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Nonprofiteer
← VALLEY REGIONAL HOSPITAL INC

Form 990 for tax year 2022

Filed by VALLEY REGIONAL HOSPITAL INC.

Totals

Total revenue
$65,431,800
Total expenses
$62,050,272
Contributions and grants received
$481,992
Grants paid
$0
Program services expenses (Part IX)
$51,415,751
Management and general expenses
$10,634,521
Fundraising expenses
$0
Program service expenses (Part III)
$51,415,751

Program services were 82.9% 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
    0.9 + 0.1 related
  • Terri Decker

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Lisa Richmond

    Treasurer

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Bryan Huot

    Secretary

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • James Borchert

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Scott Bouranis

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Eric Crainich

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Michael Fuerst

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Katherine Lajoie

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Alex Scott

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Samuel Shields

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Tom Sullivan

    Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Jocelyn Caple MD

    Interim President & CEO

    Total calculated
    $421,499
    From this org
    $0
    From related orgs
    $421,499
    Other
    $0
    Hours/week
    38.4 + 1.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $421,499 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $421,499 related
  • Juliann Barrett DO

    Co-CMO

    Total calculated
    $319,647
    From this org
    $311,703
    From related orgs
    $0
    Other
    $7,944
    Hours/week
    39.9 + 0.1 related

    Schedule J breakdown matched by us

    Base
    $284,220
    Bonus
    $15,000
    Other
    $12,483
    Deferred
    $6,843
    Nontaxable benefits
    $1,101
    Filer's total
    $319,647
  • Gailyn Thomas MD

    Past Trustee

    Total calculated
    $194,633
    From this org
    $194,633
    From related orgs
    $0
    Other
    $0
    Hours/week
    19.9 + 0.1 related

    Schedule J breakdown matched by us

    Base
    $194,633
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $194,633
  • Cynthia L Burr

    Past Trustee

    Total calculated
    $0
    Hours/week
    0.9 + 0.1 related
  • Steve Gordon

    Past Interim CEO

    Total calculated
    $0
    Hours/week
    38.4 + 1.6 related
  • Jean Shaw

    Past CFO

    Total calculated
    $219,818
    From this org
    $0
    From related orgs
    $178,428
    Other
    $41,390
    Hours/week
    37.2 + 2.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $177,768 related
    Bonus
    $0
    Other
    $0 + $660 related
    Deferred
    $0 + $4,467 related
    Nontaxable benefits
    $0 + $36,923 related
    Filer's total
    $0 + $219,818 related
  • Joshua Rudner

    Co-CMO

    Total calculated
    $342,129
    From this org
    $323,752
    From related orgs
    $0
    Other
    $18,377
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $311,075
    Bonus
    $10,000
    Other
    $2,677
    Deferred
    $5,800
    Nontaxable benefits
    $12,577
    Filer's total
    $342,129
  • Thomas Marks

    Physician

    Total calculated
    $613,795
    From this org
    $613,795
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $609,231
    Bonus
    $0
    Other
    $4,564
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $613,795
  • Charles M Sawyer

    Physician

    Total calculated
    $398,734
    From this org
    $379,049
    From related orgs
    $0
    Other
    $19,685
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $368,597
    Bonus
    $0
    Other
    $10,452
    Deferred
    $5,800
    Nontaxable benefits
    $13,885
    Filer's total
    $398,734
  • Jeffrey A Hanissian

    Physician

    Total calculated
    $413,334
    From this org
    $370,108
    From related orgs
    $0
    Other
    $43,226
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $361,272
    Bonus
    $0
    Other
    $8,836
    Deferred
    $5,800
    Nontaxable benefits
    $37,426
    Filer's total
    $413,334
  • Fernanda Magalhaes De Melo Manara M

    Physician

    Total calculated
    $367,894
    From this org
    $334,568
    From related orgs
    $0
    Other
    $33,326
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,070
    Bonus
    $65,274
    Other
    $224
    Deferred
    $0
    Nontaxable benefits
    $33,326
    Filer's total
    $367,894
  • Joel P Herrington

    Physician

    Total calculated
    $362,017
    From this org
    $329,260
    From related orgs
    $0
    Other
    $32,757
    Hours/week
    28

    Schedule J breakdown matched by us

    Base
    $313,581
    Bonus
    $10,000
    Other
    $5,679
    Deferred
    $5,800
    Nontaxable benefits
    $26,957
    Filer's total
    $362,017

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

  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
Valley Regional Healthcare, Inc., a related organization, establishes the compensation for the Organization's CEO. Valley Regional Healthcare, Inc. uses a variety of resources to establish compensation as follows: 1. Written employment contract 2. Compensation survey/study 3. Approval by the board/compensation committee
Part I, Line 7
Individuals listed with Incentive Bonus amounts are physicians who under their employment agreements/contracts have a provision for Incentive Bonuses based on Quality, Patient Satisfaction and Relative Value Units (RVUs) of services exceeding a target amount.
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. 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 E. Gailyn Thomas, Trustee, is a contracted physician paid through Mary Hitchcock Memorial Hospital, an unrelated organization, for services rendered to Valley Regional Hospital. During calendar year 2022, Valley Regional Hospital paid Mary Hitchcock Memorial Hospital $194,633 for services rendered to Valley Regional Hospital. The actual compensation paid to Dr. Thomas by Mary Hitchcock Memorial Hospital is not known to the Hospital. As such, pursuant to the Form 990 instructions, the Hospital is reporting the amount paid for services rendered as compensation to Dr. Thomas, and is reporting this amount on Form 990, Part VII, Column D. Dr. Thomas resigned from the Valley Regional Hospital Board on October 11, 2022.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
17 July 2024
IRS schema version
2022v5.0
Source object
202432009349300133

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