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VALLEY PHYSICIAN SERVCIES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
VALLEY PHYSICIAN SERVCIES INC (EIN 32-0041186)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202133169349310188
Schema version
2020v4.1
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)
Return2021-11-12T15:10:46-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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)
PersonROBERT W BRENNERPersonNm
Person TitlePRESIDENT, CLINICAL INTEGRATIONPersonTitleTxt
Phone2014478000PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBERTPersonFirstNm
Person LastBRENNERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD G O'CONNORPreparerPersonNm
PTINP00434443PTIN
Phone2017129800PhoneNum
Preparation2021-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT W BRENNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVEAddressLine1Txt
CityRIDGEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07450ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$106,343,555GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTHE MISSION OF VALLEY PHYSICIAN SERVICES, WHICH IS PART OF THE VALLEY HEALTH SYSTEM, IS TO ENHANCE LIVES BY HEALING, CARING AND INSPIRING WELLNESS.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee871TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$103,278,008PYContributionsGrantsAmt
CY Contributions Grants$103,279,722CYContributionsGrantsAmt
PY Program Service Revenue$2,212,620PYProgramServiceRevenueAmt
CY Program Service Revenue$3,061,007CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$14,070PYOtherRevenueAmt
CY Other Revenue$2,826CYOtherRevenueAmt
PY Total Revenue$105,504,698PYTotalRevenueAmt
CY Total Revenue$106,343,555CYTotalRevenueAmt
PY Grants And Similar Paid$336,444PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,250CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$55,261,963PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,387,437CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$49,986,285PYOtherExpensesAmt
CY Other Expenses$51,697,002CYOtherExpensesAmt
PY Total Expenses$105,584,692PYTotalExpensesAmt
CY Total Expenses$106,089,689CYTotalExpensesAmt
PY Revenues Less Expenses-$79,994PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$253,866CYRevenuesLessExpensesAmt
Total Assets BOY$105,683,909TotalAssetsBOYAmt
Total Assets EOY$120,627,117TotalAssetsEOYAmt
Total Liabilities BOY$79,653,396TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,596,603TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,030,513NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,030,514NetAssetsOrFundBalancesEOYAmt
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$83,007,687ExpenseAmt
Grant$5,250GrantAmt
Revenue$1,749,481RevenueAmt
DescVALLEY PHYSICIAN SERVICES, INC. IS A MANAGEMENT SERVICES CORPORATION PROVIDING SERVICES TO THE PROFESSIONAL CORPORATIONS VALLEY PHYSICIAN SERVICES, P.C. AND VALLEY MEDICAL SERVICES NY, P.C.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Revenue$1,311,526RevenueAmt
DescVALLEY PHYSICIAN SERVICES, INC. PROVIDES MANAGEMENT SERVICES TO VALLEY PHYSICIAN SERVICES, PC. THESE SERVICES INCLUDE HUMAN RESOURCE MANAGEMENT, MARKETING AND OTHER ADMINISTRATIVE SERVICES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$83,007,687TotalProgramServiceExpensesAmt
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 Document99IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee871EmployeeCnt
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 DocumentsYes (1)ChangeToOrgDocumentsInd
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 CEOYes (1)CompensationProcessCEOInd
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 (31 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$1,842,384$45,085
VINCENT FORLENZA
CHAIRMAN0.100.40Yes (X)Yes (X)$0$0$0
FRANK 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 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
LAURIE C DEBENEDETTO
BOARD ASSISTANT SECRETARY0.1039.90Yes (X)$0$101,523$25,046
ROBERT W BRENNER
PRESIDENT, CLINICAL INTEGRATION16.0024.00Yes (X)$0$1,339,685$24,791
WILLIAM KLUTKOWSKI
VP & CFO EFF. 3/20206.0034.00Yes (X)$0$664,987$51,335
RICHARD KEENAN
SENIOR VP, FINANCE/CFO THRU 8/20206.0034.00Yes (X)$0$1,159,434$37,643
TIMOTHY WILLOX
VP, VMG, THRU 10/202040.00$538,489$0$20,302Yes (X)
JEAN FLANAGAN
VP, VMG OPERATIONS40.00$369,736$0$48,630Yes (X)
JOSEPH JEROME
DIRECTOR OF FINANCE, VMG40.00$272,561$0$31,197Yes (X)
JAMES BUTLER
VP, VMG EFF. 5/202040.00$239,153$0$21,073Yes (X)
LOURDES HIDALGO-GATO DIR
AMBULATORY SVC WOMEN'S & CHILDREN'S40.00$152,641$0$35,595Yes (X)
JOSHUA GREGOIRE
DIRECTOR, QUALITY & CLINICAL OPS40.00$162,710$0$11,221Yes (X)
CAROL PERSLEY
DIR, AMBULATORY SVC LINE CARDIOLOGY40.00$156,718$0$16,430Yes (X)
SUSAN TERESKIEWICZ
MANAGER, VPS PRACTICE40.00$139,463$0$26,810Yes (X)
MARIETTA STONE
MANAGER, GENERAL ACCOUNTING40.00$131,792$0$25,735Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,163,263TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,108,013TotReportableCompRltdOrgAmt
Total Other Compensation$420,893TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
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
SHI INTERNATIONAL CORP
PO BOX 952121DALLASTX753952121COMPUTER SERVICES$277,748
SULLIVAN COTTER & ASSOCIATES INC
62272 COLLECTIONS CENTER DRCHICAGOIL606930622CONSULTING SERVICES$245,782
PROGRESSIVE RADIOLOGY LLC
88 CLINTON AVEMONTCLAIRNJ07042DIAGNOSTIC IMAGING SERVICES$166,000
PRESS GANEY ASSOCIATES INC
PO BOX 88335MILWAUKEEWI532880335CONSULTING SERVICES$140,818
RADIOLOGY ASSOCIATES OF RIDGEWOOD
20 FRANKLIN TURNPIKEWLDWICKNJ07463DIAGNOSTIC IMAGING SERVICES$114,581
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$103,279,722RelatedOrganizationsAmt
Total Contributions$103,279,722TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$1,749,481$1,749,481
MANAGEMENT FEE REVENUE900099$1,311,526$1,311,526
FieldValueIRS element (for citing)
Total Program Service Revenue$3,061,007TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
BAD DEBT RECOVERY900099$2,161$2,161
OTHER INCOME624100$665$665
FieldValueIRS element (for citing)
Other Revenue Total$2,826OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,343,555TotalRevenueColumnAmt
Related Or Exempt Func Income$3,061,007RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,826ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,250TotalAmt
Program Services$5,250ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,541,141TotalAmt
Program Services$1,239,764ProgramServicesAmt
Management And General$301,377ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,165,701TotalAmt
Program Services$32,215,159ProgramServicesAmt
Management And General$7,950,542ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,266,573TotalAmt
Program Services$1,070,969ProgramServicesAmt
Management And General$195,604ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,001,844TotalAmt
Program Services$6,627,920ProgramServicesAmt
Management And General$1,373,924ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,412,178TotalAmt
Program Services$2,744,875ProgramServicesAmt
Management And General$667,303ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,870TotalAmt
Program Services$15,370ProgramServicesAmt
Management And General$56,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,121,015TotalAmt
Program Services$2,106,462ProgramServicesAmt
Management And General$10,014,553ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$29,810TotalAmt
Program Services$29,810ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,909,958TotalAmt
Program Services$1,496,543ProgramServicesAmt
Management And General$413,415ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$598,908TotalAmt
Program Services$465,877ProgramServicesAmt
Management And General$133,031ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,032,212TotalAmt
Program Services$13,158,548ProgramServicesAmt
Management And General$873,664ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$26,545TotalAmt
Program Services$23,535ProgramServicesAmt
Management And General$3,010ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$243TotalAmt
Management And General$243ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,866,911TotalAmt
Program Services$6,162,338ProgramServicesAmt
Management And General$704,573ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$392,504TotalAmt
Program Services$392,504ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLINICAL SUPPLIES$14,543,854$14,543,854
RECRUITMENT$309,016$198,063$110,953
UNIFORMS, LAUNDRY AND L$296,165$191,345$104,820
SDD ISSUES$233,266$151,296$81,970

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$264,725TotalAmt
Program Services$168,205ProgramServicesAmt
Management And General$96,520ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$106,089,689TotalAmt
Program Services$83,007,687ProgramServicesAmt
Management And General$23,082,002ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$813,499BOYAmt
EOY$1,570,372EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$78,224BOYAmt
EOY$209,914EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$80,317BOYAmt
EOY$83,441EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$249,107BOYAmt
EOY$974,381EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$60,035,151LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,385,930LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,824,358BOYAmt
EOY$25,649,221EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,519,989BOYAmt
EOY$883,085EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$76,118,415BOYAmt
EOY$91,256,703EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$105,683,909BOYAmt
EOY$120,627,117EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,015,520BOYAmt
EOY$4,930,823EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,637,876BOYAmt
EOY$89,665,780EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$79,653,396BOYAmt
EOY$94,596,603EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,178,976BOYAmt
EOY$22,032,992EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,851,537BOYAmt
EOY$3,997,522EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,030,513BOYAmt
EOY$26,030,514EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$105,683,909BOYAmt
EOY$120,627,117EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$253,866ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$253,865OtherChangesInNetAssetsAmt
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 Minus2 Years$83,166,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,278,008CurrentTaxYearMinus1YearAmt
Current Tax Year$103,279,722CurrentTaxYearAmt
Total$289,723,956TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$106,491,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,933,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,924,941CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,212,620CurrentTaxYearMinus1YearAmt
Current Tax Year$3,061,007CurrentTaxYearAmt
Total$129,622,971TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$106,491,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,933,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,091,167CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$105,490,628CurrentTaxYearMinus1YearAmt
Current Tax Year$106,340,729CurrentTaxYearAmt
Total$419,346,927TotalAmt

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$419,346,927PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$524CurrentTaxYearMinus4YearsAmt
Total$524TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$524CurrentTaxYearMinus4YearsAmt
Total$524TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,624,506CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,039CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,070CurrentTaxYearMinus1YearAmt
Current Tax Year$2,826CurrentTaxYearAmt
Total$16,867,504TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$123,116,203CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,082,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,168,230CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$105,504,698CurrentTaxYearMinus1YearAmt
Current Tax Year$106,343,555CurrentTaxYearAmt
Total$436,214,955TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96130PublicSupportCY509Pct
Public Support PY5090.93040PublicSupportPY509Pct
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 - 2016 AMOUNT: $ 16,143,605. 2017 AMOUNT: $ 130,326. OTHER INCOME - 2016 AMOUNT: $ 480,901. 2017 AMOUNT: $ 18,713. 2018 AMOUNT: $ 77,063. 2019 AMOUNT: $ 14,070. 2020 AMOUNT: $ 665. BAD DEBT RECOVERY - 2020 AMOUNT: $ 2,161.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$35,687,965OtherCostOrOtherBasisAmt
Depreciation$20,440,756DepreciationAmt
Book Value$15,247,209BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,347,186OtherCostOrOtherBasisAmt
Depreciation$13,945,174DepreciationAmt
Book Value$10,402,012BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,649,221TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$279,394
ASSETS HELD BY RELATED ORGANIZATION$3,997,522
RIGHT OF USE ASSET - REAL ESTATE$86,979,787
FieldValueIRS element (for citing)
Total Book Value Other Assets$91,256,703TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$272,010
ESTIMATED THIRD-PARTY PAYER SETTLEMENT$766,306
LEASE LIABILITY$88,627,464
FieldValueIRS element (for citing)
Total Liability$89,665,780TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$243,103,229TotalRevEtcAuditedFinclStmtAmt
Other Revenue$138,071,200OtherRevenueAmt
Revenue Not Reported$138,071,200RevenueNotReportedAmt
Revenue Subtotal$105,032,029RevenueSubtotalAmt
Other Revenues Not Included$1,311,526OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,311,526RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$106,343,555TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$326,223,347TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$220,133,658OtherExpensesIncludedAmt
Expenses Not Reported$220,133,658ExpensesNotReportedAmt
Expenses Subtotal$106,089,689ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$106,089,689TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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 2017 TAX YEAR.
PART XI, LINE 2D - OTHER ADJUSTMENTS:REVENUE ATTRIBUTABLE TO OTHER ENTITIES 138,071,200.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MANAGEMENT FEE REVENUE 1,311,526.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES ATTRIBUTABLE TO OTHER ENTITIES 221,445,184. MANAGEMENT FEE REVENUE -1,311,526.

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
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 (13 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
AUDREY MEYERS
PRESIDENT & CEO, VHS$0$1,166,636$0$592,200$0$83,548$0$21,375$0$23,710$0$1,887,469$0$0
ROBERT W BRENNER
PRESIDENT, CLINICAL INTEGRATION$0$790,426$0$327,596$0$221,663$0$12,825$0$11,966$0$1,364,476$0$0
RICHARD KEENAN
SENIOR VP, FINANCE/CFO THRU 8/2020$0$633,136$0$342,696$0$183,602$0$21,375$0$16,268$0$1,197,077$0$0
WILLIAM KLUTKOWSKI
VP & CFO EFF. 3/2020$0$445,152$0$121,535$0$98,300$0$18,525$0$32,810$0$716,322$0$0
TIMOTHY WILLOX
VP, VMG, THRU 10/2020$267,189$0$78,864$0$192,436$0$2,854$0$17,448$0$558,791$0$0$0
JEAN FLANAGAN
VP, VMG OPERATIONS$269,590$0$56,236$0$43,910$0$17,950$0$30,680$0$418,366$0$0$0
JOSEPH JEROME
DIRECTOR OF FINANCE, VMG$233,432$0$35,752$0$3,377$0$8,222$0$22,975$0$303,758$0$0$0
JAMES BUTLER
VP, VMG EFF. 5/2020$220,004$0$0$0$19,149$0$0$0$21,073$0$260,226$0$0$0
LOURDES HIDALGO-GATO DIR
AMBULATORY SVC WOMEN'S & CHILDREN'S$140,612$0$10,116$0$1,913$0$5,485$0$30,110$0$188,236$0$0$0
JOSHUA GREGOIRE
DIRECTOR, QUALITY & CLINICAL OPS$148,550$0$13,844$0$316$0$5,871$0$5,350$0$173,931$0$0$0
CAROL PERSLEY
DIR, AMBULATORY SVC LINE CARDIOLOGY$142,967$0$10,085$0$3,666$0$5,466$0$10,964$0$173,148$0$0$0
SUSAN TERESKIEWICZ
MANAGER, VPS PRACTICE$127,713$0$8,638$0$3,112$0$4,925$0$21,885$0$166,273$0$0$0
MARIETTA STONE
MANAGER, GENERAL ACCOUNTING$120,162$0$10,017$0$1,613$0$4,819$0$20,916$0$157,527$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION'S BOARD IS A SHARED BOARD WITH THE VALLEY HEALTH SYSTEM. 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 4ATIMOTHY WILLOX RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $188,963 WHICH IS INCLUDED IN PART II, COLUMN B(III).
PART I, LINE 7THE FOLLOWING EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED FOR THEM IN PART II, COLUMN B(II): 1. TIMOTHY WILLOX, $78,864 2. JEAN FLANAGAN, $56,236 3. JOSEPH JEROME, $35,752 4. LOURDES HIDALGO-GATO, $10,116 5. JOSHUA GREGOIRE, $13,844 6. CAROL PERSLEY, $10,085 7. SUSAN TERESKIEWICZ, $8,638 8. MARIETTA STONE, $10,017

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION IS INCLUDED IN CONSOLIDATED BYLAWS FOR VALLEY HEALTH SYSTEM, INC., THE VALLEY HOSPITAL, INC., AND VALLEY PHYSICIAN SERVICES, INC. IN APRIL 2020, THE BYLAWS WERE AMENDED TO INCLUDE AN ARTICLE FOR CRISIS STANDARDS OF CARE (CSC) AND AMENDMENTS TO THE BYLAWS DURING CSC DUE TO A PERVASIVE OR CATASTROPHIC DISASTER (I.E. THE COVID-19 PANDEMIC). THE CRISIS STANDARD OF CARE BYLAWS PROVISIONS INCLUDE THE FOLLOWING DURING THE CSC: THE PERMITTED NUMBER OF TRUSTEES WAS AMENDED TO BE NO FEWER THAN NINE. THE EXECUTIVE COMMITTEE WAS ALLOWED TO ACT ON BEHALF OF THE FULL BOARD UNTIL THE BOARD IS ABLE TO ACT OR OTHERWISE EXERCISE ITS POWERS. THE BOARD DELEGATES FINAL APPROVAL OF MEDICAL STAFF PRIVILEGES TO THE PRESIDENT & CEO OF THE HOSPITAL. THE BOARD EMPOWERS MANAGEMENT TO CHANGE POLICIES AND PROCEDURES AS IT DEEMS NECESSARY. THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF DELEGATES APPROVAL MEDICAL STAFF PRIVILEGE CHANGES AND TEMPORARY PRIVILEGES TO THE PRESIDENT OF THE MEDICAL STAFF OR DESIGNEE.
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 11BVALLEY PHYSICIAN SERVICES 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. ANY COMMENTS ARE SUMMARIZED AND PROVIDED TO THE DIRECTOR OF FINANCE. 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 15THE ORGANIZATION'S BOARD IS A SHARED BOARD WITH THE VALLEY HEALTH SYSTEM. THE 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. THE COMPENSATION IS CONTEMPORANEOUSLY DOCUMENTED AND THE PROCESS WAS LAST UNDERTAKEN IN 2020.
FORM 990, PART VI, SECTION C, LINE 19VPS MAKES ITS FORM 990, FINANCIAL STATEMENTS, FORM 1023, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GVALLEY HOSPITAL CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,973,833. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,973,833. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 219,351. MANAGEMENT AND GENERAL EXPENSES 16,061. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 235,412. COLLECTION AGENCY: PROGRAM SERVICE EXPENSES 19,518. MANAGEMENT AND GENERAL EXPENSES 10,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,093. BILLING EXPENSES: PROGRAM SERVICE EXPENSES 687,023. MANAGEMENT AND GENERAL EXPENSES 372,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,059,243. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 81,120. MANAGEMENT AND GENERAL EXPENSES 43,950. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,070. CONSULTING: PROGRAM SERVICE EXPENSES 635,346. MANAGEMENT AND GENERAL EXPENSES 344,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 979,568. DICTATION SERVICES: PROGRAM SERVICE EXPENSES 5,943. MANAGEMENT AND GENERAL EXPENSES 3,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,163. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 458,161. MANAGEMENT AND GENERAL EXPENSES 250,472. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 708,633.
FORM 990, PART XI, LINE 9:CHANGE IN ASSETS HELD BY FOUNDATION -253,865.
FORM 990, PART XI, LINE 2CTHE 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 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