Civic Intelligence

Valley Health System

EIN 52-1357729 • 501(c)3 • Winchester, VA

Profile

To support and encourage healthcare and related services through providing financial, management, and other assistance to its affiliates and other organizations and through all other relevant means.

220 Campus Blvd Suite 310Winchester, VA 22601

www.valleyhealthlink.com

Siviq Scores

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

Liabilities / Assets

94th percentile

1.07x

Higher debt load relative to assets than 94% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

59th percentile

0.58x

Higher debt load relative to revenue than 59% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

42nd percentile

1.7%

Higher net margin than 42% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

91st percentile

31%

Faster asset growth than 91% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

52nd percentile

7.7%

Faster revenue growth than 52% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$110,609,525

Up $26,456,835 (+31%) from 2023

Liabilities

Up

$118,604,502

Up $28,176,376 (+31%) from 2023

Net Assets

Down

-$7,994,977

Down $1,719,541 (-27%) from 2023

Revenue

Up

$204,470,710

Up $14,571,862 (+7.7%) from 2023

Expenses

Up

$200,945,377

Up $9,420,073 (+4.9%) from 2023

Net Income

Up

$3,525,333

Up $5,151,789 (+317%) from 2023

Trend Graphs

Balance Sheet Trend

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

$150M$100M$50M$0-$50MAssets 2010: $41,218,759Liabilities 2010: $48,165,810Net Assets 2010: -$6,947,0512010Assets 2011: $46,999,441Liabilities 2011: $51,222,170Net Assets 2011: -$4,222,7292011Assets 2012: $42,411,103Liabilities 2012: $45,630,720Net Assets 2012: -$3,219,6172012Assets 2013: $48,214,156Liabilities 2013: $51,993,352Net Assets 2013: -$3,779,1962013Assets 2014: $45,266,970Liabilities 2014: $48,528,714Net Assets 2014: -$3,261,7442014Assets 2015: $61,993,974Liabilities 2015: $56,926,100Net Assets 2015: $5,067,8742015Assets 2016: $78,298,824Liabilities 2016: $66,175,815Net Assets 2016: $12,123,0092016Assets 2017: $82,593,789Liabilities 2017: $61,693,813Net Assets 2017: $20,899,9762017Assets 2018: $83,464,757Liabilities 2018: $64,871,920Net Assets 2018: $18,592,8372018Assets 2019: $93,869,773Liabilities 2019: $77,507,140Net Assets 2019: $16,362,6332019Assets 2020: $93,641,578Liabilities 2020: $79,586,400Net Assets 2020: $14,055,1782020Assets 2021: $88,570,252Liabilities 2021: $76,049,102Net Assets 2021: $12,521,1502021Assets 2022: $89,818,196Liabilities 2022: $77,204,297Net Assets 2022: $12,613,8992022Assets 2023: $84,152,690Liabilities 2023: $90,428,126Net Assets 2023: -$6,275,4362023Assets 2024: $110,609,525Liabilities 2024: $118,604,502Net Assets 2024: -$7,994,9772024

Highlighted filing

2024

Assets$110,609,525
Liabilities$118,604,502
Net Assets-$7,994,977

Operations Trend

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

$300M$200M$100M$0-$100MExpenses 2010: $72,902,4822010Expenses 2011: $77,770,7092011Expenses 2012: $85,837,4572012Revenue 2013: $90,331,469Expenses 2013: $91,664,685Net Income 2013: -$1,333,2162013Revenue 2014: $104,968,641Expenses 2014: $102,424,544Net Income 2014: $2,544,0972014Revenue 2015: $110,826,561Expenses 2015: $107,785,111Net Income 2015: $3,041,4502015Revenue 2016: $116,765,045Expenses 2016: $110,716,428Net Income 2016: $6,048,6172016Revenue 2017: $130,645,016Expenses 2017: $116,829,112Net Income 2017: $13,815,9042017Revenue 2018: $137,457,269Expenses 2018: $128,853,830Net Income 2018: $8,603,4392018Revenue 2019: $149,228,129Expenses 2019: $135,449,982Net Income 2019: $13,778,1472019Revenue 2020: $157,041,843Expenses 2020: $148,974,539Net Income 2020: $8,067,3042020Revenue 2021: $160,759,403Expenses 2021: $158,529,206Net Income 2021: $2,230,1972021Revenue 2022: $187,428,345Expenses 2022: $181,565,946Net Income 2022: $5,862,3992022Revenue 2023: $189,898,848Expenses 2023: $191,525,304Net Income 2023: -$1,626,4562023Revenue 2024: $204,470,710Expenses 2024: $200,945,377Net Income 2024: $3,525,3332024

Highlighted filing

2024

Revenue$204,470,710
Expenses$200,945,377
Net Income$3,525,333

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$111$119$7.99$204$201$3.53
2023Detailed filing. Detailed filing data is available for this year.$84.2$90.4$6.28$190$192$1.63
2022Detailed filing. Detailed filing data is available for this year.$89.8$77.2$12.6$187$182$5.86
2021Detailed filing. Detailed filing data is available for this year.$88.6$76.0$12.5$161$159$2.23
2020Detailed filing. Detailed filing data is available for this year.$93.6$79.6$14.1$157$149$8.07
2019Detailed filing. Detailed filing data is available for this year.$93.9$77.5$16.4$149$135$13.8
2018Detailed filing. Detailed filing data is available for this year.$83.5$64.9$18.6$137$129$8.60
2017Detailed filing. Detailed filing data is available for this year.$82.6$61.7$20.9$131$117$13.8
2016Detailed filing. Detailed filing data is available for this year.$78.3$66.2$12.1$117$111$6.05
2015Detailed filing. Detailed filing data is available for this year.$62.0$56.9$5.07$111$108$3.04
2014Detailed filing. Detailed filing data is available for this year.$45.3$48.5$3.26$105$102$2.54
2013Detailed filing. Detailed filing data is available for this year.$48.2$52.0$3.78$90.3$91.7$1.33
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.4$45.6$3.22$85.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.0$51.2$4.22$77.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.2$48.2$6.95$72.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$204,636,640
Mission and Program Overview

Mission

To support and encourage healthcare and related services through providing financial, management, and other assistance to its affiliates and other organizations and through all other relevant means.

Serving our community by improving health. Provision of healthcare and medical services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Prepaid Expenses and Deferred Charges$17,279,639$23,843,920▲ $6,564,281
Investments Other Securities$8,256,976$13,025,674▲ $4,768,698
Investments Program Related$9,835,999$11,070,822▲ $1,234,823
Inventories for Sale or Use$4,362,234$3,494,154▼ $868,080
Cash and Non-Interest-Bearing Accounts$5,005,910$3,239,536▼ $1,766,374
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Total Assets$84,152,690$110,609,525▲ $26,456,835
Other Assets Total$39,411,932$55,935,419▲ $16,523,487
Liabilities
Accounts Payable and Accrued Expenses$89,786,067$110,899,439▲ $21,113,372
Other Liabilities$300,638$7,481,082▲ $7,180,444
Deferred Revenue$341,421$223,981▼ $117,440
Total Liabilities$90,428,126$118,604,502▲ $28,176,376
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-6,275,436$-7,994,977▼ $1,719,541
Total Net Assets Fund Balance$-6,275,436$-7,994,977▼ $1,719,541
Total Liabilities and Net Assets / Fund Balance$84,152,690$110,609,525▲ $26,456,835

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$600,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Iyad SabbaghCMOFT$1,293,162$455,559$2,166,144
Christine LowmanControllerPT$593,574$353,236$946,810
James FreilichFormer Officer-$732,886$224,817$908,594
Jeffrey FeitVice President-$536,552$277,026$864,440
Chris TurnbullFormer Med Staf President-$410,846$243,434$654,280
Barbara BallardCIOPT$367,792$263,775$631,567
Jennifer CoelloVice President-$365,757$96,858$583,003
Heather SigelFormer Officer-$308,914$577,879$474,231
Julie MiksitVice President-$295,511$69,962$462,495
Bradford RogersVice President-$247,890$154,025$401,915
Carmen ClipperVice PresidentFT$271,075$120,849$391,924
Jake MezaVice President-$277,871$84,516$377,900
David SharbaughFormer Officer-$255,902$100,953$349,029
Jeffrey GroesbeckAssoc DirectorFT$244,215$136,315$332,617
Chris RuckerVice President-$249,492$78,089$327,581
Amanda FlemingDirectorFT$240,853$69,497$310,350
James DaleFormer Trustee-$234,812$182,246$304,795
Carla DallmannVice PresidentPT$250,016$41,869$291,885
Christopher GooditisCTOFT$246,170$65,720$289,278
Elizabeth SavageSr VPPT$213,801$104,247$269,125
Dan AlexanderTrustee-$45,000-$45,000
Harry SmithChairman-$21,361-$21,361
Chad DansieTrustee-$17,100-$17,100
Thomas WiseTrustee-$14,183-$14,183
Julia M ConnellTrustee-$12,000-$12,000
Clifton L RutherfordTrustee-$9,000-$9,000
Jeff BoehmTrustee-$9,000-$9,000
Mary Beth PriceTrustee-$8,000-$8,000
Steven ClussSecretary-$8,000-$8,000
Katherine JohnsonTrustee-$6,000-$6,000
Melody EatonTrustee-$6,000-$6,000
Thomas GilpinVice Chairman-$6,000-$6,000
Gerald SmithTrustee-$5,000-$5,000

Board Members and Trustees

NameTitle
Mark NantzPresident & CEO
Kenneth JanowskiVice President
Kevin SheppardVice President
Kris MaddalenaVice President
Mark BakerVice President
Nelson T ClarkVice President
Nicolas RestrepoVice President
Susan LessarVice President
Theresa TrivetteVice President
Patrick IrelandFormer trustee/Physician
Kelly BoydSr Director
Robert AmosCFO
Mary BarrickFormer Officer
Mary RoxerFormer Officer
Sharon RigneyFormer Officer
Sherif KaiserFormer Officer
William ZehnerFormer Officer
Walter SowersLegal Officer
Tonya SmithSVP Wmc

Highest Paid Contractors

ContractorServicesLocationCompensation
Ensemble RMC LLCservice11512 Reed Hartman Highway, Cincinnati, OH 45241$52,079,189
Power Wellness ManagementService And Mgmt Fee2055 W ARMY TRAIL ROAD SUITE 124, Addison, IL 60101$2,776,239
Inova Healthcare ServicesService Fee8110 GATEHOUSE ROAD SUITE 400W, Falls Church, VA 22042$2,367,203
Epic Systems CorporationService products1979 Milky Way, Verona, WI 53593$1,693,649
Huntzinger ManagementServices201 S BLAKELY STREET 154, Dunmore, PA 18512$1,310,184
Revenue and Support

Revenue Composition

Contributions and Grants
$1,007,821
Program Service Revenue
$167,736,298
Investment Income
$20,365,139
Other Revenue
$15,361,452
Change in Net Assets
$3,525,333
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$119,736,058
Other Expenses$79,994,101
Total Fundraising Expense$1,246,634
Grants and Similar Amounts Paid$1,210,075
Professional Fundraising Fees$5,143

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$72,417,852$12,858,081$569,850$85,845,783
Information Technology$16,574,940$2,924,989$40,800$19,540,729
Office Expenses$16,207,006$2,860,060$43,396$19,110,462
Fees for Services Other$15,136,637$2,959,375-$18,096,012
Other Employee Benefits$12,973,908$2,289,513$217,241$15,480,662
Current Officers, Directors, Trustees, and Key Employees$6,563,777$1,157,314-$7,721,091
Payroll Taxes$5,956,555$1,051,157$47,110$7,054,822
Pension Plan Contributions$3,068,021$541,415$24,264$3,633,700
Fees for Services Legal$1,980,433$349,488-$2,329,921
Occupancy$1,941,943$342,696-$2,284,639
Advertising$1,280,694$226,005$10,797$1,517,496
Conferences and Meetings$894,996$157,940$169,808$1,222,744
Grants to Domestic Orgs$1,210,075--$1,210,075
Travel$865,123$152,669$15,445$1,033,237
Insurance$737,575$130,160-$867,735
Other Expenses$229,039$40,419$102,780$269,458
All Other Expenses$137,221$298-$137,519
Fees for Services Lobbying-$50,045-$50,045
Fees for Services Accounting-$25,777-$25,777
Fees for Services Professional Fundraising--$5,143$5,143
Total Functional Expenses$169,588,602$30,110,141$1,246,634$200,945,377
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Sinclair Health ClinicWinchester, VA501(c)(3)Charity Care$210,000
Our HealthWinchester, VA501(c)(3)Cover Our Health Expenses$185,000
Nsv Substance Abuse CoalitionWinchester, VA501(c)(3)Direct Grant Support$155,000
Winchester Rescue MissionWinchester, VA501(c)(3)Direct Grant Support$125,000
Horizon Goodwill IndustriesHagerstown, MD501(c)(3)Direct Grant Support$100,000
Winchester Medical Ctr FoundWinchester, VA501(c)(3)Charity Care$100,000
Shenandoah Apple BlossomWinchester, VA501(c)(3)Direct Grant Support$38,500
Chamber of CommerceFront Royal, VA501(c)(3)Direct Grant Support$27,195
Mountaineer Community HealthPaw Paw, WV501(c)(3)Direct Grant Support$25,000
WattsWinchester, VA501(c)(3)Direct Grant Support$25,000
Lord Fairfax EMS CouncilWinchester, VA501(c)(3)Direct Grant Support$20,000
Shenandoah Co Free ClinicWoodstock, VA501(c)(3)Charity Care$20,000
St Luke Community ClinicFront Royal, VA501(c)(3)Charity Care$20,000
Top of VirginiaWinchester, VA501(c)(3)Direct Grant Support$12,500
Concern HotlineWinchester, VA501(c)(3)Direct Grant Support$10,000
Foundation to Eradicate DucheAlexandria, VA501(c)(3)Direct Grant Support$10,000
Good Samaritan Free ClinicMartinsburg, WV501(c)(3)Charity Care$10,000
Hampshire County PathwaysRomney, WV501(c)(3)Direct Grant Support$10,000
Page County Free Medical CLuray, VA501(c)(3)Charity Care$10,000
Page One of Page CountyLuray, VA501(c)(3)Direct Grant Support$10,000
Wheels for WellnessWinchester, VA501(c)(3)Direct Grant Support$10,000
United Way of NSVWinchester, VA501(c)(3)Direct Grant Support$9,000
Museum of the Shenandoah ValWinchester, VA501(c)(3)Direct Grant Support$6,000
American Cancer SocietyMiddle River, MD501(c)(3)Direct Grant Support$5,500

International Summary

Spending
$18,092,834

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central American & CarribbeanInvestment-00$18,092,834
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$5,143
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$6,888,701
Current Portion of Lease$423,096
Executive Mutual Fund Payable$169,285
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
No
Compensation from other sources disclosed
No
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The corporation shall have two classes of members: regular and honorary. The number of regular members shall not exceed 100. In addition, there may be an unlimited number of honorary members. Qualifications for both classes of membership shall be established in the bylaws of the corporation. Honorary members have no voting or any other rights whatsoever. Regular members shall have voting rights solely with respect to the election of regular members, honorary members and trustees, as established in the bylaws of the corporation.

Form 990, Part VI, Section B, Line 11B

The 990 is prepared by internal staff and reviewed by an outside accounting firm, who is the paid preparer. The return then undergoes several levels of review including the CFO and CEO. Further, the board reviews the 990 during one of its recurring monthly meetings prior to filing where any issues of concern or question are addressed by Senior Management.

Form 990, Part VI, Section B, Line 12C

All board members sign a conflict of interest policy annually and upon appointment to the board. All employees that are managers, including officers, have purchasing rights with defined limits, or may enter into a contract on behalf of the organization are required to sign a conflict of interest attestation upon employment and annually. All employees can report breaches in Valley Health System policy. Valley Health System has an employee integrity hotline and a compliance officer. The audit committee is advised of compliance activity on a quarterly basis in addition to monthly follow up by the CEO on any immediate issues. Any infractions can result in disciplinary action or dismissal.Any trustee, officer or employee that discloses a conflict of interest will leave a board meeting on a transaction or arrangement that would be related to the potential conflict. With conflicts of interest the chair of the board will appoint a person or committee (if appropriate) to investigate alternatives to the proposed arrangement.

Form 990, Part VI, Section B, Line 15A

The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the CEO. A fair market value executive compensation review was completed in 2024.

Form 990, Part VI, Section B, Line 15B

The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the Officers, and Senior Management. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2024.

Form 990, Part VI, Section C, Line 19

The organization makes all records available as required by law.

Filing and Contact Details

Filer

Filer Name
Valley Health System
EIN
52-1357729
Phone
5405366287
Address
220 CAMPUS BLVD SUITE 310, WINCHESTER, VA 22601

Signing Officer

Name
Robert Amos
Title
CFO
Phone
5405368000
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Nantz
Formed
1983
Legal Domicile
Va
Voting Board Members
14
Independent Board Members
13
Employees
7,154

Preparer

Firm
Forvis Mazars LLP
Address
120 E Palmetto Road Suite 403, Boca Raton, FL 33432
Preparer
April Arnold
Phone
5612991820
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Transfer to affiliations = $19689850

Form 990, Part XI, Line 9

Transfers from affiliates = -$25042115

Part IX Line 25D

The organization pays for fundraising costs and the fundraising proceeds are recorded on the group return. The organization spent $1,245,536 in fundraising in 2024 and the related organization reported $9,933,716 in total of both contributions and grants under ein 80-0584319.

Financial Statement Notes

Part X : FIN48 Footnote

Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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