANCE COMMITTEE MEMBERS ARE GIVEN AN OPPORTUNITY FOR COMMENT PRIOR TO FILING. THE REVIEW IS CONDUCTED BY THE CFO.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICYTHE RISK & COMPLIANCE OFFICE REQUIRES ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES MUST SIGN AN ACKNOWLEDGMENT OF THE POLICY AND DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE SIGNED FORMS ARE HELD IN THE FOLLOWING LOCATIONS: OFFICERS AND TRUSTEES - EXECUTIVE ASSISTANT OFFICE. DIRECTORS AND KEY EMPLOYEES - IN THE ELSEVIER HUMAN RESOURCES SYSTEM. CONTRACTED SERVICES - WITHIN OR ALONGSIDE ANY CONTRACT IN THE CORRESPONDING ADMINISTRATION OR MATERIALS AREA
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALTHE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONVENES TWO TO FOUR TIMES ANNUALLY TO REVIEW THE COMPENSATION OF THE CEO. REGIONAL COMPENSATION OF LIKE-SIZED ORGANIZATIONS IS USED. 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.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEESCOMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA (ALONG WITH ONGOING EVALUATIONS BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS). THE LAST FORMAL PROCESS WAS COMPLETED IN 2025. EXTERNAL BENCHMARKING FROM AN INDEPENDENT THIRD PARTY HAS BEEN USED FOR ANY OFFICER WHO WAS HIRED OR RECEIVED A COMPENSATION ADJUSTMENT SINCE THE LAST FORMAL PROCESS. COMPENSATION RATES ARE DETERMINED BY FOLLOWING THE GUIDELINES OF THE COMPENSATION COMMITTEE CHARTER AND PHILOSOPHY DOCUMENTS AND A FORMAL REVIEW BY COMPENSATION COMMITTEE MEMBERS.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLICTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 5 COMPENSATION PAID BY OTHERSCELESTE PITTS SERVES AS THE INTERIM CHIEF FINANCIAL OFFICER AND IS COMPENSATED BY HELMS & CO., AN INDEPENDENT ENTITY ENGAGED BY THE ORGANIZATION. MS. PITTS PERFORMS CERTAIN FINANCIAL AND MANAGEMENT FUNCTIONS UNDER THE SUPERVISION OF THE BOARD OF DIRECTORS. DURING CALENDAR YEAR 2024, VALLEY REGIONAL HEALTHCARE PAID HELMS & CO. A TOTAL OF $179,689 FOR THE INTERIM CFO SERVICES PROVIDED BY MS. PITTS. THE COMPENSATION PAID BY HELMS & CO. TO MS. PITTS FOR HER INTERIM CFO SERVICES RENDERED TO THE ORGANIZATION IS UNKNOWN TO THE ORGANIZATION. PURSUANT TO THE IRS INSTRUCTIONS FOR PART VII SECTION A OF FORM 990, THE FILING ORGANIZATION MUST REPORT PAYMENTS MADE TO AN OFFICER BY AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION IN THAT PERSON'S CAPACITY AS AN OFFICER OF THE FILING ORGANIZATION ON FORM 990 PART VII SECTION A AS COMPENSATION FROM THE FILING ORGANIZATION IF THE FILING ORGANIZATION HAS KNOWLEDGE OF THE ARRANGEMENT. THE COMPENSATION REPORTED ON FORM 990 PART VII SECTION A FOR MS. PITTS IS ZERO BECAUSE THE ORGANIZATION DOES NOT HAVE KNOWLEDGE OF THE ARRANGEMENT BETWEEN HELMS & CO. AND MS. PITTS REGARDING THE AMOUNT OF COMPENSATION PAID TO MS. PITTS FOR HER SERVICES RENDERED TO THE ORGANIZATION.
FORM 990, PART IX, LINE 11G OTHER FEESCONTRACTED MEDICAL SERVICES - TOTAL EXPENSE: 9519692, PROGRAM SERVICE EXPENSE: 9422171, MANAGEMENT AND GENERAL EXPENSES: 97521, FUNDRAISING EXPENSES: ; OTHER PURCHASE SERVICES - TOTAL EXPENSE: 4929303, PROGRAM SERVICE EXPENSE: 1976173, MANAGEMENT AND GENERAL EXPENSES: 2953130, FUNDRAISING EXPENSES: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCESNET ASSET TRANSFERS - 897798; TOTAL - 897798;
FORM 990, PART XII, LINE 3A FINANCIAL STATEMENTS AND REPORTINGVALLEY REGIONAL HOSPITAL WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. DURING FISCAL YEAR 2025, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FEDERAL FUNDING WHICH MET THE MINIMUM THRESHOLD SET FORTH IN THE SINGLE AUDIT ACT AND UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. DUE TO THE NATURE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUDIT WAS PERFORMED ON THE FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING VALLEY REGIONAL.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
VALLEY REGIONAL HEALTHCARE INC
243 ELM STREETCLAREMONTNH03743020397338SUPPORTING ORGANIZATIONNH501(C)(3)TYPE IID-HHfalse
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVELEBANONNH03756264812335PARENT ORGNH501(C)(3)7NOT APPLICABLEfalse
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVELEBANONNH03756020222140HOSPITALNH501(C)(3)3DARTMOUTH-HITCHCOCK HEALTHfalse
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVELEBANONNH03756222519596PHYSICIAN SERVICESNH501(C)(3)10DARTMOUTH-HITCHCOCK HEALTHfalse
THE NEW LONDON HOSPITAL ASSOCIATION INC
273 COUNTY ROADNEW LONDONNH03257020222171HOSPITALNH501(C)(3)3DARTMOUTH-HITCHCOCK HEALTHfalse
CHESHIRE MEDICAL CENTER
580 COURT STREETKEENENH03431020354549HOSPITALNH501(C)(3)3DARTMOUTH-HITCHCOCK HEALTHfalse
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DRIVELEBANONNH03766020222791HOSPITALNH501(C)(3)3DARTMOUTH-HITCHCOCK HEALTHfalse
DARTMOUTH HEALTH HOME CARE INC
88 PROSPECT STREETWHITE RIVER JUNCTIONVT05001036006494HOSPICEVT501(C)(3)10DARTMOUTH-HITCHCOCK HEALTHfalse
SOUTHWESTERN VERMONT HEALTH CARE CORPORATION
100 HOSPITAL DRIVEBENNINGTONVT05201030179435HOSPITAL COOPERATIVE ORGVT501(C)(3)3DARTMOUTH-HITCHCOCK HEALTHfalse
WINDSOR HOSPITAL CORP
289 COUNTY ROADWINDSORVT05089030183271HOSPITALVT501(C)(3)3DARTMOUTH-HITCHCOCK HEALTHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER TRUSTS (3)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesCHARITABLE TRUSTPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VRHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTRUSTEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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