VALLEY REGIONAL HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY REGIONAL HOSPITAL INC (EIN 02-0222118)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201312269349302756
- Schema version
- 2011v1.5
- 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 G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T13:33:35-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010523282 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222118 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VALL | NameControl |
| Phone | 6035427771 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Steven L Monette | Name |
| Title | VP of Finance | Title |
| Phone | 6035427771 | Phone |
| Date Signed | 2013-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | Phone |
| Date Prepared | 2013-08-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Claire Bowen | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 51140198 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.vrh.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1893 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | Critical Access Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 437 | TotalNbrEmployees |
| Total Nbr Volunteers | 22 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 112735 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 66688 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 46099943 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 47218549 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1364767 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1156282 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -59678 | OtherRevenuePriorYear |
| Other Revenue Current Year | -61814 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 47517767 | TotalRevenuePriorYear |
| Total Revenue Current Year | 48379705 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3914 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 24533738 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22374069 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23295921 | OtherExpensePriorYear |
| Other Expenses Current Year | 24224667 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 47833573 | TotalExpensesPriorYear |
| Total Expenses Current Year | 46598736 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -315806 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1780969 | RevenuesLessExpensesCY |
| Total Assets BOY | 58108658 | TotalAssetsBOY |
| Total Assets EOY | 65242601 | TotalAssetsEOY |
| Total Liabilities BOY | 39097439 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 42381512 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19011219 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22861089 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission of Valley Regional Healthcare, Inc. is to enhance the health of the community we serve. Our vision is to be a model rural community healthcare organization: the provider preferred for its excellence by area residents and physicians; the healthcare employer of choice, and an active participant in community efforts to improve the quality of life in our region. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 40759534 | Expense |
| Revenue | 47218549 | Revenue |
| Description | 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 charity care 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, 2012 charges forgone for services and supplies furnished under the charity care policy were approximately $1,637,375. The estimated cost of those services and supplies was approximately $1,194,000.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. During the year ending September 30, 2012, the Hospital incurred costs in excess of payments of approximately $5,540,000.The Hospital provides services to the community at large for which it receives little or no payment. Services include health evaluation and screening programs at community and/or work site, flu shot, and health educational and fitness programs.The Hospital also provided other community benefits on which no value could be placed, such as leadership in identifying community needs, staff commitment to volunteer community health organizations, advocacy and support for the socially and physically disadvantaged, and support for the local public safety organization. | Description |
| Total Program Service Expense | 40759534 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 42 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 437 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Monette | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6035427771 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Claire Bowen | |||||||
| President/CEO/Secretary | 40.00 | X | X | 0 | 274279 | 14139 | |
| Robert Porter | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Volker Bradley MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Albert Leahy Jr | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael L Prozzo Jr | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Alison Raymond | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Lisa Richmond | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Bernard Rosen MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Carol Vivian | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Jim Wimberg | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael O'Connell | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael Satzow | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Robert Cricco MD | |||||||
| Trustee | 1.00 | X | 282213 | 0 | 22394 | ||
| Michael Fuerst | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Oliver Herfort MD | |||||||
| Trustee | 1.00 | X | 195328 | 0 | 27484 | ||
| Sherwood Moody | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| James Borchert | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Charlene Lovett | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Valerie Mahar | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Patricia Putnam | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Charles Sawyer MD | |||||||
| Trustee | 1.00 | X | 288427 | 0 | 14670 | ||
| Steven Monette | |||||||
| VP of Finance | 40.00 | X | 0 | 152126 | 1686 | ||
| Douglass Weiss | |||||||
| Physician | 40.00 | 472683 | 0 | 18356 | X | ||
| John Houde | |||||||
| Physician | 40.00 | 372997 | 0 | 30377 | X | ||
| Michael Ritondo | |||||||
| Physician | 40.00 | 282307 | 0 | 29390 | X | ||
| Carl Tetirick | |||||||
| Physician | 40.00 | 280212 | 0 | 29348 | X | ||
| Randolph Knight | |||||||
| Physician | 40.00 | 243439 | 0 | 28160 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2417606 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 426405 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 216004 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Healthcare Management Systems | |||||
| 2739 Momentum Place | Chicago | IL | 606895327 | IT System & Service | 1244068 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Contract Labor | 690108 |
| American Health Centers Inc | |||||
| 498 Essex Street | Bangor | ME | 04401 | MRI Service | 254360 |
| AHSA LLC | |||||
| PO Box 945 | Traverse City | MI | 496850000 | Contract Labor | 241353 |
| Dartmouth Hitchcock Clinic | |||||
| One Medical Ctr Drive | Lebanon | NH | 03756 | Contract Labor | 209227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Fundraising Events | 25535 | FundraisingEvents |
| Government Grants | 15728 | GovernmentGrants |
| All Other Contributions | 25425 | AllOtherContributions |
| Total Contributions | 66688 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Service Revenu | 621400 | 63842262 | 63842262 | |
| Other Revenue | 900099 | 1026119 | 889937 | $136,182 |
| Meaningful Use Revenue | 900099 | 845288 | 845288 | |
| Charity/Contractual Ad | 621400 | -18495120 | -18495120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 47218549 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 647093 | TotalRevenueColumn |
| Exclusion | $647,093 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 32900 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 94714 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -61814 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -61814 | TotalRevenueColumn |
| Exclusion | -$61,814 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3162301 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2649411 | Securities |
| Other | 3701 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 512890 | Securities |
| Other | -3701 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 509189 | TotalRevenueColumn |
| Exclusion | $509,189 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 12667 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 25535 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 12667 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48379705 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47082367 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,230,650 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 830516 | Total |
| Program Services | 830516 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16764972 | Total |
| Program Services | 14857606 | ProgramServices |
| Management And General | 1907366 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191184 | Total |
| Program Services | 169282 | ProgramServices |
| Management And General | 21902 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3402001 | Total |
| Program Services | 3025942 | ProgramServices |
| Management And General | 376059 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1185396 | Total |
| Program Services | 1056425 | ProgramServices |
| Management And General | 128971 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8061 | Total |
| Management And General | 8061 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51392 | Total |
| Management And General | 51392 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154247 | Total |
| Management And General | 154247 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5622843 | Total |
| Program Services | 5011077 | ProgramServices |
| Management And General | 611766 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 260619 | Total |
| Program Services | 232264 | ProgramServices |
| Management And General | 28355 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184948 | Total |
| Program Services | 164826 | ProgramServices |
| Management And General | 20122 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2406811 | Total |
| Program Services | 2144950 | ProgramServices |
| Management And General | 261861 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16619 | Total |
| Program Services | 14811 | ProgramServices |
| Management And General | 1808 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1175921 | Total |
| Management And General | 1175921 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2563270 | Total |
| Program Services | 2284386 | ProgramServices |
| Management And General | 278884 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352003 | Total |
| Management And General | 352003 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for Bad Debts | 5005557 | 5005557 | |
| Medical Supplies | 3720878 | 3316046 | 404832 |
| Medicaid Enhancement Ta | 2189994 | 2189994 | |
| Dues & Subscriptions | 154690 | 137860 | 16830 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 356814 | Total |
| Program Services | 317992 | ProgramServices |
| Management And General | 38822 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46598736 | Total |
| Program Services | 40759534 | ProgramServices |
| Management And General | 5839202 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2295 | BOY |
| EOY | 2370 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9144137 | BOY |
| EOY | 10999572 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2828013 | BOY |
| EOY | 3366262 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 689774 | BOY |
| EOY | 676353 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211334 | BOY |
| EOY | 351028 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 47125585 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24559558 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24376676 | BOY |
| EOY | 22566027 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15515536 | BOY |
| EOY | 18749178 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3095842 | BOY |
| EOY | 3560046 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 384360 | BOY |
| EOY | 210204 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1860691 | BOY |
| EOY | 4761561 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58108658 | BOY |
| EOY | 65242601 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4454309 | BOY |
| EOY | 6365793 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14898 | BOY |
| EOY | 14336 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26260000 | BOY |
| EOY | 25785000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8368232 | BOY |
| EOY | 10216383 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39097439 | BOY |
| EOY | 42381512 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14714685 | BOY |
| EOY | 18019290 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 946798 | BOY |
| EOY | 1027859 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3349736 | BOY |
| EOY | 3813940 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19011219 | BOY |
| EOY | 22861089 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58108658 | BOY |
| EOY | 65242601 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1780969 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2068901 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,109 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11109 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The Organization pays dues to local associations, a portion of which are attributable to lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4044562 | BeginningOfYearBalance |
| Contributions | 72 | Contributions |
| Investment Earnings Or Losses | 640539 | InvestmentEarningsOrLosses |
| End Of Year Balance | 4685173 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4115180 | BeginningOfYearBalance |
| Contributions | 355 | Contributions |
| Investment Earnings Or Losses | -58567 | InvestmentEarningsOrLosses |
| Administrative Expenses | 12406 | AdministrativeExpenses |
| End Of Year Balance | 4044562 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3968278 | BeginningOfYearBalance |
| Contributions | 71 | Contributions |
| Investment Earnings Or Losses | 157717 | InvestmentEarningsOrLosses |
| Administrative Expenses | 10886 | AdministrativeExpenses |
| End Of Year Balance | 4115180 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4259270 | BeginningOfYearBalance |
| Contributions | 331 | Contributions |
| Investment Earnings Or Losses | -277479 | InvestmentEarningsOrLosses |
| Administrative Expenses | 13844 | AdministrativeExpenses |
| End Of Year Balance | 3968278 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.81400 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.18600 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 250667 | OtherCostOrOtherBasis |
| Book Value | 250667 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16408656 | OtherCostOrOtherBasis |
| Depreciation | 7316249 | Depreciation |
| Book Value | 9092407 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 148235 | OtherCostOrOtherBasis |
| Depreciation | 113579 | Depreciation |
| Book Value | 34656 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29083725 | OtherCostOrOtherBasis |
| Depreciation | 16643177 | Depreciation |
| Book Value | 12440548 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1234302 | OtherCostOrOtherBasis |
| Depreciation | 486553 | Depreciation |
| Book Value | 747749 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22566027 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Beneficial Interest in Perpetual Trust | Description |
| Book Value | 3560046 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3560046 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due From Affiliates | 285920 |
| Other Receivables | 4368006 |
| Deferred Compensation | 107635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4761561 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due To Affiliates | $319,885 |
| Estimated Third Party Settlements | $4,911,283 |
| Interest Rate Swap | $4,130,318 |
| Reserve for Self-Funded Insurance | $747,262 |
| Deferred Compensation | $107,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10216383 | TotalOfAmounts |
| Total Revenue | 48379705 | TotalRevenue |
| Total Expenses | 46598736 | TotalExpenses |
| Excess Or Deficit For Year | 1780969 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2068901 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 2068901 | TotalAdjustments |
| Excess Or Deficit Per FS | 3849870 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 50401740 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2068901 | NetUnrealizedGainsInvestments |
| Other Revenues | 107381 | OtherRevenues |
| Revenue Not Rptd F990 | 2176282 | RevenueNotRptdF990 |
| Revenue Subtotal | 48225458 | RevenueSubtotal |
| Investment Expenses Not Included | 154247 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 154247 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 48379705 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 46551870 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 107381 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 107381 | ExpensesNotRptdF990 |
| Expenses Subtotal | 46444489 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 154247 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 154247 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 46598736 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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 XII, Line 2d - Other Adjustments: | Rental Expenses 94,714. Fundraising Expenses 12,667. | |
| Part XIII, Line 2d - Other Adjustments: | Rental Expenses 94,714. Fundraising Expenses 12,667. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 38202 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 25535 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 12667 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 882 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 2079 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 6120 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 1835 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1751 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 38202 | GrossReceiptsTotal |
| Charitable Contributions Total | 25535 | CharitableContributionsTotal |
| Gross Revenue Total Events | 12667 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 882 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 2079 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 6120 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 1835 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 1751 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 12667 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 275.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3164214 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2069899 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1094315 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02630 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4843612 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2332814 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2510798 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8007826 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4402713 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3605113 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 208584 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 53896 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 154688 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 69723 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7200 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62523 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 271266 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 271266 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10038 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10038 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 559611 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 61096 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 498515 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01190 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8567437 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4463809 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4103628 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09860 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1863 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1863 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2610 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2610 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 4499 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4499 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2520 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2520 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 11492 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11492 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,978,306 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13380679 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 13380679 | CostOfCareReimbursedByMedicare |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 275.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kane Oncology Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | Oncology Center | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 I, L7 Col(f): Amount of bad debt expense included on Form 990, Part IX, line 25 but subtracted for purposes of calculating the percentage in column 7f: $5,005,557. | |
| Part II: 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. | |
| 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.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. 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).4. If the balance is other than co-insurance and/or deductible, the balance is written off to charity care. | |
| Part V, Section B, Line 17e: Applications are given to all self-pay patients. | Valley Regional Hospital, Inc. |
| Part VI, Line 2: In May 2012, Valley Regional Hospital (VRH) partnered with New London Hospital to finalize a joint community needs assessment. While each health care facility possesses community needs assessments, which are unique to their service area, it was advantageous to pool their resources due to the overlap of service territory in eastern Sullivan County. VRH worked with Crescendo Consulting Group, LLC, (CCG) to bring together key healthcare and public service stakeholders, collect quantitative and qualitative data, and reach out to the community in order to elicit feedback directly from them and their service providers. The quantitative and qualitative findings included in the assessment are based on the most currently available data from community resources, the State of New Hampshire, and other regional sources.While this document fulfills federal and State reporting requirements, more importantly, it serves as a guidepost for community outreach efforts and as a benchmark with which to compare future progress.The purpose of the research design was to:-Clearly define the community served by VRH-Define a data-based and qualitative methodology to identify needs in the community-Develop a prioritized list of community resources-Develop a list of healthcare resources in the service area In order to generate the information, CCG and VRH incorporated input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health - community opinion leaders (a diverse set of service providers), hospital service providers, and healthcare consumers. In addition, statistical data was integrated with other community data to provide a detailed profile of needs and resources. Crescendo conducted several focus groups with service providers and stakeholders, including patients from various service lines. The following ranked needs were identified following the assessment process: 1. Availability of affordable healthcare, prescriptions, and related services2. Drug and alcohol abuse early detection and treatment3. Managing the expected growth in senior health services4. Wellness initiatives and the individual's ability to maintain a healthy lifestyle 5. Obesity / Nutrition / Exercise education and services6. Addictions awareness and education7. Behavioral Health early detection and intervention8. Transportation to/from healthcare service providers9. Dental health services 10. Chronic disease screenings - broad spectrum (hypertension, cancer, heart disease, stroke)11. Elder Care Services and Dementia Spectrum Issues | |
| Part VI, Line 3: The Community Engagement Department has created and posted signs in all public areas of the hospital, as well as on the hospital's website. | |
| Part VI, Line 4: Valley Regional Healthcare serves a rural region surrounding Claremont and Newport, NH. Sullivan County has a population of over 43,000 people, living in 15 towns over 537 square miles. VRH also serves portions of eastern VT. Through the 2012 VRH needs assessment and 2009 Sullivan County Human Services Coordination Plan, the following demographics describe the area: -Much of the growth in Sullivan County is now occurring in the rural communities, not in the more urban centers, such as Newport or Claremont.-The median age in Sullivan County is nearly 44 years of age (43.7) while the state average is 40 years. -Similarly, the median annual household income in Sullivan County is about $13,000 less than the state average. In Claremont, household income is more than $21,000 (roughly 33%) below the New Hampshire median income - $41,721 compared to $63,277.-One in six Sullivan County residents is over 64 years of age. In some of communities, the percentage of seniors is over 20% and expected to rise to nearly 25% over the next decade. In addition, Sullivan County has the fourth highest rate of elderly in poverty.-Heart disease, cancer, and stroke are the leading causes of death in VRH's service area. Specifically, death rates for two of these diseases are higher in the Sullivan County than for the overall State of New Hampshire.-Sullivan County has an overall higher rate of households without vehicle ownership. While this rate points to the obvious implication and dependence upon alternate means of transportation, it is also critical to note the secondary effect upon the volunteer pool to provide potential rides to health care providers within the region. | |
| Part VI, Line 5: While VRH is committed to supporting its local community, it also recognizes the potential for far reaching impact on an international level. VRH continually partners with neighboring health care providers to extend support in national and international disaster relief efforts, be that through donations of medical supplies or skilled healthcare providers sharing their medical knowledge in foreign lands. VRH is also an active partner with the American Red Cross to insure adequate blood supplies for local and national recipients. VRH is not part of any affiliated health care system. Its collaborations are on a voluntary basis to improve the health of all New Englanders. VRH is part of the New England Alliance for Health (NEAH), a group of community hospitals, behavioral health centers, and home health agencies that came together in a shared commitment to improve the quality, efficiency, and availability of health care in New Hampshire, Vermont and western Massachusetts. And VRH is an active member of the New Hampshire Hospital Associations. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Claire Bowen | |||||||||||||
| 0 | 260128 | 0 | 5000 | 0 | 9151 | 0 | 5175 | 0 | 8964 | 0 | 288418 | 0 | 0 |
| Robert Cricco MD | |||||||||||||
| 273924 | 0 | 0 | 0 | 8289 | 0 | 597 | 0 | 21797 | 0 | 304607 | 0 | 0 | 0 |
| Oliver Herfort MD | |||||||||||||
| 167298 | 0 | 3014 | 0 | 25016 | 0 | 3929 | 0 | 23555 | 0 | 222812 | 0 | 0 | 0 |
| Charles Sawyer MD | |||||||||||||
| 281037 | 0 | 0 | 0 | 7390 | 0 | 5595 | 0 | 9075 | 0 | 303097 | 0 | 0 | 0 |
| Steven Monette | |||||||||||||
| 0 | 151809 | 0 | 0 | 0 | 317 | 0 | 0 | 0 | 1686 | 0 | 153812 | 0 | 0 |
| Douglass Weiss | |||||||||||||
| 471918 | 0 | 0 | 0 | 765 | 0 | 8419 | 0 | 9937 | 0 | 491039 | 0 | 0 | 0 |
| John Houde | |||||||||||||
| 371755 | 0 | 0 | 0 | 1242 | 0 | 6580 | 0 | 23797 | 0 | 403374 | 0 | 0 | 0 |
| Michael Ritondo | |||||||||||||
| 272135 | 0 | 0 | 0 | 10172 | 0 | 5593 | 0 | 23797 | 0 | 311697 | 0 | 0 | 0 |
| Carl Tetirick | |||||||||||||
| 271922 | 0 | 0 | 0 | 8290 | 0 | 5551 | 0 | 23797 | 0 | 309560 | 0 | 0 | 0 |
| Randolph Knight | |||||||||||||
| 223613 | 0 | 0 | 0 | 19826 | 0 | 4901 | 0 | 23259 | 0 | 271599 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 6 | ReturnReference |
| Explanation | No specific goals were established by the Board for the CEO. For the CEO and Senior VPs, any increase in pay rate would be the same as an approved rate increase hospital-wide. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | State of New Hampshire Business Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521304598 | IssuerEIN |
| CUSIP Number | 64468KBJ4 | CUSIPNumber |
| Date Issued | 2008-06-02 | DateIssued |
| Issue Price | 26260000 | IssuePrice |
| Description Of Purpose | Financing for Buildings and Structures | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 475000 | AmountRetired |
| Total Proceeds | 26260000 | TotalProceeds |
| Issuance Costs From Proceeds | 325806 | IssuanceCostsFromProceeds |
| Capital Expenditures | 25934194 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morgan Stanley & | BusinessNameLine1 |
| Business Name Line2 | RBS Citizens | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 20.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 11 | 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 on an annual basis to review the compensation of the CEO. At this time, several resources are used to determine an appropriate rate of pay. The sources of data include, but are not limited to, Olney & Associates CEO Survey, Hay Companies Executive Compensation Survey, and the New Hampshire Hospital Association compensation survey. Other determining factors include overall hospital performance and completion of individual CEO goals and objectives. | |
| 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 XI, line 5: | Net unrealized gains on investments: 2,068,901. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Regional Healthcare Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 243 Elm Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020397338 | EIN |
| Primary Activities | Healthcare supporting organization | PrimaryActivities |
| Legal Domicile State | NH | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 11b, II | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |