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VALLEY PHYSICIAN SERVCIES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
VALLEY PHYSICIAN SERVCIES INC (EIN 32-0041186)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223199349313787
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

FieldValueIRS element (for citing)
Return2022-11-15T12:54:23-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 TICE BOULEVARD SUITE 315AddressLine1Txt
CityWOODCLIFF LAKECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07677ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN320041186EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY PHYSICIAN SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone2014478000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVEAddressLine1Txt
CityRIDGEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07450ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM KLUTKOWSKIPersonNm
Person TitleSR. VP, FINANCE & CFOPersonTitleTxt
Phone2014478000PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWILLIAMPersonFirstNm
Person LastKLUTKOWSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD G O'CONNORPreparerPersonNm
PTINP00434443PTIN
Phone2017129800PhoneNum
Preparation2022-11-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1VALLEY MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerAUDREY MEYERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVEAddressLine1Txt
CityRIDGEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07450ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$118,274,692GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROVIDE MANAGEMENT SERVICES TO RELATED PHYSICIAN SERVICE ORGANIZATIONS WITHIN VALLEY HEALTH SYSTEM, INC.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee940TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$103,279,722PYContributionsGrantsAmt
CY Contributions Grants$106,160,618CYContributionsGrantsAmt
PY Program Service Revenue$3,061,007PYProgramServiceRevenueAmt
CY Program Service Revenue$12,101,486CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$2,826PYOtherRevenueAmt
CY Other Revenue$12,588CYOtherRevenueAmt
PY Total Revenue$106,343,555PYTotalRevenueAmt
CY Total Revenue$118,274,692CYTotalRevenueAmt
PY Grants And Similar Paid$5,250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$54,387,437PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,764,057CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$51,697,002PYOtherExpensesAmt
CY Other Expenses$60,491,167CYOtherExpensesAmt
PY Total Expenses$106,089,689PYTotalExpensesAmt
CY Total Expenses$118,255,224CYTotalExpensesAmt
PY Revenues Less Expenses$253,866PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,468CYRevenuesLessExpensesAmt
Total Assets BOY$120,627,117TotalAssetsBOYAmt
Total Assets EOY$110,045,746TotalAssetsEOYAmt
Total Liabilities BOY$94,596,603TotalLiabilitiesBOYAmt
Total Liabilities EOY$84,015,236TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,030,514NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,030,510NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MANAGEMENT SERVICES TO THE FOLLOWING PROFESSIONAL CORPORATIONS: VALLEY PHYSICIAN SERVICES, P.C., VALLEY MEDICAL SERVICES, P.C., AND VALLEY PHYSICIAN SERVICES, NY, P.C.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$88,949,750ExpenseAmt
Grant$0GrantAmt
Revenue$12,101,486RevenueAmt
DescVALLEY PHYSICIAN SERVICES, INC. PROVIDED SPECIALIZED MANAGEMENT SERVICES TO RELATED PHYSICIAN SERVICE ORGANIZATIONS WITHIN VALLEY HEALTH SYSTEM, INC.Desc
Total Program Service Expenses$88,949,750TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document90IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee940EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARIETTA STONEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2012916391PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 ESSEX ROADAddressLine1Txt
CityPARAMUSCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07652ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
AUDREY MEYERS
PRESIDENT & CEO, VHS6.0034.00Yes (X)Yes (X)$0$1,715,221$46,536
VINCENT FORLENZA
CHAIRMAN0.100.40Yes (X)Yes (X)$0$0$0
FRANK J SHEEHY
VICE CHAIRMAN0.100.40Yes (X)Yes (X)$0$0$0
ANN LIMBERG
SECRETARY0.100.40Yes (X)Yes (X)$0$0$0
JOSEPH MARION
TREASURER0.100.40Yes (X)Yes (X)$0$0$0
JUDY BASELICE
TRUSTEE0.100.40Yes (X)$0$0$0
JAMES BUSH
TRUSTEE0.100.40Yes (X)$0$0$0
MICHELLE HASSON
TRUSTEE0.100.40Yes (X)$0$0$0
KEVIN LOBO
TRUSTEE0.100.40Yes (X)$0$0$0
BRUCE MACTAS
TRUSTEE0.100.40Yes (X)$0$0$0
DUANE SACHS
TRUSTEE0.100.40Yes (X)$0$0$0
DENIS SALAMONE
TRUSTEE0.100.40Yes (X)$0$0$0
SCOTT SCHROEDER
TRUSTEE0.100.40Yes (X)$0$0$0
EDWARD B SELF MD
TRUSTEE0.100.40Yes (X)$0$0$0
STEVEN SILVERSTEIN
TRUSTEE0.100.40Yes (X)$0$0$0
JEFFREY TUCKER
TRUSTEE0.100.40Yes (X)$0$0$0
PATRICIA VERDUIN
TRUSTEE0.100.40Yes (X)$0$0$0
WAYNE WALD ESQ
TRUSTEE0.100.40Yes (X)$0$0$0
ROBERT W BRENNER PRESIDENT
CLINICAL INTEGRATION/PHYSICIAN ENTERPRISE16.0024.00Yes (X)$0$1,278,073$25,357
WILLIAM KLUTKOWSKI
SR. VP, FINANCE & CFO6.0034.00Yes (X)$0$709,400$54,102
RICHARD KEENAN
FORMER SENIOR VP FINANCE/CFO0.000.00Yes (X)$0$4,692,143$0
JAMES BUTLER
VP, VMG, THRU 9/15/2140.000.00$325,306$75,892$34,763Yes (X)
JEAN FLANAGAN
VP, VMG OPERATIONS40.000.00$50,807$317,324$48,388Yes (X)
LOURDES HIDALGO-GATO DIR
DIRECTOR, VMG OPERATIONS40.000.00$185,467$0$37,553Yes (X)
JOSHUA GREGOIRE
DIRECTOR, QUALITY & CLINICAL OPS40.000.00$154,446$23,675$11,259Yes (X)
CAROL PERSLEY
DIR, AMBULATORY SVC LINE CARDIOLOGY40.000.00$162,470$0$17,260Yes (X)
JOSEPH BADDOURA
DIR, AMBULATORY SVC LINE MED SPECIALTIES40.000.00$143,831$0$14,391Yes (X)
NICOLE BURNS
SR EMBRYOLOGIST COORDINATOR40.000.00$137,322$0$20,783Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,159,649TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,811,728TotReportableCompRltdOrgAmt
Total Other Compensation$310,392TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MERRITT HAWKINS & ASSOCIATES LLC
12400 HIGH BLUFF DRIVESAN DIEGOCA92130CONSULTING SERVICES$260,000
SULLIVAN COTTER & ASSOCIATES INC
62272 COLLECTIONS CENTER DRCHICAGOIL606930622CONSULTING SERVICES$256,889
ECG MANAGEMENT CONSULTANTS
PO BOX 74008176CHICAGOIL606748176CONSULTING SERVICES$210,473
ANN M ESAK LLC
42 PATERSON ROADHEWITTNJ07421CONSULTING SERVICES$145,145
SHI INTERNATIONAL CORP
PO BOX 952121DALLASTX753952121COMPUTER SERVICES$124,758
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$106,160,618RelatedOrganizationsAmt
Total Contributions$106,160,618TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE REVENUE900099$5,253,649$5,253,649
SHARED SAVINGS REVENUE624100$4,667,948$4,667,948
PATIENT SERVICE REVENUE624100$2,179,889$2,179,889
FieldValueIRS element (for citing)
Total Program Service Revenue$12,101,486TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INCOME624100$11,466$11,466
BAD DEBT RECOVERY900099$1,122$1,122
FieldValueIRS element (for citing)
Other Revenue Total$12,588OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,274,692TotalRevenueColumnAmt
Related Or Exempt Func Income$12,101,486RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,588ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$413,066TotalAmt
Program Services$348,117ProgramServicesAmt
Management And General$64,949ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,652,687TotalAmt
Program Services$35,899,429ProgramServicesAmt
Management And General$6,753,258ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,545,379TotalAmt
Program Services$1,310,285ProgramServicesAmt
Management And General$235,094ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,455,881TotalAmt
Program Services$8,088,998ProgramServicesAmt
Management And General$1,366,883ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,697,044TotalAmt
Program Services$3,017,934ProgramServicesAmt
Management And General$679,110ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,209TotalAmt
Management And General$33,209ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$70,218TotalAmt
Management And General$70,218ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,037,778TotalAmt
Program Services$1,310,596ProgramServicesAmt
Management And General$17,727,182ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,225TotalAmt
Program Services$14,941ProgramServicesAmt
Management And General$1,284ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,989,800TotalAmt
Program Services$1,602,681ProgramServicesAmt
Management And General$387,119ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$531,486TotalAmt
Program Services$437,042ProgramServicesAmt
Management And General$94,444ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,915,953TotalAmt
Program Services$13,785,873ProgramServicesAmt
Management And General$1,130,080ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,762TotalAmt
Program Services$19,561ProgramServicesAmt
Management And General$2,201ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,430TotalAmt
Program Services$5,150ProgramServicesAmt
Management And General$5,280ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,142,640TotalAmt
Program Services$5,707,535ProgramServicesAmt
Management And General$435,105ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$195,251TotalAmt
Program Services$195,251ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLINICAL SUPPLIES$16,399,137$16,399,137$0
RECRUITMENT$355,930$117,736$238,194
LAUNDRY AND LINENS$302,780$295,705$7,075
MEDICAL SUPPLIES$264,833$256,560$8,273

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$203,735TotalAmt
Program Services$137,219ProgramServicesAmt
Management And General$66,516ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$118,255,224TotalAmt
Program Services$88,949,750ProgramServicesAmt
Management And General$29,305,474ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,570,372BOYAmt
EOY$2,461,259EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$209,914BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$83,441BOYAmt
EOY$83,219EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$974,381BOYAmt
EOY$725,873EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$63,139,122LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,994,102LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,649,221BOYAmt
EOY$23,145,020EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$883,085BOYAmt
EOY$349,424EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$91,256,703BOYAmt
EOY$83,280,951EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,627,117BOYAmt
EOY$110,045,746EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,930,823BOYAmt
EOY$2,267,569EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,665,780BOYAmt
EOY$81,747,667EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,596,603BOYAmt
EOY$84,015,236EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,032,992BOYAmt
EOY$22,579,625EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,997,522BOYAmt
EOY$3,450,885EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,030,514BOYAmt
EOY$26,030,510EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,627,117BOYAmt
EOY$110,045,746EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,468ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$19,472OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$83,166,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,278,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,279,722CurrentTaxYearMinus1YearAmt
Current Tax Year$106,160,618CurrentTaxYearAmt
Total$395,884,574TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,933,230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,924,941CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,212,620CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,061,007CurrentTaxYearMinus1YearAmt
Current Tax Year$12,101,486CurrentTaxYearAmt
Total$35,233,284TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,933,230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$98,091,167CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105,490,628CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$106,340,729CurrentTaxYearMinus1YearAmt
Current Tax Year$118,262,104CurrentTaxYearAmt
Total$431,117,858TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$431,117,858PublicSupportTotal509Amt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$149,039CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,063CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,070CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,826CurrentTaxYearMinus1YearAmt
Current Tax Year$12,588CurrentTaxYearAmt
Total$255,586TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,082,269CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$98,168,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105,504,698CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$106,343,555CurrentTaxYearMinus1YearAmt
Current Tax Year$118,274,692CurrentTaxYearAmt
Total$431,373,444TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99940PublicSupportCY509Pct
Public Support PY5090.96130PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationINCOME FROM VALLEY HOSPITAL - 2017 AMOUNT: $ 130,326. OTHER INCOME - 2017 AMOUNT: $ 18,713. 2018 AMOUNT: $ 77,063. 2019 AMOUNT: $ 14,070. 2020 AMOUNT: $ 665. 2021 AMOUNT: $ 11,466. BAD DEBT RECOVERY - 2020 AMOUNT: $ 2,161. 2021 AMOUNT: $ 1,122.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,577,962OtherCostOrOtherBasisAmt
Depreciation$23,426,927DepreciationAmt
Book Value$14,151,035BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,507,399OtherCostOrOtherBasisAmt
Depreciation$16,567,175DepreciationAmt
Book Value$8,940,224BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,761OtherCostOrOtherBasisAmt
Book Value$53,761BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,145,020TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$279,394
ASSETS HELD BY RELATED ORGANIZATION$3,450,885
RIGHT OF USE ASSET - REAL ESTATE$79,550,672
FieldValueIRS element (for citing)
Total Book Value Other Assets$83,280,951TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LEASE LIABILITY$81,743,839
ESTIMATED THIRD-PARTY PAYER SETTLEMENT$3,828
FieldValueIRS element (for citing)
Total Liability$81,747,667TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$260,390,139TotalRevEtcAuditedFinclStmtAmt
Other Revenue$147,369,096OtherRevenueAmt
Revenue Not Reported$147,369,096RevenueNotReportedAmt
Revenue Subtotal$113,021,043RevenueSubtotalAmt
Other Revenues Not Included$5,253,649OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,253,649RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$118,274,692TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$263,482,124TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$150,500,021OtherExpensesIncludedAmt
Expenses Not Reported$150,500,021ExpensesNotReportedAmt
Expenses Subtotal$112,982,103ExpensesSubtotalAmt
Other Expenses Not Included$5,273,121OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,273,121ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$118,255,224TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:VMG RECOGNIZES THE BENEFIT FROM INCOME TAX POSITIONS TAKEN IN ITS INCOME TAX RETURNS ONLY WHEN THOSE POSITIONS ARE BELIEVED TO BE MORE LIKELY THAN NOT TO BE SUSTAINED UPON REVIEW BY THE TAX AUTHORITIES. VMG PROVIDES VALUATION ALLOWANCES FOR NET DEFERRED TAX ASSETS WHEN THE REALIZATION OF THE DEFERRED TAX ASSET IS UNCERTAIN. MANAGEMENT HAS DETERMINED THAT VMG HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ENTITIES INCLUDED IN VMG ARE NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO THE 2018 TAX YEAR.
PART XI, LINE 2D - OTHER ADJUSTMENTS:REVENUE OF RELATED ENTITIES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 147,369,096.
PART XI, LINE 4B - OTHER ADJUSTMENTS:REVENUE FROM RELATED ORGANIZATION ELIMINATED IN CONSOLIDATED FINANCIALS 5,253,649.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES OF RELATED ENTITIES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 150,500,021.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REVENUE FROM RELATED ORGANIZATION ELIMINATED IN CONSOLIDATED FINANCIALS 5,253,649. CHANGE IN ASSETS HELD AT FOUNDATION 19,472.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD KEENAN
FORMER SENIOR VP FINANCE/CFO$0$0$0$0$0$4,692,143$0$0$0$0$0$4,692,143$0$4,692,143
AUDREY MEYERS
PRESIDENT & CEO, VHS$0$1,165,777$0$450,000$0$99,444$0$21,750$0$24,786$0$1,761,757$0$0
ROBERT W BRENNER PRESIDENT
CLINICAL INTEGRATION/PHYSICIAN ENTER$0$785,377$0$235,000$0$257,696$0$13,050$0$12,307$0$1,303,430$0$0
WILLIAM KLUTKOWSKI
SR. VP, FINANCE & CFO$0$489,691$0$95,000$0$124,709$0$20,300$0$33,802$0$763,502$0$0
JAMES BUTLER
VP, VMG, THRU 9/15/21$236,000$0$50,000$0$39,306$75,892$4,175$0$23,422$7,166$352,903$83,058$0$0
JEAN FLANAGAN
VP, VMG OPERATIONS$50,324$216,890$0$55,000$483$45,434$3,350$13,952$6,006$25,080$60,163$356,356$0$0
LOURDES HIDALGO-GATO DIR
DIRECTOR, VMG OPERATIONS$168,196$0$14,956$0$2,315$0$6,501$0$31,052$0$223,020$0$0$0
JOSHUA GREGOIRE
DIRECTOR, QUALITY & CLINICAL OPS$132,486$23,614$21,711$0$249$61$5,563$346$4,733$617$164,742$24,638$0$0
CAROL PERSLEY
DIR, AMBULATORY SVC LINE CARDIOLOGY$144,337$0$14,461$0$3,672$0$5,585$0$11,675$0$179,730$0$0$0
JOSEPH BADDOURA
DIR, AMBULATORY SVC LINE MED SPECIAL$132,837$0$10,788$0$206$0$3,967$0$10,424$0$158,222$0$0$0
NICOLE BURNS
SR EMBRYOLOGIST COORDINATOR$131,462$0$5,600$0$260$0$4,955$0$15,828$0$158,105$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3VALLEY 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, LINES 4A-BJAMES BUTLER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $75,892 WHICH IS INCLUDED IN PART II, COLUMN B(III). 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 PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). THEY DID NOT RECEIVE A PAYMENT DURING 2021.
PART I, LINE 7EMPLOYEES 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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A MEMBERSHIP CORPORATION. THE SOLE MEMBER OF THE ORGANIZATION SHALL BE THE PARENT, THE VALLEY HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S SOLE MEMBER RESERVES THE RIGHT TO NOMINATE, ELECT, REMOVE, AND APPROVE THE ELECTION OF THE TRUSTEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING DECISIONS OF THE ORGANIZATION ARE RESERVED TO THE ORGANIZATION'S SOLE MEMBER: TO DETERMINE THE NUMBER OF TRUSTEES ON THE BOARD; TO AMEND, REVISE OR RESTATE THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND TO APPROVE ALL AMENDMENTS OR REVISIONS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED OR APPROVED BY THE BOARD BEFORE THEY BECOME EFFECTIVE; TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION; TO CHANGE THE LEGAL STRUCTURE OF THE CORPORATION; TO COMMIT TO ADD OR THE ADDITION OF ANOTHER HOSPITAL OR HEALTH SYSTEM TO THE CORPORATION; TO DISSOLVE, DIVIDE, CONVERT OR LIQUIDATE THE CORPORATION, TO CONSOLIDATE OR MERGE THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, TO SELL ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, TO CAUSE THE CORPORATION TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY, AND TO APPROVE ANY OF THE FOREGOING ACTIONS THAT ARE RECOMMENDED BY THE BOARD BEFORE SUCH ACTION BECOMES EFFECTIVE; TO APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY AMENDMENTS THERETO; TO INITIATE AND TO APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR TO IMPLEMENT ANY FINANCING STRATEGY, INCLUDING WITHOUT LIMITATION IN CONNECTION WITH ANY DEBT ISSUANCE, CAPITAL OR OPERATING LEASING TRANSACTIONS, AND TAXABLE AND NONTAXABLE FINANCINGS; TO APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THOSE THRESHOLDS ESTABLISHED BY THE BOARD, IF SUCH INCURRENCE OF DEBT IS NOT INCLUDED IN THE CORPORATION'S APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS; TO CAUSE OR DIRECT THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER SUCH FUNDS AS ARE NECESSARY TO PAY ANY OUTSTANDING INDEBTEDNESS OBLIGATIONS, INCLUDING BUT NOT LIMITED TO BORROWINGS, GUARANTIES, NON-RECOURSE INDEBTEDNESS, LEASES, AND DERIVATIVE INSTRUMENTS, CREATED OR APPROVED BY THE CORPORATION; TO EXERCISE SUCH OVERSIGHT, INCLUDING INITIATING ACTION OR APPROVING ACTION BY THE CORPORATION, OVER THE MANAGEMENT, POLICIES, DISPOSITION OR ENCUMBRANCE OF ASSETS, INCLUDING REAL OR PERSONAL PROPERTY, OF THE CORPORATION TO CAUSE OR ENSURE COMPLIANCE WITH TERMS AND CONDITIONS OF INDEBTEDNESS OBLIGATIONS AND FINANCIAL RELATIONSHIPS RELATED IN ANY MANNER TO SUCH INDEBTEDNESS; TO APPROVE THE CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF THOSE THRESHOLDS ESTABLISHED BY THE BOARD, IF SUCH CAPITAL EXPENDITURES ARE NOT INCLUDED IN THE CORPORATION'S APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS; TO APPROVE ANY DONATION OR ANY OTHER TRANSFER OF THE CORPORATION'S ASSETS, OTHER THAN TO AN AFFILIATED ENTITY, IN EXCESS OF AN AMOUNT EQUAL TO OR GREATER THAN THE THRESHOLDS ESTABLISHED BY THE BOARD FOR SUCH CORPORATION, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS; TO SELECT AND APPOINT AUDITORS OF THE CORPORATION; TO INITIATE AND APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION; TO INITIATE AND APPROVE INVESTMENT POLICIES AND CAPITAL CAMPAIGNS OF THE CORPORATION; TO INITIATE AND APPROVE THE CLOSURE OR RELOCATION OF A LICENSED HEALTH CARE FACILITY OF THE CORPORATION; TO INITIATE AND APPROVE THE FORMATION OF SUBSIDIARIES OF THE CORPORATION; TO APPROVE THE CORPORATION'S ACQUISITION OF CONTROLLING INTERESTS IN ORGANIZATIONS OR BUSINESSES OUTSIDE OF THE CORPORATION'S APPROVED STRATEGIC PLAN; TO THE EXTENT NOT EXPRESSLY SET FORTH ABOVE, TO DIRECT OR REQUIRE THE CORPORATION TO TAKE ANY OTHER LAWFUL ACTS OR ACTIONS WITH RESPECT TO THE CORPORATION'S BUSINESS, AFFAIRS, MANAGEMENT, PROPERTIES OR ACTIVITIES THAT THE SOLE MEMBER MAY DIRECT.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE OF VALLEY HEALTH SYSTEM. ANY ISSUES ARE ADDRESSED AND RESOLVED. A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15BTHE ORGANIZATION'S OFFICERS ARE COMPENSATED BY A RELATED ENTITY, VALLEY HEALTH SYSTEM, WHICH USES A COMPENSATION COMMITTEE, COMPARABILITY DATA, AND BOARD APPROVAL FOR DETERMINING COMPENSATION. THIS PROCESS WAS LAST UNDERTAKEN IN 2021.
FORM 990, PART VI, SECTION C, LINE 19VPS MAKES ITS FORM 990, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS AVAILABLE UPON WRITTEN REQUEST AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450.
FORM 990, PART IX, LINE 11GBILLING SERVICE FEES: PROGRAM SERVICE EXPENSES 189,843. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,843. COLLECTION AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,559. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,559. AGENCY FEES: PROGRAM SERVICE EXPENSES 360,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 360,367. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 195,134. MANAGEMENT AND GENERAL EXPENSES 402,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 597,372. DICTATION SERVICE: PROGRAM SERVICE EXPENSES 3,078. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,078. CONSULTANTS: PROGRAM SERVICE EXPENSES 93,362. MANAGEMENT AND GENERAL EXPENSES 1,552,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,646,334. MEDICAL FEES: PROGRAM SERVICE EXPENSES 8,218. MANAGEMENT AND GENERAL EXPENSES 104,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,768. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 460,594. MANAGEMENT AND GENERAL EXPENSES 31,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 492,562. VALLEY HOSPITAL CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,619,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,619,895.
FORM 990, PART XI, LINE 9:CHANGE IN ASSETS HELD BY FOUNDATION -19,472.
FORM 990, PART XI, LINE 2CTHE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE VALLEY HOSPITAL FOUNDATION INC
223 NORTH VAN DIEN AVERIDGEWOODNJ07450222324554SOLICITS AND RECEIVES CONTRIBUTIONS FOR THE BENEFIT OF HEALTH SYSTEMNJ501(C)(3)LINE 7VALLEY HEALTH SYSTEM INC0
THE VALLEY HOSPITAL INC
223 NORTH VAN DIEN AVERIDGEWOODNJ07450221487307PROVIDES HEALTHCARE PROGRAMS AND SERVICES TO ALLNJ501(C)(3)LINE 3VALLEY HEALTH SYSTEM INC0
VALLEY HEALTH SYSTEM INC
223 NORTH VAN DIEN AVERIDGEWOODNJ07450222922016PROVIDES MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERSNJ501(C)(3)LINE 30N/A
VALLEY HOME CARE INC
15 ESSEX ROADPARAMUSNJ07652223208480PROVIDES HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJNJ501(C)(3)LINE 10VALLEY HEALTH SYSTEM INC0
VALLEY PHYSICIAN SERVICE NY PC
15 ESSEX ROADPARAMUSNJ07450453125678OPERATES URGENT/PRIMARY CARE CLINICSNY501(C)(3)LINE 10VALLEY PHYSICIAN SERVICES INCYes (1)
VALLEY PHYSICIANS SERVICES PC
15 ESSEX ROADPARAMUSNJ07652465285330PROVIDES PRIMARY AND SPECIALTY MEDICAL CARENJ501(C)(3)LINE 10VALLEY PHYSICIAN SERVICES INCYes (1)
VALLEY MEDICAL SERVICES PC
15 ESSEX ROADPARAMUSNJ07652465297054PROVIDES MANAGEMENT AND VARIED CONSULTING SERVICESNJ501(C)(3)LINE 10VALLEY PHYSICIAN SERVICES INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VHS INSURANCE COMPANY LTDBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1010 MAIN STREETAddressLine1Txt
Province Or StateCAYMAN ISLANDSProvinceOrStateNm
CountryCJCountryCd
FieldValueIRS element (for citing)
EIN980408200EIN
Primary ActivitiesPROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCEPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VALLEY HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd