2026-08-14T22:55:16+00:00 2025-09-30 350921680 CROWE LLP 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2024-10-01 020222118 VALLEY REGIONAL HOSPITAL INC VALL 6035427771 243 ELM STREET CLAREMONT NH 03743 MATTHEW MATTHIESSEN MBA CFO 6035427771 2026-08-15 true RACHEL SPURLOCK P00520729 5023263996 2026-08-15 2024 2025-03-06 01:10:19Z MATTHEW FOSTER MD MMM 243 ELM STREET CLAREMONT NH 03743 96896555 false X WWW.VRH.ORG X 1893 NH VALLEY REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL DEDICATED TO IMPROVING COMMUNITY HEALTH, PATIENT EXPERIENCE, AND VALUE. 20 14 469 17 33841 30540 382904 1264907 68289077 70101847 1472715 8467688 -2488 256820 70142208 80091262 0 4121 0 0 30201269 34948740 0 0 0 34238267 35164932 64439536 70117793 5702672 9973469 76525625 83821173 17178105 19596326 59347520 64224847 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. false false 59036763 4121 70123738 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) 59036763 true true false true false false false false false true true true false false true false false true false false false false false false false false true true false false true true false false false false false false false false false false true false false false false true true false false false true 64 0 true 469 true true true false false false false false false false false false false false X 20 14 false true false false true true true true true false false false true true true true true true true true true true NH X MATTHEW MATHIESEN 6035427771 243 ELM STREET CLAREMONT NH 03743 ALAN C KEILLER TRUSTEE/TREASURER 1.0 1.5 X X 0 0 0 CATHARINE CRAWFORD MD MED STAFF PRESIDENT/EX-OFFICIO (AS OF 8/27/25) 40.0 0 X X 251217 0 0 JOCELYN CAPLE MD INTERIM CEO (THROUGH 12/8/24) 19.0 21.5 X X 0 375731 65717 JOHN TANSEY TRUSTEE/CHAIR 1.0 2.0 X X 0 0 0 JULIANN BARRETT DO MED STAFF PRES (THROUGH 8/26/25)/CMO 40.0 0 X X 336849 0 24456 MATTHEW FOSTER CEO (AS OF 12/9/24) 19.0 21.5 X X 0 37005 2236 PATRICIA PUTNAM TRUSTEE/VICE CHAIR 1.0 2.0 X X 0 0 0 TERRI DECKER TRUSTEE/SECRETARY 1.0 2.0 X X 0 0 0 BRYAN HUOT TRUSTEE 0.5 0.5 X 0 0 0 CAROL VIVIAN TRUSTEE 0.5 0.5 X 0 0 0 CHRISTOPHER NESBITT TRUSTEE (AS OF 8/27/25) 0.5 0.5 X 0 0 0 DEANNA HOWARD TRUSTEE 1.0 1.5 X 0 0 0 ERIC CRAINICH TRUSTEE 1.0 1.0 X 0 0 0 JOHN GILMAN TRUSTEE 1.0 1.5 X 0 0 0 LISA RICHMOND TRUSTEE 0.5 0.5 X 0 0 0 MATTHEW S HOUDE TRUSTEE / DH VP GOV'T RELATIONS 1.0 41.0 X 0 319691 70463 MICHAEL FUERST TRUSTEE 0.5 0.5 X 0 0 0 PAMELA BROWN TRUSTEE 1.0 1.0 X 0 0 0 PATRICK F JORDAN III MBA TRUSTEE (THROUGH 6/21/25) 0.5 43.0 X 0 1132708 79260 SAMUEL SHIELDS TRUSTEE / DH VP - STRTGY 0.5 41.0 X 0 399147 30060 STEPHEN D SURGENOR MD TRUSTEE / DH DIRECTOR OF ANESTHESIOLOGY 0.5 41.0 X 0 594937 72041 TOM SULLIVAN TRUSTEE 0.5 1.0 X 0 0 0 VINCENT FUSCA III TRUSTEE (THROUGH 10/31/24) 1.0 1.0 X 0 0 0 WILLIAM PALMER TRUSTEE 0.5 40.0 X 0 138740 4605 CELESTE PITTS INTERIM CFO 19.0 23.0 X 0 0 0 HANNAH BIANCHI CHIEF OPERATING OFFICER 20.0 20.0 X 0 236194 8803 FERNANDA MAGALHAES MILETTO MD INTERNAL MEDICINE PHYSICIAN 40.0 0 X 298164 0 39882 JAMES H PORTER MD PHYSICIAN 40.0 0 X 309083 0 25083 JOHN A LEBLANC DO ORTHOPEDIC SURGEON 40.0 0 X 657610 0 15947 LYNDSY MCINTYRE MSN RN CHIEF NURSING OFFICER 40.0 0 X 214304 0 37509 WHITNEY HILTON DO PHYSICIAN 40.0 0 X 290120 0 35764 JOSHUA R RUDNER MD FORMER ER PHYSICIAN AND CMO 0.0 0 X 143117 0 5547 2500464 3234153 517373 50 true true true AMERICAN HEALTHCARE STAFFING ASSOCIATION PO BOX670529 DALLAS TX 752670529 CONTRACTED STAFFING 3290323 BLUE WATER EMERGENCY PARTNERS LLC 14 MAINE STR BRUNSWICK ME 04011 CONTRACTED STAFFING 2088138 HMS HOLDING LLC PO BOX 660 EXETER NH 03833 CONTRACTED STAFFING 1509546 MARY HITCHCOCK MEMORIAL HOSPITAL 1 MEDICAL CENTER DR LEBANON NH 03756 MEDICAL SERVICES 1481120 EM STAFF PO BOX 540 EXETER NH 038330540 CONTRACTED STAFFING 650237 16 1264907 200146 1264907 PATIENT SERVICE REVENUE 621400 69154902 69154902 OTHER PROGRAM REVENUE 621400 946945 946945 0 0 0 0 70101847 1166018 33841 1132177 11202 15309 -4107 0 -4107 -4107 24091654 16662857 127127 7428797 -127127 7301670 7301670 CAFETERIA INCOME 722514 239036 239036 PURCHASE DISCOUNTS 622110 21891 21891 0 0 0 0 260927 80091262 70123738 33841 8668776 X 4121 4121 788364 600017 188347 25741008 22554751 3186257 496206 434926 61280 6073085 5321350 751735 1850077 1621596 228481 19438 19438 14448995 11398344 3050651 0 910 910 353116 43229 309887 998996 998996 2347096 106466 2240630 21321 19181 2140 66434 65053 1381 1692395 1574444 117951 1090260 1086467 3793 MEDICAL SUPPLIES 8827009 8718266 108743 PROVIDER FEES 3507434 3507434 OTHER 756352 529456 226896 BOOKS, SUBSCRIPTION, AND ED MATERIALS 308096 38789 269307 727080 412967 314113 0 70117793 59036763 11081030 0 9137 2831329 10727863 8645647 0 964991 7368660 9302842 0 0 1303896 727582 760865 1740968 27034393 2923737 10930624 24110656 36673791 5778264 6250147 28095663 0 1856812 643830 1623231 76525625 83821173 7293066 11537091 172920 107560 101803 0 9712119 7849872 17178105 19596326 X 50438249 53786342 8909271 10438505 59347520 64224847 76525625 83821173 X 9973469 -5993940 897798 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15704 15704 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 8724888 490173 9215061 7171456 1553432 8724888 6314371 941032 83947 7171456 7279159 -891253 73535 6314371 6058402 1287893 67136 7279159 0.0 0.7456 0.2544 false false 250667 250667 2952514 221592 2730922 8583998 521927 8062071 5952469 2180218 3772251 9294745 0 9294745 24110656 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENT IN POOLED FUNDS 21478748 F BENEFICIAL INTEREST TRUSTS 6616915 F 28095663 FEDERAL INCOME TAXES 3RD PARTY ESTIMATE 6461714 RIGHT OF USE OBLIGATIONS 888808 OTHER LIABILITIES 499350 DUE TO AFFILIATES 7849872 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE ORGANIZATION USES ITS ENDOWMENT FUNDS IN SUPPORT OF HEALTH CARE SERVICES, PURCHASES OF EQUIPMENT, HEALTH EDUCATION, AND INDIGENT CARE. true true X true X 225 true X true true true false true true 521260 521260 0.00743 12375102 8556680 3818422 0.05446 0 0.0 0 0 12896362 8556680 4339682 0.06189 190643 190643 0.00272 213121 213121 0.00304 0 0.0 0 0.0 1440 1440 0.00002 0 0 405204 0 405204 0.00578 0 0 13301566 8556680 4744886 0.06767 0 0.0 0 0.0 5393 5393 0.00008 0 0.0 0 0.0 0 0.0 0 0.0 168 168 0.00000 0 0.0 0 0 5561 0 5561 0.00008 true 0 0 33588599 33094297 494302 X true true 1 1 VALLEY REGIONAL HOSPITAL INC 243 ELM STREET CLAREMONT NH 03743 WWW.VRH.ORG 00007 X X X X VALLEY REGIONAL HOSPITAL INC 1 false false true X X X X X X X X X 23 true true true true X https://vrh.org/public-reports/ X X true 23 true https://vrh.org/public-reports/ false true X 225.0 300.0 X X X X true true X X X true X https://vrh.org/patients-visitors/patient-billing/ X https://vrh.org/patients-visitors/patient-billing/ X https://vrh.org/patients-visitors/patient-billing/ X X X X X true X false X X X X true X false false 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 1 KANE ONCOLOGY CENTER 243 ELM STREET CLAREMONT NH 03743 ONCOLOGY CENTER 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 false false false false false false false true false JOCELYN CAPLE MD INTERIM CEO (THROUGH 12/8/24) 0 344543 0 30000 0 1188 0 20700 0 45017 0 441448 0 0 JULIANN BARRETT DO MED STAFF PRES (THROUGH 8/26/25)/CMO 306699 0 25000 0 5150 0 23000 0 1456 0 361305 0 0 0 CATHARINE CRAWFORD MD MED STAFF PRESIDENT/EX-OFFICIO (AS OF 8/27/25) 250668 0 0 0 549 0 0 0 0 0 251217 0 0 0 MATTHEW S HOUDE TRUSTEE / DH VP GOV'T RELATIONS 0 285450 0 30000 0 4241 0 30985 0 39478 0 390154 0 0 STEPHEN D SURGENOR MD TRUSTEE / DH DIRECTOR OF ANESTHESIOLOGY 0 572073 0 0 0 22864 0 32970 0 39071 0 666978 0 0 SAMUEL SHIELDS TRUSTEE / DH VP - STRTGY 0 347386 0 35000 0 16761 0 26070 0 3990 0 429207 0 0 PATRICK F JORDAN III MBA TRUSTEE (THROUGH 6/21/25) 0 875781 0 180000 0 76927 0 32970 0 46290 0 1211968 0 0 HANNAH BIANCHI CHIEF OPERATING OFFICER 0 202653 0 13580 0 19961 0 8803 0 0 0 244997 0 0 JOSHUA R RUDNER MD FORMER ER PHYSICIAN AND CMO 143086 0 0 0 31 0 4054 0 1493 0 148664 0 0 0 JOHN A LEBLANC DO ORTHOPEDIC SURGEON 656026 0 0 0 1584 0 11973 0 3974 0 673557 0 0 0 JAMES H PORTER MD PHYSICIAN 298178 0 10729 0 176 0 23000 0 2083 0 334166 0 0 0 WHITNEY HILTON DO PHYSICIAN 289904 0 0 0 216 0 23000 0 12764 0 325884 0 0 0 LYNDSY MCINTYRE MSN RN CHIEF NURSING OFFICER 204363 0 5000 0 4941 0 32000 0 5509 0 251813 0 0 0 FERNANDA MAGALHAES MILETTO MD INTERNAL MEDICINE PHYSICIAN 267804 0 30000 0 360 0 33577 0 6305 0 338046 0 0 0 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. A NH HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 64461XMG7 2025-05-28 14250347 FINANCE NEW CAPITAL PROJECTS. false false false A 14403903 398043 101803 13904057 false false false true A false false false false false false 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true A true 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. 1 200146 MARKET VALUE 0 false true false SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICLY TRADED - THE NUMBER REPRESENTS THE NUMBER OF DONATIONS RECEIVED. 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. 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 CHARITABLE REMAINDER TRUSTS (3) CHARITABLE TRUST NH VRH TRUST true false false false false false false false false false false true false true false true true false false false