2026-08-14T22:57:31+00:00 2025-09-30 415375658 CROWE ADVISORY LLC 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2024-10-01 020397338 VALLEY REGIONAL HEALTHCARE INC VALL 6035427771 243 ELM STREET CLAREMONT NH 03743 MATTHEW MATHIESEN CFO 6035427771 2026-08-15 true RACHEL SPURLOCK P00520729 5023263996 2026-08-15 2024 2025-03-06 01:10:19Z MATTHEW FOSTER MD MMM 243 ELM STREET CLAREMONT NH 03743 7437965 false X WWW.VRH.ORG X 1986 NH PARENT ORGANIZATION TO VALLEY REGIONAL HOSPITAL, INC. 5 4 3 6 6885 5642 0 0 2353905 2212677 271986 2173265 0 0 2625891 4385942 0 13460 0 0 817180 188922 0 0 0 2010817 1641348 2827997 1843730 -202106 2542212 9368419 9133241 17808433 16733547 -8440014 -7600306 VALLEY REGIONAL HEALTHCARE, INC. IS ORGANIZED TO COORDINATE AND SUPPORT THE ACTIVITIES OF HEALTH CARE ORGANIZATIONS, INCLUDING VALLEY REGIONAL HOSPITAL, INC. false false 1031852 13460 2212677 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. 1031852 true false false false false false false false false false true true false false true false false true false false false false false false false false false true false true false false false false false false false false false false false false false false false true true true false false true 10 0 true 3 true true true false false false false false false false false false false false X 5 4 false true false false true true true true true false false false true true true true true true true true true true NH X MATTHEW MATHIESEN 6035427771 243 ELM STREET CLAREMONT NH 03743 ALAN C KEILLER TRUSTEE/TREASURER 0.5 2.0 X X 0 0 0 JOCELYN CAPLE MD INTERIM CEO (THROUGH 12/8/24) 1.0 39.5 X X 0 375731 65717 JOHN TANSEY TRUSTEE/CHAIR 0.5 2.5 X X 0 0 0 MATTHEW FOSTER CEO (AS OF 12/9/24) 1.0 39.5 X X 0 37005 2236 PATRICIA PUTNAM TRUSTEE/VICE CHAIR 1.0 2.0 X X 0 0 0 TERRI DECKER TRUSTEE/SECRETARY 1.0 2.0 X X 0 0 0 CELESTE PITTS INTERIM CFO 1.0 41.0 X 0 0 0 0 412736 67953 0 false true true MARY HITCHCOCK MEMORIAL HOSPITAL 1 MEDICAL CENTER DR LEBANON NH 03756 WORKFORCE SERVICES 278777 HELMS AND CO 1 PILLSBURY ST STE 200 CONCORD NH 03301 WORKFORCE SERVICES 179689 2 0 MANAGEMENT SERVICES 621610 1023499 1023499 RENTAL REVENUE 531120 928872 928872 OTHER PROGRAM REVENUE 621610 260306 260306 0 0 0 0 2212677 421601 6885 414716 0 0 4803687 3030158 21865 1773529 -21865 1751664 1751664 0 0 0 0 0 4385942 2212677 6885 2166380 X 13460 13460 126022 112513 13509 60710 54202 6508 2190 1955 235 585339 439912 145427 0 108605 108605 14320 9878 4442 118 118 553095 58075 495020 254552 234595 19957 60318 43193 17125 BOOKS AND EDUCATIONAL MATERIALS 37718 37050 668 OTHER EXPENSES 21570 21188 382 FOOD 5088 5088 DUES, FEES, AND TAXES 625 625 0 0 0 0 1843730 1031852 811878 0 968070 440621 6659 2916 0 0 22302 19995 40880047 38325897 2822554 2554150 5532432 12950 6118475 0 536 0 9368419 9133241 150272 74925 117058 0 16910910 630193 16658622 17808433 16733547 X -8440090 -7600386 76 80 -8440014 -7600306 9368419 9133241 2542212 -1702504 0 X false true true true true X X 1 VALLEY REGIONAL HOSPITAL INC 020222118 3 true 0 1031852 1 0 1031852 true false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION C, LINE 1 MAJORITY DIRECTOR DETAIL VALLEY REGIONAL HEALTHCARE, INC. ("VRHC"), THE SUPPORTING ORGANIZATION, IS SUPERVISED OR CONTROLLED IN CONNECTION WITH VALLEY REGIONAL HOSPITAL, INC. ("VRH"), THE SUPPORTED ORGANIZATION. CONTROL AND MANAGEMENT OF VRHC ARE VESTED IN THE SAME PERSONS WHO CONTROL AND MANAGE VRH THROUGH AN INTEGRATED CORPORATE GOVERNANCE STRUCTURE. DARTMOUTH-HITCHCOCK HEALTH ("D-HH") SERVES AS THE SOLE CORPORATE MEMBER OF VRHC, AND VRHC SERVES AS THE SOLE CORPORATE MEMBER OF VRH. PURSUANT TO SECTION 4.2 OF THE VRHC BYLAWS, THE VRHC BOARD IS COMPOSED ENTIRELY OF THE INDIVIDUALS SERVING ON VRH'S EXECUTIVE AND COMPENSATION COMMITTEE. SECTION 6.2 OF THE VRHC BYLAWS FURTHER PROVIDES THAT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF VRHC IS THE SAME INDIVIDUAL SERVING AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF VRH. THE ORGANIZATIONS ALSO SHARE A CHIEF FINANCIAL OFFICER. ACCORDINGLY, THE INTEGRATED GOVERNANCE AND SHARED MANAGEMENT STRUCTURE ENSURES THAT THE ORGANIZATIONS OPERATE AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM WITHIN THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. 17222637 16665139 557498 1151401 1066752 84649 22506009 20594006 1912003 2554150 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENT IN POOLED FUNDS 6118475 F 6118475 FEDERAL INCOME TAXES AFFILIATE NOTE PAYABLE 16544763 DUE TO AFFILIATE 113859 RESERVE FOR SELF-FUNDED INSURANCE 16658622 true STEVENS HIGH SCHOOL ALUMNI ORG PO BOX 710 CLAREMONT NH 03743 237456861 501C3 5240 SUPPORT FOR AFTERSCHOOL PROGRAMMING 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS AWARD PAYMENTS ARE PROCESSED IN ACCORDANCE WITH THE SPECIFIC TERMS OF EACH AWARD. THE COORDINATORS OF THE PROGRAM ARE RESPONSIBLE FOR ASSURING THAT ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES WITH RECEIPTS. false false false false false false false false false JOCELYN CAPLE MD INTERIM CEO (THROUGH 12/8/24) 0 344543 0 30000 0 1188 0 20700 0 45017 0 441448 0 0 FORM 990 PART VII SEC A LINE 5 - COMPENSATION PAID BY AN UNRELATED ORG CELESTE PITTS SERVES AS THE INTERIM CHIEF FINANCIAL OFFICER AND IS COMPENSATED BY HELMS & CO., AN INDEPENDENT ENTITY ENGAGED BY THE ORGANIZATION. MS. PITTS PERFORMS CERTAIN FINANCIAL AND MANAGEMENT FUNCTIONS UNDER THE SUPERVISION OF THE BOARD OF DIRECTORS. DURING CALENDAR YEAR 2024, VALLEY REGIONAL HEALTHCARE PAID HELMS & CO. A TOTAL OF $179,689 FOR THE INTERIM CFO SERVICES PROVIDED BY MS. PITTS. THE COMPENSATION PAID BY HELMS & CO. TO MS. PITTS FOR HER INTERIM CFO SERVICES RENDERED TO THE ORGANIZATION IS UNKNOWN TO THE ORGANIZATION. PURSUANT TO THE IRS INSTRUCTIONS FOR PART VII SECTION A OF FORM 990, THE FILING ORGANIZATION MUST REPORT PAYMENTS MADE TO AN OFFICER BY AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION IN THAT PERSON'S CAPACITY AS AN OFFICER OF THE FILING ORGANIZATION ON FORM 990 PART VII SECTION A AS COMPENSATION FROM THE FILING ORGANIZATION IF THE FILING ORGANIZATION HAS KNOWLEDGE OF THE ARRANGEMENT. THE COMPENSATION REPORTED ON FORM 990 PART VII SECTION A FOR MS. PITTS IS ZERO BECAUSE THE ORGANIZATION DOES NOT HAVE KNOWLEDGE OF THE ARRANGEMENT BETWEEN HELMS & CO. AND MS. PITTS REGARDING THE AMOUNT OF COMPENSATION PAID TO MS. PITTS FOR HER SERVICES RENDERED TO THE ORGANIZATION. SCHEDULE J, PART I, LINE 3 CEO COMPENSATION THE CEO'S COMPENSATION AMOUNT IS DETERMINED BY A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE VRHC BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE AS DESCRIBED IN THE ORGANIZATION'S BYLAWS, THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD OF TRUSTEES OF THE CORPORATION AND THE D-HH CEO OR DESIGNEE. THE EXECUTIVE COMMITTEE WILL EXERCISE THE FULL AUTHORITY OF THE BOARD OF TRUSTEES BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, UNLESS EXPRESSLY LIMITED BY THE BOARD OF TRUSTEES. NOTWITHSTANDING THE FOREGOING, THE EXECUTIVE COMMITTEE WILL NOT HAVE THE AUTHORITY TO APPROVE A PECUNIARY BENEFIT TRANSACTION. THE EXECUTIVE COMMITTEE WILL BE RESPONSIBLE TO THE BOARD OF TRUSTEES AND WILL REPORT ITS ACTIONS AT EACH SUBSEQUENT MEETING OF THE BOARD OF TRUSTEES. FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIES CELESTE PITTS SERVES AS THE INTERIM CHIEF FINANCIAL OFFICER AND IS COMPENSATED BY HELMS & CO., AN INDEPENDENT ENTITY ENGAGED BY THE ORGANIZATION. MS. PITTS PERFORMS CERTAIN FINANCIAL AND MANAGEMENT FUNCTIONS UNDER THE SUPERVISION OF THE BOARD OF DIRECTORS. DURING CALENDAR YEAR 2024, VALLEY REGIONAL HEALTHCARE PAID HELMS & CO. A TOTAL OF $179,689 FOR THE INTERIM CFO SERVICES PROVIDED BY MS. PITTS. THE COMPENSATION PAID BY HELMS & CO. TO MS. PITTS FOR HER INTERIM CFO SERVICES RENDERED TO THE ORGANIZATION IS UNKNOWN TO THE ORGANIZATION. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF VALLEY REGIONAL HEALTHCARE. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF VALLEY REGIONAL HEALTHCARE. D-HH SHALL ELECT TO VALLEY REGIONAL HEALTHCARE'S BOARD OF TRUSTEES THOSE INDIVIDUALS WHO SERVE ON THE EXECUTIVE AND COMPENSATION COMMITTEE OF THE VALLEY REGIONAL HOSPITAL BOARD OF TRUSTEES. AN INDIVIDUAL WHO CEASES TO SERVE AS A MEMBER OF THIS EXECUTIVE AND COMPENSATION COMMITTEE FOR ANY REASON WILL BE DEEMED TO HAVE CEASED SERVICE ON THE BOARD, AND D-HH SHALL ELECT TO THE BOARD THE INDIVIDUAL FILLING THE VACANCY ON THE HOSPITAL EXECUTIVE AND COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE SOLE MEMBER, D-HH, MUST PROVIDE ADVANCE APPROVAL OF ANY ACTIONS TAKEN BY VALLEY REGIONAL HEALTHCARE IN CONNECTION WITH VALLEY REGIONAL HEALTHCARE'S ROLE AS THE SOLE MEMBER OF VALLEY REGIONAL HOSPITAL. D-HH ALSO HAS THE RIGHT TO CAUSE VALLEY REGIONAL HEALTHCARE TO INITIATE ANY OF THE ACTIONS THAT VALLEY REGIONAL HEALTHCARE HAS THE POWER TO INITIATE AS THE SOLE MEMBER OF VALLEY REGIONAL HOSPITAL. FURTHER, THE POWER TO ALTER, AMEND, OR REPEAL THE BYLAWS OF VALLEY REGIONAL HEALTHCARE OR TO ADOPT NEW BYLAWS IS VESTED IN D-HH. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY 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. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY 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, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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 IS 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. THE CEO IS PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS EVALUATED BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS AND NATIONAL DATA BENCHMARKING. THE TALENT DEVELOPMENT AND COMPENSATION COMMITTEE, ALONG WITH INDEPENDENT TRUSTEES, APPROVE THE FINAL COMPENSATION IN CONSIDERATION WITH THE INDEPENDENT THIRD-PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2025. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA (ALONG WITH ONGOING EVALUATIONS BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS). THE LAST FORMAL PROCESS WAS COMPLETED IN 2025. EXTERNAL BENCHMARKING FROM AN INDEPENDENT THIRD PARTY HAS BEEN USED FOR ANY OFFICER WHO WAS HIRED OR RECEIVED A COMPENSATION ADJUSTMENT SINCE THE LAST FORMAL PROCESS. COMPENSATION RATES ARE DETERMINED BY FOLLOWING THE GUIDELINES OF THE COMPENSATION COMMITTEE CHARTER AND PHILOSOPHY DOCUMENTS AND A FORMAL REVIEW BY COMPENSATION COMMITTEE MEMBERS. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 5 COMPENSATION PAID BY OTHERS CELESTE PITTS SERVES AS THE INTERIM CHIEF FINANCIAL OFFICER AND IS COMPENSATED BY HELMS & CO., AN INDEPENDENT ENTITY ENGAGED BY THE ORGANIZATION. MS. PITTS PERFORMS CERTAIN FINANCIAL AND MANAGEMENT FUNCTIONS UNDER THE SUPERVISION OF THE BOARD OF DIRECTORS. DURING CALENDAR YEAR 2024, VALLEY REGIONAL HEALTHCARE PAID HELMS & CO. A TOTAL OF $179,689 FOR THE INTERIM CFO SERVICES PROVIDED BY MS. PITTS. THE COMPENSATION PAID BY HELMS & CO. TO MS. PITTS FOR HER INTERIM CFO SERVICES RENDERED TO THE ORGANIZATION IS UNKNOWN TO THE ORGANIZATION. PURSUANT TO THE IRS INSTRUCTIONS FOR PART VII SECTION A OF FORM 990, THE FILING ORGANIZATION MUST REPORT PAYMENTS MADE TO AN OFFICER BY AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION IN THAT PERSON'S CAPACITY AS AN OFFICER OF THE FILING ORGANIZATION ON FORM 990 PART VII SECTION A AS COMPENSATION FROM THE FILING ORGANIZATION IF THE FILING ORGANIZATION HAS KNOWLEDGE OF THE ARRANGEMENT. THE COMPENSATION REPORTED ON FORM 990 PART VII SECTION A FOR MS. PITTS IS ZERO BECAUSE THE ORGANIZATION DOES NOT HAVE KNOWLEDGE OF THE ARRANGEMENT BETWEEN HELMS & CO. AND MS. PITTS REGARDING THE AMOUNT OF COMPENSATION PAID TO MS. PITTS FOR HER SERVICES RENDERED TO THE ORGANIZATION. FORM 990, PART IX, LINE 11G OTHER FEES CONTRACTED MEDICAL SERVICES - TOTAL EXPENSE: 393218, PROGRAM SERVICE EXPENSE: 351066, MANAGEMENT AND GENERAL EXPENSES: 42152, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 192121, PROGRAM SERVICE EXPENSE: 88846, MANAGEMENT AND GENERAL EXPENSES: 103275, FUNDRAISING EXPENSES: ; FORM 990, PART XII, LINE 3A FINANCIAL STATEMENTS AND REPORTING VALLEY REGIONAL HEALTHCARE WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. DURING FISCAL YEAR 2025, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FEDERAL FUNDING WHICH MET THE MINIMUM THRESHOLD SET FORTH IN THE SINGLE AUDIT ACT AND UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F . DUE TO THE NATURE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUDIT WAS PERFORMED ON THE FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING VALLEY REGIONAL. VALLEY REGIONAL HOSPITAL INC 243 ELM STREET CLAREMONT NH 03743 020222118 HOSPITAL NH 501(C)(3) 3 VRHC true DARTMOUTH-HITCHCOCK HEALTH ONE MEDICAL CENTER DRIVE LEBANON NH 03756 264812335 PARENT ORG NH 501(C)(3) 7 NOT APPLICABLE false MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222519596 PHYSICIAN SERVICES NH 501(C)(3) 10 DARTMOUTH-HITCHCOCK HEALTH false THE NEW LONDON HOSPITAL ASSOCIATION INC 273 COUNTY ROAD NEW LONDON NH 03257 020222171 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false CHESHIRE MEDICAL CENTER 580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020222791 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false DARTMOUTH HEALTH HOME CARE INC 88 PROSPECT STREET WHITE RIVER JUNCTION VT 05001 036006494 HOSPICE VT 501(C)(3) 10 DARTMOUTH-HITCHCOCK HEALTH false SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 HOSPITAL COOPERATIVE ORG VT 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false WINDSOR HOSPITAL CORP 289 COUNTY ROAD WINDSOR VT 05089 030183721 HOSPITAL VT 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false CHARITABLE REMAINDER TRUSTS (3) CHARITABLE TRUST NH VALLEY REGIONAL HOSPITAL TRUST false true false false false false false false false false true false true true false false false false false false VALLEY REGIONAL HOSPITAL A 928872 BOOK VALLEY REGIONAL HOSPITAL L 1023499 BOOK