2024-07-18T09:56:45-05:00 2023-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2022-10-01 020397338 Valley Regional Healthcare Inc VALL 6035427771 243 Elm Street Claremont NH 03743 Celeste Pitts Interim CFO 6035427771 2024-07-17 1 Celeste Pitts 999009999 1 Melissa Magoon CPA P01712842 2077752387 2024-07-17 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Jocelyn Caple 243 Elm Street Claremont NH 03743 2461020 0 X www.vrh.org X 1986 NH Parent organization to Valley Regional Hospital, Inc. 14 12 3 14 0 0 0 0 2320073 2354298 269244 96211 0 0 2589317 2450509 0 0 0 0 823596 855372 0 0 0 2150193 2147820 2973789 3003192 -384472 -552683 12176010 11734963 18419640 18088715 -6243630 -6353752 Valley Regional Healthcare, Inc. is organized to coordinate and support the activities of health care organizations, including Valley Regional Hospital, Inc. 0 0 1894678 2354298 Valley Regional Healthcare is the parent organization for Valley Regional Hospital. In this role, Valley Regional Healthcare provides integrated management and support services for the Hospital. 1894678 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 11 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 NH X Celeste Pitts 6035427771 243 Elm Street Claremont NH 03743 Patricia Putnam Chair 0.10 0.90 X X 0 0 0 Terri Decker Vice Chair 0.10 0.90 X X 0 0 0 Lisa Richmond Treasurer 0.10 0.90 X X 0 0 0 Bryan Huot Secretary 0.10 0.90 X X 0 0 0 James Borchert Trustee 0.10 0.90 X 0 0 0 Scott Bouranis Trustee 0.10 0.90 X 0 0 0 Eric Crainich Trustee 0.10 0.90 X 0 0 0 Michael Fuerst Trustee 0.10 0.90 X 0 0 0 Katherine Lajoie Trustee 0.10 0.90 X 0 0 0 Alex Scott Trustee 0.10 0.90 X 0 0 0 Samuel Shields Trustee 0.10 0.90 X 0 0 0 Tom Sullivan Trustee 0.10 0.90 X 0 0 0 Juliann Barrett DO Trustee 0.10 39.90 X 0 311703 7944 Jocelyn Caple MD Interim President & CEO 1.60 38.40 X X 421499 0 0 Gailyn Thomas MD Past Trustee 0.10 19.90 X 0 194633 0 Cynthia L Burr Past Trustee 0.10 0.90 X 0 0 0 Steve Gordon Past Interim CEO 1.60 38.40 X X 0 0 0 Jean Shaw Past CFO 2.80 37.20 X 178428 0 41390 599927 506336 49334 2 0 1 1 Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 CEO Contract Services 418690 1 Management Services 621610 1313233 1313233 Rental Income 531120 949406 949406 Miscellaneous Revenue 621610 91659 91659 2354298 103772 103772 2950 6646 3865 -6646 -915 -7561 -7561 2450509 2354298 0 96211 641317 564708 76609 139511 122846 16665 53813 47385 6428 20731 18255 2476 61832 61832 50000 50000 26676 26676 225550 198607 26943 87572 87572 24525 21595 2930 17794 15668 2126 685 603 82 323 284 39 576721 576721 969440 853635 115805 48679 48679 Dues and Subscriptions 30547 26898 3649 Miscellaneous 27476 24194 3282 3003192 1894678 1108514 0 X 301190 187105 1124342 1174655 6659 6659 661 6492 21133 34196 41852818 35494411 7322080 6358407 3362777 3933645 12950 12950 24218 20854 12176010 11734963 190939 122424 117058 117058 17607572 17265051 504071 584182 18419640 18088715 X -6243706 -6353828 76 76 -6243630 -6353752 12176010 11734963 -552683 442561 0 X 0 1 X 1 1 1 X X 1 Valley Regional Hospital Inc 020222118 3 1 1894678 0 1 1894678 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15822111 12165742 3656369 119313 119079 234 24877941 22301188 2576753 1033453 908402 125051 6358407 Due to Affiliates 571536 Reserve for Self-Funded Insurance 12646 584182 X X X 0 0 0 0 0 0 0 0 0 Jocelyn Caple MD Interim President & CEO 421499 0 0 0 0 0 0 0 0 0 421499 0 0 0 Juliann Barrett DO Trustee 0 284220 0 15000 0 12483 0 6843 0 1101 0 319647 0 0 Jean Shaw Past CFO 177768 0 0 0 660 0 4467 0 36923 0 219818 0 0 0 Gailyn Thomas MD Past Trustee 0 194633 0 0 0 0 0 0 0 0 0 194633 0 0 Form 990, Part VII, line 5: Jocelyn F. Caple, Interim President & CEO, is paid by Mary Hitchcock Memorial Hospital, an unrelated organization via a professional services agreement. For a two month period, During calendar year 2022, Valley Regional Healthcare paid Mary Hitchcock Memorial Hospital $421,499 for services rendered to Valley Regional Healthcare. The actual compensation paid to Ms. Caple by Mary Hitchcock Memorial Hospital is not known to the Organization. As such, pursuant to the Form 990 instructions, the Organization is reporting the amount paid for services rendered as compensation to Ms. Caple, and is reporting this amount on Form 990, Part VII, Column D. Form 990, Part VI, Section A, line 6 The Corporation has an assembly of Overseers. Form 990, Part VI, Section A, line 7a The Overseers elect directors to the Board. Additionally, the CEO of Dartmouth Hitchcock Medical Center has the right to appoint one representative to the Board of Directors. Form 990, Part VI, Section A, line 7b The power to alter, amend or repeal the bylaws or to adopt new bylaws shall be vested in the Assembly of Overseers. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the CFO and a full copy is shared and reviewed with the CEO and the Finance Committee members. The Finance Committee members are given an opportunity for comment prior to filing. The review is conducted by the CFO. Form 990, Part VI, Section B, line 12c The Risk & Compliance Office requires annual review of the conflict of interest policy. All Officers, Directors, Trustees, and Key Employees must sign an acknowledgment of the policy and disclose any interests that could give rise to conflicts. The signed forms are held in the following locations: Officers and Trustees - Executive Assistant office Directors and Key Employees - In the Elsevier Human Resources system Contracted Services - within or alongside any contract in the corresponding administration or materials area Form 990, Part VI, Section B, line 15 The executive committee of the board of trustees convenes two to four times annually to review the compensation of the CEO. The amount of compensation shall be reviewed by the D-H independent compensation consultant for purposes of determining compliance with the rebuttable presumption, if necessary. The CEO compensation is tied to the strategic planning goals of the Organization. Regional compensation of like-sized organizations is used for comparison purposes. 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 X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Valley Regional Healthcare, Inc. 243 Elm Street Claremont, NH 03743 EIN: 02-0397338 Valley Regional Healthcare, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Valley Regional Hospital Inc 243 Elm Street Claremont NH 03743 020222118 Critical Access Hospital NH 501(c)(3) Line 3 Valley Regional Healthcare Inc 1 Charitable Remainder Trusts (3) Charitable Trust NH Valley Regional Hospital Inc 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Valley Regional Hospital Inc L 1313233 Amounts Received Valley Regional Hospital Inc A 928872 Amounts Received