VALLEY REGIONAL HEALTHCARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: VALLEY REGIONAL HEALTHCARE INC (EIN 02-0397338)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202602279349300200
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 D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T22:57:31+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	415375658	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE ADVISORY LLC	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	020397338	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY REGIONAL HEALTHCARE 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 MATHIESEN	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	$7,437,965	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	1986	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	PARENT ORGANIZATION TO VALLEY REGIONAL HOSPITAL, INC.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	3	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$6,885	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,642	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$2,353,905	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,212,677	CYProgramServiceRevenueAmt
PY Investment Income	$271,986	PYInvestmentIncomeAmt
CY Investment Income	$2,173,265	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$2,625,891	PYTotalRevenueAmt
CY Total Revenue	$4,385,942	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,460	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$817,180	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$188,922	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,010,817	PYOtherExpensesAmt
CY Other Expenses	$1,641,348	CYOtherExpensesAmt
PY Total Expenses	$2,827,997	PYTotalExpensesAmt
CY Total Expenses	$1,843,730	CYTotalExpensesAmt
PY Revenues Less Expenses	-$202,106	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,542,212	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,368,419	TotalAssetsBOYAmt
Total Assets EOY	$9,133,241	TotalAssetsEOYAmt
Total Liabilities BOY	$17,808,433	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$16,733,547	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$8,440,014	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$7,600,306	NetAssetsOrFundBalancesEOYAmt
Mission	VALLEY REGIONAL HEALTHCARE, INC. IS ORGANIZED TO COORDINATE AND SUPPORT THE ACTIVITIES OF HEALTH CARE ORGANIZATIONS, INCLUDING VALLEY REGIONAL HOSPITAL, INC.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,031,852	ExpenseAmt
Grant	$13,460	GrantAmt
Revenue	$2,212,677	RevenueAmt
Desc	VALLEY REGIONAL HEALTHCARE IS THE PARENT ORGANIZATION FOR VALLEY REGIONAL HOSPITAL. IN THIS ROLE, VALLEY REGIONAL HEALTHCARE PROVIDES INTEGRATED MANAGEMENT AND SUPPORT SERVICES FOR THE HOSPITAL.	Desc
Total Program Service Expenses	$1,031,852	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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	false	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	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	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	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	10	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3	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	5	GoverningBodyVotingMembersCnt
Independent Voting Member	4	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 (7 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
ALAN C KEILLER
TRUSTEE/TREASURER	0.5	2.0	Yes (X)	Yes (X)	$0	$0	$0
JOCELYN CAPLE MD
INTERIM CEO (THROUGH 12/8/24)	1.0	39.5	Yes (X)	Yes (X)	$0	$375,731	$65,717
JOHN TANSEY
TRUSTEE/CHAIR	0.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
MATTHEW FOSTER
CEO (AS OF 12/9/24)	1.0	39.5	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
CELESTE PITTS
INTERIM CFO	1.0	41.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$412,736	TotReportableCompRltdOrgAmt
Total Other Compensation	$67,953	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MARY HITCHCOCK MEMORIAL HOSPITAL
1 MEDICAL CENTER DR	LEBANON	NH	03756	WORKFORCE SERVICES	$278,777
HELMS AND CO
1 PILLSBURY ST STE 200	CONCORD	NH	03301	WORKFORCE SERVICES	$179,689

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT SERVICES	621610	$1,023,499	$1,023,499
RENTAL REVENUE	531120	$928,872	$928,872
OTHER PROGRAM REVENUE	621610	$260,306	$260,306

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	$2,212,677	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$421,601	TotalRevenueColumnAmt
Unrelated Business Revenue	$6,885	UnrelatedBusinessRevenueAmt
Exclusion	$414,716	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,803,687	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,030,158	SecuritiesAmt
Other	$21,865	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,773,529	SecuritiesAmt
Other	-$21,865	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,751,664	TotalRevenueColumnAmt
Exclusion	$1,751,664	ExclusionAmt

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	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,385,942	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,212,677	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,885	UnrelatedBusinessRevenueAmt
Exclusion	$2,166,380	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,460	TotalAmt
Program Services	$13,460	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$126,022	TotalAmt
Program Services	$112,513	ProgramServicesAmt
Management And General	$13,509	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,710	TotalAmt
Program Services	$54,202	ProgramServicesAmt
Management And General	$6,508	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,190	TotalAmt
Program Services	$1,955	ProgramServicesAmt
Management And General	$235	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$585,339	TotalAmt
Program Services	$439,912	ProgramServicesAmt
Management And General	$145,427	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$108,605	TotalAmt
Management And General	$108,605	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,320	TotalAmt
Program Services	$9,878	ProgramServicesAmt
Management And General	$4,442	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$118	TotalAmt
Program Services	$118	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$553,095	TotalAmt
Program Services	$58,075	ProgramServicesAmt
Management And General	$495,020	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$254,552	TotalAmt
Program Services	$234,595	ProgramServicesAmt
Management And General	$19,957	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$60,318	TotalAmt
Program Services	$43,193	ProgramServicesAmt
Management And General	$17,125	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BOOKS AND EDUCATIONAL MATERIALS	$37,718	$37,050	$668
OTHER EXPENSES	$21,570	$21,188	$382
FOOD	$5,088	$5,088
DUES, FEES, AND TAXES	$625	$625

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,843,730	TotalAmt
Program Services	$1,031,852	ProgramServicesAmt
Management And General	$811,878	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$968,070	BOYAmt
EOY	$440,621	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,659	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,916	BOYAmt

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,302	BOYAmt
EOY	$19,995	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$40,880,047	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$38,325,897	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,822,554	BOYAmt
EOY	$2,554,150	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,532,432	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,950	BOYAmt
EOY	$6,118,475	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$536	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,368,419	BOYAmt
EOY	$9,133,241	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$150,272	BOYAmt
EOY	$74,925	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$117,058	BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$16,910,910	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$630,193	BOYAmt
EOY	$16,658,622	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,808,433	BOYAmt
EOY	$16,733,547	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	-$8,440,090	BOYAmt
EOY	-$7,600,386	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76	BOYAmt
EOY	$80	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$8,440,014	BOYAmt
EOY	-$7,600,306	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,368,419	BOYAmt
EOY	$9,133,241	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,542,212	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,702,504	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	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)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY REGIONAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	020222118	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (true)	GoverningDocumentListedInd
Support	$0	SupportAmt
Other Support	$1,031,852	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$1,031,852	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	false	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART IV, SECTION C, LINE 1 MAJORITY DIRECTOR DETAIL	FormAndLineReferenceDesc
Explanation	VALLEY REGIONAL HEALTHCARE, INC. ("VRHC"), THE SUPPORTING ORGANIZATION, IS SUPERVISED OR CONTROLLED IN CONNECTION WITH VALLEY REGIONAL HOSPITAL, INC. ("VRH"), THE SUPPORTED ORGANIZATION. CONTROL AND MANAGEMENT OF VRHC ARE VESTED IN THE SAME PERSONS WHO CONTROL AND MANAGE VRH THROUGH AN INTEGRATED CORPORATE GOVERNANCE STRUCTURE. DARTMOUTH-HITCHCOCK HEALTH ("D-HH") SERVES AS THE SOLE CORPORATE MEMBER OF VRHC, AND VRHC SERVES AS THE SOLE CORPORATE MEMBER OF VRH. PURSUANT TO SECTION 4.2 OF THE VRHC BYLAWS, THE VRHC BOARD IS COMPOSED ENTIRELY OF THE INDIVIDUALS SERVING ON VRH'S EXECUTIVE AND COMPENSATION COMMITTEE. SECTION 6.2 OF THE VRHC BYLAWS FURTHER PROVIDES THAT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF VRHC IS THE SAME INDIVIDUAL SERVING AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF VRH. THE ORGANIZATIONS ALSO SHARE A CHIEF FINANCIAL OFFICER. ACCORDINGLY, THE INTEGRATED GOVERNANCE AND SHARED MANAGEMENT STRUCTURE ENSURES THAT THE ORGANIZATIONS OPERATE AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM WITHIN THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,222,637	OtherCostOrOtherBasisAmt
Depreciation	$16,665,139	DepreciationAmt
Book Value	$557,498	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,151,401	OtherCostOrOtherBasisAmt
Depreciation	$1,066,752	DepreciationAmt
Book Value	$84,649	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,506,009	OtherCostOrOtherBasisAmt
Depreciation	$20,594,006	DepreciationAmt
Book Value	$1,912,003	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,554,150	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
INVESTMENT IN POOLED FUNDS	$6,118,475	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$6,118,475	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
AFFILIATE NOTE PAYABLE	$16,544,763
DUE TO AFFILIATE	$113,859
RESERVE FOR SELF-FUNDED INSURANCE

Field	Value	IRS element (for citing)
Total Liability	$16,658,622	TotalLiabilityAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEVENS HIGH SCHOOL ALUMNI ORG	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 710	AddressLine1Txt
City	CLAREMONT	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03743	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	237456861	RecipientEIN
IRC Section	501C3	IRCSectionDesc
Cash Grant	$5,240	CashGrantAmt
Purpose Of Grant	SUPPORT FOR AFTERSCHOOL PROGRAMMING	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	AWARD PAYMENTS ARE PROCESSED IN ACCORDANCE WITH THE SPECIFIC TERMS OF EACH AWARD. THE COORDINATORS OF THE PROGRAM ARE RESPONSIBLE FOR ASSURING THAT ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES WITH RECEIPTS.	ExplanationTxt

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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	JOCELYN CAPLE MD	PersonNm
Title	INTERIM CEO (THROUGH 12/8/24)	TitleTxt
Base Compensation Filing Org	$0	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$344,543	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$30,000	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$1,188	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$20,700	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$0	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$45,017	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$0	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$441,448	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 J, PART I, LINE 3 CEO COMPENSATION

THE CEO'S COMPENSATION AMOUNT IS DETERMINED BY A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE VRHC BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE	AS DESCRIBED IN THE ORGANIZATION'S BYLAWS, THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD OF TRUSTEES OF THE CORPORATION AND THE D-HH CEO OR DESIGNEE. THE EXECUTIVE COMMITTEE WILL EXERCISE THE FULL AUTHORITY OF THE BOARD OF TRUSTEES BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, UNLESS EXPRESSLY LIMITED BY THE BOARD OF TRUSTEES. NOTWITHSTANDING THE FOREGOING, THE EXECUTIVE COMMITTEE WILL NOT HAVE THE AUTHORITY TO APPROVE A PECUNIARY BENEFIT TRANSACTION. THE EXECUTIVE COMMITTEE WILL BE RESPONSIBLE TO THE BOARD OF TRUSTEES AND WILL REPORT ITS ACTIONS AT EACH SUBSEQUENT MEETING OF THE BOARD OF TRUSTEES.
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	DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF VALLEY REGIONAL HEALTHCARE.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF VALLEY REGIONAL HEALTHCARE. D-HH SHALL ELECT TO VALLEY REGIONAL HEALTHCARE'S BOARD OF TRUSTEES THOSE INDIVIDUALS WHO SERVE ON THE EXECUTIVE AND COMPENSATION COMMITTEE OF THE VALLEY REGIONAL HOSPITAL BOARD OF TRUSTEES. AN INDIVIDUAL WHO CEASES TO SERVE AS A MEMBER OF THIS EXECUTIVE AND COMPENSATION COMMITTEE FOR ANY REASON WILL BE DEEMED TO HAVE CEASED SERVICE ON THE BOARD, AND D-HH SHALL ELECT TO THE BOARD THE INDIVIDUAL FILLING THE VACANCY ON THE HOSPITAL EXECUTIVE AND COMPENSATION COMMITTEE.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	THE SOLE MEMBER, D-HH, MUST PROVIDE ADVANCE APPROVAL OF ANY ACTIONS TAKEN BY VALLEY REGIONAL HEALTHCARE IN CONNECTION WITH VALLEY REGIONAL HEALTHCARE'S ROLE AS THE SOLE MEMBER OF VALLEY REGIONAL HOSPITAL. D-HH ALSO HAS THE RIGHT TO CAUSE VALLEY REGIONAL HEALTHCARE TO INITIATE ANY OF THE ACTIONS THAT VALLEY REGIONAL HEALTHCARE HAS THE POWER TO INITIATE AS THE SOLE MEMBER OF VALLEY REGIONAL HOSPITAL. FURTHER, THE POWER TO ALTER, AMEND, OR REPEAL THE BYLAWS OF VALLEY REGIONAL HEALTHCARE OR TO ADOPT NEW BYLAWS IS VESTED IN D-HH.
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.
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. THE CEO IS PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS EVALUATED BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS AND NATIONAL DATA BENCHMARKING. THE TALENT DEVELOPMENT AND COMPENSATION COMMITTEE, ALONG WITH INDEPENDENT TRUSTEES, APPROVE THE FINAL COMPENSATION IN CONSIDERATION WITH THE INDEPENDENT THIRD-PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2025.
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: 393218, PROGRAM SERVICE EXPENSE: 351066, MANAGEMENT AND GENERAL EXPENSES: 42152, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 192121, PROGRAM SERVICE EXPENSE: 88846, MANAGEMENT AND GENERAL EXPENSES: 103275, FUNDRAISING EXPENSES: ;
FORM 990, PART XII, LINE 3A FINANCIAL STATEMENTS AND REPORTING	VALLEY REGIONAL HEALTHCARE 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 HOSPITAL INC
243 ELM STREET	CLAREMONT	NH	03743	020222118	HOSPITAL	NH	501(C)(3)	3	VRHC	Yes (true)
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	030183721	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	VALLEY REGIONAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	TRUST	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
VALLEY REGIONAL HOSPITAL
A	$928,872	BOOK
VALLEY REGIONAL HOSPITAL
L	$1,023,499	BOOK