VALLEY HEALTH SYSTEM INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY HEALTH SYSTEM INC (EIN 22-2922016)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202223199349313782
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T12:53:32-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 TICE BOULEVARD SUITE 315 | AddressLine1Txt |
| City | WOODCLIFF LAKE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07677 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222922016 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 2012916200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM KLUTKOWSKI | PersonNm |
| Person Title | SENIOR VP OF FINANCE & CFO | PersonTitleTxt |
| Phone | 2012916200 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WILLIAM | PersonFirstNm |
| Person Last | KLUTKOWSKI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 2017129800 | PhoneNum |
| Preparation | 2022-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AUDREY MEYERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $114,429,169 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MANAGEMENT AND PLANNING SERVICES FOR THE ENTITIES OF THE VALLEY HEALTH SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 473 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $80,959,432 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $101,741,635 | CYProgramServiceRevenueAmt |
| PY Investment Income | $322,948 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,108,555 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $81,282,380 | PYTotalRevenueAmt |
| CY Total Revenue | $105,850,190 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $50,480,639 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,667,628 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,587,626 | PYOtherExpensesAmt |
| CY Other Expenses | $55,823,770 | CYOtherExpensesAmt |
| PY Total Expenses | $83,068,265 | PYTotalExpensesAmt |
| CY Total Expenses | $112,491,398 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,785,885 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,641,208 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $45,134,894 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,555,711 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,790,379 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $50,535,666 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,344,515 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,020,045 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VALLEY HEALTH SYSTEM IS A FULL SERVICE HEALTHCARE SYSTEM SERVING THE RESIDENTS OF NORTHERN NEW JERSEY. IT COMPRISES THE MANY PROGRAMS AND SERVICES OF THE VALLEY HOSPITAL, A FULL SERVICE HOME CARE AGENCY, VALLEY HOME CARE, AND COMMUNITY-BASED PRIMARY AND URGENT CARE CENTERS, VALLEY HEALTH MEDICAL GROUPS, THAT BRING QUALITY HEALTHCARE TO MANY COMMUNITIES OF BERGEN COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $101,741,635 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED MANAGEMENT AND PLANNING SERVICES TO ITS SUBSIDIARIES AND AFFILIATES OF THE VALLEY HEALTH SYSTEM. | Desc |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 112 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 473 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM KLUTKOWSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2012916200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| AUDREY MEYERS | ||||||||||
| PRESIDENT/CEO, VHS | 8.00 | 32.00 | Yes (X) | Yes (X) | $1,715,221 | $0 | $46,536 | |||
| VINCENT FORLENZA | ||||||||||
| CHAIRMAN | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ANN LIMBERG | ||||||||||
| VICE CHAIRMAN/SECRETARY | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KEVIN LOBO | ||||||||||
| VICE CHAIRMAN | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FRANK J SHEEHY | ||||||||||
| VICE CHAIRMAN | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH MARION | ||||||||||
| TREASURER | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JUDY BASELICE | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES BUSH | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| MICHELLE HASSON | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| M SHAWN KENNEDY RN | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE MACTAS | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| DUANE SACHS | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| DENIS SALAMONE | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT SCHROEDER | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD B SELF MD | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN SILVERSTEIN | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY TUCKER | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA VERDUIN | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| WAYNE WALD ESQ | ||||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM KLUTKOWSKI | ||||||||||
| VP FINANCE & CFO EFF. 3/2021 | 40.00 | 0.00 | Yes (X) | $709,400 | $0 | $54,102 | ||||
| ROBERT W BRENNER | ||||||||||
| PRESIDENT, CLINICAL INTEGRATION | 8.00 | 32.00 | $1,278,073 | $0 | $25,357 | Yes (X) | ||||
| PETER W DIESTEL | ||||||||||
| PRESIDENT, VHS OPERATIONS | 40.00 | 0.00 | $965,335 | $0 | $43,436 | Yes (X) | ||||
| JOSE BALDERRAMA | ||||||||||
| VP, HUMAN RESOURCES | 40.00 | 0.00 | $576,774 | $0 | $33,155 | Yes (X) | ||||
| EPHRAIM S CASPER MD | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $947,492 | $0 | $41,829 | Yes (X) | ||||
| ROBIN G HOLLANDER | ||||||||||
| SENIOR VP, LEGAL SERVICES | 40.00 | 0.00 | $801,917 | $0 | $47,089 | Yes (X) | ||||
| ERIC CAREY | ||||||||||
| VP/CIO, INFO. SYSTEMS | 15.00 | 25.00 | $606,188 | $0 | $53,919 | Yes (X) | ||||
| JOSEPH LORINO | ||||||||||
| VP, FACILITIES MANAGEMENT | 40.00 | 0.00 | $460,161 | $0 | $35,347 | Yes (X) | ||||
| MEGAN FRASER | ||||||||||
| VP, COMMUNICATIONS/ MARKET | 40.00 | 0.00 | $460,579 | $0 | $34,057 | Yes (X) | ||||
| RICHARD KEENAN | ||||||||||
| FORMER SENIOR VP FINANCE/CFO | 0.00 | 0.00 | $4,692,143 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $13,213,283 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $414,827 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 150 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SPM MARKETING & COMMUNICATIONS LLC | |||||
| 15 WHARRIS AVENUE SUITE 300 | LAGRANGE | IL | 60525 | HEALTHCARE MARKETING & COMMUNICATIONS | $2,218,728 |
| HERITAGE INC | |||||
| 4 WILSEY SQUARE | RIDGEWOOD | NJ | 07450 | COMMERCIAL PRINTING | $856,129 |
| DISPATCH HEALTH MANAGEMENT LLC | |||||
| 3455 RINGSBY COURT SUITE 101 | DENVER | CO | 80126 | HOME HEALTH CARE | $788,173 |
| FURMAN ROTH ADVERTISING | |||||
| 801 SECOND AVENUE | NEW YORK | NY | 10017 | ADVERTISING SERVICES | $674,180 |
| NORTH JERSEY MEDIA GROUP | |||||
| 1 GARRET MOUNTAIN PLAZA | WOODLAND PARK | NJ | 07424 | NEWSPAPER ADVERTISING | $544,594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| AFFILIATE COST ALLOCATION | 900099 | $85,575,431 | $85,575,431 |
| INCENTIVE PROGRAM FEES | 900099 | $16,166,204 | $16,166,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $101,741,635 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $368,445 | TotalRevenueColumnAmt |
| Exclusion | $368,445 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,319,089 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,578,979 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,740,110 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,740,110 | TotalRevenueColumnAmt |
| Exclusion | $3,740,110 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,850,190 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,741,635 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,108,555 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,447,387 | TotalAmt |
| Management And General | $5,447,387 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,692,143 | TotalAmt |
| Management And General | $4,692,143 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,763,605 | TotalAmt |
| Management And General | $36,763,605 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,013,765 | TotalAmt |
| Management And General | $2,013,765 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,509,071 | TotalAmt |
| Management And General | $4,509,071 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,241,657 | TotalAmt |
| Management And General | $3,241,657 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,784 | TotalAmt |
| Management And General | $54,784 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,408,931 | TotalAmt |
| Management And General | $1,408,931 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,846 | TotalAmt |
| Management And General | $44,846 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,232 | TotalAmt |
| Management And General | $9,232 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,713,806 | TotalAmt |
| Management And General | $12,713,806 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,859,909 | TotalAmt |
| Management And General | $4,859,909 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,514 | TotalAmt |
| Management And General | $830,514 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,791,088 | TotalAmt |
| Management And General | $1,791,088 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,700 | TotalAmt |
| Management And General | $35,700 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,714 | TotalAmt |
| Management And General | $65,714 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365,073 | TotalAmt |
| Management And General | $1,365,073 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| ALLOCATED OTHER EXPENSE | $19,411,945 | $19,411,945 |
| PAID CLAIMS BY CAPTIVE | $8,171,322 | $8,171,322 |
| LICENSES & ASSESMENTS | $4,447,568 | $4,447,568 |
| DUES & SUBSCRIPTIONS | $613,338 | $613,338 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,491,398 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $112,491,398 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,583,239 | BOYAmt |
| EOY | $2,425,098 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $975,820 | BOYAmt |
| EOY | $1,682,096 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,415 | BOYAmt |
| EOY | $904,532 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,075,805 | BOYAmt |
| EOY | $9,553,190 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,056,802 | BOYAmt |
| EOY | $35,605,218 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,959,813 | BOYAmt |
| EOY | $3,385,577 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,134,894 | BOYAmt |
| EOY | $53,555,711 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,643,756 | BOYAmt |
| EOY | $12,233,829 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,146,623 | BOYAmt |
| EOY | $38,301,837 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,790,379 | BOYAmt |
| EOY | $50,535,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,344,515 | BOYAmt |
| EOY | $3,020,045 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,344,515 | BOYAmt |
| EOY | $3,020,045 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,134,894 | BOYAmt |
| EOY | $53,555,711 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,641,208 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,683,262 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $10,000,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,204,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,468,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $78,926,070 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,959,432 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,741,635 | CurrentTaxYearAmt |
| Total | $393,299,781 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,204,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,468,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $78,926,070 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,959,432 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,741,635 | CurrentTaxYearAmt |
| Total | $393,299,781 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $393,299,781 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,036 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,010,750 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $387,142 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $368,445 | CurrentTaxYearAmt |
| Total | $1,767,373 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,036 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $1,010,750 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $387,142 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $368,445 | CurrentTaxYearAmt |
| Total | $1,767,373 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,205,404 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,468,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,936,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $81,346,574 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102,110,080 | CurrentTaxYearAmt |
| Total | $395,067,154 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99550 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99530 | PublicSupportPY509Pct |
| Investment Income CY | 0.00450 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00470 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM VALLEY HOSPITAL | Desc |
| Book Value | $3,385,577 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,385,577 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED PROFESSIONAL LIABILITY | $38,205,169 |
| DUE TO VALLEY HOME CARE | $96,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,301,837 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $114,166,928 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,683,262 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $10,000,000 | OtherRevenueAmt |
| Revenue Not Reported | $8,316,738 | RevenueNotReportedAmt |
| Revenue Subtotal | $105,850,190 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $105,850,190 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $112,491,398 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $112,491,398 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $112,491,398 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE COMPANY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS FOR PERIODS PRIOR TO DECEMBER 31, 2018. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | TRANSFER FROM THE VALLEY HOSPITAL FOR CAPTIVE INSURANCE 10,000,000. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENT IN CAPTIVE INSURANCE SUBSIDIARY | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $36,685,265 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $36,685,265 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $36,685,265 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD KEENAN | ||||||||||||||
| FORMER SENIOR VP FINANCE/CFO | $0 | $0 | $0 | $0 | $4,692,143 | $0 | $0 | $0 | $0 | $0 | $4,692,143 | $0 | $4,692,143 | $0 |
| AUDREY MEYERS | ||||||||||||||
| PRESIDENT/CEO, VHS | $1,165,777 | $0 | $450,000 | $0 | $99,444 | $0 | $21,750 | $0 | $24,786 | $0 | $1,761,757 | $0 | $0 | $0 |
| ROBERT W BRENNER | ||||||||||||||
| PRESIDENT, CLINICAL INTEGRATION | $785,377 | $0 | $235,000 | $0 | $257,696 | $0 | $13,050 | $0 | $12,307 | $0 | $1,303,430 | $0 | $0 | $0 |
| PETER W DIESTEL | ||||||||||||||
| PRESIDENT, VHS OPERATIONS | $662,439 | $0 | $245,846 | $0 | $57,050 | $0 | $18,850 | $0 | $24,586 | $0 | $1,008,771 | $0 | $0 | $0 |
| EPHRAIM S CASPER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $824,792 | $0 | $67,356 | $0 | $55,344 | $0 | $14,500 | $0 | $27,329 | $0 | $989,321 | $0 | $0 | $0 |
| ROBIN G HOLLANDER | ||||||||||||||
| SENIOR VP, LEGAL SERVICES | $570,399 | $0 | $185,000 | $0 | $46,518 | $0 | $18,850 | $0 | $28,239 | $0 | $849,006 | $0 | $0 | $0 |
| WILLIAM KLUTKOWSKI | ||||||||||||||
| VP FINANCE & CFO EFF. 3/2021 | $489,691 | $0 | $95,000 | $0 | $124,709 | $0 | $20,300 | $0 | $33,802 | $0 | $763,502 | $0 | $0 | $0 |
| ERIC CAREY | ||||||||||||||
| VP/CIO, INFO. SYSTEMS | $399,364 | $0 | $95,000 | $0 | $111,824 | $0 | $22,867 | $0 | $31,052 | $0 | $660,107 | $0 | $0 | $0 |
| JOSE BALDERRAMA | ||||||||||||||
| VP, HUMAN RESOURCES | $384,584 | $0 | $90,000 | $0 | $102,190 | $0 | $14,500 | $0 | $18,655 | $0 | $609,929 | $0 | $0 | $0 |
| JOSEPH LORINO | ||||||||||||||
| VP, FACILITIES MANAGEMENT | $322,184 | $0 | $75,000 | $0 | $62,977 | $0 | $14,500 | $0 | $20,847 | $0 | $495,508 | $0 | $0 | $0 |
| MEGAN FRASER | ||||||||||||||
| VP, COMMUNICATIONS/ MARKET | $288,839 | $0 | $76,058 | $0 | $95,682 | $0 | $21,750 | $0 | $12,307 | $0 | $494,636 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | VALLEY HEALTH SYSTEM HAS DEVELOPED A COMPENSATION PLAN, WHICH GOVERNS THE COMPENSATION FOR ALL EXECUTIVES, INCLUDING THE CEO AND VICE PRESIDENTS OF THE ORGANIZATION. THE PLAN WAS DEVELOPED IN CONJUNCTION WITH A CONSULTING FIRM, REVIEWED BY THE PHYSICIAN LEADERSHIP COUNCIL AND APPROVED BY THE BOARD OF TRUSTEES AND THE VALLEY HEALTH SYSTEM PHYSICIAN COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE PLAN IS REVIEWED AND UPDATED AS NEEDED. |
| PART I, LINE 4B | RICHARD KEENAN RECEIVED A FINAL DISTRIBUTION PAYMENT FROM HIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN 2021 AS REPORTED IN PART II, COLUMNS B(III) AND F. AUDREY MEYERS AND WILLIAM KLUTKOWSKI ALSO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THEY DID NOT RECEIVE A PAYMENT DURING 2021: AUDREY MEYERS, ROBIN GOLDFISCHER-HOLLANDER, AND PETER DIESTEL PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). THEY DID NOT RECEIVE A PAYMENT DURING 2021: |
| PART I, LINE 7 | EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED FOR THEM IN PART II, COLUMN B(II). |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | VALLEY HEALTH SYSTEM HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 IS PREPARED, IT IS SUBMITTED TO MANAGEMENT AND THE AUDIT COMMITTEE FOR REVIEW. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED BY THE AUDIT COMMITTEE FOR FILING WITH THE INTERNAL REVENUE SERVICE. BEFORE FILING, THE FORM 990 IS MADE AVAILABLE FOR THE BOARD'S REVIEW, BY HARD COPY AND OR ELECTRONIC COPY. |
| FORM 990, PART VI, SECTION B, LINE 12 | THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST ANNUALLY. IF A CONFLICT OF INTEREST EXISTS THE ORGANIZATION WILL NOTIFY MEMBERS OF MANAGEMENT OR THE GOVERNING BODY AND INVESTIGATE THE CONFLICT. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE PART OF ANY DECISIONS ABOUT SUCH TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION HAS ESTABLISHED A POLICY FOR COMPENSATION OF ITS OFFICERS AND TOP MANAGEMENT. THE POLICY MANDATES THAT COMPENSATION FOR ITS OFFICERS AND TOP MANAGEMENT, BE ANNUALLY REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FREE OF ANY MEMBERS WITH CONFLICTS OF INTEREST RELATED THERETO. THE COMMITTEE DETERMINES THAT THE EXECUTIVES ARE BEING PAID AN APPROPRIATE LEVEL OF COMPENSATION BY USING COMPARATIVE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION DECISION ON THE AMOUNT OF COMPENSATION PAID AND TERM IS ADEQUATELY DOCUMENTED IN A CONTEMPORANEOUSLY WRITTEN FORMAT. THIS PROCESS WAS LAST UNDERTAKEN IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | VALLEY HEALTH SYSTEM, INC. MAKES ITS FORM 990, FINANCIAL STATEMENTS, FORM 1023, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON WRITTEN REQUEST AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450. |
| FORM 990, PART IX, LINE 11G | OUTSIDE SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,225,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,225,677. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,787,456. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,787,456. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 370,103. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 370,103. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,285,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,285,850. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 44,720. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,720. |
| FORM 990, PART XI, LINE 9: | TRANSFER FROM THE VALLEY HOSPITAL FOR CAPTIVE INSURANCE 10,000,000. |
| FORM 990, PART XII, LINE 2C | THE AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT AND FOR THE OVERSIGNT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLIGOCARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 N VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CLINICALLY INTERGRATED NETWORK | PrimaryActivitiesTxt |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Total Income | $16,166,204 | TotalIncomeAmt |
| End Of Year Assets | $2,572,014 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY HEALTH SYSTEM INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE VALLEY HOSPITAL FOUNDATION INC | ||||||||||
| 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 222324554 | SOLICITS AND RECEIVES CONTRIBUTIONS FOR THE BENEFIT OF HEALTH SYSTEM | NJ | 501(C)(3) | LINE 7 | VALLEY HEALTH SYSTEM INC | Yes (1) |
| THE VALLEY HOSPITAL INC | ||||||||||
| 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 221487307 | PROVIDE HEALTHCARE PROGRAMS AND SERVICES TO ALL | NJ | 501(C)(3) | LINE 3 | VALLEY HEALTH SYSTEM INC | Yes (1) |
| VALLEY HOME CARE INC | ||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 223208480 | PROVIDE HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ | NJ | 501(C)(3) | LINE 10 | VALLEY HEALTH SYSTEM INC | Yes (1) |
| VALLEY MEDICAL SERVICES PC | ||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 465297054 | PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE | NJ | 501(C)(3) | LINE 10 | VALLEY PHYSICIAN SERVICES INC | 0 |
| VALLEY PHYSICIAN SERVICE NY PC | ||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 453125678 | OPERATES URGENT/PRIMARY CARE CLINICS | NY | 501(C)(3) | LINE 10 | VALLEY PHYSICIAN SERVICES INC | 0 |
| VALLEY PHYSICIAN SERVICES INC | ||||||||||
| 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 320041186 | PROVIDES MANAGEMENT AND VARIED CONSULTING SERVICES | NJ | 501(C)(3) | LINE 10 | THE VALLEY HOSPITAL INC | 0 |
| VALLEY PHYSICIANS SERVICES PC | ||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 465285330 | PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE | NJ | 501(C)(3) | LINE 10 | VALLEY PHYSICIAN SERVICES INC | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VHS INSURANCE COMPANY LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 010 MAIN STREET | AddressLine1Txt |
| City | CAYMAN ISLANDS | CityNm |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980408200 | EIN |
| Primary Activities | CAPTIVE INSURANCE COMPANY | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $4,108,489 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $36,685,265 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE VALLEY HOSPITAL INC | ||
| C | $2,245,605 | COST |
| VALLEY HOME CARE | ||
| Q | $5,750,000 | COST |
| THE VALLEY HOSPITAL INC | ||
| B | $4,889,287 | COST |
| THE VALLEY HOSPITAL INC | ||
| S | $10,000,000 | COST |
| VHS INSURANCE COMPANY LTD | ||
| R | $10,000,000 | COST |
| VALLEY PHYSICIAN SERVICES INC | ||
| B | $15,863,865 | COST |