2018-08-15T09:44:44-05:00 2017-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2016-10-01 020222118 Valley Regional Hospital Inc VALL 6035427771 243 Elm Street Claremont NH 03743 Jean Shaw CFO 6035427771 2018-08-13 1 Joseph R Byrne P01289281 2077752387 2018-08-13 2016 2022-09-23 18:48:47Z Peter Wright 243 Elm Street Claremont NH 03743 40553529 0 X www.vrh.org X 1893 NH Critical Access Hospital 15 12 389 104 0 0 21368 244132 36060520 38558792 520036 1622560 45483 39223 36647407 40464707 0 0 0 0 21490056 21619095 0 0 0 18961303 20376760 40451359 41995855 -3803952 -1531148 58374393 61611362 40066000 42297386 18308393 19313976 X The mission of Valley Regional Hospital, Inc. is to improve community health, patient experience, and value. Our vision is to partner with the community to optimize health by ensuring access to high value health care. 0 0 32357664 38558792 Valley Regional Hospital is a provider of health services with facilities in the Claremont, NH area. The Hospital grants credit to patients, substantially all of whom are local residents. The Hospital also provides care to patients who meet certain criteria under its Financial Assistance policy without charge or at amounts less than its established rates. The Hospital does not pursue collection of amounts determined to qualify as charity care. The Hospital maintains records to identify and monitor the level of charity care it provides. For the year ending September 30, 2017 charges forgone for services and supplies furnished under the charity care policy were approximately $767,000. The estimated cost of those services and supplies was approximately $516,000.In addition, the Hospital provides a number of other services to benefit certain poor and elderly patients. Medicaid and state programs do not cover the full cost of the Hospital incurred cost of providing medical care to patients. The hospital provides services to residents throughout the region. Those services include health evaluations, screenings, and flu vaccine administration at community events and in the workplace. Health education, wellness, chronic disease management, fitness, and ergonomic programs are also widely offered. For these services, and many other community services, the hospital receives little or no payment.Other community benefits can't be quantified or assigned a value. For example, the hospital provides committee and board participants and expertise to address community needs; to support community health initiatives; to advocate for and support individuals who are socially, economically and physically challenged; and to collaborate with the local public safety organizations. 32357664 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 61 0 1 389 1 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 0 1 1 1 1 0 NH X Jean Shaw 6035427771 243 Elm Street Claremont NH 03743 Peter Wright President & CEO 38.40 1.60 X X 0 257381 16454 Cynthia Burr Trustee 0.90 0.10 X 0 0 0 Terri Decker Trustee 0.90 0.10 X 0 0 0 Katherine Lajoie Trustee 0.90 0.10 X 0 0 0 Michael O'Connell Chair 0.90 0.10 X X 0 0 0 Michael Satzow Trustee 0.90 0.10 X 0 0 0 Michael Fuerst Trustee 0.90 0.10 X 0 0 0 Steve LeBlanc Trustee 0.90 0.10 X 0 0 0 Tom Sullivan Trustee 0.90 0.10 X 0 0 0 James Borchert Trustee 0.90 0.10 X 0 0 0 Charlene Lovett Past Chair 0.90 0.10 X X 0 0 0 Patricia Putnam Co-Vice Chair 0.90 0.10 X X 0 0 0 Allan Berggren MD Secretary 0.90 0.10 X X 0 0 0 John Tomlinson Co-Vice Chair 0.90 0.10 X X 36000 0 0 James P Wilton Trustee 31.90 0.10 X 289907 0 26783 Sherwood Moody Treasurer 0.90 0.10 X X 0 0 0 Lisa Richmond Past Trustee 0.90 0.10 X 0 0 0 Jim Wimberg Past Trustee 0.90 0.10 X 0 0 0 Alison Raymond Past Trustee 0.90 0.10 X 0 0 0 Jean Shaw CFO 37.20 2.80 X 0 130076 19591 Joel P Herrington Physician 36.00 0.00 X 356979 0 30677 Clifford B Langweiler Physician 36.00 0.00 X 349011 0 22793 Ivar L Frithsen Physician 35.00 0.00 X 264864 0 18419 Robert L Bassett Physician 32.00 0.00 X 410294 0 15687 Jeffery A Hanissian Physician 36.00 0.00 X 342776 0 26934 2049831 387457 177338 22 0 1 1 Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 Medical Services 995337 Valley Family Physicians PLLC 5 Dunning Street Claremont NH 03743 Primary Care 784113 MedHost 2739 Momentum Place Chicago IL 606895327 IT System & Service 552290 American Healthcare Services Association PO Box 945 Traverse City MI 49685 Contract Staffing 538278 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Contract Staffing 231369 14 15716 9800 218616 204000 244132 Patient Service Revenue 621400 62233764 62233764 Other Revenue 900099 1269190 1122524 146666 Provision for Bad Debts 621400 -2268813 -2268813 Charity/Contractual Adjustment 621400 -22675349 -22675349 38558792 910669 910669 116490 77267 39223 39223 39223 696067 16526 0 702 696067 15824 711891 711891 10853 15716 10853 0 40464707 38412126 0 1808449 X 352690 352690 16514808 12894054 3620754 3629480 2843384 786096 1122117 880861 241256 62484 62484 62335 62335 220226 220226 7860016 6695376 1164640 1855 1456 399 320071 251256 68815 852445 669170 183275 1904328 1494897 409431 28174 22117 6057 1053724 1053724 1893337 1486269 407068 504715 504715 Medical Supplies 3315349 2602549 712800 Medicaid Enhancement Ta 1673902 1673902 Miscellaneous 510293 400580 109713 Dues & Subscriptions 113506 89103 24403 41995855 32357664 9638191 0 X 227209 130059 7452354 13298048 3420753 3891860 761863 767179 388892 478607 46978515 32013878 16273383 14964637 24177100 22279541 3958967 4116388 153583 144204 1560289 1540839 58374393 61611362 4400549 4475441 88844 90111 23685000 23110000 172030 0 11719577 14621834 40066000 42297386 X 12814020 13489365 1281512 1454329 4212861 4370282 18308393 19313976 58374393 61611362 -1531148 2536731 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9241 9241 0 Part II-B, Line 1: The Organization pays dues to local associations, a portion of which are attributable to lobbying activities. 5389514 323912 1083 5712343 4948736 441723 945 5389514 5350477 -400894 847 4948736 4934551 63 416864 1001 5350477 4685173 67 250258 947 4934551 0.00000 0.76510 0.23490 0 0 250667 250667 17180732 10264249 6916483 148235 130778 17457 28249956 20801976 7447980 1148925 816875 332050 14964637 Beneficial Interest in Perpetual Trusts 4116388 F 4116388 Due To Affiliates 266713 Estimated Third-Party Payor Settlements 12125374 Interest Rate Swaps 1417432 Reserve for Self-Funded Insurance 812315 14621834 42863561 2536731 88120 2624851 40238710 220226 5771 225997 40464707 41857978 88120 88120 41769858 220226 5771 225997 41995855 Part V, Line 4: The Organization uses its endowment funds in support of health care services, purchases of equipment, health education, and indigent care. Part XI, Line 2d - Other Adjustments: Rental Expenses 77,267. Fundraising Expenses 10,853. Part XI, Line 4b - Other Adjustments: Other Nonoperating Expenses Included in Revenue 5,771. Transfer to Affiliates Part XII, Line 2d - Other Adjustments: Rental Expenses 77,267. Fundraising Expenses 10,853. Part XII, Line 4b - Other Adjustments: Other Nonoperating Expenses Included in Revenue 5,771. Golf Tournament 26569 15716 10853 2931 5025 596 2301 26569 15716 10853 2931 5025 596 2301 10853 0 1 1 X 1 X 1 X 275.000000000000 1 1 0 1 1 2145560 1833615 311945 0.00740 5329813 3803811 1526002 0.03630 7475373 5637426 1837947 0.04370 310705 310705 0.00740 66541 66541 0.00160 18201 18201 0.00040 395447 395447 0.00940 7870820 5637426 2233394 0.05310 6788 6788 0.00020 17292 17292 0.00040 19639 19639 0.00050 21136 21136 0.00050 64855 64855 0.00160 1 1395587 13168029 13168029 X 1 1 1 1 Valley Regional Hospital Inc 243 Elm Street Claremont NH 03743 www.vrh.org 00007 X X X X Valley Regional Hospital Inc 1 0 0 1 X X X X X X X X X 14 1 1 0 1 X www.vrh.org/about-vrh/public-reports X X 1 15 1 www.vrh.org/about-vrh/public-reports 0 1 X 200.000000000000 275.000000000000 X X X X 1 1 X X X 1 X http://vrh.org/patient-billing/ X http://vrh.org/patient-billing/ X http://vrh.org/patient-billing/ X X X X X 1 X 0 X 1 X 0 0 Valley Regional Hospital, Inc. Part V, Section B, Line 5: During the period March through July, 2015, a Community Health Needs Assessment in the Valley Regional Hospital service area of New Hampshire was conducted by Valley Regional Hospital in partnership with New London Hospital, Alice Peck Day Memorial Hospital, Dartmouth-Hitchcock, and Mt. Ascutney Hospital and Health Center. Information gathering utilized in the assessment included the following: 1. Area residents survey made available through direct mail and website links 2. Physical surveys and survey collection boxes in public places throughout the region - chamber of commerce offices, physicians' offices, libraries 3. Survey of key community stakeholders who are agency, municipal, or community leaders, including: - Dr. Karen Baranowski, Executive director Connecticut Valley Homecare and Hospice - Elyse Crossman, ED Greater Claremont Chamber of Commerce - Ella Casey, ED Newport Chamber of Commerce - Dr. Middleton McGoodwin (and staff), Superintendent of Schools SAU #6 - Dr. Cindy Gallagher (and staff), Superintendent of Schools SAU #43 - Nancy Merrill, Administrator, City of Claremont - Dr. Aurora Drew, Public Health Advisory Council - Jessie Levine, Sullivan County Manager - Deborah Mozden, ED Turning Points Network - Maggie Monroe-Cassel, ED TLC - Corey Gagnon, ED Community Alliance - Dr. Richard Root, Valley Regional Healthcare - Curtis Harvie, APRN, Valley Regional Healthcare - Tracy Pike, RN, Emergency Department Manager 2. community member discussion groups convened at soup kitchens, homeless shelters, recovery communities 3. review of available population demographics and health status indicators. Valley Regional Hospital, Inc. Part V, Section B, Line 6a: Valley Regional partnered with the following other local hospitals: - New London Hospital - Alice Peck Day Memorial Hospital, - Dartmouth-Hitchcock Medical center - Mt. Ascutney Hospital and Health CenterThere is significant overlap in service area among these organizations; the CHNA identified both regional and community-specific needs. Valley Regional Hospital, Inc. Part V, Section B, Line 7d: The CHNA was widely distributed in traditional ways (hard copy mailings, website, handouts at community meetings, etc) as well as via a recorded community access cable television program. Valley Regional Hospital, Inc. Part V, Section B, Line 11: CHNA Implementation StrategyThe issues identified through the Community Health Needs Assessment far outstrip the ability of a single entity to ameliorate those issues. Valley Regional Healthcare (VRH) is an active partner in determining ways to address every one of the identified issues; we are doing so across the healthcare system, in collaboration with many other local non-profit groups.The following are the identified issues that Valley Regional Hospital can most directly affect, using its own resources:1. Alcohol and drug misuse including heroin and misuse of pain medications a. Commit personnel and other necessary resources to collaborate with other local, county and state groups that are working in prevention and treatment b. Explore ways to bring treatment opportunities (in-patient and/or out-patient) onto the VRH campus c. Provide appropriate and on-going training for staff d. Review and update policies and procedures, as needed2. Access to mental health care a. Commit personnel and other necessary resources to collaborate with other local, county and state groups that are working to increase access to mental health treatment b. In tandem with state agencies, explore ways to bring treatment opportunities (in-patient and/or out-patient) onto the VRH campus c. Provide appropriate and on-going training for staff, particularly in the Emergency Department d. Review and update policies and procedures, as needed3. Access to enough and affordable health insurance; cost of prescription drugs a. Continue to provide patient education and assistance regarding access to assistance programs b. Utilize media channels to promote those programs to the community c. Provide appropriate and on-going training for staff d. Work at the state and Federal level to advocate for those who need help4. Access to Primary Health Care a. Increase the number of primary care providers in the Valley Regional Healthcare system b. Create a media strategy to introduce PCP's to the community c. Assess accessibility in terms of hours, days of the week, same-day appointments, coordination with Urgent Care and the Emergency Department d. Create educational materials to encourage annual wellness exams for all ages5. Health care for seniors a. Continue to provide patient education and assistance regarding access to assistance programs b. Utilize media channels to promote those programs to the community c. Provide appropriate and on-going training for staff d. Work at the state and Federal level to advocate for those who need helpThe following are identified needs that the hospital can play a supportive role in the community to address:1. Lack of physical activity; need for recreational opportunities a. Continue to sponsor activities, programs and organizations that foster physical fitness, including numerous 5k races/walks, exercise classes, etc. b. Publicize the efforts that support physical activities - cross postings of Claremont Community Center programs, city and county offerings c. Promote physical activity through primary care2. Access to dental health care a. Support the efforts of the Community Dental Center through a Loaned Executive program b. Cross-promote Dental Center information c. Educate patients on Dental Center services, as appropriate3. Poor nutrition/unhealthy food a. Create an accessible community garden, in partnership with other community groups b. Provide free cooking classes to educate the community about nutrition c. Collaborate with community groups who are providing food and meals - the Claremont Soup Kitchen and Food Pantry, Meals on Wheels, summer meals program for children d. Cross-promote programs and opportunities to address healthy choices, such as Farmers' Markets4. Income, poverty and family stress a. Provide screenings in the ED, Urgent Care and primary care practices to identify domestic violence b. As one of the largest employers in the area, be an employer of choice by offering competitive wages, benefits and training c. Work with other local and state organizations, including vocational high schools, on workforce development Valley Regional Hospital, Inc. Part V, Section B, Line 20e: Applications are offered to all self-pay patients along with education regarding NHHP and expanded Medicaid. 1 1 - Kane Oncology Center 243 Elm Street Claremont NH 03743 Oncology Center Part I, Line 3c: It is the policy of Valley Regional Hospital to provide financial assistance to those patients who are unable to pay for all or part of the cost of their care that is not covered by other sources of funding. Valley Regional Hospital's Financial Assistance Program is a program that assists uninsured and under-insured patients who meet specific income, geographical and Valley Regional Hospital guidelines.The Hospital will cover up to 100% of the cost of care for patients depending on the patient's level of income and family size. The Hospital also is a participating provider with the NH Health Access Network. Part I, Line 7: The Organization used an overall cost to charge ratio for lines 7a and 7b. Amounts listed on lines 7e, 7f and 7i were derived from internal financial/cost accounting systems. Part II, Community Building Activities: Valley Regional Healthcare believes the skills and knowledge of its employees are the most critical assets to building a strong and healthy community. VRH employees participate on a wide variety of local boards serving or participating in health and wellness missions, including dental health, domestic violence, higher education, school boards, chambers of commerce, United Way, public transportation, elder health, and substance abuse. Employees also participate on state level boards and within elected government, working to improve policy and practice on a broad spectrum. Local businesses rely upon collaborations with VRH to provide education and expertise in community building activities such as through public and private health fairs. VRH takes advantage of public chamber activities, such as the Chili and Apple Festivals, Winter Carnivals, and Spring Home Show to provide tables of health information and free screening activities. VRH also provides financial support for non-profit organizations with complementary missions, in the form of event sponsorships. Part III, Line 4: Patient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical adjustments. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable.In evaluating the collectibility of accounts receivable, the Hospital analyzes past results 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. Management regularly reviews data about these major payor sources in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a provision for bad debts in the period of service based on past experience, which indicates that many patients are unable or unwilling to pay amounts for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or eligible) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for doubtful accounts.During 2017, the Hospital decreased its estimate from $2,430,894 to $2,097,771 in the allowance for doubtful accounts relating to self-pay patients and during 2016 the Hospital decreased its estimate from $2,950,622 to $2,430,894 in the allowance for doubtful accounts relating to self-pay patients. During 2017, self-pay write-offs decreased from $3,227,833 to $2,584,599 and during 2016 self-pay write-offs increased from $3,188,142 to $3,227,833. Such changes in the allowance for doubtful accounts resulted from trends experienced in the collection of amounts from self-pay patients, and the aging of receivables.The Organization used a cost-to-charge ratio as its methodology for reporting bad debt expense at cost. Part III, Line 8: Medicare costs approximate Medicare revenue. The Organization does not anticipate a Medicare shortfall or that any such shortfall should be considered as community benefit. Part III, Line 9b: Patients who are known to qualify for financial assistance file a financial assistance determination application with the Hospital. If the application is approved, the patient's account shall be written off, in accordance to the level of adjustment the applicant was qualified to receive. The patient write-off guidelines are as follows:1. The determination is valid for 6 months from the date of signature for all applications except those individuals who demonstrate that they are on a fixed income (i.e. Social Security, retirment, disability), in which case approval is for 1 year from the date of signature.2. Patient qualifies according to the established Financial Assistance income guidelines3. Account notes must indicate what payor that the balance is due to (appropriate payor write-off codes to be utilized). Part VI, Line 2: The purpose of the assessment was to identify community health concerns, priorities and opportunities for community health and health care delivery systems improvement. Working with The Community Health Institute/JSI, VRH and our partner hospitals brought together key healthcare, public service and community member stakeholders to collect both qualitative and quantitative data. The CHNA provides a clear blueprint for community outreach and collaboration opportunities, and also creates a timely benchmark against which to measure progress.The purpose of the research design was as follows: 1. To clearly define the VRH service area 2. To define measurement methodologies which can identify community needs 3. To create a prioritized list of community resources 4. To develop a catalogue of available healthcare resourcesThe following health issues were identified by survey respondents: 1. Cost of prescription drugs 2. Alcohol and drug misuse 3. Access to enough, affordable health insurance 4. Heroin and misuse of pain medications 5. Access to mental health care 6. Lack of physical activity 7. Access to dental health care 8. Poor nutrition/unhealthy food 9. Income, poverty and family stress 10. Access to primary health care 11. Smoking/tobacco use 12. Mental illness 13. Cancer 14. Care for seniors Part VI, Line 3: The Community Engagement department has created and posted signage throughout the hospital and clinics, and has posted information on the hospital's website. Part VI, Line 4: Valley Regional serves a rural region which includes the 15 towns of Sullivan County and portions of eastern Vermont, with a total resident population of 43,742. Spanning 552 spare miles, it is the 2nd least populous county in NH. 10% of individuals live below the poverty line; 12.6% are under the age of 18, 7.9% over 65. Part VI, Line 5: Valley Regional Healthcare recognizes its importance to the community - economically, as one of the largest local employers, and philosophically, as a large entity entrusted with community wellness. VRH leadership instills in employees the sense of responsibility to be involved in support of the community, on behalf of the hospital.VRH employees participate and lend expertise as board members of other non-profits, including those focused on dental health, community revitalization, higher education and school boards, elder issues, public transportation, domestic violence, substance misuse and abuse, and health and wellness initiatives. Employees also participate on state and Federal boards and committees as well as Chambers of Commerce and United Way, working to improve policy and practice in healthcare delivery.Business collaborations are a priority, particularly with large employers such as Sturm Ruger, Crown Point Cabinetry, the City of Claremont, Parks and Recreation, CoWorx, and many local banks. Our common goals include health education, health screenings, worker safety and employment opportunities. Part VI, Line 6: Valley Regional Hospital is not affiliated with another healthcare system, but it collaborates voluntarily with other hospitals. Sharing resources, both material and human, participating in community groups, providing sponsorships to other non-profits whose missions are aligned, contributing to disaster and international relief efforts, partnering with the American Red Cross for blood drives - all these things represent community benefits. Additionally, we provide free physical space for local non-profits, Rotary, and community groups like Healthy Vibrant Claremont. Our physicians and other providers offer free wellness programming at locations throughout the communities we serve - at senior centers, schools, recreation venues. Part VI, Line 7, Reports Filed With States NH 0 0 0 0 0 0 0 1 0 Peter Wright President & CEO 0 239201 0 0 0 18180 0 16454 0 0 0 273835 0 0 James P Wilton Trustee 273746 0 15000 0 1161 0 0 0 26783 0 316690 0 0 0 Joel P Herrington Physician 329269 0 10000 0 17710 0 0 0 30677 0 387656 0 0 0 Clifford B Langweiler Physician 348834 0 0 0 177 0 0 0 22793 0 371804 0 0 0 Ivar L Frithsen Physician 204576 0 20000 0 40288 0 0 0 18419 0 283283 0 0 0 Robert L Bassett Physician 396734 0 0 0 13560 0 0 0 15687 0 425981 0 0 0 Jeffery A Hanissian Physician 342307 0 0 0 469 0 0 0 26934 0 369710 0 0 0 Part I, Line 3 Valley Regional Healthcare, Inc., a related organization, establishes the compensation for the Organization's CEO & CFO. Valley Regional Healthcare, Inc. uses a variety of resources to establish compensation as follows: 1. Form 990 of other organizations 2. Written employment contract 3. Compensation survey/study 4. Approval by the board/compensation committee Part I, Line 7 Individuals listed with Incentive Bonus amounts are physicians who under their employment agreements/contracts have a provision for Incentive Bonus based on their Relative Value Units (RVU) of services exceeding a target amount. Form 990, Part VII, line 5: Peter Wright, CEO is paid by Mary Hitchcock Memorial Hospital, an unrelated organization via a professional services agreement. A breakdown of Mr. Wright's 2016 compensation is as follows: Salary: $257,381 Benefits: $16,454 A State of New Hampshire Business Finance Authority 521304598 64468KBJ4 2008-06-02 26260000 Financing for Buildings and Structures 0 0 0 A 3150000 26260000 325806 25934194 2010 0 1 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 1 Morgan Stanley & RBS Citizens 20.000000000000 0 0 0 0 0 A 0 Date Rebate Computation Performed Issuer Name: State of New Hampshire Business Finance Authority Date the Rebate Computation was Performed: 06/02/2017 X 1 204000 Opinions of Experts 1 0 1 0 Form 990, Part VI, Section A, line 6 The sole member of the Organization is Valley Regional Healthcare, Inc. Form 990, Part VI, Section A, line 7a The Organization's directors are nominated and elected by the Organization's member at the annual meeting of the Corporation. Form 990, Part VI, Section A, line 7b The following actions and undertakings involving the business of the Organization are subject to the ratification by the member: adoption of operating budget; adoption of capital budgets; adoption of strategic plans; initiation of significant fund-raising activities; implementation of institutional affiliations, mergers, consolidations or other reorganizations; material modification of service and business offerings; material acquisitions or dispositions of assets; changes in certified public accountants, fiscal year or material accounting practices; incurrence of material indebtedness; material changes in insurance programs and arrangements; material changes in employee benefits plans; adoption of quality improvements plans; election of directors; selection of the president/CEO; amendment of the Organization's bylaws; and amendment of the articles of association. Form 990, Part VI, Section B, line 11b The Organization's CFO reviews the draft Form 990 prior to its filing. The CFO then goes over the document with the board's finance committee. Form 990, Part VI, Section B, line 15 The executive committee of the board of trustees convenes two to four times annually to review the compensation of the CEO. Regional compensation of like-sized organization is used. The amount of compensation shall be reviewed by the D-H independent compensation consultant for purposes of determining compliance with the rebuttable presumption, if necessary. The CEO compensation is tied to the strategic planning goals of the Organization. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part IX, line 11g Physician Fees: Program service expenses 2,443,086. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,443,086. Purchased Services: Program service expenses 3,746,184. Management and general expenses 1,026,025. Fundraising expenses 0. Total expenses 4,772,209. Other Professional Fees: Program service expenses 506,106. Management and general expenses 138,615. Fundraising expenses 0. Total expenses 644,721. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Valley Regional Hospital, Inc. 243 Elm Street Claremont, NH 03743 EIN: 02-0222118 Valley Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Valley Regional Healthcare Inc 243 Elm Street Claremont NH 03743 020397338 Healthcare supporting organization NH 501(c)(3) Line 12b, II N/A 0 George H Stowell Trust 295 Windsor Rd Claremont NH 03743 Charitable Trust NH T 51397 1932842 1.00000 0 Clarence H Martin Trust 243 Elm St Claremont NH 03743 Charitable Trust NH T 2147348 0.66670 0 McGuire Endowment 243 Elm St Claremont NH 03743 Charitable Trust NH T 36197 1.00000 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0