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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-14T22:55:16+00:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4801 OLYMPIA PARK PLAZA SUITE 4000 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402412098 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222118 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 6035427771 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 ELM STREET | AddressLine1Txt |
| City | CLAREMONT | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03743 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW MATTHIESSEN MBA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6035427771 | PhoneNum |
| Signature | 2026-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RACHEL SPURLOCK | PreparerPersonNm |
| PTIN | P00520729 | PTIN |
| Phone | 5023263996 | PhoneNum |
| Preparation | 2026-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTHEW FOSTER MD MMM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 ELM STREET | AddressLine1Txt |
| City | CLAREMONT | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03743 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $96,896,555 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VRH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1893 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | VALLEY REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL DEDICATED TO IMPROVING COMMUNITY HEALTH, PATIENT EXPERIENCE, AND VALUE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 469 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $33,841 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $30,540 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $382,904 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,264,907 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $68,289,077 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,101,847 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,472,715 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,467,688 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,488 | PYOtherRevenueAmt |
| CY Other Revenue | $256,820 | CYOtherRevenueAmt |
| PY Total Revenue | $70,142,208 | PYTotalRevenueAmt |
| CY Total Revenue | $80,091,262 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,121 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,201,269 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,948,740 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,238,267 | PYOtherExpensesAmt |
| CY Other Expenses | $35,164,932 | CYOtherExpensesAmt |
| PY Total Expenses | $64,439,536 | PYTotalExpensesAmt |
| CY Total Expenses | $70,117,793 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,702,672 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,973,469 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,525,625 | TotalAssetsBOYAmt |
| Total Assets EOY | $83,821,173 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,178,105 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,596,326 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $59,347,520 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $64,224,847 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $59,036,763 | ExpenseAmt |
| Grant | $4,121 | GrantAmt |
| Revenue | $70,123,738 | RevenueAmt |
| Desc | VALLEY 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 | $59,036,763 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 469 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTHEW MATHIESEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035427771 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 ELM STREET | AddressLine1Txt |
| City | CLAREMONT | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03743 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ALAN C KEILLER | |||||||||
| TRUSTEE/TREASURER | 1.0 | 1.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CATHARINE CRAWFORD MD | |||||||||
| MED STAFF PRESIDENT/EX-OFFICIO (AS OF 8/27/25) | 40.0 | 0 | Yes (X) | Yes (X) | $251,217 | $0 | $0 | ||
| JOCELYN CAPLE MD | |||||||||
| INTERIM CEO (THROUGH 12/8/24) | 19.0 | 21.5 | Yes (X) | Yes (X) | $0 | $375,731 | $65,717 | ||
| JOHN TANSEY | |||||||||
| TRUSTEE/CHAIR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIANN BARRETT DO | |||||||||
| MED STAFF PRES (THROUGH 8/26/25)/CMO | 40.0 | 0 | Yes (X) | Yes (X) | $336,849 | $0 | $24,456 | ||
| MATTHEW FOSTER | |||||||||
| CEO (AS OF 12/9/24) | 19.0 | 21.5 | Yes (X) | Yes (X) | $0 | $37,005 | $2,236 | ||
| PATRICIA PUTNAM | |||||||||
| TRUSTEE/VICE CHAIR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TERRI DECKER | |||||||||
| TRUSTEE/SECRETARY | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRYAN HUOT | |||||||||
| TRUSTEE | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| CAROL VIVIAN | |||||||||
| TRUSTEE | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER NESBITT | |||||||||
| TRUSTEE (AS OF 8/27/25) | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| DEANNA HOWARD | |||||||||
| TRUSTEE | 1.0 | 1.5 | Yes (X) | $0 | $0 | $0 | |||
| ERIC CRAINICH | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN GILMAN | |||||||||
| TRUSTEE | 1.0 | 1.5 | Yes (X) | $0 | $0 | $0 | |||
| LISA RICHMOND | |||||||||
| TRUSTEE | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW S HOUDE | |||||||||
| TRUSTEE / DH VP GOV'T RELATIONS | 1.0 | 41.0 | Yes (X) | $0 | $319,691 | $70,463 | |||
| MICHAEL FUERST | |||||||||
| TRUSTEE | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| PAMELA BROWN | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK F JORDAN III MBA | |||||||||
| TRUSTEE (THROUGH 6/21/25) | 0.5 | 43.0 | Yes (X) | $0 | $1,132,708 | $79,260 | |||
| SAMUEL SHIELDS | |||||||||
| TRUSTEE / DH VP - STRTGY | 0.5 | 41.0 | Yes (X) | $0 | $399,147 | $30,060 | |||
| STEPHEN D SURGENOR MD | |||||||||
| TRUSTEE / DH DIRECTOR OF ANESTHESIOLOGY | 0.5 | 41.0 | Yes (X) | $0 | $594,937 | $72,041 | |||
| TOM SULLIVAN | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| VINCENT FUSCA III | |||||||||
| TRUSTEE (THROUGH 10/31/24) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM PALMER | |||||||||
| TRUSTEE | 0.5 | 40.0 | Yes (X) | $0 | $138,740 | $4,605 | |||
| CELESTE PITTS | |||||||||
| INTERIM CFO | 19.0 | 23.0 | Yes (X) | $0 | $0 | $0 | |||
| HANNAH BIANCHI | |||||||||
| CHIEF OPERATING OFFICER | 20.0 | 20.0 | Yes (X) | $0 | $236,194 | $8,803 | |||
| FERNANDA MAGALHAES MILETTO MD | |||||||||
| INTERNAL MEDICINE PHYSICIAN | 40.0 | 0 | $298,164 | $0 | $39,882 | Yes (X) | |||
| JAMES H PORTER MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $309,083 | $0 | $25,083 | Yes (X) | |||
| JOHN A LEBLANC DO | |||||||||
| ORTHOPEDIC SURGEON | 40.0 | 0 | $657,610 | $0 | $15,947 | Yes (X) | |||
| LYNDSY MCINTYRE MSN RN | |||||||||
| CHIEF NURSING OFFICER | 40.0 | 0 | $214,304 | $0 | $37,509 | Yes (X) | |||
| WHITNEY HILTON DO | |||||||||
| PHYSICIAN | 40.0 | 0 | $290,120 | $0 | $35,764 | Yes (X) | |||
| JOSHUA R RUDNER MD | |||||||||
| FORMER ER PHYSICIAN AND CMO | 0.0 | 0 | $143,117 | $0 | $5,547 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,500,464 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,234,153 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $517,373 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICAN HEALTHCARE STAFFING ASSOCIATION | |||||
| PO BOX670529 | DALLAS | TX | 752670529 | CONTRACTED STAFFING | $3,290,323 |
| BLUE WATER EMERGENCY PARTNERS LLC | |||||
| 14 MAINE STR | BRUNSWICK | ME | 04011 | CONTRACTED STAFFING | $2,088,138 |
| HMS HOLDING LLC | |||||
| PO BOX 660 | EXETER | NH | 03833 | CONTRACTED STAFFING | $1,509,546 |
| MARY HITCHCOCK MEMORIAL HOSPITAL | |||||
| 1 MEDICAL CENTER DR | LEBANON | NH | 03756 | MEDICAL SERVICES | $1,481,120 |
| EM STAFF | |||||
| PO BOX 540 | EXETER | NH | 038330540 | CONTRACTED STAFFING | $650,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,264,907 | AllOtherContributionsAmt |
| Noncash Contributions | $200,146 | NoncashContributionsAmt |
| Total Contributions | $1,264,907 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $69,154,902 | $69,154,902 |
| OTHER PROGRAM REVENUE | 621400 | $946,945 | $946,945 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,101,847 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,166,018 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $33,841 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,132,177 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,202 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,309 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$4,107 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,107 | TotalRevenueColumnAmt |
| Exclusion | -$4,107 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,091,654 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,662,857 | SecuritiesAmt |
| Other | $127,127 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,428,797 | SecuritiesAmt |
| Other | -$127,127 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,301,670 | TotalRevenueColumnAmt |
| Exclusion | $7,301,670 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA INCOME | 722514 | $239,036 | $239,036 | |
| PURCHASE DISCOUNTS | 622110 | $21,891 | $21,891 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $260,927 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $80,091,262 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,123,738 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $33,841 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,668,776 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,121 | TotalAmt |
| Program Services | $4,121 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,364 | TotalAmt |
| Program Services | $600,017 | ProgramServicesAmt |
| Management And General | $188,347 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,741,008 | TotalAmt |
| Program Services | $22,554,751 | ProgramServicesAmt |
| Management And General | $3,186,257 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,206 | TotalAmt |
| Program Services | $434,926 | ProgramServicesAmt |
| Management And General | $61,280 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,073,085 | TotalAmt |
| Program Services | $5,321,350 | ProgramServicesAmt |
| Management And General | $751,735 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,850,077 | TotalAmt |
| Program Services | $1,621,596 | ProgramServicesAmt |
| Management And General | $228,481 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,438 | TotalAmt |
| Management And General | $19,438 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,448,995 | TotalAmt |
| Program Services | $11,398,344 | ProgramServicesAmt |
| Management And General | $3,050,651 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910 | TotalAmt |
| Program Services | $910 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,116 | TotalAmt |
| Program Services | $43,229 | ProgramServicesAmt |
| Management And General | $309,887 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998,996 | TotalAmt |
| Program Services | $998,996 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,347,096 | TotalAmt |
| Program Services | $106,466 | ProgramServicesAmt |
| Management And General | $2,240,630 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,321 | TotalAmt |
| Program Services | $19,181 | ProgramServicesAmt |
| Management And General | $2,140 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,434 | TotalAmt |
| Program Services | $65,053 | ProgramServicesAmt |
| Management And General | $1,381 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,692,395 | TotalAmt |
| Program Services | $1,574,444 | ProgramServicesAmt |
| Management And General | $117,951 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090,260 | TotalAmt |
| Program Services | $1,086,467 | ProgramServicesAmt |
| Management And General | $3,793 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,080 | TotalAmt |
| Program Services | $412,967 | ProgramServicesAmt |
| Management And General | $314,113 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,117,793 | TotalAmt |
| Program Services | $59,036,763 | ProgramServicesAmt |
| Management And General | $11,081,030 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,137 | BOYAmt |
| EOY | $2,831,329 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,727,863 | BOYAmt |
| EOY | $8,645,647 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $964,991 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,368,660 | BOYAmt |
| EOY | $9,302,842 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303,896 | BOYAmt |
| EOY | $727,582 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,865 | BOYAmt |
| EOY | $1,740,968 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,034,393 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,923,737 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,930,624 | BOYAmt |
| EOY | $24,110,656 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,673,791 | BOYAmt |
| EOY | $5,778,264 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,250,147 | BOYAmt |
| EOY | $28,095,663 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,856,812 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $643,830 | BOYAmt |
| EOY | $1,623,231 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,525,625 | BOYAmt |
| EOY | $83,821,173 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,293,066 | BOYAmt |
| EOY | $11,537,091 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,920 | BOYAmt |
| EOY | $107,560 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $101,803 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,712,119 | BOYAmt |
| EOY | $7,849,872 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,178,105 | BOYAmt |
| EOY | $19,596,326 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,438,249 | BOYAmt |
| EOY | $53,786,342 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,909,271 | BOYAmt |
| EOY | $10,438,505 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,347,520 | BOYAmt |
| EOY | $64,224,847 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,525,625 | BOYAmt |
| EOY | $83,821,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,973,469 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$5,993,940 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $897,798 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $15,704 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,704 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | VALLEY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,724,888 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $490,173 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,215,061 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,171,456 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,553,432 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,724,888 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,314,371 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $941,032 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $83,947 | OtherExpendituresAmt |
| End Year Balance | $7,171,456 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,279,159 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$891,253 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $73,535 | OtherExpendituresAmt |
| End Year Balance | $6,314,371 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,058,402 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,287,893 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $67,136 | OtherExpendituresAmt |
| End Year Balance | $7,279,159 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.7456 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.2544 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $250,667 | OtherCostOrOtherBasisAmt |
| Book Value | $250,667 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,952,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $221,592 | DepreciationAmt |
| Book Value | $2,730,922 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,583,998 | OtherCostOrOtherBasisAmt |
| Depreciation | $521,927 | DepreciationAmt |
| Book Value | $8,062,071 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,952,469 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,180,218 | DepreciationAmt |
| Book Value | $3,772,251 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,294,745 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $9,294,745 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,110,656 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CLOSELY-HELD EQUITY INTERESTS | ||
| FINANCIAL DERIVATIVES | ||
| INVESTMENT IN POOLED FUNDS | $21,478,748 | F |
| BENEFICIAL INTEREST TRUSTS | $6,616,915 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $28,095,663 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| FEDERAL INCOME TAXES | |
| 3RD PARTY ESTIMATE | $6,461,714 |
| RIGHT OF USE OBLIGATIONS | $888,808 |
| OTHER LIABILITIES | $499,350 |
| DUE TO AFFILIATES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,849,872 | TotalLiabilityAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION USES ITS ENDOWMENT FUNDS IN SUPPORT OF HEALTH CARE SERVICES, PURCHASES OF EQUIPMENT, HEALTH EDUCATION, AND INDIGENT CARE. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $521,260 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $521,260 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00743 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,375,102 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,556,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,818,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05446 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $12,896,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,556,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,339,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06189 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $190,643 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $190,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00272 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $213,121 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00304 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $405,204 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $405,204 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00578 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,301,566 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,556,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,744,886 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06767 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,393 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00008 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $168 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $168 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00008 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $33,588,599 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $33,094,297 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $494,302 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 ELM STREET | AddressLine1Txt |
| City | CLAREMONT | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03743 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.VRH.ORG | WebsiteAddressTxt |
| State License | 00007 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://vrh.org/public-reports/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://vrh.org/public-reports/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 225.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://vrh.org/patients-visitors/patient-billing/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://vrh.org/patients-visitors/patient-billing/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://vrh.org/patients-visitors/patient-billing/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3E | THE 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 , 1 | FACILITY , 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 , 1 | FACILITY , 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 , 1 | FACILITY , 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 , 1 | FACILITY , 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 , 1 | FACILITY , 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KANE ONCOLOGY CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 ELM STREET | AddressLine1Txt |
| City | CLAREMONT | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03743 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | ONCOLOGY CENTER | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C CRITERIA OTHER THAN FPL | IN 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 LANGUAGES | BASED 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 ASSISTANCE | THE 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 ACTIVITIES | VALLEY 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 AMOUNT | AS 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 METHODOLOGY | BAD 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 FOOTNOTE | AS 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 COSTS | THE 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 ASSISTANCE | PATIENTS 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 ASSESSMENT | IN 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 ASSISTANCE | THE 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 INFORMATION | VALLEY 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 HEALTH | VALLEY 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 SYSTEM | EFFECTIVE 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 REPORT | NH |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION | THE 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 PAYMENTS | INDIVIDUALS 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 ORG | CELESTE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NH HEALTH AND EDUCATION FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 020279866 | BondIssuerEIN |
| CUSIP | 64461XMG7 | CUSIPNum |
| Bond Issued | 2025-05-28 | BondIssuedDt |
| Issue Price | $14,250,347 | IssuePriceAmt |
| Purpose | FINANCE NEW CAPITAL PROJECTS. | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $14,403,903 | TotalProceedsAmt |
| Capitalized Interest | $398,043 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $101,803 | IssuanceCostsFromProceedsAmt |
| Unspent | $13,904,057 | UnspentAmt |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | false | EngageBondCounselContractsInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | false | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0.0 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropPct |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Term Of Hedge | 0 | TermOfHedgePct |
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Term Of GIC | 0 | TermOfGICPct |
| Regulatory Safe Harbor Stsfd | false | RegulatorySafeHarborStsfdInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I, COLUMN (F) BOND A | THIS 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 A | THE 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 A | TOTAL PROCEEDS EXCEED ISSUE PRICE LISTED IN PART DUE TO INVESTMENT PROCEEDS IN THE AMOUNT OF $153,556. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $200,146 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS | FormAndLineReferenceDesc |
| Explanation | SECURITIES - PUBLICLY TRADED - THE NUMBER REPRESENTS THE NUMBER OF DONATIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 COMMITTEE | VALLEY 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 DUTIES | CELESTE 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 STOCKHOLDERS | VALLEY 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 BODY | THE 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 STOCKHOLDERS | THE 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 BODY | THE 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 POLICY | THE 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 OFFICIAL | THE 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 EMPLOYEES | COMPENSATION 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 PUBLIC | THE 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 OTHERS | CELESTE 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 FEES | CONTRACTED 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 BALANCES | NET ASSET TRANSFERS - 897798; TOTAL - 897798; |
| FORM 990, PART XII, LINE 3A FINANCIAL STATEMENTS AND REPORTING | VALLEY 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VALLEY REGIONAL HEALTHCARE INC | ||||||||||
| 243 ELM STREET | CLAREMONT | NH | 03743 | 020397338 | SUPPORTING ORGANIZATION | NH | 501(C)(3) | TYPE II | D-HH | false |
| DARTMOUTH-HITCHCOCK HEALTH | ||||||||||
| ONE MEDICAL CENTER DRIVE | LEBANON | NH | 03756 | 264812335 | PARENT ORG | NH | 501(C)(3) | 7 | NOT APPLICABLE | false |
| MARY HITCHCOCK MEMORIAL HOSPITAL | ||||||||||
| ONE MEDICAL CENTER DRIVE | LEBANON | NH | 03756 | 020222140 | HOSPITAL | NH | 501(C)(3) | 3 | DARTMOUTH-HITCHCOCK HEALTH | false |
| DARTMOUTH-HITCHCOCK CLINIC | ||||||||||
| ONE MEDICAL CENTER DRIVE | LEBANON | NH | 03756 | 222519596 | PHYSICIAN SERVICES | NH | 501(C)(3) | 10 | DARTMOUTH-HITCHCOCK HEALTH | false |
| THE NEW LONDON HOSPITAL ASSOCIATION INC | ||||||||||
| 273 COUNTY ROAD | NEW LONDON | NH | 03257 | 020222171 | HOSPITAL | NH | 501(C)(3) | 3 | DARTMOUTH-HITCHCOCK HEALTH | false |
| CHESHIRE MEDICAL CENTER | ||||||||||
| 580 COURT STREET | KEENE | NH | 03431 | 020354549 | HOSPITAL | NH | 501(C)(3) | 3 | DARTMOUTH-HITCHCOCK HEALTH | false |
| ALICE PECK DAY MEMORIAL HOSPITAL | ||||||||||
| 10 ALICE PECK DAY DRIVE | LEBANON | NH | 03766 | 020222791 | HOSPITAL | NH | 501(C)(3) | 3 | DARTMOUTH-HITCHCOCK HEALTH | false |
| DARTMOUTH HEALTH HOME CARE INC | ||||||||||
| 88 PROSPECT STREET | WHITE RIVER JUNCTION | VT | 05001 | 036006494 | HOSPICE | VT | 501(C)(3) | 10 | DARTMOUTH-HITCHCOCK HEALTH | false |
| SOUTHWESTERN VERMONT HEALTH CARE CORPORATION | ||||||||||
| 100 HOSPITAL DRIVE | BENNINGTON | VT | 05201 | 030179435 | HOSPITAL COOPERATIVE ORG | VT | 501(C)(3) | 3 | DARTMOUTH-HITCHCOCK HEALTH | false |
| WINDSOR HOSPITAL CORP | ||||||||||
| 289 COUNTY ROAD | WINDSOR | VT | 05089 | 030183271 | HOSPITAL | VT | 501(C)(3) | 3 | DARTMOUTH-HITCHCOCK HEALTH | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE REMAINDER TRUSTS (3) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CHARITABLE TRUST | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VRH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | TRUST | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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