VALLEY HEALTH SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: VALLEY HEALTH SYSTEM (EIN 80-0584319)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-11
IRS object ID: 202143159349302354
Schema version: 2020v4.0
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 I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-11T07:02:39-08:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	521357729	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY HEALTH SYSTEM	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 CAMPUS BLVD STE 310	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	800584319	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY HEALTH SYSTEM GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VALL	BusinessNameControlTxt
Phone	5405366287	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 CAMPUS BLVD STE 310	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PETER F GALLAGHER	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PETER F	PersonFirstNm
Person Last	GALLAGHER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	5405364300	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARK NANTZ	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 CAMPUS BLVD STE 310	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,008,956,407	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5602	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	VALLEYHEALTHLINK.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	Serving our community by improving health. Provision of healthcare and medical services.	ActivityOrMissionDesc
Voting Members Governing Body	62	VotingMembersGoverningBodyCnt
Voting Members Independent	43	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	751	TotalVolunteersCnt
Total Gross UBI	$5,257	TotalGrossUBIAmt
PY Contributions Grants	$4,786,808	PYContributionsGrantsAmt
CY Contributions Grants	$75,275,409	CYContributionsGrantsAmt
PY Program Service Revenue	$941,167,203	PYProgramServiceRevenueAmt
CY Program Service Revenue	$892,614,447	CYProgramServiceRevenueAmt
PY Investment Income	$2,209,578	PYInvestmentIncomeAmt
CY Investment Income	$9,977,164	CYInvestmentIncomeAmt
PY Other Revenue	$23,393,084	PYOtherRevenueAmt
CY Other Revenue	$22,227,124	CYOtherRevenueAmt
PY Total Revenue	$971,556,673	PYTotalRevenueAmt
CY Total Revenue	$1,000,094,144	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,402,367	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,438,449	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$360,491,727	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$371,376,000	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$585,039,173	PYOtherExpensesAmt
CY Other Expenses	$595,409,244	CYOtherExpensesAmt
PY Total Expenses	$950,933,267	PYTotalExpensesAmt
CY Total Expenses	$974,223,693	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,623,406	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,870,451	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,549,813,292	TotalAssetsBOYAmt
Total Assets EOY	$1,769,918,770	TotalAssetsEOYAmt
Total Liabilities BOY	$643,481,994	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$789,931,942	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$906,331,298	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$979,986,828	NetAssetsOrFundBalancesEOYAmt
Mission	Serving our community by improving health. Provision of healthcare and medical services.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$711,139,968	ExpenseAmt
Grant	$7,438,449	GrantAmt
Revenue	$910,640,090	RevenueAmt
Desc	VALLEY HEALTH'S MISSION IS SERVING OUR COMMUNITY BY IMPROVING HEALTH. VALLEY HEALTH IS COMPOSED OF SIX CORE HOSPITALS; HAMPSHIRE MEMORIAL HOSPITAL, PAGE MEMORIAL HOSPITAL, SHENANDOAH MEMORIAL HOSPITAL, WAR MEMORIAL HOSPITAL, WARREN MEMORIAL HOSPITAL AND WINCHESTER MEDICAL CENTER. VALLEY HEALTH BRINGS TOGETHER 644 LICENSED INPATIENT BEDS, 166 LONG-TERM CARE BEDS, 5,300 EMPLOYEES, AND A MEDICAL STAFF EXCEEDING 600 PROFESSIONALS.DURING 2020 THE SYSTEM PROVIDED THE FOLLOWING SERVICES TO THE COMMUNITY- 197,760 INPATIENT ACUTE CARE DAYS; 273,200 OUTPATIENT REGISTRATIONS AT PHYSICIAN PRACTICES; 57,933 INPATIENT LONG TERM CARE DAYS; 4,669 INPATIENT REHABILITATION DAYS; 57,437 HOME CARE VISITS CONSISTING OF NURSING, PHYSICAL THERAPY, SOCIAL WORK, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, AND HOME HEALTH AIDS; 17,939 SURGICAL PROCEDURES,AND 8,779 INPATIENT PSYCIATRIC PATIENT DAYS.	Desc
Total Program Service Expenses	$711,139,968	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	Yes (true)	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	Yes (true)	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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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	Yes (true)	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	1	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
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	62	GoverningBodyVotingMembersCnt
Independent Voting Member	43	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	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
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	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRISTINE LOWMAN	PersonNm
Phone	5405366287	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 CAMPUS BLVD SUITE 310	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (105 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
MARK H MERRILL
President & CEO	34.00	6.00	Yes (X)	Yes (X)	$0	$1,865,681	$61,330
AYORINDE AKINRINLOLA MD
Emp Physician	50.00	0.00			$1,036,022	$0	$69,513
EDWARD KOFSKY
Trustee	50.00	0.00	Yes (X)		$1,009,287	$0	$58,580
ANDREW BROWN MD
Emp Physician	50.00	0.00			$875,159	$0	$57,942
MARK NANTZ
President & CEO	34.00	6.00	Yes (X)	Yes (X)	$0	$882,778	$33,065
PETER GALLAGHER
Sr VP/CFO	10.00	30.00	Yes (X)	Yes (X)	$0	$781,790	$51,003
MESFIN SHIBESHI MD
Emp Physician	50.00	0.00			$741,909	$0	$56,609
GRADY W PHILIPS III
Sr VP	39.00	1.00	Yes (X)	Yes (X)	$730,877	$0	$56,415
DAVID ESSAFF MD
Emp Physician	50.00	0.00			$703,725	$0	$27,648
BASEL RAMLAWI MD
Emp Physician	50.00	0.00			$691,708	$0	$39,098
LEE ROLAND
EMPLOYED PHYSICIAN	50.00	0.00			$647,399	$0	$40,880
IYAD SABBAGH
CMO	1.00	39.00	Yes (X)	Yes (X)	$0	$597,679	$47,013
JAMES BURTON
CIO	1.00	39.00	Yes (X)	Yes (X)	$0	$531,698	$98,296
TROY GLEMBOT MD
Chairman	50.00	0.00	Yes (X)	Yes (X)	$598,442	$0	$28,018
NICHOLAS RESTREPO
VP MED AFFAIRS	39.00	1.00	Yes (X)	Yes (X)	$544,787	$0	$61,060
PATRICK WAGNER
EMPLOYED PHYSICIAN	50.00	0.00			$516,197	$0	$42,237
ROBERT AMOS
Vice President	39.00	1.00	Yes (X)	Yes (X)	$0	$499,814	$48,916
ELIZABETH SAVAGE
VP OF HR	34.00	6.00	Yes (X)	Yes (X)	$0	$520,889	$25,749
JEFFREY FEIT MD
COO VPE	39.00	1.00	Yes (X)	Yes (X)	$475,493	$0	$52,101
JORGE POSADAS
EMPLOYED PHYSICIAN	50.00	0.00			$480,797	$0	$42,632
JOSEPH HASHEM MD
MED STAFF PRES	40.00	0.00	Yes (X)		$474,396	$0	$43,484
CHRIS RUCKER
VP AMBULATORY	39.00	1.00	Yes (X)	Yes (X)	$447,121	$0	$47,271
AUDREA WYNN MD
Chairman	38.00	2.00	Yes (X)	Yes (X)	$431,502	$0	$49,504
FLOYD HEATER
VP/PRES WMH	39.00	1.00	Yes (X)	Yes (X)	$416,995	$0	$42,939
GREG BYRD MD
EMPLOYED PHYSICIAN	50.00	0.00			$402,068	$0	$38,972
PATRICIA A DALY MD
CHAIR/EMP PHY	50.00	0.00	Yes (X)	Yes (X)	$390,919	$0	$36,254
JAMES SHERWOOD
VP PROF SVCS	39.00	1.00	Yes (X)	Yes (X)	$373,677	$0	$45,422
ANNE WHITESIDE
CNO WMC	40.00	0.00			$380,783	$0	$38,210
PATRICK IRELAND
VICE CHAIR	2.00	40.00	Yes (X)	Yes (X)	$0	$403,973	$0
JAMES DALE
Trustee	40.00	2.00	Yes (X)		$348,388	$0	$41,114
THOMAS KLUGE
President	39.00	1.00	Yes (X)	Yes (X)	$321,922	$0	$64,757
NELSON T CLARK
VP PRES PMH/SMH	39.00	1.00	Yes (X)	Yes (X)	$323,268	$0	$42,106
JULIAN MARTINEZ
Trustee	50.00	0.00	Yes (X)		$304,954	$0	$45,878
MATT TOOMEY
VP PT FIN SVCS	1.00	39.00	Yes (X)	Yes (X)	$0	$291,444	$44,148
ANTHONY HAYWOOD DO
MED STAFF PRES	40.00	0.00	Yes (X)		$291,393	$0	$37,264
MATTHEW POLK
EMPLOYED PHYSICIAN	50.00	0.00			$285,290	$0	$39,928
CARLA DALLMAN
VP RISK MGMT	10.00	30.00	Yes (X)	Yes (X)	$0	$278,216	$40,859
MARK BAKER
VP FACILITIES	1.00	39.00	Yes (X)	Yes (X)	$0	$261,892	$43,284
ARTHUR TICKNOR
Trustee	50.00	0.00	Yes (X)		$263,563	$0	$39,769
PHILLIP E GRAYBEAL
CFO SOUTHERN REGION	40.00	0.00			$258,532	$0	$38,419
CHRISTINE LOWMAN
Vice President	10.00	30.00	Yes (X)	Yes (X)	$0	$279,151	$12,186
BARBARA WALTER
EMPLOYED PHYSICIAN	50.00	0.00			$272,736	$0	$17,120
DAVID SWITZER MD
EMPLOYED PHYSICIAN	50.00	0.00			$258,782	$0	$7,474
PATRICK TURNES
MED STAFF PRES	40.00	0.00	Yes (X)		$223,571	$0	$35,206
TAMMY GASPER
VP SMH	40.00	0.00			$213,440	$0	$29,962
TERRI MAYES
VP WMH	40.00	0.00			$210,178	$0	$23,350
MARY SAS
VP HMH	40.00	0.00			$189,652	$0	$14,897
HEATHER SIGEL
VP WAR	40.00	0.00			$194,271	$0	$8,160
JAMES WELLS
Secretary	48.00	0.00	Yes (X)	Yes (X)	$168,249	$0	$20,314
TONIA SUBER
VP OF HR	30.00	10.00	Yes (X)	Yes (X)	$0	$163,278	$19,292
KEVIN BARKO
Trustee	50.00	0.00	Yes (X)		$132,695	$0	$35,540
JOSEPH SILEK
Chairman	2.00	2.00	Yes (X)	Yes (X)	$0	$13,172	$0
CHAD DANSIE
Trustee	2.00	2.00	Yes (X)		$0	$9,415	$0
MARY BETH PRICE
Trustee	2.00	2.00	Yes (X)		$0	$2,500	$0
THOMAS T GILPIN
Secretary	2.00	2.00	Yes (X)	Yes (X)	$0	$1,000	$0
HARRY SMITH
Trustee	2.00	2.00	Yes (X)		$0	$1,000	$0
STEVEN CLUSS
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
SHERIF KAISER
QMAC Chairman	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
MICHELLE BIXLER
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
DOUGLAS KEIM
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
JIM LONG
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
JIM CLINE
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
SHANNON GEMMA
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
JENNA FRENCH
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
JEFFREY LESSAR MD
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
CLIFTON RUTHERFORD
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
JEFFREY SKILES MD
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
CHRISTINE ANDREAE
Chairman	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PATRICIA STROTHER
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
FRED KOZLOWSKI
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
TRICIA NASHED
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
JOHN LESINSKI
VICE CHAIR WMH	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY MILLER
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
MELODY EATON
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
CYNTHIA PRICE
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
DAVID SOVINE
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
KATHERINE JOHNSON
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
JONATHAN C EZELL
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
DARLENE KENT
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL WATTS MD
MED STAFF PRES	2.00	0.00	Yes (X)		$0	$0	$0
JASON AIKENS
Secretary	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
BONNIE LANDIS
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
BRADLEY CLOSE
Chairman	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JEFF BOEHM
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
THOMAS LESLIE DDS
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
BLAKELY CURTIS
Vice Chairman	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
CATHERINE DOWLING MD
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
REBECCA STOTLER
Secretary	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
LEE MYERS
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
DAVID GUM
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
JENNIFER MCDONALD
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
DIANE KEARNS
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
GREG MERCER
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
JOHN POTTER
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
TRACY VOSKIKA
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
ARNOLD WILLIAMS
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
REBECCA VAUGHN
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
ETHEL SHOWMAN
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
KAREN WHETZEL
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
TRACY MILLER
Vice Chair	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KATHY NERANGIS
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
TERRY SINCLAIR MD
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
DENNIS MCLOUGHLIN
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
PEG GOODYEAR
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
STEVE SLONAKER
VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,630,147	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,385,370	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,041,188	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	613	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WINCHESTER EMERGENCY PHYSICIAN
80 PEACHTREE ROAD SUITE 200	ASHVILLE	NC	28801	PHYSICIAN SERVICES	$10,083,418
TRIMEDX INC
5451 Lakeview Pkwy S Drive	Indianapolis	IN	46268	PHYSICIAN SERVICES	$7,595,573
WINCHESTER CARDIOLOGY AND VASCULAR MEDICINE
1870 AMHERST ST SUITE 100 AND 200	WINCHESTER	VA	22601	PHYSICIAN SERVICES	$17,142,119
QUALIVIS LLC
2000 CENTER POINT RD SUITE 2360	COLUMBIA	SC	29210	NURSING SERVICES	$12,546,417
WINCHESTER ANESTHESIOLOGISTS
1720 AMHERST STREET	WINCHESTER	VA	22601	PHYSICIAN SERVICES	$7,530,635

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	85	CntrctRcvdGreaterThan100KCnt
Related Organizations	$244,247	RelatedOrganizationsAmt
Government Grants	$72,260,905	GovernmentGrantsAmt
All Other Contributions	$2,770,257	AllOtherContributionsAmt
Total Contributions	$75,275,409	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ACUTE CARE SERVICES	621400	$810,726,788	$810,726,788
HOME HEALTH SERVICES	621610	$11,124,202	$11,124,202
LONG TERM CARE	623990	$16,961,827	$16,961,827
PHYSICIAN SERVICES	621110	$34,087,159	$34,087,159
REHABILITATION SERVICES	621400	$10,716,334	$10,716,334

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,998,137	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,998,137	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$892,614,447	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,025,523	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,274	UnrelatedBusinessRevenueAmt
Exclusion	$14,021,249	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,100,698	RealAmt
Personal	$36,878	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,511,851	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$411,153	RealAmt
Personal	$36,878	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$374,275	TotalRevenueColumnAmt
Unrelated Business Revenue	$36,878	UnrelatedBusinessRevenueAmt
Exclusion	-$411,153	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,125,278	SecuritiesAmt
Other	$175,527	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,349,164	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$4,223,886	SecuritiesAmt
Other	$175,527	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,048,359	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$4,538,091	RelatedOrExemptFuncIncomeAmt
Exclusion	$489,732	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,519	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,248	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,271	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,271	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EDUCATION PROGRAMS	900099	$115,122	$115,122
MEDICAL RECORDS/FEES	900099	$425,974	$425,974
REFUNDS,REBATES,DISCOUNTS	900099	$22,021,655	$22,021,655

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,377	TotalRevenueColumnAmt
Unrelated Business Revenue	-$37,166	UnrelatedBusinessRevenueAmt
Exclusion	$74,543	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$22,600,128	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,000,094,144	TotalRevenueColumnAmt
Related Or Exempt Func Income	$910,639,107	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,257	UnrelatedBusinessRevenueAmt
Exclusion	$14,174,371	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	$7,288,311	TotalAmt
Program Services	$7,288,311	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$150,138	TotalAmt
Program Services	$150,138	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,754,333	TotalAmt
Program Services	$9,154,489	ProgramServicesAmt
Management And General	$1,599,844	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$277,813	TotalAmt
Program Services	$277,813	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$298,365,229	TotalAmt
Program Services	$261,765,196	ProgramServicesAmt
Management And General	$36,600,033	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,330,916	TotalAmt
Program Services	$8,246,342	ProgramServicesAmt
Management And General	$1,084,574	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,578,403	TotalAmt
Program Services	$28,787,058	ProgramServicesAmt
Management And General	$3,791,345	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,069,306	TotalAmt
Program Services	$17,798,756	ProgramServicesAmt
Management And General	$2,270,550	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$111,365,430	TotalAmt
Program Services	$10,632,094	ProgramServicesAmt
Management And General	$100,733,336	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$435,660	TotalAmt
Program Services	$16,150	ProgramServicesAmt
Management And General	$419,510	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$204,864	TotalAmt
Management And General	$204,864	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,532,372	TotalAmt
Management And General	$2,532,372	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$133,862,486	TotalAmt
Program Services	$107,955,935	ProgramServicesAmt
Management And General	$25,906,551	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$221,926	TotalAmt
Program Services	$103,874	ProgramServicesAmt
Management And General	$118,052	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,159,454	TotalAmt
Program Services	$2,577,392	ProgramServicesAmt
Management And General	$3,582,062	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$204,478	TotalAmt
Program Services	$173,605	ProgramServicesAmt
Management And General	$30,873	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,808,927	TotalAmt
Program Services	$4,448,924	ProgramServicesAmt
Management And General	$6,360,003	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$786,003	TotalAmt
Program Services	$605,414	ProgramServicesAmt
Management And General	$180,589	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,164,136	TotalAmt
Program Services	$318,159	ProgramServicesAmt
Management And General	$845,977	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,345,975	TotalAmt
Program Services	$7,531,045	ProgramServicesAmt
Management And General	$4,814,930	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$75,683,900	TotalAmt
Program Services	$46,154,698	ProgramServicesAmt
Management And General	$29,529,202	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,089,112	TotalAmt
Program Services	$1,909,649	ProgramServicesAmt
Management And General	$3,179,463	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$133,324,544	$125,652,440	$7,672,104
BAD DEBT EXPENSE	$49,482,595	$49,482,595
LICENSE & TAXES	$23,761,981	$124,451	$23,637,530
EQUIP RENTAL & MAINT	$13,584,066	$7,594,315	$5,989,751

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,391,335	TotalAmt
Program Services	$12,391,125	ProgramServicesAmt
Management And General	$2,000,210	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$974,223,693	TotalAmt
Program Services	$711,139,968	ProgramServicesAmt
Management And General	$263,083,725	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$46,525,401	BOYAmt
EOY	$165,517,764	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$94,416,353	BOYAmt
EOY	$87,917,458	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,734,804	BOYAmt
EOY	$33,238,195	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,338,129	BOYAmt
EOY	$16,575,280	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,315,976	BOYAmt
EOY	$9,062,552	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,619,246,380	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$895,565,502	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$699,985,965	BOYAmt
EOY	$723,680,878	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$386,157,704	BOYAmt
EOY	$434,694,173	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$265,836,728	BOYAmt
EOY	$267,957,287	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,810,592	BOYAmt
EOY	$2,414,694	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,691,640	BOYAmt
EOY	$28,860,489	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,549,813,292	BOYAmt
EOY	$1,769,918,770	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$64,141,855	BOYAmt
EOY	$82,036,540	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$105,214	BOYAmt
EOY	$90,991	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$439,992,757	BOYAmt
EOY	$435,071,314	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$139,242,168	BOYAmt
EOY	$272,733,097	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$643,481,994	BOYAmt
EOY	$789,931,942	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	$875,711,487	BOYAmt
EOY	$944,175,950	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,619,811	BOYAmt
EOY	$35,810,878	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$906,331,298	BOYAmt
EOY	$979,986,828	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,549,813,292	BOYAmt
EOY	$1,769,918,770	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,870,451	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$56,289,221	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,504,142	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
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

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	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

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I: Additional Information

The following organizations with respective public charity statuses are part of this group return:1. Hampshire Memorial Hospital, Inc. - Hospital2. Winchester Medical Center - Hospital3. Winchester Medical Center Foundation - Publicly supported organization4. Shenandoah Memorial Hospital - Hospital5. Shenandoah Memorial Hospital Foundation - Publicly supported organization6. Surgi-Center of Winchester, Inc. - Publicly supported organization7. Warren Memorial Hospital - Hospital8. Warren Memorial Hospital Foundation - Publicly supported organization9. Valley Physician Enterprises, Inc. - Publicly supported organization10 War Memorial Hospital, Inc. - Hospital11. Page Memorial Hospital - Hospital12. East Mountain Health Advantage, Inc. - Supporting organization13. East Mountain Health, LLC - Publicly supported organization14. Valley Partners, LLC - Publicly supported organization

Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated

The governing document identifies supporting organizations by a charitable class covering organizations that can promote health in the community. The supported organizations have had a relationship with East Mountain Health Advantage, Inc. since their inception. The basis of that relationship forms the mission of the health system overall to fulfill community needs.

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)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
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	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$37,406	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$37,406	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	The organization pays dues to the American Hospital Association, West Virginia Healthcare Association and the National Rural Healthcare Association. A portion of those dues are allocated to lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	Yes (true)	AgentTrusteeEtcInd
Beginning Balance	$28,694	BeginningBalanceAmt
Additions During Year	$274,802	AdditionsDuringYearAmt
Distributions During Year	$247,214	DistributionsDuringYearAmt
Ending Balance	$56,282	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,077,126	BeginningYearBalanceAmt
Contributions	$2,768,787	ContributionsAmt
Investment Earnings Or Losses	$2,908,797	InvestmentEarningsOrLossesAmt
Other Expenditures	$449,241	OtherExpendituresAmt
End Year Balance	$36,305,469	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,890,073	BeginningYearBalanceAmt
Contributions	$2,370,260	ContributionsAmt
Investment Earnings Or Losses	$3,714,141	InvestmentEarningsOrLossesAmt
Other Expenditures	$897,348	OtherExpendituresAmt
End Year Balance	$31,077,126	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,311,701	BeginningYearBalanceAmt
Contributions	$1,765,604	ContributionsAmt
Investment Earnings Or Losses	-$1,056,328	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,130,904	OtherExpendituresAmt
End Year Balance	$25,890,073	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,348,297	BeginningYearBalanceAmt
Contributions	$1,193,398	ContributionsAmt
Investment Earnings Or Losses	$2,691,241	InvestmentEarningsOrLossesAmt
Other Expenditures	$921,225	OtherExpendituresAmt
End Year Balance	$26,311,701	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,426,900	BeginningYearBalanceAmt
Contributions	$5,434,404	ContributionsAmt
Investment Earnings Or Losses	$957,806	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,470,813	OtherExpendituresAmt
End Year Balance	$23,348,297	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,101,675	OtherCostOrOtherBasisAmt
Book Value	$26,101,675	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,013,357,582	OtherCostOrOtherBasisAmt
Depreciation	$448,528,630	DepreciationAmt
Book Value	$564,828,952	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,905,499	OtherCostOrOtherBasisAmt
Depreciation	$9,999,084	DepreciationAmt
Book Value	$1,906,415	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$515,470,320	OtherCostOrOtherBasisAmt
Depreciation	$401,480,239	DepreciationAmt
Book Value	$113,990,081	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,411,304	OtherCostOrOtherBasisAmt
Depreciation	$35,557,549	DepreciationAmt
Book Value	$16,853,755	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$723,680,878	TotalBookValueLandBuildingsAmt
Total Book Value Securities	$267,957,287	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	JOINT VENTURE	Desc
Book Value	$2,414,694	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
56	$434,520
ACCELERATED BENEFIT LIABILITY	$63,155,330
ACCRUED PENSION	$77,329,146
AR HB CREDIT BALANCE LIABILITY	$777,209
ATTENDING FACULTY PLAN FUND	$13,498,856
CAPITAL LEASE LIABILITY	$3,684,580
DEFERRED RENT LIABILITY	$916,258
MEDICAL MALPRACTICE LIABILITY	$381,479
MEDICARE ACCELERATED PAYMENTS	$56,338,775
ML SWAP MARK TO MKT -BONDS	$41,773,484
OPERATING LEASE LIABILITY	$14,443,460

Field	Value	IRS element (for citing)
Total Liability	$272,733,097	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 1b: Why is organization an agent, trustee, custodian or other intermediary for contrib	VALLEY HEALTH MANAGES CUSTODIAL ACCOUNTS FOR PATIENTS TREATED IN THE LONG TERM CARE FACILITY TO COVER INCIDENTAL EXPENSES. THESE MONIES ARE CONSIDERED OWNED BY THE PATIENT AND ARE NOT INCLUDED IN THE BALANCE SHEET.
Part V, Line 4: Intended uses of the endowment fund.	ENDOWMENT FUNDS WILL BE USED TO PURCHASE CAPITAL EQUIPMENT AND FUND OTHER PROJECTS WHICH ARE INTENDED TO IMPROVE HEALTH DELIVERY AT WINCHESTER MEDICAL CENTER, WARREN MEMORIAL HOSPITAL, PAGE MEMORIAL HOSPITAL, HAMPSHIRE MEMORIAL HOSPITAL, WAR MEMORIAL HOSPITAL AND SHENANDOAH MEMORIAL HOSPITAL. FUNDS WILL BE USED IN ACCORDANCE WITH THE WISHES OF THE DONOR PER THE GOVERNING DOCUMENTS OF THE GIFT.
Part X : FIN48 Footnote	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

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
Percent200	Yes (X)	Percent200Ind
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	false	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)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	1705	PersonsServedCnt
Total Community Benefit Expns	$8,359,186	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,359,186	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	43244	PersonsServedCnt
Total Community Benefit Expns	$122,059,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,426,202	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,633,229	NetCommunityBenefitExpnsAmt
Total Expense	0.05690	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	44949	PersonsServedCnt
Total Community Benefit Expns	$130,418,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,426,202	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,992,415	NetCommunityBenefitExpnsAmt
Total Expense	0.06590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4627	ActivitiesOrProgramsCnt
Persons Served	512445	PersonsServedCnt
Total Community Benefit Expns	$3,178,978	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,311	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,078,667	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1699	ActivitiesOrProgramsCnt
Persons Served	1743	PersonsServedCnt
Total Community Benefit Expns	$7,621,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,857	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,503,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	394	PersonsServedCnt
Total Community Benefit Expns	$5,518,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,183,234	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,335,095	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	888	ActivitiesOrProgramsCnt
Persons Served	1669	PersonsServedCnt
Total Community Benefit Expns	$2,462,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,663	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,445,808	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7215	ActivitiesOrProgramsCnt
Persons Served	516251	PersonsServedCnt
Total Community Benefit Expns	$18,781,006	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,418,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,362,941	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7236	ActivitiesOrProgramsCnt
Persons Served	561200	PersonsServedCnt
Total Community Benefit Expns	$149,199,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,844,267	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,355,356	NetCommunityBenefitExpnsAmt
Total Expense	0.08230	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	1262	PersonsServedCnt
Total Community Benefit Expns	$46,957	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,957	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$1,357	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,357	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	900	PersonsServedCnt
Total Community Benefit Expns	$245	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$245	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	63	ActivitiesOrProgramsCnt
Persons Served	2164	PersonsServedCnt
Total Community Benefit Expns	$48,559	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,559	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$49,482,595	BadDebtExpenseAmt
Reimbursed By Medicare	$331,762,024	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$364,910,968	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,148,944	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	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
WINCHESTER MEDICAL CENTER
1	1840 AMHERT STREET	WINCHESTER	VA	22601	WWW.VALLEYHEALTHLINK.COM	H1916	Yes (X)	Yes (X)	Yes (X)	Yes (X)	EIN 54-0505979	A
WARREN MEMORIAL HOSPITAL
2	1000 SHENANDOAH AVENUE	FRONT ROYAL	VA	22630	WWW.VALLEYHEALTHLINK.COM	H1913	Yes (X)	Yes (X)	Yes (X)	Yes (X)	EIN 54-0488103	A
SHENANDOAH MEMORIAL HOSPITAL
3	759 S MAIN STREET	WOODSTOCK	VA	22644	WWW.VALLEYHEALTHLINK.COM	H1900	Yes (X)	Yes (X)		Yes (X)	EIN 54-0490687	A	Yes (X)
PAGE MEMORIAL HOSPITAL
4	200 MEMORIAL DRIVE	LURAY	VA	22835	WWW.VALLEYHEALTHLINK.COM	H1926	Yes (X)	Yes (X)		Yes (X)	EIN 54-0551200	A	Yes (X)
HAMPSHIRE MEMORIAL HOSPITALIN
5	363 SUNRISE BLVD	ROMNEY	WV	26757	WWW.VALLEYHEALTHLINK.COM	69	Yes (X)	Yes (X)		Yes (X)	EIN 20-8241398	A	Yes (X)
WAR MEMORIAL HOSPITAL INC
6	1 HEALTHY WAY	BERKELEY SPRINGS	WV	25411	WWW.VALLEYHEALTHLINK.COM	60	Yes (X)	Yes (X)		Yes (X)	EIN 80-0407200	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	6	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	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part VI	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	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part VI	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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	See Part VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part VI	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 Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: A 6 - Part V, Section B, Line 5	Input from persons representing the broad interests of the community, community organizations, local businesses and civic organizations was taken into account via community response sessions, paper/online surveys and individual/ group interviews.
Facility: A 6 - Part V, Section B, Line 6a	Valley Health is comprised of six hospitals, Winchester Medical Center, Shenandoah Memorial Hospital, Warren Memorial Hospital, Page Memorial Hospital, Hampshire Memorial Hospital and War Memorial Hospital. Each hospital has its own assessment and then an overall assessment for Valley Health was produced.
Facility: A 6 - Part V, Section B, Line 7d	https://www.valleyhealthlink.com/About-Us/our-community-commitment/community-health-needs/Community presentations were given in the central, northern and southern regions to various organizations.
Facility: A 6 - Part V, Section B, Line 11	Historically, Valley Health (VH) has used a number of methods to collect relevant data/information on the health needs of the communities it serves. In developing the system report, VHS surveys patients, holds community response sessions, explores state and federal health outcomes databases, and reviews internally-generated patient record and billing data. These initiatives have helped to identify pressing geographic and demographic health needs.VH continues to monitor the needs of the community by conducting a Community Health Needs Assessment (CHNA). VH has conducted a needs assessment in 2010, 2013, 2016 and again in 2019. From the CHNA reports that were created for each of the six hospitals, an implementation strategy plan was created. The implementation strategies describes how each of the hospitals plans to address significant community health needs in 2020 through 2022. These needs were identified in the 2019 CHNA reports published and made widely available to the public on January 2020. The 2019 CHNA and the implementation strategies were undertaken to identify and address significant community health needs based upon the mission of VH and in accordance with proposed Internal Revenue Service (IRS) regulations pursuant to the Patient Protection and Affordable Care Act of 2010. Each of the strategies distinguishes the top items identified by the community and which will be addressed by the hospital and those that will not be addressed at this time and the reason why.Needs the Hampshire Memorial Hospital Will Not AddressNo hospital can address all of the health needs present in its community. Hampshire Memorial Hospital is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address social and economic factors such as poverty, housing and homelessness, which were significant health needs that were identified in the 2019 Community Health Needs Assessment. As a Critical Access Hospital, Hampshire Memorial Hospital is not ideally suited to be the lead organization in addressing these needs. The hospital does not have services or specific expertise in these areas and is directing its limited resources to other identified significant community health needs.Needs the War Memorial Hospital Will Not AddressNo hospital can address all of the health needs present in its community. War Memorial Hospital is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address social and economic factors such as poverty, housing and homelessness and health outcomes such as length of life and quality of life:cancer diseases which were significant health needs that were identified in the 2019 Community Health Needs Assessment.As a Critical Access Hospital, War Memorial Hospital is not ideally suited to be the lead organization in addressing these needs. The hospital does not have services or specific expertise in these areas and is directing its limited resources to other identified significant community health needs.Needs the Page Memorial Hospital Will Not AddressNo hospital can address all of the health needs present in its community. Page Memorial Hospital is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address the following significant social and economic factors such as poverty, housing, and homelessness, health outcomes, and maternal and child health as significant health needs that were identified in the 2019 Community Health Needs Assessment process through community interviews and response sessions.As a critical access acute care hospital, Page Memorial Hospital is not ideally suited to be the lead organization in addressing unmet housing needs or maternal and child health. The hospital does not have services or specific expertise in maternal health, nor permanent housing assistance and is directing its limited resources to other identified significant community health needs. Needs the Shenandoah Memorial Hospital Will Not AddressNo hospital can address all of the health needs present in its community. Shenandoah Memorial Hospital is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address the following significant social and economic factors such as poverty, housing, and homelessness, health outcomes, and maternal and child health as significant health needs that were identified in the 2019 Community Health Needs Assessment process through community interviews and response sessions.As a critical access hospital, Shenandoah Memorial Hospital does not provide obstetric services. However, Valley Health does provide obstetric services at Winchester Medical Center, Winchester Virginia. In addition, Valley Health affiliated physician practices provide prenatal care in Woodstock, Virginia, in the SMH primary service area, and Luray and Front Royal in the hospital's secondary service area.Needs the Warren Memorial Hospital Will Not AddressNo hospital can address all of the health needs present in its community. Warren Memorial Hospital is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address the following significant social and economic factors such as poverty, low income families, and homelessness, health outcomes such as cancer diseases and premature deaths, and maternal and child health as significant health needs that were identified in the 2019 Community Health Needs Assessment process through community interviews and response sessions.As an acute care hospital, Warren Memorial Hospital is not ideally suited to be the lead organization in addressing unmet oral and dental health needs or housing needs. The hospital does not have services or specific expertise in permanent housing assistance and is directing its limited resources to other identified significant community health needs. Needs the Winchester Medical Center Will Not AddressNo hospital can address all of the health needs present in its community. Winchester Medical Center is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address the following significant social and economic factors such as poverty, housing, and homelessness, health outcomes, and maternal and child health as significant health needs that were identified in the 2019 Community Health Needs Assessment process through community interviews and response sessions.As an acute care hospital, Winchester Medical Center is not ideally suited to be the lead organization in these needs in the community. The hospital does not have services or specific expertise in these areas, and is directing its limited resources to other identified significant community health needs. Nonetheless, the hospital intends to provide financial support to Northern Shenandoah Valley Housing Coalition, Dental Clinic of Northern Shenandoah Valley, Sinclair Health Clinic, Good Samaritan Clinic, St. Luke Free Clinic, and Shenandoah Community Clinic.
Facility: A 6 - Part V, Section B, Line 13b	There is a catastrophic financial assistance if income is between 301-500% of FPG and medical bills are more than $25,000. Pt liability would be limited to 30% of income or AGB, whichever is less. Limited to patients in primary and secondary service areas.
Facility: A 6 - Part V, Section B, Line 13h	Certain elective surgeries are excluded, e.g. cosmetic surgery.
Facility: A 6 - Part V, Section B, Line 16j	Financial Assistance Policy, Financial Assistance Policy Application and plain language summary are available at the website https://www.valleyhealthlink.com/Patients-Visitors/For-Patients/financial-assistance/Additionally the FAP is advertised annually in the local newspaper and the policy is distributed to local community organizations that work with individuals that may be eligible for assistance.Website link of Community Health Needs Assessment implementation strategyhttps://www.valleyhealthlink.com/about-us/our-community-commitment/community-health-needs/
Facility: A 6 - Part V, Section B, Line 20e	Valley Health documents determination of whether a patient is eligible for financial assistance if the patient applies for financial assistance. If the patient never applies, there is no effort to determine whether the patient is eligible. The financial assistance policy is posted on the website, various areas throughout the hospital, including ED and registration areas. A notice of financial assistance availability and method to contact Valley Health financial counselors for assistance in applying for financial assistance is printed on all routine monthly billing statements.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
VALLEY PHYSICIAN ENTERPRISE INC
220 CAMPUS BLVD	WINCHESTER	VA	22601	PHYSICIAN PRACTICES
SURGI CENTER OF WINCHESTER INC
1840 AMHERST STREET	WINCHESTER	VA	22601	AMBULATORY SURGICAL CLINIC
EAST MOUNTAIN HEALTH LLC
68 HERITAGE CIRCLE	ROMNEY	WV	26757	WELLNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	The eligibility criteria for financial assistance are federal poverty guidelines (FPG)(with FPG family income limit for eligibility for free care of 200% and FPG family income limit for eligibility for discounted care of 300%), income level other than FPG and residency. Certain elective surgeries are excluded - e.g. cosmetic surgery
Part I, Line 6a - Related Organization Community Benefit Report	Yes, Valley Health (VH) has prepared a related organization annual community benefit report for the last twelve years. In addition to developing its own community benefits report, VH has voluntarily provided its annual community benefits data to the Virginia Hospital and Healthcare Association in each of the last ten years (2008-2019).
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Bad debt expense is at cost. Cost to charge ratio applied to gross bad debt revenue to arrive at bad debt expense at cost.
Part III, Line 4 - Bad Debt Expense	In evaluating the collectability of accounts receivable, VH analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. The allowance is based upon a review of the outstanding balances aged by financial class. Management uses collection percentages based upon historical collection experience to determine collectibility. Management also reviews troubled, aged accounts to determine collection potential. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), VHS records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Recoveries of accounts previously written off are recorded as a reduction to bad debt expense when received.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The organization does not treat any medicare shortfall as community benefit. The amounts are taken directly from the Medicare Cost Reports as filed using a cost to charge ratio method.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Throughout the collection process, Valley Health (VH) solicits information to determine if patients may qualify for charity or discounted assistance. Special attention is paid to patients who have qualified for charity assistance in the past six (6) months and/or have qualified at another facility within VH. For example, a patient who qualified within six months would not be required to submit an application or documentation to support assistance for the latest episode of care. Another example is a current patient would not be required to submit an application or documentation to support assistance if that documentation was on file from another VH hospital.
Part VI, Line 2 - Needs Assessment	Community health needs were identified by collecting and analyzing data and information from multiple quantitative and qualitative sources. Considering information from a variety of sources is important when assessing community health needs, to ensure the assessment captures a wide range of facts and perspectives and to assist in identifying the highest-priority health needs.Statistics for numerous health status, health care access, and related indicators were analyzed, including from local, state, and federal public agencies, community service organizations in the WMC community, and from Valley Health. Comparisons to benchmarks were made where possible. Details from these quantitative data are presented in the report's body, followed by a review of the principal findings of health assessments conducted by other organizations in the community in recent years.Input from persons representing the broad interests of the community was collected through:56 individual/group interviews with over 200 key informants (January-March 2019); a community health survey with 2,429 respondents; and six community response sessions (April 2019) comprised of 20 additional community stakeholders where preliminary findings were discussed. Interviews and community response sessions included: individuals with special knowledge of, or expertise in, public health; local and state health agencies with current data or information about the health needs of the community; and leaders, representing the medically underserved, low-income, and minority populations, and populations with chronic disease needs. Feedback from community response session participants helped validate findings and prioritize identified health needs.Health care needs assessments seek to identify the most significant health care needs for particular geographic areas or populations. Accordingly, the following topics and data frequently are assessed: 1.Demographics (trends, comparisons, pockets of vulnerable people); 2.Economic issues (unique characteristics, strengths and weaknesses, impacts of state budget cuts); 3.Education issues; 4.Family issues (child care, family violence); 5.Community issues (homelessness, housing, environmental concerns, transportation and traffic, crime, availability of social services); 6.Health status indicators such as: 7.Morbidity rates for various diseases and conditions; and 8.Mortality rates (leading causes of death); 9.Health access indicators (e.g., uninsurance rates, ambulatory care sensitive discharges,use of emergency rooms for non-emergent care) 10.Health disparities indicators, as available; and 11.Delivery system capacity and characteristics. Valley Health defined the geographic areas (communities) to be assessed. The assessments focused on zip codes in each hospital's service area that fall within the 14-county region identified as Valley Health's core service area. In the report, counties and zip codes generally are presented in alphabetical or numerical order. However, these areas may be arranged differently to facilitate drawing conclusions from the data presented. Principal data sets for the quantitative analyses include: 1.Demographic data provided from the US Census Bureau and Weldon Cooper to University of Virginia Weldon Cooper Center for Public Service; 2.Hospital discharge data for Virginia and West Virginia provided by Valley Health System; 3.Health status and access indicators available from the Community Health Status Indicators Project, County Health Rankings, and several other sources; 4.Additional internal data from Valley Health. Identifying the most significant health care needs involves benchmarking and trend analysis. Accordingly, statistics for several health status and health access indicators were analyzed and compared to state-wide and national benchmarks or goals. The assessment considers multiple data sources, including indicators from state and federal agencies. Multiple data sources and stakeholder views are important to assessing the level of consensus that exists regarding community health care needs that represent potential priorities for programmatic response. The assessment also quantified and analyzed ambulatory care sensitive (ACS) discharges. The ACS discharges methodology quantifies inpatient admissions for diabetes, perforated appendixes, chronic obstructive pulmonary disease, hypertension, congestive heart failure, dehydration, bacterial pneumonia, urinary tract infection, asthma, and other conditions that, in theory, could have been prevented if adequate ambulatory care resources were available and accessed by consumers. Findings from the ACS analysis are presented at the county, zip code, and Valley Health hospital-level of detail. The methodologies for quantifying ACS discharges have been well-tested for more than a decade. Disproportionately large numbers of ACS discharges indicate potential problems with the availability or accessibility of ambulatory (primary) care services. The Agency for Healthcare Research and Quality, part of the US Department of Health and Human Services, publishes software and methodologies for assessing ACS discharges. The AHRQ software was applied to analyze the prevalence of ACS discharges in geographic areas served by Valley Health and in each of the hospitals. The ACS analysis provides a single indicator of potential health status, access, and other problems - allowing comparisons to be made reliably across geographic areas and hospitals. This analysis also allows demonstrating a possible "return on investment" from interventions that reduce admissions (for example, for uninsured or Medicaid patients) that could have been prevented through better access to ambulatory care resources.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	Valley Health (VH) rigorously applies the criteria set forth in Code of Virginia 32.1-137.01 regarding informing and educating patient regarding charity assistance opportunities and eligibility. This criteria is applied at all facilities:1. Posting of policies regarding free and discounted care in conspicuous, public areas of our facilities.2. Providing/having a handout of the eligibility criteria and procedures for applying for assistance at the point of service or admission.3. Notifying patients of the availability of assistance through messages on our billing statements.4. Policy and eligibility statements and associated application(s) are available on the VHS public web site (www.valleyhealthlink.com).5. Financial packets are available at the point of admission and through financial counselors located throughout our facilities. 6. VH Financial counselors are available by phone, e-mail, and in person at each VH facility to answer patient questions and assist patients in completing the Financial Assistance Application, as well as to assist in connecting patients with other community assistance programs to help afford the cost of their healthcare.
Part VI, Line 4 - Community Information	Valley Health (VH) serves an eighteen (18) county area of Virginia, West Virginia and Maryland and two independent cities in Virginia. The total coverage area is approximately 6,766 square miles. (Square miles are in parentheses as follows). In the northern Shenandoah Valley of Virginia, VHS provides services to patients residing in Frederick (415), Clarke (177), Warren (214), Shenandoah (512), Page (311), Rappahannock (267), Fauquier (650) and Loudoun (520) counties and the independent cities of Winchester (9) and Harrisonburg (18). In the greater eastern panhandle of West Virginia, VH provides services to patients residing in Jefferson (210), Berkeley (321), Morgan (229), Hampshire (642), Hardy (583), Grant (477) and Mineral (328) Counties. In Maryland, VHS facilities provide services for those residing in Washington (458) and Allegany (425) Counties. With the exception of several large population centers (Winchester, Harrisonburg and a major segment of Loudoun County, VA and Martinsburg, WV), the majority of the service area population resides in a rural-dominated environment.VH has designated three service areas a primary, a secondary and a tertiary service area in which it provides healthcare services, or transportation to services. The primary service area consists of the City of Winchester, Frederick, Clarke, Warren, Shenandoah, Page, Rappahannock Counties of Virginia, and Hampshire, Hardy and Morgan Counties of WV. The secondary service area consists of Jefferson, Berkeley, Grant and Mineral Counties of West Virginia. The tertiary service area consists of Loudoun, Fauquier and Rockingham Counties and Harrisonburg City in Virginia, and Washington and Allegany Counties of Maryland.The total estimated population for both the primary and secondary service area is 521,553. The total estimated population of the primary service area in 2020 was 303,710. The total estimated population of the secondary service area in 2020 was 217,843. The primary service area is projected to grow 5.16% by 2024. The secondary service area is projected to grow 10.2% by 2024. The overall catchment area population is approximately 89% white/Caucasian while the remaining 11% falls into other races/ethnic groups to include Hispanic or Latino population at 5.7%. Since VHs service area is predominantly rural, many of the counties are designated as primary care, dental and/or mental health health professional shortage areas (HPSAs) and/or Medically Underserved Area/Populations by the federal government. VHS provides a wide range of clinical services to the communities it serves through a full network of acute care hospitals (including four critical access hospitals), rural health clinics and other support programs. VHS provides patient access to progressive diagnostic and technologically advanced clinical services to the residents of the regions served.
Part VI, Line 5 - Promotion of Community Health	Valley Health (VH) is an active corporate citizen within its service area, engaging in a variety of Community Building Activities every year including coalition building, community health improvement advocacy, community support, economic development, physical improvements and housing and workforce development programs. VHs Community Building Activities include supporting over 100 not for profit organizations, civic groups, and partnership initiatives committed to improving access to healthcare, youth mentoring, aging safely in place, and dying with dignity.Although many of its Community Building Activities do not provide any form of direct patient care, they provide significant indirect community benefit. VH is the largest employer in its service area, with the largest proportion of skilled workers. As a result, it has an extensive economic impact on the communities where its employees live and work. VH is committed to being an engaged, dependable corporate citizen. Sometimes, this means engaging the community in ways other than the direct provision of healthcare services. The Community Building Activities that VH engages in have tangible benefits to the communities served.
Part VI, Line 6 - Affilated Health Care System	Valley Health System (VHS) is a not-for-profit healthcare system headquartered in Winchester, Virginia, serving a population of 521,553 in an 14-county region of northwest Virginia, the Eastern Panhandle of West Virginia and Western Maryland. Valley Health System includes six acute care hospitals (four of them federally-designated Critical Access Hospitals), a Nationally Accredited Cancer Center, 6 Wellness and Fitness Centers, 30 Primary Care locations, over 600 physicians and advanced practice clinicians, eight Urgent Care centers, and a medical transport division that provides ambulance and wheelchair transports from strategically located stations. The system has a total of 644 licensed inpatient beds and 166 long-term care beds; and approximately 6,205 employees. VH entities have long, strong roots in their communities and contribute significantly to the health of their residents, offering clinical intervention, education, in-kind services and financial support. With our mission of Serving our community by improving health, the organization embraces well-care as seriously as sick-care. Wellness and fitness facilities and programs in each of our six hospital communities offer a continuity of care following outpatient rehabilitation, as well as a friendly, accessible place to maintain fitness. We organize and participate in a variety of community health and safety events throughout our service area, offering free health screenings, prevention and disease management education. Valley Health Heart Attack Risk Program screenings offer an easy check of key cardiac risk factors. Patient education and community programs help demystify the management of diabetes, COPD, asthma, obesity and more. We are actively partnering with regional law enforcement, the courts, and addiction professionals to address the alarming increase in opiate and heroin addiction and death. We provide substantial direct and in-kind support to free clinics in Winchester, Front Royal, Woodstock and Luray, VA and Martinsburg, WV.Valley Health has also invested in creating a technologically advanced, clinically progressive environment to ensure our region has an adequate supply of healthcare providers in the future. Our initiatives to help educate and recruit talented health care providers begin with programs in the regions middle and high schools and extend to partnerships in nursing and allied health with dozens of area colleges. The Shenandoah Valley Family Practice Residency Program, an accredited three-year residency with Medical College of Virginia/Virginia Commonwealth University School of Medicine, prepares new family physicians in office and hospital practice in Front Royal and Winchester. Surgical residents from the VCU School of Medicine (and beyond) complete rotations at Winchester Medical Center.
Part VI, Line 7 - States Filing of Community Benefit Report	VA WV
Part VI - Additional Information	Valley Health (VH) has affiliated hospitals located in Virginia and West Virginia. In the last ten years, 2009 - 2019 (including this years filing-2020), VH has voluntarily participated in the statewide Virginia Hospital and Healthcare Associations Annual Community Benefit Survey by providing all relevant community benefit data for its Virginia-affiliated hospitals. Although the State of West Virginia does require certain financial data to be submitted annually, there is no known requirement to provide specific community benefit-related data to the State of West Virginia or the West Virginia Hospital Association.Schedule H Part 1 Line 7 Cost to charge ratio method is used based on worksheet 2 in the instructions. Total operating expense is divided by Total Gross Revenue (Schedule C Medicare Cost Report) to arrive at the cost to charge ratio.Schedule H Part 1 Line 7 A https://www.valleyhealthlink.com/about-us/our-community-commitment/community-health-needs/Schedule H Part 1 Line 7 G Subsidized health services loss calculated based on worksheet 6 in the instructions. Inpatient psychiatric services financial loss is measure after removing losses associated with bad debt, charity and Medicaid.Schedule H Part 1 Column 7 FThe bad debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $42,482,595.Part V Question 16aWebsite URL for FAP https://www.valleyhealthlink.com/patients-visitors/for-patients/financial-assistance/Part V Question 16bWebsite URL for FAP Application formhttps://www.valleyhealthlink.com/patients-visitors/for-patients/financial-assistance/Part V Question 6cWebsite URL Plain language summary of the FAPhttps://www.valleyhealthlink.com/patients-visitors/for-patients/financial-assistance/Schedule Part V Line 7 ahttps://www.valleyhealthlink.com/About-Us/Community-Benefit.aspx

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
EAST MOUNTAIN HEALTH PHYS
1 HEALTHY WAY	BERKELEY SPRING	WV	25411	473767341	501C(3)	$6,948,161	$0	DIRECT GRANT
VALLEY HEALTH
220 Campus Blvd	Winchester	VA	22601	521357729	501C(3)	$31,170	$0	DIRECT GRANT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
SCHOLARSHIPS	23	$38,000	COST
INDIGENT CANCER CARE	18	$112,138	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	VIRTUALLY ALL OF THE ORGANIZATIONS PROVIDED WITH GRANT FUNDS ARE LOCAL, AND CLOSELY MONITORED BY VALLEY HEALTH'S MANAGEMENT AND BOARD. PERIODIC REPORTS ARE OBTAINED AS WELL FROM THESE GRANTEES WHICH DISCUSS OPERATIONS AND BENEFITS RENDERED TO THE COMMUNITIES SERVED. BEFORE FUNDING IS GRANTED, CONSISTENCY OF MISSION IS EVALUATED IN ORDER TO ASSURE LIKE DIRECTION WITH VALLEY HEALTH INITIATIVES.SCHOLARSHIP OPPORTUNITIES ARE ADVERTISED WITH LOCAL HIGHSCHOOLS AND COLLEGES AND ARE FOCUSED ON HEALTH SCIENCES. THERE IS A COMMITTEE OF VOLUNTEERS THAT REVIEWS APPLICATIONS FOR SCHOLARSHIPS. THE MONEY IS REMITTED DIRECTLY TO THE SCHOOL AND IS RETURNED IF THE STUDENT DOES NOT ENROLL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (true)	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	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (51 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW BROWN MD
Emp Physician	$628,497	$246,063	$599	$20,740	$37,202	$933,101
ANNE WHITESIDE
CNO WMC	$300,262	$37,588	$42,933	$9,909	$28,301	$418,993
ANTHONY HAYWOOD DO
MED STAFF PRES	$249,242	$500	$41,651	$8,225	$29,039	$328,657
ARTHUR TICKNOR
Trustee	$235,634	$26,817	$1,112	$7,776	$31,993	$303,332
AUDREA WYNN MD
Chairman	$378,238	$29,000	$24,264	$12,482	$37,022	$481,006
AYORINDE AKINRINLOLA MD
Emp Physician	$634,008	$137,502	$264,512	$37,114	$32,399	$1,105,535	$200,011
BARBARA WALTER
EMPLOYED PHYSICIAN	$222,934	$7,815	$41,987	$7,357	$9,763	$289,856
BASEL RAMLAWI MD
Emp Physician	$574,626		$117,082	$18,963	$20,135	$730,806
CARLA DALLMAN
VP RISK MGMT								$239,030	$19,976	$19,210	$7,888	$32,971	$319,075
CHRIS RUCKER
VP AMBULATORY	$343,724	$44,989	$58,408	$11,343	$35,928	$494,392	$16,212
CHRISTINE LOWMAN
Vice President								$240,233	$19,935	$18,983	$7,928	$4,258	$291,337
DAVID ESSAFF MD
Emp Physician	$518,862	$118,004	$66,859	$17,122	$10,526	$731,373
DAVID SWITZER MD
EMPLOYED PHYSICIAN	$194,206	$14,000	$50,576	$6,409	$1,065	$266,256
EDWARD KOFSKY
Trustee	$793,276	$82,271	$133,740	$26,178	$32,402	$1,067,867
ELIZABETH SAVAGE
VP OF HR								$356,724	$54,962	$109,203	$11,772	$13,977	$546,638	$40,669
FLOYD HEATER
VP/PRES WMH	$296,482	$44,081	$76,432	$9,784	$33,155	$459,934	$36,738
GRADY W PHILIPS III
Sr VP	$509,630	$72,275	$148,972	$16,818	$39,597	$787,292	$53,676
GREG BYRD MD
EMPLOYED PHYSICIAN	$213,629	$35,333	$153,106	$7,050	$31,922	$441,040
HEATHER SIGEL
VP WAR	$159,896	$21,164	$13,211	$5,277	$2,883	$202,431
IYAD SABBAGH
CMO								$446,558	$72,587	$78,534	$14,736	$32,277	$644,692
JAMES BURTON
CIO								$398,455	$61,392	$71,851	$64,928	$33,368	$629,994
JAMES DALE
Trustee	$276,825	$18,354	$53,209	$9,135	$31,979	$389,502
JAMES SHERWOOD
VP PROF SVCS	$299,376	$36,796	$37,505	$9,879	$35,543	$419,099
JAMES WELLS
Secretary	$158,231	$9,306	$712	$5,222	$15,092	$188,563
JEFFREY FEIT MD
COO VPE	$380,044	$48,157	$47,292	$12,541	$39,560	$527,594
JORGE POSADAS
EMPLOYED PHYSICIAN	$281,556	$36,610	$162,631	$9,291	$33,341	$523,429
JOSEPH HASHEM MD
MED STAFF PRES	$342,694	$48,500	$83,202	$11,309	$32,175	$517,880
JULIAN MARTINEZ
Trustee	$272,226	$32,079	$649	$8,983	$36,895	$350,832
KEVIN BARKO
Trustee	$125,194	$7,374	$127	$4,131	$31,409	$168,235
LEE ROLAND
EMPLOYED PHYSICIAN	$507,123	$3,418	$136,858	$16,735	$24,145	$688,279
MARK BAKER
VP FACILITIES								$225,192	$19,162	$17,538	$7,431	$35,853	$305,176
MARK H MERRILL
President & CEO								$1,122,707	$172,579	$570,395	$37,049	$24,281	$1,927,011
MARK NANTZ
President & CEO								$548,088	$150,000	$184,690	$18,087	$14,978	$915,843
MARY SAS
VP HMH	$157,399	$18,567	$13,686	$5,194	$9,703	$204,549
MATT TOOMEY
VP PT FIN SVCS								$250,007	$21,627	$19,810	$8,250	$35,898	$335,592
MATTHEW POLK
EMPLOYED PHYSICIAN	$259,092	$25,910	$288	$8,550	$31,378	$325,218
MESFIN SHIBESHI MD
Emp Physician	$695,779	$17,250	$28,880	$22,961	$33,648	$798,518
NELSON T CLARK
VP PRES PMH/SMH	$240,636	$35,128	$47,504	$7,941	$34,165	$365,374	$17,507
NICHOLAS RESTREPO
VP MED AFFAIRS	$409,552	$50,338	$84,897	$13,515	$47,545	$605,847	$27,221
PATRICIA A DALY MD
CHAIR/EMP PHY	$224,460	$90,093	$76,366	$7,407	$28,847	$427,173
PATRICK IRELAND
VICE CHAIR								$403,973					$403,973
PATRICK TURNES
MED STAFF PRES	$196,218	$9,583	$17,770	$6,475	$28,731	$258,777
PATRICK WAGNER
EMPLOYED PHYSICIAN	$406,934	$87,167	$22,096	$13,429	$28,808	$558,434
PETER GALLAGHER
Sr VP/CFO								$532,699	$82,074	$167,017	$17,579	$33,424	$832,793
PHILLIP E GRAYBEAL
CFO SOUTHERN REGION	$219,699	$21,584	$17,249	$7,250	$31,169	$296,951
ROBERT AMOS
Vice President								$374,371	$46,866	$78,577	$12,354	$36,562	$548,730	$26,522
TAMMY GASPER
VP SMH	$180,492	$17,988	$14,960	$5,956	$24,006	$243,402
TERRI MAYES
VP WMH	$177,798	$18,047	$14,333	$5,867	$17,483	$233,528
THOMAS KLUGE
President	$248,812	$40,473	$32,637	$30,981	$33,776	$386,679
TONIA SUBER
VP OF HR								$142,317	$10,000	$10,961	$4,696	$14,596	$182,570
TROY GLEMBOT MD
Chairman	$397,166	$128,724	$72,552	$13,106	$14,912	$626,460

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.	Based on an employment agreement Mark Merrill received an allowance for discretionary spending during 2020. These amounts were included in taxable wages.Based on a change in the life insurance policies for executives, the board approved gross up payments to cover the cost and tax effects of the policies for Mark Merrill and Pete Gallagher.Mark Nantz received a short term housing allowance as part of his relocation package. These payments were grossed up for tax purposes.
Part I, Line 5b: Explanation of organization compensation based on revenues of related organization	A portion of provider compensation is based on RVU's generated. This is defined in their employment contract and is in addition to base compensation.
Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs	Iyad Sabbagh is paid according to a contract subject to the initial contract exception during the 2019 year.Mark Nantz and Tonia Suber are paid according to a contract subject to the initial contract exception during the 2020 year.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
IDA OF CITY OF WINCHESTER
A	521232253	2017-12-23	$100,000,000	SEE ADDITIONAL INFO	false	false	false
IDA OF CITY OF WINCHESTER
B	521232253	2017-12-13	$105,665,000	SEE ADDITIONAL INFO	false	false	false
EDA OF CITY OF WINCHESTER
C	900049785	2014-10-07	$47,099,886	SEE ADDITIONAL INFO	false	false	false	973121ar7
WV HOSPITAL AUTHORITY
D	621256910	2014-10-07	$20,743,547	SEE ADDITIONAL INFO	false	false	false	956622H72

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Bond DefeasedBondDefeasedAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$3,600,000	$98,625,000	$98,625,000	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$22,320,000	$96,680,000	$96,680,000	2013	Yes (true)	false	Yes (true)	Yes (true)
C	$4,606,646	$47,099,886	$46,523,000	2009	Yes (true)	false	Yes (true)	Yes (true)	$211,660	$576,776
D	$2,483,586	$20,743,547	$20,485,563	2009	Yes (true)	false	Yes (true)	Yes (true)	$85,182	$257,984

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	0.00001	0.00001	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	0.00001	0.00001	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	0.00001	0.00001	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)			false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	PART I LINE A Funds used for WMC Campus expansion, East Parking Garage and reimbursement for Diagnostic Center and campus expansion infrastructure. Reissuance of bonds originally issued on 11/17/09.PART 1 LINE B $70 million used to refinance 2000 Winchester Medical Center Bonds and $35 million used to build a new hospital for Page Memorial Hospital. Reissuance of bonds originally issued on 12/4/13.PART 1 LINE C Funds used to refinance 2009 bond for WMC Campus expansion; East parking garage and reimbursement for the Diagnostic Center and CE Infrastructure; composite issue with [West Virginia Bonds].PART 1 LINE D Funds used to refinance 2009 bond for Hampshire Memorial Hospital Construction; composite issue with [Virginia Bonds].PART 1 LINE E $12 million used to fund Shenandoah Memorial Hospital Emergency Department and Medical Office Building construction. Reissuance of bonds originally issued on 10/7/14.PART 1 LINE F Funds used to refinance 2009 bonds used for WMC Campus expansion, East Parking Garage,and reimbursement for Diagnostic Center and campus expansion infrastructure; composite issue with [West Virginia Bonds]. PART 1 LINE G Funds used to refinance 2009 bonds used to build new Hampshire Memorial Hospital; composite tax issue with [Virginia Bonds].PART 1 LINE H Funds used to fund Warren Memorial Hospital construction.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
EDA OF CITY OF WINCHESTER
A	900049785	2017-11-28	$12,000,000	SEE ADDITIONAL INFO	false	false	false
EDA OF CITY OF WINCHESTER
B	900049785	2015-07-22	$125,300,316	SEE ADDITIONAL INFO	false	false	false	973121BN5
WV HOSPITAL AUTHORITY
C	621256910	2015-07-22	$5,533,505	SEE ADDITIONAL INFO	false	false	false	956622H98
IDA OF WARREN COUNTY
D	540943829	2018-07-25	$54,639,289	SEE ADDITIONAL INFO	false	false	false	359023CY2

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt
A	$12,000,000	$12,000,000	2014	Yes (true)	false	Yes (true)	Yes (true)
B	$125,300,316		2015	Yes (true)	false	Yes (true)	Yes (true)	$6,386,898	$996,927	$124,303,391
C	$5,533,505		2015	Yes (true)	false	Yes (true)	Yes (true)	$31,747	$119,631	$5,413,074
D	$54,639,289	$39,474,458		false	false	false	Yes (true)		$944,750		$14,890,542

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	Yes (true)	Yes (true)	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	Yes (true)	0.00200	0.00200
C	false	false	Yes (true)	Yes (true)	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUSAN LESSAR
SEE BELOW	$139,028	EMPLOYMENT AGREEMENT	false
STEPHEN PHILIPS
SEE BELOW	$33,721	EMPLOYMENT AGREEMENT	false
DENISE DALE
SEE BELOW	$105,064	EMPLOYMENT AGREEMENT	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	1. SUSAN LESSAR- CURRENT EMPLOYEE AND FAMILY MEMBER OF DR. JEFFREY LESSAR, A CURRENT TRUSTEE.$139,028-EMPLOYEE COMPENSATION2. STEPHEN PHILIPS- CURRENT EMPLOYEE AND FAMILY MEMBER OF GRADY PHILIPS, A CURRENT OFFICER.$33,721-EMPLOYEE COMPENSATION3. DENISE DALE - CURRENT EMPLOYEE AND WIFE OF DR. DALE, A CURRENT TRUSTEE.$105,064- EMPLOYEE COMPENSATION	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Several trustees and officers have an employee/ employer relationship with in Valley Health System (EIN 52-1357729).Trustee Jeffrey Skiles, MD and trustee Trisha Nashed, MD, have a business relationship.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Valley Health System (EIN 52-1357729) is the sole member of East Mountain Health Advantage, Inc.; Page Memorial Hospital; Shenandoah Memorial Hospital; Surgi-Center of Winchester, Inc.; Valley Partners, LLC.; Valley Physician Enterprise, Inc.; Warren Memorial Hospital; and Winchester Medical Center. East Mountain Health Advantage, Inc. is the sole member of East Mountain Health, LLC; Hampshire Memorial Hospital, Inc. and War Memorial Hospital, Inc. Shenandoah Memorial Hospital is the sole member of Shenandoah Memorial Hospital Foundation, Incorporated. Warren Memorial Hospital is the sole member of The Warren Memorial Hospital Foundation. Winchester Medical Center is the sole member of The Winchester Medical Center Foundation. The sole members of each entity have the power to elect or appoint members of the governing body. The sole members have certain reserved powers as set forth in the applicable corporate bylaws.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Valley Health System (EIN 52-1357729), as sole member, has the power to elect or appoint members to the governing body for East Mountain Health Advantage, Inc.; Page Memorial Hospital; Shenandoah Memorial Hospital; Surgi-Center of Winchester, Inc.; Valley Partners, LLC.; Valley Physician Enterprise, Inc.; Warren Memorial Hospital; and Winchester Medical Center. East Mountain Health Advantage, Inc,. as sole member, has the power to elect or appoint members to the governing body for East Mountain Health, LLC; Hampshire Memorial Hospital, Inc. and War Memorial Hospital, Inc. Shenandoah Memorial Hospital has the power to elect or appoint members of the governing body for Shenandoah Memorial Hospital Foundation, Incorporated. Warren Memorial Hospital has the power to elect or appoint members of the governing body for The Warren Memorial Hospital Foundation. Winchester Medical Center has the power to elect or appoint members of the governing body for The Winchester Medical Center Foundation.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Valley Health System (EIN 52-1357729), as sole member, has certain reserved powers as set forth in the corporate bylaws for East Mountain Health Advantage, Inc.; Page Memorial Hospital; Shenandoah Memorial Hospital; Surgi-Center of Winchester, Inc.; Valley Physician Enterprise, Inc.; Warren Memorial Hospital; and Winchester Medical Center. East Mountain Health Advantage, Inc,. as sole member, has certain reserved powers as set forth in the governance documents or corporate bylaws (as applicable) for East Mountain Health, LLC; Hampshire Memorial Hospital, Inc. and War Memorial Hospital, Inc. Shenandoah Memorial Hospital has certain reserved powers as set forth in the corporate bylaws for Shenandoah Memorial Hospital Foundation, Incorporated. Warren Memorial Hospital has certain reserved powers as set forth in the corporate bylaws for The Warren Memorial Hospital Foundation. Winchester Medical Center has certain reserved powers as set forth in the corporate bylaws for The Winchester Medical Center Foundation. The sole members have certain reserved powers as set forth in the applicable corporate bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	The 990 is prepared by internal staff and reviewed by an outside accounting firm, who is the paid preparer. The return then undergoes several levels of review including the CFO and CEO. Further, prior to filing the board reviews the 990 during one of its recurring monthly meetings where any issues of concern or question are addressed by Senior Management.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	All board members sign a conflict of interest policy annually and upon appointment to the board. All employees that are managers, including officers, have purchasing rights with defined limits, or may enter into a contract on behalf of the organization are required to sign a conflict of interest attestation upon employment and annually. All employees can report breaches in VH policy. VH has an employee integrity hotline and a compliance officer. The audit committee is advised of compliance activity on a quarterly basis in addition to monthly follow up by the CEO on any immediate issues. Any infractions can result in disciplinary action or dismissal.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the CEO, Officers, and Senior Management. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization makes all records available as required by law.
Other Changes In Net Assets Or Fund Balances - Other Decreases	FROM PARTNERSHIP K-1s = -$4274
Other Changes In Net Assets Or Fund Balances - Other Decreases	OTHER = -$5636
Other Changes In Net Assets Or Fund Balances - Other Decreases	POST RETIREMENT OBLIGATION = -$17763723
Other Changes In Net Assets Or Fund Balances - Other Increases	TRANSFER FROM AFFILIATE = $9269491
1099s	1099s ARE FILED UNDER RELATED ORGANIZATION VALLEY HEALTH SYSTEM'S EIN 52-1357729.
990T	FORM 990 T CANNOT BE FILED UNDER A GROUP EIN. FORM 990T S WERE FILED UNDER WINCHESTER MEDICAL CENTER, INC. EIN 54-0505979, VALLEY PHYSICIAN ENTERPRISES,INC. EIN 26-2767279, WARREN MEMORIAL HOSPITAL EIN 54-0488103, EAST MOUNTAIN HEALTH ADVANTAGE EIN 80-0407187
W-2S	W-2S AND THE RELATED FORM 941'S ARE FILED UNDER RELATED ORGANIZATION VALLEY HEALTH SYSTEM'S EIN 52-1357729. SALARIES REFLECTED ON THIS RETURN ARE BASED ON ALLOCATIONS OF PAYROLL.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY HEALTH SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 CAMPUS BLVD	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22601	ZIPCd

Field	Value	IRS element (for citing)
EIN	521357729	EIN
Primary Activities	HEALTHCARE MGMT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	12b	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
WINCHESTER OPEN MRI
160 EXETER DRIVE	WINCHESTER	VA	22601	542041643	MRI SERVICE	VA	NA	RELATED	false	false
WINCHESTER ENDOSCOPY LLC
190 CAMPUS BLVD	WINCHESTER	VA	22601	263886651	ENDOSCOPY SERVICES	VA	NA	RELATED	false	false
MEDICAL CIRCLE LLC
12-A MEDICAL CIRCLE	WINCHESTER	VA	22601	203390908	MRI SERVICES	VA	NA	RELATED	false	Yes (true)
NORTHERN WV HOME HEALTH LLC
220 CAMPUS BLVD	WINCHESTER	VA	22601	113779341	HOME HEALTH	WV	NA	RELATED	false	false	$595,916	$2,358,917	1.00000
VALLEY HEALTH SURGERY CENTER
220 CAMPUS BLVD	WINCHESTER	VA	22601	371844781	SURGERY CENTER	VA	NA	RELATED	false	false
VALLEY HEALTH & UVA RADIOSURGERY CTR LLC
220 CAMPUS BLVD SUITE 420	WINCHESTER	VA	22601	800928245	RADIOSURGERY	VA	NA	RELATED	false	false	$490,609	$893,438	0.85000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
VALLEY REGIONAL ENTERPRISES INC
220 CAMPUS BLVD	WINCHESTER	VA	22601	541456064	MED EQUIP/ AMBLANCE	VA	NA	C CORP	Yes (true)
VIRGINIA SOLUTIONS SPE LTD
				980507760	OTHER INSURANCE FUNDS		NA	C CORP	Yes (true)	PO BOX 10233	GRAND CAYMAN	CARRIBBEAN	CJ	KY1-10	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	Yes (true)	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	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	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY HEALTH & UVA RADIOSURGERY CTR LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	s	TransactionTypeTxt
Involved	$1,295,161	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt