VALLEY REGIONAL HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY REGIONAL HOSPITAL INC (EIN 02-0222118)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-08
- IRS object ID
- 201142209349301339
- Schema version
- 2009v1.7
- 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 I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-08T15:28:03-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-10-01 | 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 | CFO | Title |
| Phone | 6035427771 | Phone |
| Date Signed | 2011-08-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| Phone | 2077752387 | Phone |
| Date Prepared | 2011-08-05 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 59671145 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 467 | TotalNbrEmployees |
| Total Nbr Volunteers | 17 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 354344 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 463666 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41558107 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 45473332 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -392731 | InvestmentIncomePriorYear |
| Investment Income Current Year | 817891 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -91658 | OtherRevenuePriorYear |
| Other Revenue Current Year | -68899 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 41428062 | TotalRevenuePriorYear |
| Total Revenue Current Year | 46685990 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 269053 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 30291 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23110364 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23839331 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18429413 | OtherExpensePriorYear |
| Other Expenses Current Year | 22650910 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 41808830 | TotalExpensesPriorYear |
| Total Expenses Current Year | 46520532 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -380768 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 165458 | RevenuesLessExpensesCY |
| Total Assets BOY | 55735677 | TotalAssetsBOY |
| Total Assets EOY | 56224360 | TotalAssetsEOY |
| Total Liabilities BOY | 33654702 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35293155 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 22080975 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20931205 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Valley Regional is to serve and respond to the ongoing healthcare needs of the residents in the greater Claremont, New Hampshire area. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 38794495 | Expense |
| Grants | 30291 | Grants |
| Revenue | 45473332 | 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, 2010 charges forgone for services and supplies furnished under the charity care policy were approximately $2,223,861. The estimated cost of those services and supplies was approximately $1,575,000.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, 2010, the Hospital incurred costs in excess of payments of approximately $7,290,000.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 | 38794495 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 1 | 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 |
| 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 |
| Number Of Employees | 467 | 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 |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | 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 (30 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/Secretary | 40.00 | X | X | 0 | 293209 | 16488 | |
| David McCrillis | |||||||
| Past Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Robert Porter | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Clay Hawkins | |||||||
| Past 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 | ||
| Debra Livingston | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Nancy Merrill | |||||||
| 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 | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Jim Wimberg | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Ellen Joyce MD | |||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Randolph Knight MD | |||||||
| Medical Staff President | 40.00 | X | X | 273470 | 0 | 33783 | |
| Michael O'Connell | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael Satzow | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Evelyn Schlosser | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Robert Cricco MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Allen Damren | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael Fuerst | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Oliver Herfort MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Sherwood Moody | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Steven Monette | |||||||
| CFO/Treasurer | 40.00 | X | 0 | 143108 | 889 | ||
| John Houde MD | |||||||
| Physician | 40.00 | 404168 | 0 | 24480 | X | ||
| Carl Tetirick | |||||||
| Physician | 40.00 | 274777 | 0 | 24987 | X | ||
| Charles Sawyer | |||||||
| Physician | 40.00 | 264560 | 0 | 6591 | X | ||
| Catherine Schneider | |||||||
| Physician | 40.00 | 259474 | 0 | 9904 | X | ||
| Michael Ritondo | |||||||
| Physician | 40.00 | 245249 | 0 | 29384 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1721698 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 436317 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 146506 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | 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 |
|---|---|---|---|---|---|
| Harvey Construction | |||||
| 10 Harvey Road | Bedford | NH | 03110 | Construction Services | 569028 |
| American Health Centers Inc | |||||
| 498 Essex Street | Bangor | ME | 04401 | MRI Services | 299977 |
| Dartmouth Hitchcock Clinic | |||||
| One Medical Center Drive | Lebanon | NH | 03756 | Contract Labor | 268268 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Contract Labor | 252200 |
| Mary Hitchcock Hospital | |||||
| One Medical Center Drive | Lebanon | NH | 03756 | Mobile Echo Services | 208805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Fundraising Events | 22408 | FundraisingEvents |
| Related Organizations | 4394 | RelatedOrganizations |
| Government Grants | 315810 | GovernmentGrants |
| All Other Contributions | 121054 | AllOtherContributions |
| Noncash Contributions | 2023 | NoncashContributions |
| Total Contributions | 463666 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Service Revenu | 621400 | 65937877 | 65937877 | |
| Other Revenue | 900099 | 853680 | 853680 | |
| Lab Outreach Revenue | 621400 | 435112 | 435112 | |
| Cafeteria Revenue | 900099 | 168198 | $168,198 | |
| Charity/Contractual Ad | 621400 | -21921535 | -21921535 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 45473332 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 606038 | TotalRevenueColumn |
| Exclusion | $606,038 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 26527 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 95426 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -68899 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -68899 | TotalRevenueColumn |
| Exclusion | -$68,899 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13083636 | Securities |
| Other | 5000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12658643 | Securities |
| Other | 218140 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 424993 | Securities |
| Other | -213140 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 211853 | TotalRevenueColumn |
| Exclusion | $211,853 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 12946 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 22408 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 12946 | 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 | 46685990 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45305134 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $917,190 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30291 | Total |
| Program Services | 30291 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307253 | Total |
| Program Services | 307253 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18329497 | Total |
| Program Services | 16981048 | ProgramServices |
| Management And General | 1348449 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120417 | Total |
| Program Services | 111098 | ProgramServices |
| Management And General | 9319 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3846479 | Total |
| Program Services | 3565806 | ProgramServices |
| Management And General | 280673 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1235685 | Total |
| Program Services | 1146116 | ProgramServices |
| Management And General | 89569 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72972 | Total |
| Management And General | 72972 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40000 | Total |
| Management And General | 40000 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135180 | Total |
| Management And General | 135180 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6087800 | Total |
| Program Services | 3253560 | ProgramServices |
| Management And General | 2834240 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4506697 | Total |
| Program Services | 4265852 | ProgramServices |
| Management And General | 240845 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1520990 | Total |
| Program Services | 455199 | ProgramServices |
| Management And General | 1065791 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19271 | Total |
| Program Services | 15913 | ProgramServices |
| Management And General | 3358 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 868245 | Total |
| Management And General | 868245 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2010177 | Total |
| Program Services | 1808284 | ProgramServices |
| Management And General | 201893 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342177 | Total |
| Management And General | 342177 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for Bad Debts | 4445304 | 4445304 | |
| Medicaid Enhancement Ta | 2165360 | 2165360 | |
| Dues & Subscriptions | 185278 | 97038 | 88240 |
| Licenses & Taxes | 109260 | 106417 | 2843 |
| Miscellaneous | 97436 | 1848 | 95588 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44763 | Total |
| Program Services | 38108 | ProgramServices |
| Management And General | 6655 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46520532 | Total |
| Program Services | 38794495 | ProgramServices |
| Management And General | 7726037 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2350 | BOY |
| EOY | 2350 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8360330 | BOY |
| EOY | 5305310 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4071141 | BOY |
| EOY | 3819111 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 643089 | BOY |
| EOY | 715137 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226118 | BOY |
| EOY | 244562 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 46021536 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20912967 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19528309 | BOY |
| EOY | 25108569 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18820009 | BOY |
| EOY | 15491938 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3084387 | BOY |
| EOY | 3172437 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341277 | BOY |
| EOY | 383515 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 658667 | BOY |
| EOY | 1981431 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55735677 | BOY |
| EOY | 56224360 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4856145 | BOY |
| EOY | 4470073 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13056 | BOY |
| EOY | 10914 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26260000 | BOY |
| EOY | 26260000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2525501 | BOY |
| EOY | 4552168 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33654702 | BOY |
| EOY | 35293155 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17776744 | BOY |
| EOY | 16526254 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 965950 | BOY |
| EOY | 978620 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3338281 | BOY |
| EOY | 3426331 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22080975 | BOY |
| EOY | 20931205 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55735677 | BOY |
| EOY | 56224360 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $12,238 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 12238 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | 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 | 3968278 | BeginningOfYearBalance |
| Contributions | 71 | Contributions |
| Investment Earnings Or Losses | 157717 | InvestmentEarningsOrLosses |
| Administrative Expenses | 10886 | AdministrativeExpenses |
| End Of Year Balance | 4115180 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| 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 | 0.83260 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.16740 | 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 | 16290205 | OtherCostOrOtherBasis |
| Depreciation | 5938525 | Depreciation |
| Book Value | 10351680 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 148235 | OtherCostOrOtherBasis |
| Depreciation | 104865 | Depreciation |
| Book Value | 43370 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27981177 | OtherCostOrOtherBasis |
| Depreciation | 14541405 | Depreciation |
| Book Value | 13439772 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1351252 | OtherCostOrOtherBasis |
| Depreciation | 328172 | Depreciation |
| Book Value | 1023080 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 25108569 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Beneficial Interest in Perpetual Trust | Description |
| Book Value | 3172437 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3172437 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due To Affiliates | $455,282 |
| Estimated Third Party Settlements | $720,990 |
| Interest Rate Swap | $2,703,288 |
| Reserve for Self-Funded Insurance | $610,416 |
| Deferred Compensation | $62,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4552168 | TotalOfAmounts |
| Total Revenue | 46685990 | TotalRevenue |
| Total Expenses | 46520532 | TotalExpenses |
| Excess Or Deficit For Year | 165458 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1315228 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -1315228 | TotalAdjustments |
| Excess Or Deficit Per FS | -1149770 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 45343954 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1315228 | NetUnrealizedGainsInvestments |
| Other Revenues | 108372 | OtherRevenues |
| Revenue Not Rptd F990 | -1206856 | RevenueNotRptdF990 |
| Revenue Subtotal | 46550810 | RevenueSubtotal |
| Investment Expenses Not Included | 135180 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 135180 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 46685990 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 46493724 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 108372 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 108372 | ExpensesNotRptdF990 |
| Expenses Subtotal | 46385352 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 135180 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 135180 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 46520532 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | 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: 95426. Fundraising Expenses: 12946. | |
| Part XIII, Line 2d - Other Adjustments: | Rental Expenses: 95426. Fundraising Expenses: 12946. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 35354 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 22408 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 12946 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 12946 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 35354 | GrossReceiptsTotal |
| Charitable Contributions Total | 22408 | CharitableContributionsTotal |
| Gross Revenue Total Events | 12946 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 12946 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 12946 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 0 | FPGReferenceFreeCare |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 3455420 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2004383 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1451037 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03450 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5024299 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2482324 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2541975 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8479719 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4486707 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3993012 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09490 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 261704 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62304 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 199400 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17974 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17974 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30291 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 30291 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 309969 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62304 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 247665 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8789688 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4549011 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4240677 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10070 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 4849 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4849 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 320 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 320 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 9984 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9984 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5756 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5756 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 20909 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 20909 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,530,711 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13926187 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 13926187 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Critical Access HospitalCriticalAccessHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| Valley Regional Hospital Inc | ||||||||
| 243 Elm Street | Claremont | NH | 03743 | X | X | X | X | |
| Kane Oncology Center | ||||||||
| 243 Elm Street | Claremont | NH | 03743 | Oncology Center | ||||
| River Valley Associates | ||||||||
| 241 Elm Street | Claremont | NH | 03743 | Counseling & Psychotherapy Services | ||||
| Vital Signs Fitness Center | ||||||||
| 4 Dunning Street | Claremont | NH | 03743 | Fitness Center | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | 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. | IncomeBasedCriteria |
| Costing Method Used | 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. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Amount of bad debt expense included on Form 990, Part IX, line 25 but subtracted for purposes of calculating the percentage in column 7f: $4,445,304. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: VRH is a partner in the Bi-State Coalition for Community Health Improvement. This group, which also includes United Ways of the Upper Valley and Sullivan County, West Central Behavioral Health, Alice Peck Day Hospital, Dartmouth-Hitchcock Medical Center, Mascoma Health, and New London Hospital, has completed a community needs assessment that encompasses 11 specific indicators. For each of the indicators, primary and secondary data was collected to report both quantitative and qualitative information. The Bi-State Coalition utilized focus groups, health and human services data, community leaders, random phone surveys and data collected from Grafton and Sullivan County social services agencies. A list of community resources and assets are also provided for each indicator. VRH chose to focus on responses elicited from the service providers as well as consumers who took part in the needs assessment. Health and Human Service providers identified education/prevention/wellness, availability of dental care, and availability or primary care as the highest three needs. Consumers identified chronic disease screenings, availability of primary care, and health education as their priorities. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: All self pay patients are offered a financial assistance application upon registration. Notification of process is outlined on the reverse side of patient statements, including requirements for applying and phone number for a patient representative for assistance. This information is also available on the Valley Regional Hospital website. | PatientEducationAssistance |
| Community Information | 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 Sullivan County Human Services Coordination Plan, the following demographics describe the area: 1. 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. 2. Sixteen percent (16%) of Sullivan County citizens over age 65 versus 11.9% of NH citizens.3. Over nineteen percent (19.3%) of Sullivan County residents have one or more disabilities versus 16.9 percent of New Hampshire residents, with Newport, Claremont and Charlestown representing the highest geographic concentration of disabled community members. 4. For the last 17 years Sullivan County per capita income has been consistently less than the state and national per capita rate. Over eight percent (8.5%) of Sullivan County residents live below the federal poverty level, and several communities exceed the Sullivan County rate: 8.8% in Goshen; 15.6% in Acworth; 10% in Claremont, and 14.4% in Newport.5. 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. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Valley Regional Healthcare believes the skills and knowledge of its employees are the most critical asset 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, health initiatives of the local Rotary, 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. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: 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 health care 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. | OtherInformation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Dental Care | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Tremont Street | AddressLine1 |
| City | Claremont | City |
| State | NH | State |
| ZIP Code | 037432654 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 680662886 | EINOfRecipient |
| Amount Of Cash Grant | 15000 | AmountOfCashGrant |
| Purpose Of Grant | Operational assistance | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
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 (7 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 | 244781 | 0 | 40000 | 0 | 8428 | 0 | 9286 | 0 | 7202 | 0 | 309697 | 0 | 0 |
| Randolph Knight MD | |||||||||||||
| 229608 | 0 | 0 | 0 | 43862 | 0 | 8140 | 0 | 25643 | 0 | 307253 | 0 | 0 | 0 |
| John Houde MD | |||||||||||||
| 392950 | 0 | 10588 | 0 | 630 | 0 | 3837 | 0 | 20643 | 0 | 428648 | 0 | 0 | 0 |
| Carl Tetirick | |||||||||||||
| 272955 | 0 | 0 | 0 | 1822 | 0 | 4344 | 0 | 20643 | 0 | 299764 | 0 | 0 | 0 |
| Charles Sawyer | |||||||||||||
| 246238 | 0 | 500 | 0 | 17822 | 0 | 5058 | 0 | 1533 | 0 | 271151 | 0 | 0 | 0 |
| Catherine Schneider | |||||||||||||
| 259096 | 0 | 0 | 0 | 378 | 0 | 3208 | 0 | 6696 | 0 | 269378 | 0 | 0 | 0 |
| Michael Ritondo | |||||||||||||
| 237948 | 0 | 0 | 0 | 7301 | 0 | 8741 | 0 | 20643 | 0 | 274633 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 6 | ReturnReference |
| Explanation | Part I, Line 6: Claire Bowen (CEO) received a bonus that is derived by a number of different factors. There is a fixed dollar amount that is set as a potential bonus. The board sets objectives for the CEO to achieve with a weighted percentage on each objective that will factor into the bonus amount. These weighted amounts equal 100% of the potential bonus. For Steve Monette (CFO), 15% of his salary is eligible for a bonus. He, too, has a weighted percent on objectives to meet during the year in determining the bonus amount he will receive. For fiscal year 09-10, one of the objectives for the senior management was meeting the budgeted operating return. This counted as 35% of their potential bonus amount. | 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 |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 26260000 | TotalProceeds |
| Issuance Costs From Proceeds | 325806 | IssuanceCostsFromProceeds |
| Capital Expenditures | 25934194 | CapitalExpenditures |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | 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 |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| 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 |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MBIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 2.000000000000 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | 1 | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 2c: | The audit process has not changed from the prior year. | Oversight of Audit |
| Form 990, Part I, Lines 8-18: | Prior year numbers have been restated to present revenue net of contractual and charity care adjustments. |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | 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 |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Valley Regional Healthcare Inc | |
| A | 13308 |
| Valley Regional Healthcare Inc | |
| L | 2413487 |