2017-11-09T05:48:07-08:00 2016-12-31 BKD LLC 1201 WALNUT STREET SUITE 1700 KANSAS CITY MO 641062246 990 2016-01-01 521357729 VALLEY HEALTH SYSTEM VALL 5405366287 220 CAMPUS BLVD SUITE 310 WINCHESTER VA 22601 PETER F GALLAGHER CFO 2017-11-09 true MICHAEL J ENGLE P00482834 8162216300 2016 2018-03-14 21:41:22Z MARK H MERRILL 220 CAMPUS BLVD WINCHESTER VA 22601 117135546 false false X WWW.VALLEYHEALTHLINK.COM X 1983 VA SERVING OUR COMMUNITY BY IMPROVING HEALTH. PROVISION OF HEALTHCARE AND MEDICAL SERVICES. 15 10 6699 -12244 -12244 577228 590411 92677430 99262524 11971162 9841048 5600741 7071062 110826561 116765045 1053587 1214335 0 61803288 62986470 21091 24998 1495172 44907145 46490625 107785111 110716428 3041450 6048617 61993974 78298824 56926100 66175815 5067874 12123009 TO SUPPORT AND ENCOURAGE HEALTHCARE AND RELATED SERVICES THROUGH PROVIDING FINANCIAL, MANAGEMENT, AND OTHER ASSISTANCE TO ITS AFFILIATES AND OTHER ORGANIZATIONS AND THROUGH ALL OTHER RELEVANT MEANS. false false 96050833 1214335 106374472 ORGANIZATION PROVIDED MANAGEMENT AND/OR SUPPORT SERVICES TO 9 SUBSIDIARIES AND 6 OUTSIDE HEALTHCARE ORGANIZATIONS DURING 2016. 96050833 true true false true false false false false false false false true true true true false false true false false true false false true false false false true false true false false false false false false false false false false false false false false false false true true true false false true 601 0 true 6699 true false false true OC false false false false false 0 false false false false false false false false false false X 15 10 false false true false false false false true true false false true true true true true true true true true true X X CHRISTINE LOWMAN 5405366287 220 CAMPUS BLVD SUITE 310 WINCHESTER VA 22601 THOMAS T GILPIN Secretary 2.00 2.00 X X 1800 0 0 MARK H MERRILL President & CEO 4.00 36.00 X X 2240605 0 78209 CLIFTON L RUTHERFORD Trustee 2.00 2.00 X 0 0 0 STEVEN CLUSS Trustee 2.00 2.00 X 0 900 0 JOSEPH F SILEK JR Chairman 2.00 0.00 X X 1900 0 0 JIM LONG Trustee 2.00 2.00 X 1000 0 0 DOUGLAS B KEIM MD Trustee 2.00 0.00 X 0 0 0 MARY BETH PRICE Trustee 2.00 0.00 X 0 0 0 PATRICK D IRELAND MD Vice Chair 2.00 0.00 X X 0 12275 0 FAITH B POWER Trustee 2.00 0.00 X 2500 0 0 HARRY S SMITH Trustee 2.00 2.00 X 1000 0 0 JAMES FREILICH MD Trustee 2.00 2.00 X 0 4000 0 JAMES NASHED MD PRES MED STAFF 2.00 40.00 X 0 81138 0 AUDREA WYNN MD PRES MED STAFF 2.00 40.00 X 0 672154 58292 JEFFREY A SKILES Trustee 2.00 0.00 X 0 74454 0 THOMAS KLUGE President 1.00 39.00 X 0 164608 21195 PETER GALLAGHER SR VP/CFO 30.00 10.00 X 961970 0 47881 CHRISTINE LOWMAN Controller 30.00 10.00 X 225126 0 16616 JAMES SHERWOOD Vice President 1.00 39.00 X 0 351569 10598 MATTHEW TOOMEY Vice President 40.00 0.00 X 249597 0 39705 GRADY W PHILIPS III SR VP 1.00 39.00 X 0 617759 52748 ROBERT AMOS VP/ WMC CFO 1.00 39.00 X 379585 0 19947 MARK BAKER Vice President 40.00 0.00 X 192491 0 37782 ELIZABETH SAVAGE-TRACY Vice President 4.00 36.00 X 417675 0 43662 JAMES BURTON CIO 40.00 0.00 X 333453 0 17652 CHRISTOPHER B RUMPF MD SR VP/ CQMO 4.00 36.00 X 560170 0 117167 NELSON T CLARK Vice President 1.00 39.00 X 0 274110 39060 FLOYD R HEATER Vice President 1.00 39.00 X 0 345573 44295 CHRIS RUCKER Vice President 0.00 40.00 X 0 272515 41142 CAROL KOENECKE-GRANT Vice President 4.00 36.00 X 353675 0 32728 CARLA DALLMANN Vice President 39.00 1.00 X 223472 0 38929 FRANCIS X DENNEHY DIR RESIDENCY 40.00 0.00 X 253721 0 40173 RICHARD BRUCE CARLSON COR DIR MAT MGM 40.00 0.00 X 199961 0 35221 JEFFERY GROESBECK A. DIR RESIDENCY 10.00 30.00 X 254407 0 39636 BONNIE PITT DIR PHARMACY 40.00 0.00 X 194002 0 37770 JENNIFER STANFORD DIR CLINICAL 40.00 1.00 X 183585 0 16172 7231695 2871055 926580 89 false true false INOVA HEALTHCARE SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 SERVICE FEE 7217504 POWER WELLNESS MANAGEMENT 2055 W ARMY TRAIL ROAD SUITE 124 ADDISON IL 60101 SERVICE AND MGMT FEE 1456630 PRAIRIE DOG PO BOX 410002 KANSAS CITY MO 64141 Advertising Agency 1270223 ARAMARK 12483 COLLECTIONS CENTER DR CHICAGO IL 606731248 SERVICES 1224445 PREMIER HEALTHCARE SOLUTIONS 13034 BALLANTYNE CORP PLACE CHARLOTTE NC 28277 CONSULTING 1104647 40 37187 553224 590411 CLINICAL RESEARCH REVENUE 541900 723879 723879 CORPORATE MANAGEMENT FEES 561000 96026466 96026466 WELLNESS FEE REVENUE 713940 2512179 2512179 99262524 9841048 9841048 0 0 0 0 0 0 317371 370501 -53130 -12244 -40886 OTHER INCOME 900099 7124192 7124192 7124192 116765045 106386716 -12244 9800162 X 1214335 1214335 0 0 0 6320535 5498865 821670 0 41761878 35734952 5339705 687221 1949464 1668124 249260 32080 9507227 8147173 1217394 142660 3447366 2949854 440783 56729 1098699 955868 142831 0 25651 25651 0 24998 24998 0 13456503 12589571 866932 1488317 1183336 176820 128161 6092155 5212005 778805 101345 7752699 6735190 1006408 11101 0 1642314 1428107 213395 812 804906 680891 101742 22273 0 630373 300386 44885 285102 0 0 0 358730 312095 46635 EQUIP RENTAL & MAINT 12421559 10806756 1614803 RECRUITMENT 304254 264701 39553 OTHER EXPENSE 193177 165724 24763 2690 LICENSE & TAXES 141444 123056 18388 79844 79844 110716428 96050833 13170423 1495172 6384111 9033968 0 0 0 960842 0 0 0 1502368 1620551 5347814 7383309 45983 0 0 16356442 19939415 2473739 9870508 0 28922675 30451073 61993974 78298824 56030791 65626052 157905 138474 737404 411289 56926100 66175815 X 5067874 12123009 5067874 12123009 61993974 78298824 X 6048617 1006518 X false true X true true true X X 12 WINCHESTER MEDICAL CENTER 540505979 3 false 0 0 WAR MEMORIAL HOSPITAL 550403903 3 false 1581864 0 WARREN MEMORIAL HOSPITAL 540488103 3 false 9000984 0 SHENANDOAH MEMORIAL HOSPITAL 540490687 3 false 7776667 0 EAST MOUNTAIN HEALTH ADVANTAGE INC 800407187 10 false 326659 0 HAMPSHIRE MEMORIAL HOSPITAL INC 208241398 3 false 1758065 0 VALLEY PHYSICIAN ENTERPRISE 262767279 3 false 1083904 0 WINCHESTER MEDICAL CENTER FOUNDATIO 542013319 10 false 0 0 PAGE MEMORIAL HOSPITAL 540551200 3 false 2378944 0 SHENANDOAH MEMORIAL HOSPITAL FDTN 521535978 10 false 0 0 WARREN MEMORIAL HOSPITAL FDTN 541601942 10 false 0 0 VALLEY PARTNERS LLC 262767279 10 false 0 0 12 23907087 0 false false false false false false false false false false false false false false false true 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 support health care in the community. The entities within the Valley Health Group return are aligned for strategic purpose. The supported organization have had a long and continuous relationship with Valley Health for many years. The basis of that relationship forms the mission of the health system overall to fulfill community needs. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 26076 false false false 26076 false false Part II-B, Line 1i - Other Activities Description The organization pays dues to the Virginia Hospital & Healthcare Association and a portion of those dues are allocated to lobbying. 19939415 9870508 DUE FROM AFFILIATES 23051675 EXECUTIVE MUTUAL FUND PAYABLE 411342 OTHER ASSETS 4840288 OTHER RECEIVABLES 2147768 30451073 EXEC DEF COMP LIABILITY 411289 411289 CENTRAL AMERICAN & CARRIBBEAN 0 0 INVESTMENT 19909000 19909000 19909000 true false true false false false Part I, Line 3f - Method of Accounting ACCRUAL METHOD OF ACCOUNTING X X X X X true BREE MYERS 15 SHOWERS LANE MARTINSBURG WV 25403 FUNDRAISING C false 24998 false false 24998 Part I, Line 2b - Fundraiser Additional Information Provided Fundraising Counsel for Capital Campaign true BOYS AND GIRLS CLUB 598 N KENT STREET WINCHESTER VA 22601 541810019 501(C)(3) 10000 0 DIRECT GRANT SUPPORT CONCERN HOTLINE PO BOX 2032 WINCHESTER VA 22604 541097847 501(C)(3) 15500 0 DIRECT GRANT SUPPORT FAITH IN ACTION 329 N CAMERON ST SUITE 200 WINCHESTER VA 22601 262937544 501(C)(3) 80424 0 DIRECT GRANT SUPPORT FREDERICK CTY PUBLIC SCHOOLS 1415 AMHERST STREET WINCHESTER VA 22601 546001292 115 7400 0 HEALTH PROFESSIONAL EDUCATION FREE MEDICAL CLINIC NSV 301 N CAMERON STREET WINCHESTER VA 22601 541373296 501(C)(3) 283784 0 CHARITY CARE GOOD SAMARITAN FREE CLINIC PO BOX 2353 MARTINSBURG WV 25402 050602031 501(C)(3) 16000 0 CHARITY CARE LORD FAIRFAX EMS COUNCIL 180 PROSPERITY DRIVE WINCHESTER VA 22601 541901169 501(C)(3) 20000 0 COMMUNICATIONS NAMI WINCHESTER PO BOX 4550 WINCHESTER VA 22601 911884818 501(C)(3) 5640 0 GRANT FOR EDUCATION AND SUPPORT SVC NEW LIFE CENTER EDGEHILL 315 E CORK STREET WINCHESTER VA 22601 541760843 501(C)(3) 11995 0 MORTGAGE ASSISTANCE NSV SUBSTANCE ABUSE COALITION 301 N CAMERON STREET WINCHESTER VA 22601 473755186 501(C)(3) 90000 0 DIRECT GRANT SUPPORT OUR HEALTH 329 N CAMERON STREET WINCHESTER VA 22601 541972659 501(C)(3) 60426 0 COVER OUR HEALTH EXPENSES PAGE COUNTY FREE MEDICAL C PO BOX 45 LURAY VA 22835 271421176 501(C)(3) 20000 0 CHARITY CARE RAPPU INC 71 INDIGO LANE SPERRYVILLE VA 22740 474370354 501(C)(3) 25000 0 DEVELOPMENT OF SIMLAB SHENANDOAH CO FREE CLINIC 124 VALLEY VISTA DRIVE WOODSTOCK VA 22824 542032008 501(C)(3) 22500 0 CHARITY CARE SHENANDOAH UNIVERSITY 1460 UNIVERSITY DRIVE WINCHESTER VA 22601 540525605 200000 0 NEW HEALTH SCIENCES BUILDING ST LUKE COMMUNITY CLINIC 316 N ROYAL AVENUE FRONT ROYAL VA 22630 541801220 501(C)(3) 59520 0 CHARITY CARE UNITED WAY OF NSV 329 NORTH CAMERON STREET WINCHESTER VA 22601 540525106 501(C)(3) 18142 0 DIRECT GRANT SUPPORT 17 0 Grantmaker's Description of How Grants are Used 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. GRANTS PAID TO ORGANIZATIONS BENEFIT THE SUPPORTING ORGANIZATIONS MISSION ALSO. THE GRANTS ARE THE SAME CHARITABLE CLASS OF GRANTS THAT THE SUPPORTING ORGANIZATIONS ADMINISTER. X X X true true X X X X X X false true false true false false false false true true AUDREA WYNN MD PRES MED STAFF 583845 85287 3022 19267 39025 730446 BONNIE PITT DIR PHARMACY 192046 300 1656 6338 31432 231772 CARLA DALLMANN Vice President 200843 21891 738 6627 32302 262401 CAROL KOENECKE-GRANT Vice President 267250 49686 36739 8819 23909 386403 CHRIS RUCKER Vice President 203298 42448 26769 6709 34433 313657 CHRISTINE LOWMAN Controller 186464 38501 161 6153 10463 241742 CHRISTOPHER B RUMPF MD SR VP/ CQMO 394761 92551 72858 83227 33940 677337 ELIZABETH SAVAGE-TRACY Vice President 288600 56952 72123 9524 34138 461337 22624 FLOYD R HEATER Vice President 257488 34145 53940 8497 35798 389868 19951 FRANCIS X DENNEHY DIR RESIDENCY 252376 300 1045 8328 31845 293894 GRADY W PHILIPS III SR VP 433711 86970 97078 14312 38436 670507 JAMES BURTON CIO 245985 15000 72468 8118 9534 351105 JAMES SHERWOOD Vice President 268700 34814 48055 8867 1731 362167 JEFFERY GROESBECK A. DIR RESIDENCY 216939 30000 7468 7159 32477 294043 JENNIFER STANFORD DIR CLINICAL 183045 300 240 6040 10132 199757 MARK BAKER Vice President 191809 300 382 6330 31452 230273 MARK H MERRILL President & CEO 820241 222069 1198295 27068 51141 2318814 MATTHEW TOOMEY Vice President 218833 30460 304 7221 32484 289302 NELSON T CLARK Vice President 207970 28002 38138 6863 32197 313170 14539 PETER GALLAGHER SR VP/CFO 433064 104009 424897 14291 33590 1009851 RICHARD BRUCE CARLSON COR DIR MAT MGM 194635 3961 1365 6423 28798 235182 ROBERT AMOS VP/ WMC CFO 284214 52253 43118 9379 10568 399532 THOMAS KLUGE President 129241 10000 25367 4265 16930 185803 Part I, Line 1a: Relevant information in regards to selections on 1a. Based on an employment agreement Thomas Kluge received $6,527 in grossed up payments for moving related expenses including rent during 2016. These amounts were included in taxable wages.Based on an employment agreement Jim Burton received $4,681 in grossed up payments for moving related expenses including rent during 2016. These amounts were included in taxable wages.Based on an employment agreement James Sherwood received $3,441 in grossed up payments for moving related expenses including rent during 2016. These amounts were included in taxable wages.Based on an employment agreement Mark Merrill received $15,000 in an allowance for discretionary spending during 2016. 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 certain executives. For this board approved one time compensation Pete Gallagher received $421,806; Mark Merrill received $1,153,727; Elizabeth Savage received $11,598; Robert Amos received $5,495; and Grady Philips received $22,094. Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs Thomas Kluge is paid according to a contract subject to the initial contract exception during the 2016 year. Client Note 1 Client Note 1 - Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents In 2016, the corporate bylaws for Valley Health System were revised. Under these revisions, board governance for Valley Health System and its four Virginia-based hospitals (Page Memorial Hospital, Shenandoah Memorial Hospital, Warren Memorial Hospital and Winchester Medical Center) were consolidated and coordinated under one governing body. Membership and responsibilities of this governing body conform to the requirements for The Joint Commission, CMS, the Internal Revenue Service and other mandated guidelines for hospitals and not-for-profit, 501(c)(3) organizations. The revisions included the establishment of a new board committee, the Quality and Medical Affairs Committee (QMAC). The role of QMAC is to coordinate the quality, safety, performance improvement and patient satisfaction efforts across Valley Health and serve as a principal body to oversee medical staff activities. The QMAC will also monitor and address healthcare safety, clinical outcomes, patient satisfaction, and infection control activities. The QMAC has 25 approved members, including ex officio members. In addition, the revisions included creation of a Community Advisory Council (CAC). The role of the CAC is to serve as a liaison between the governing body, local hospitals and local communities, and providing feedback and input to the governing body. The CAC has 20 members (plus two ex officio trustees), and terms of service on the CAC will be three years, with members serving a maximum of two terms. 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, the board reviews the 990 during one of its recurring monthly meetings prior to filing 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 Valley Health System policy. Valley Health System 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.Any trustee, officer or employee that discloses a conflict of interest will leave a board meeting on a transaction or arrangement that would be related to the potential conflict. With conflicts of interest the chair of the board will appoint a person or committee (if appropriate) to investigate alternatives to the proposed arrangement. 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. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2015. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the Officers,and Senior Management. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2015. 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 Increases TRANSFER FROM AFFILIATE = $1006518 FUNDRAISING THE ORGANIZATION PAYS FOR FUNDRAISING COSTS AND THE FUNDRAISING PROCEEDS ARE RECORDED ON THE GROUP RETURN. THE ORGANIZATION SPENT $1,495,172 IN FUNDRAISING IN 2016 AND THE RELATED ORGANIZATIONS REPORTED $6,547,682 IN CONTRIBUTIONS UNDER EIN 80-0584319. SHENANDOAH MEMORIAL HOSPITAL 759 SOUTH MAIN STREET WOODSTOCK VA 22664 540490687 HOSPITAL VA 501(c)(3) 3 VALLEY HEALTH SYSTEM true SURGI CENTER OF WINCHESTER INC 1860 AMHERST STREET WINCHESTER VA 22601 541279131 ASC VA 501(c)(3) 3 VALLEY HEALTH SYSTEM true WARREN MEMORIAL HOSPITAL 1000 SHENANDOAH DRIVE FRONT ROYAL VA 22630 540488103 HOSPITAL VA 501(c)(3) 3 VALLEY HEALTH SYSTEM true WINCHESTER MEDICAL CENTER 1840 AMHERST ST WINCHESTER VA 22601 540505979 HOSPITAL VA 501(c)(3) 3 VALLEY HEALTH SYSTEM true HAMPSHIRE MEMORIAL HOSPITAL INC 363 SUNRISE BLVD ROMNEY WV 26757 208241398 HOSPITAL WV 501(c)(3) 3 VALLEY HEALTH SYSTEM true SHENANDOAH MEMORIAL HOSPITAL FOUNDATION 759 S MAIN STREET WOODSTOCK VA 22664 521535978 FUNDRAISING VA 501 (c)(3) 12a VALLEY HEALTH SYSTEM true WINCHESTER MEDICAL CENTER FOUNDATION 1840 AMHERST STREET WINCHESTER VA 22601 542013319 FUNDRAISING VA 501(c)(3) 12a VALLEY HEALTH SYSTEM true WARREN MEMORIAL HOSPITAL FOUNDATION 1000 SHENANDOAH DRIVE FRONT ROYAL VA 22630 541601942 FUNDRAISING VA 501 (c)(3) 12a VALLEY HEALTH SYSTEM true PAGE MEMORIAL HOSPITAL 200 MEMORIAL DRIVE LURAY VA 22835 540551200 HOSPITAL VA 501 (c)(3) 3 VALLEY HEALTH SYSTEM true VALLEY PHYSICIAN ENTERPRISE INC 220 CAMPUS BLVD WINCHESTER VA 22601 262767279 PHYSICIAN PRACTICES VA 501 (c)(3) 3 VALLEY HEALTH SYSTEM true WAR MEMORIAL HOSPITAL INC 1 HEALTHY WAY BERKELEY SPRINGS WV 25411 800407200 HOSPITAL WV 501 (c) (3) 3 VALLEY HEALTH SYSTEM true VALLEY PARTNERS LLC 220 CAMPUS BLVD WINCHESTER VA 22601 471944799 ACCOUNTABLE CARE ORGANIZATION VA 501(C)(3) 3 VALLEY HEALTH SYSTEM true EAST MOUNTAIN HEALTH ADVANTAGE 363 SUNRISE BLVD ROMNEY WV 26757 800407187 WV MGMT COMPANY WV 501(C)(3) 3 VALLEY HEALTH SYSTEM true EAST MOUNTAIN HEALTH LLC 68 HERITAGE CIRCLE ROMNEY WV 26757 262586527 WELLNESS CENTER WV 501(C)3 3 VALLEY HEALTH SYSTEM false WINCHESTER OPEN MRI LLC 160 EXETER DRIVE WINCHESTER VA 22603 542041643 MRI SERVICE VA N/A RELATED 4173143 968989 false false 0.50000 WINCHESTER ENDOSCOPY SERVICES LLC 190 CAMPUS BLVD STE 150 WINCHESTER VA 22601 263886651 Endoscopy Services VA N/A RELATED 1601469 117759 false false 0.51000 MEDICAL CIRCLE LLC ta VALLEY OPEN MRI 125-A MEDICAL CIRCLE WINCHESTER VA 22601 203390908 MRI SERVICES VA N/A RELATED 872058 695741 false false 0.51000 NORTHERN WV HOME HEALTH LLC 220 CAMPUS BLVD SUITE 310 WINCHESTER VA 22601 113779341 HOME HEALTH WV VALLEY HEALTH SYSTEM RELATED false false 1.00000 GATEWAY HOME CARE LLC 220 CAMPUS BLVD SUITE 310 WINCHESTER VA 22601 541965474 HEALTHCARE WV VALLEY HEALTH RELATED 82076 false false 0.50000 VALLEY HEALTH SURGERY CENTER LLC 220 CAMPUS BLVD WINCHESTER VA 22601 371844781 SURGERY CENTER VA N/A RELATED false false 0.66000 VALLEY REGIONAL ENTERPRISES INC 220 CAMPUS BLVD WINCHESTER VA 22601 541456064 MED EQUIP/AMBULANCE VA NA C CORP -503747 10536856 1.00000 true Virginia Solutions SPE LTD PO Box 10233 Grand Cayman Caribbean CJ KY1-1002 980507760 Other Insurance Funds CJ NA C Corp 131005 55375772 0.80000 true true false true false false false true false false false true true false false true true true true false SHENANDOAH MEMORIAL HOSPITAL p 7776667 FMV WARREN MEMORIAL HOSPITAL p 9000984 FMV WINCHESTER MEDICAL CENTER q 22264760 FMV HAMPSHIRE MEMORIAL HOSPITAL INC p 1758065 FMV PAGE MEMORIAL HOSPITAL p 2378944 FMV VALLEY PHYSICIAN ENTERPRISE INC p 1083904 FMV WAR MEMORIAL HOSPITAL INC p 1581864 FMV EAST MOUNTAIN HEALTH ADVANTAGE p 326659 FMV VALLEY REGIONAL ENTERPRISES INC a 119604 FMV