Form 990 for tax year 2022
Filed by VALLEY REGIONAL HEALTHCARE INC.
Totals
- Total revenue
- $2,450,509
- Total expenses
- $3,003,192
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $1,894,678
- Management and general expenses
- $1,108,514
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,894,678
Program services were 63.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Patricia Putnam
Chair
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Terri Decker
Vice Chair
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Lisa Richmond
Treasurer
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Bryan Huot
Secretary
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
James Borchert
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Scott Bouranis
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Eric Crainich
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Michael Fuerst
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Katherine Lajoie
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Alex Scott
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Samuel Shields
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Tom Sullivan
Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Juliann Barrett DO
Trustee
- Total calculated
- $319,647
- From this org
- $0
- From related orgs
- $311,703
- Other
- $7,944
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $284,220 related
- Bonus
- $0 + $15,000 related
- Other
- $0 + $12,483 related
- Deferred
- $0 + $6,843 related
- Nontaxable benefits
- $0 + $1,101 related
- Filer's total
- $0 + $319,647 related
-
Jocelyn Caple MD
Interim President & CEO
- Total calculated
- $421,499
- From this org
- $421,499
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.6 + 38.4 related
Schedule J breakdown matched by us
- Base
- $421,499
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $421,499
-
Gailyn Thomas MD
Past Trustee
- Total calculated
- $194,633
- From this org
- $0
- From related orgs
- $194,633
- Other
- $0
- Hours/week
- 0.1 + 19.9 related
Schedule J breakdown matched by us
- Base
- $0 + $194,633 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $194,633 related
-
Cynthia L Burr
Past Trustee
- Total calculated
- $0
- Hours/week
- 0.1 + 0.9 related
-
Steve Gordon
Past Interim CEO
- Total calculated
- $0
- Hours/week
- 1.6 + 38.4 related
-
Jean Shaw
Past CFO
- Total calculated
- $219,818
- From this org
- $178,428
- From related orgs
- $0
- Other
- $41,390
- Hours/week
- 2.8 + 37.2 related
Schedule J breakdown matched by us
- Base
- $177,768
- Bonus
- $0
- Other
- $660
- Deferred
- $4,467
- Nontaxable benefits
- $36,923
- Filer's total
- $219,818
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(c)(3) · Critical Access Hospital · NH · controlled entity
Directly controlled by Valley Regional Healthcare Inc
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 17 July 2024
- IRS schema version
- 2022v5.0
- Source object
- 202402009349300220
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