Civic Intelligence

Valley Regional Hospital Inc

EIN 02-0222118 • 501(c)3 • Claremont, NH

Profile

The mission of Valley Regional Hospital, Inc. is to improve community health, patient experience, and value. Our vision is to partner with the community to optimize health by ensuring access to high value health care.

243 Elm StreetClaremont, NH 03743

www.vrh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

48th percentile

0.22x

Higher debt load relative to assets than 48% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

41st percentile

0.24x

Higher debt load relative to revenue than 41% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

59th percentile

8.1%

Higher net margin than 59% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

88th percentile

$1,051,138

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

48th percentile

5.5%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

47th percentile

7.2%

Faster revenue growth than 47% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$76,525,625

Up $3,992,383 (+5.5%) from 2023

Liabilities

Down

$17,178,105

Down $6,951,316 (-29%) from 2023

Net Assets

Up

$59,347,520

Up $10,943,699 (+23%) from 2023

Revenue

Up

$70,142,208

Up $4,710,408 (+7.2%) from 2023

Expenses

Up

$64,439,536

Up $2,389,264 (+3.9%) from 2023

Net Income

Up

$5,702,672

Up $2,321,144 (+69%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $56,224,360Liabilities 2010: $35,293,155Net Assets 2010: $20,931,2052010Assets 2011: $58,108,658Liabilities 2011: $39,097,439Net Assets 2011: $19,011,2192011Assets 2012: $65,242,601Liabilities 2012: $42,381,512Net Assets 2012: $22,861,0892012Assets 2013: $63,610,293Liabilities 2013: $37,958,484Net Assets 2013: $25,651,8092013Assets 2014: $64,279,099Liabilities 2014: $37,958,812Net Assets 2014: $26,320,2872014Assets 2015: $59,416,328Liabilities 2015: $39,543,423Net Assets 2015: $19,872,9052015Assets 2016: $58,374,393Liabilities 2016: $40,066,000Net Assets 2016: $18,308,3932016Assets 2017: $61,611,362Liabilities 2017: $42,297,386Net Assets 2017: $19,313,9762017Assets 2018: $47,541,765Liabilities 2018: $21,527,131Net Assets 2018: $26,014,6342018Assets 2019: $49,163,552Liabilities 2019: $21,662,211Net Assets 2019: $27,501,3412019Assets 2020: $67,363,900Liabilities 2020: $36,640,207Net Assets 2020: $30,723,6932020Assets 2021: $72,743,139Liabilities 2021: $31,615,624Net Assets 2021: $41,127,5152021Assets 2022: $66,016,739Liabilities 2022: $23,687,768Net Assets 2022: $42,328,9712022Assets 2023: $72,533,242Liabilities 2023: $24,129,421Net Assets 2023: $48,403,8212023Assets 2024: $76,525,625Liabilities 2024: $17,178,105Net Assets 2024: $59,347,5202024

Highlighted filing

2024

Assets$76,525,625
Liabilities$17,178,105
Net Assets$59,347,520

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $46,520,5322010Expenses 2011: $47,833,5732011Expenses 2012: $46,598,7362012Revenue 2013: $39,217,821Expenses 2013: $39,419,676Net Income 2013: -$201,8552013Revenue 2014: $39,949,299Expenses 2014: $40,309,286Net Income 2014: -$359,9872014Revenue 2015: $39,041,860Expenses 2015: $40,291,569Net Income 2015: -$1,249,7092015Revenue 2016: $36,647,407Expenses 2016: $40,451,359Net Income 2016: -$3,803,9522016Revenue 2017: $40,464,707Expenses 2017: $41,995,855Net Income 2017: -$1,531,1482017Revenue 2018: $43,730,263Expenses 2018: $43,141,971Net Income 2018: $588,2922018Revenue 2019: $45,085,694Expenses 2019: $44,204,571Net Income 2019: $881,1232019Revenue 2020: $46,047,216Expenses 2020: $43,633,521Net Income 2020: $2,413,6952020Revenue 2021: $53,184,998Expenses 2021: $47,464,401Net Income 2021: $5,720,5972021Revenue 2022: $62,071,940Expenses 2022: $54,330,657Net Income 2022: $7,741,2832022Revenue 2023: $65,431,800Expenses 2023: $62,050,272Net Income 2023: $3,381,5282023Revenue 2024: $70,142,208Expenses 2024: $64,439,536Net Income 2024: $5,702,6722024

Highlighted filing

2024

Revenue$70,142,208
Expenses$64,439,536
Net Income$5,702,672

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$76.5$17.2$59.3$70.1$64.4$5.70
2023Detailed filing. Detailed filing data is available for this year.$72.5$24.1$48.4$65.4$62.1$3.38
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$66.0$23.7$42.3$62.1$54.3$7.74
2021Detailed filing. Detailed filing data is available for this year.$72.7$31.6$41.1$53.2$47.5$5.72
2020Detailed filing. Detailed filing data is available for this year.$67.4$36.6$30.7$46.0$43.6$2.41
2019Detailed filing. Detailed filing data is available for this year.$49.2$21.7$27.5$45.1$44.2$0.88
2018Detailed filing. Detailed filing data is available for this year.$47.5$21.5$26.0$43.7$43.1$0.59
2017Detailed filing. Detailed filing data is available for this year.$61.6$42.3$19.3$40.5$42.0$1.53
2016Detailed filing. Detailed filing data is available for this year.$58.4$40.1$18.3$36.6$40.5$3.80
2015Detailed filing. Detailed filing data is available for this year.$59.4$39.5$19.9$39.0$40.3$1.25
2014Detailed filing. Detailed filing data is available for this year.$64.3$38.0$26.3$39.9$40.3$0.36
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$63.6$38.0$25.7$39.2$39.4$0.20
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$65.2$42.4$22.9$46.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$58.1$39.1$19.0$47.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$56.2$35.3$20.9$46.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 11, 2025
Return Version
2023v6.0
Gross Receipts
$72,804,236
Mission and Program Overview

Mission

The mission of Valley Regional Hospital, Inc. is to improve community health, patient experience, and value. Our vision is to partner with the community to optimize health by ensuring access to high value health care.

Critical Access Hospital

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$31,234,448$36,673,791▲ $5,439,343
Land, Buildings, and Equipment, Net$6,680,203$10,930,624▲ $4,250,421
Savings and Temporary Cash Investments$17,773,166$10,727,863▼ $7,045,303
Accounts Receivable$8,505,735$7,368,660▼ $1,137,075
Investments Other Securities$5,147,651$6,250,147▲ $1,102,496
Intangible Assets$885,003$1,856,812▲ $971,809
Inventories for Sale or Use$1,168,455$1,303,896▲ $135,441
Prepaid Expenses and Deferred Charges$566,847$760,865▲ $194,018
Cash and Non-Interest-Bearing Accounts$3,698$9,137▲ $5,439
Total Assets$72,533,242$76,525,625▲ $3,992,383
Other Assets Total$568,036$643,830▲ $75,794
Liabilities
Other Liabilities$16,601,125$9,712,119▼ $6,889,006
Accounts Payable and Accrued Expenses$7,406,673$7,293,066▼ $113,607
Deferred Revenue$121,623$172,920▲ $51,297
Total Liabilities$24,129,421$17,178,105▼ $6,951,316
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$41,050,735$50,438,249▲ $9,387,514
Net Assets With Donor Restrictions$7,353,086$8,909,271▲ $1,556,185
Total Net Assets Fund Balance$48,403,821$59,347,520▲ $10,943,699
Total Liabilities and Net Assets / Fund Balance$72,533,242$76,525,625▲ $3,992,383

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,915,931$2,808,458$5,724,389
Other Land Buildings$4,558,227$10,611$4,568,838
Leasehold Improvements$2,958,091$775,399$3,733,490
Buildings$247,708$334,196$581,904
Land$250,667-$250,667
Other Securities$6,250,147--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$7,171,456-▲ $1,553,432-$8,724,888
2022$6,314,371-▲ $941,032$83,947$7,171,456
2021$7,279,159-▼ $891,253$73,535$6,314,371
2020$6,058,402-▲ $1,287,893$67,136$7,279,159
2019$5,895,100-▲ $163,302-$6,058,402
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeffrey A HanissianPast PhysicianFT$376,614$75,293$451,907
Whitney F HiltonOrthopedistFT$347,797$30,367$378,164
Joel P HerringtonPast PhysicianFT$311,202$50,329$361,531
Charles M SawyerPast PhysicianFT$320,367$39,269$359,636
Joshua RudnerPast ER Physician/CMOFT$315,640$36,421$352,061
Fernanda Magalhaes De Melo Manara MPhysicianFT$259,791$69,731$329,522
Juliann Barrett DOCMOFT$275,834$45,552$321,386
William Palmer MDTrustee--$140,395$140,395
Alex ScottPast Trustee-$3,707-$3,707

Board Members and Trustees

NameTitle
John TanseyChair
Jocelyn Caple MDInterim President & CEO
Patricia PutnamVice Chair
James BorchertPast Trustee
Katherine LajoiePast Trustee
Scott BouranisPast Trustee
Vincent Fusca IIIPast Trustee
Bryan HuotTrustee
Carol VivianTrustee
Deanna HowardTrustee
Eric CrainichTrustee
John GilmanTrustee
Lisa RichmondTrustee
Matthew HoudeTrustee
Michael FuerstTrustee
Pamela BrownTrustee
Patrick JordanTrustee
Samuel Shields JrTrustee
Steven SurgenorTrustee
Tom SullivanTrustee
Jean ShawFormer CFO
Celeste PittsInterim CFO
Terri DeckerSecretary
Alan KeillerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
American Healthcare Services AssociationContracted StaffingPO Box 670529, Dallas, TX 75267-0529$3,766,301
HMS Holdings LLCContracted StaffingPO Box 660, Exeter, NH 03833$1,811,728
Dartmouth HitchcockMedical ServicesOne Medical Center Drive, Lebanon, NH 03756$1,723,931
EM StaffContracted StaffingPO Box 540, Exeter, NH 03833-0540$1,026,517
Jackson & Coker Locumtenens LLCContracted StaffingPO Box 277638, Atlanta, GA 30384-7638$446,146
Revenue and Support

Revenue Composition

Contributions and Grants
$382,904
Program Service Revenue
$68,289,077
Investment Income
$1,472,715
Other Revenue
$-2,488
All Other Contributions
$382,904
Change in Net Assets
$5,702,672
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$34,238,267
Salaries, Compensation, and Employee Benefits$30,201,269
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$19,918,625$2,620,929-$22,539,554
Fees for Services Other$11,793,604$3,293,076-$15,086,680
Other Employee Benefits$4,360,983$479,712-$4,840,695
Occupancy$1,616,220$1,230,710-$2,846,930
Payroll Taxes$1,518,757$166,638-$1,685,395
Depreciation Depletion$1,237,092$127,883-$1,364,975
Information Technology$925,790$190,258-$1,116,048
Insurance$2,319$1,004,611-$1,006,930
Office Expenses$614,779$195,237-$810,016
Current Officers, Directors, Trustees, and Key Employees$677,154--$677,154
Pension Plan Contributions$412,266$46,205-$458,471
Other Expenses$154,135$79,754-$233,889
Fees for Service Investment Mgmnt Fees-$162,424-$162,424
Fees for Services Legal-$160,377-$160,377
Conferences and Meetings$86,952$45,070-$132,022
Fees for Services Accounting$30,465$28,854-$59,319
Interest$39,418$317-$39,735
Travel$14,155$1,818-$15,973
Advertising$200--$200
Total Functional Expenses$54,510,507$9,929,029$0$64,439,536
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third-Party Payor Settlements$6,988,058
Lease Liabilities$1,834,289
Reserve for Self-Funded Insurance$886,736
Due To Affiliates$3,036
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

Celeste Pitts serves as the Interim Chief Financial Officer and is compensated by Helms & Co., an independent management company engaged by the organization. Ms. Pitts performs certain financial and management functions under the supervision of the board of directors.

Form 990, Part VI, Section A, line 4

Effective 7/31/24 Dartmouth-Hitchcock Health (DHH) became the sole member of Valley Regional Health Care, who is the sole member of the organization. DHH now has the right to appoint up to one third of the Hospital Board, and has reserve powers that include approval of Board of Trustee (BOT) actions. The DHH CEO or designee is now a member of the BOT Executive committee. The CEO of the organization now reports to the BOT and the DHH CEO or designee.

Form 990, Part VI, Section A, line 6

The sole member of the Organization is Valley Regional Healthcare, Inc. Effective 7/31/2024 the sole member of Valley Regional Healthcare, Inc. is Dartmouth-Hitchcock Health.

Form 990, Part VI, Section A, line 7A

The Organization's trustees are nominated and elected by the Organization's member at the annual meeting of the Corporation. Effective 7/31/2024, the Member's member, Dartmouth-Hitchcock Health, has the right to appoint up to one-third of the directors of the board.

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. The member, acting solely at the direction, or upon approval of Dartmouth-Hitchcock Health will have the right to initiate the following actions: Removal of Trustees, hiring, evaluating, compensating and termination of the CEO, participation in system programs and initiatives and strategies, changes in clinical services, reallocation of Dartmouth-Hitchcock Health system resources and allocation of the corporations share of system expenses.

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. Regional compensation of like-sized organizations are used. The amount of compensation shall be reviewed by the D-H independent compensation consultant for purposes of determining compliance with the rebuttable presumption, if necessary. The CEO compensation is tied to the strategic planning goals of the Organization.

Form 990, Part VI, Section C, line 19

The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Valley Regional Hospital Inc
EIN
02-0222118
Phone
6035427771
Address
243 Elm Street, Claremont, NH 03743

Signing Officer

Name
Celeste Pitts
Title
Interim CFO
Phone
6035427771
Signed
2025-08-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Foster MD MMM
Formed
1893
Legal Domicile
Nh
Voting Board Members
20
Independent Board Members
13
Employees
447
Volunteers
20

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
2211 Congress St, Portland, ME 04102
Preparer
Melissa Magoon CPA
Phone
2077752387
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Physician Fees: Program service expenses 4,091,471. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,091,471. Purchased Services: Program service expenses 7,702,133. Management and general expenses 2,702,070. Fundraising expenses 0. Total expenses 10,404,203. Other Professional Fees: Program service expenses 0. Management and general expenses 591,006. Fundraising expenses 0. Total expenses 591,006.

Form 990, Part X, Line 10: Land, Buildings, and Equipment

Section 1.263(a)-3(n) Election: Valley Regional Hospital, Inc. 243 Elm Street Claremont, NH 03743 EIN: 02-0222118 Valley Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).

Form 990, Part XI, line 9:

Net Gain of Beneficial Interest In Perpetual Trust 1,102,496. Business Combination - Fair Value Adjustment -343,539.

Form 990, Part XI, Line 9: Other Changes in Net Assets

The business combination was accounted for using the acquisition method of accounting. DHH has chosen to push-down the fair value adjustment of $2,901,000 related to the identifiable assets and liabilities, which consisted of land, buildings, and equipment of the Organization. The $343,539 represents the adjustment portion for Valley Regional Hospital, Inc.

Financial Statement Notes

Part V, Line 4:

The Organization uses its endowment funds in support of health care services, purchases of equipment, health education, and indigent care.

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IRS990/Desc0Valley Regional Hospital is a provider of health services with facilities in the Claremont, NH area. The Hospital grants credit to patients, substantially all of whom are local residents.The Hospital also provides care to patients who meet certain criteria under its Financial Assistance policy without charge or at amounts less than its established rates. The Hospital does not pursue collection of amounts determined to qualify as financially-assisted care.The Hospital maintains records to identify and monitor the level of financially-assisted care it provides. For the year ending September 30, 2024, charges forgone for services and supplies furnished under the charity care policy were approximately $803,000. The estimated cost of those services and supplies was approximately $538,000.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 providingmedical care to patients. The hospital provides services to residents throughout the region. Those services include health evaluations, screenings, and flu vaccine administration at community events and in the workplace. Health education, wellness, chronic disease management, fitness, and ergonomic programs are also widely offered. For these services, and many other community services, the hospital receives little or no payment.Other community benefits can't be quantified or assigned a value. For example, the hospital provides committee and board participants and expertise to address community needs; to support community health initiatives; to advocate for and support individuals who are socially, economically and physically challenged; and to collaborate with the local public safety organizations.
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