VALLEY PHYSICIAN SERVCIES INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY PHYSICIAN SERVCIES INC (EIN 32-0041186)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202003219349304390
- Schema version
- 2019v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T09:38:10-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320041186 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY PHYSICIAN SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 2014478000 | 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 | JAMES BUTLER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2014478000 | PhoneNum |
| Signature | 2020-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EDWARD G O'CONNOR | PreparerPersonNm |
| PTIN | P00434443 | PTIN |
| Phone | 2017129800 | PhoneNum |
| Preparation | 2020-11-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 47.19.39.42 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-10 | IPDt |
| IP Tm | 09:10:12 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F2FB08A8147ED42291C73DE8B4A1AFBF9D3B6C53 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES BUTLER | 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 | $105,504,698 | 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 | 2002 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | ON 1/1/17, VALLEY PHYSICIAN SERVICES, INC. ASSIGNED THEIR NEW JERSEY PHYSICIAN CONTRACTS TO VALLEY PHYSICIAN SERVICES, P.C. WHICH IS ONE OF THE CAPTIVE CORPORATIONS OF VALLEY PHYSICIAN SERVICES, INC. WHOSE SOLE MEMBER IS THE VALLEY HOSPITAL, INC. EFFECTIVE WITH THE ASSIGNMENT OF THESE CONTRACTS, VALLEY PHYSICIAN SERVICES, INC. BECAME A MANAGEMENT SERVICES CORPORATION PROVIDING SERVICES TO THE PROFESSIONAL CORPORATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 915 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $83,166,226 | PYContributionsGrantsAmt |
| CY Contributions Grants | $103,278,008 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,924,941 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,212,620 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $77,063 | PYOtherRevenueAmt |
| CY Other Revenue | $14,070 | CYOtherRevenueAmt |
| PY Total Revenue | $98,168,230 | PYTotalRevenueAmt |
| CY Total Revenue | $105,504,698 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $336,444 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $54,178,178 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $55,261,963 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $43,500,399 | PYOtherExpensesAmt |
| CY Other Expenses | $49,986,285 | CYOtherExpensesAmt |
| PY Total Expenses | $97,678,577 | PYTotalExpensesAmt |
| CY Total Expenses | $105,584,692 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $489,653 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$79,994 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,799,073 | TotalAssetsBOYAmt |
| Total Assets EOY | $105,683,909 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,768,560 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $79,653,396 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,030,513 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,030,513 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $82,145,598 | ExpenseAmt |
| Grant | $336,444 | GrantAmt |
| Revenue | $2,212,620 | RevenueAmt |
| Desc | ON 1/1/17, VALLEY PHYSICIAN SERVICES, INC. ASSIGNED THEIR NEW JERSEY PHYSICIAN CONTRACTS TO VALLEY PHYSICIAN SERVICES, P.C. WHICH IS ONE OF THE CAPTIVE CORPORATIONS OF VALLEY PHYSICIAN SERVICES, INC. WHOSE SOLE MEMBER IS THE VALLEY HOSPITAL, INC. EFFECTIVE WITH THE ASSIGNMENT OF THESE CONTRACTS, VALLEY PHYSICIAN SERVICES, INC. BECAME A MANAGEMENT SERVICES CORPORATION PROVIDING SERVICES TO THE PROFESSIONAL CORPORATIONS VALLEY PHYSICIAN SERVICES, P.C., VALLEY MEDICAL SERVICES, P.C. AND VALLEY MEDICAL SERVICES NY, P.C. | Desc |
| Total Program Service Expenses | $82,145,598 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | 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 | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 106 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 915 | 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 | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | 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 | MARIETTA STONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2012916391 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 ESSEX ROAD | AddressLine1Txt |
| City | PARAMUS | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07652 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| AUDREY MEYERS | ||||||||
| EX-OFFICIO TRUSTEE | 0.50 | 40.00 | Yes (X) | $0 | $1,710,491 | $43,337 | ||
| SUNEET MITTAL MD | ||||||||
| TRUSTEE | 0.50 | 40.00 | Yes (X) | $0 | $1,119,843 | $42,849 | ||
| MARC R GOLDSTEIN | ||||||||
| PRES. VALLEY MEDICAL THRU 8/15/19 | 40.00 | $939,119 | $0 | $25,207 | Yes (X) | |||
| TIMOTHY WILLOX | ||||||||
| VP, VALLEY MEDICAL | 40.00 | $422,354 | $0 | $13,021 | Yes (X) | |||
| JEAN FLANAGAN | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $331,222 | $0 | $37,825 | Yes (X) | |||
| JOSEPH JEROME | ||||||||
| DIRECTOR OF FINANCE, VMG | 40.00 | $210,347 | $0 | $16,242 | Yes (X) | |||
| MARYANN KEPPLE | ||||||||
| CFO, THRU 03/29/19 | 40.00 | $187,998 | $0 | $3,137 | Yes (X) | |||
| MARY AIOSA | ||||||||
| DIRECTOR CLINICAL SERVICES | 40.00 | $142,836 | $0 | $28,143 | Yes (X) | |||
| EDWINA ANTONIO | ||||||||
| RN | 40.00 | $148,500 | $0 | $17,780 | Yes (X) | |||
| CAROL PERSLEY | ||||||||
| MANAGER REGIONAL SPECIALTY | 40.00 | $143,797 | $0 | $15,375 | Yes (X) | |||
| JOSHUA GREGOIRE | ||||||||
| MANAGER, QUALITY | 40.00 | $142,605 | $0 | $10,415 | Yes (X) | |||
| LAURIE C DEBENEDETTO | ||||||||
| BOARD SECRETARY | 0.50 | 40.00 | $0 | $98,437 | $15,921 | Yes (X) | ||
| VINCENT FORLENZA | ||||||||
| CHAIRMAN | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| FRANK J SHEEHY | ||||||||
| VICE CHAIRMAN | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RIMA KOPELMAN MD | ||||||||
| VICE CHAIRMAN, THRU 6/30/19 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MARIA SCIBETTA MD | ||||||||
| VICE CHAIRMAN, THRU 6/30/19 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| STEVEN SILVERSTEIN | ||||||||
| SECRETARY/ TREASURER, THRU 6/30/19 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| EDWARD B SELF MD | ||||||||
| TREAS. THRU 6/30/19, TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOSEPH MARION | ||||||||
| TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ANN LIMBERG | ||||||||
| SECRETARY | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WARREN F COOKE ESQ | ||||||||
| TRUSTEE, THRU 6/30/19 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS RAKOWSKI MD | ||||||||
| TRUSTEE, THRU 6/30/19 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| ELLIOTT S LICHTSTEIN MD | ||||||||
| TRUSTEE, THRU 6/30/19 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE MACTAS | ||||||||
| TRUSTEE | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT SCHROEDER | ||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JUDY BASELICE | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE HASSON | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN LOBO | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN SILVERSTEIN | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA VERDUIN | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE WALD ESQ | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| BARNETT RUKIN | ||||||||
| TRUSTEE, THRU 12/18/19 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DUANE SACHS | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DENIS SALAMONE | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY TUCKER | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,668,778 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,928,771 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $269,252 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| MERRITT HAWKINS & ASSOCIATES | |||||
| 12400 HIGH BLUFF DR | SAN DIEGO | CA | 92130 | STAFFING SERVICE | $509,574 |
| SHI INTERNATIONAL CORP | |||||
| PO BOX 952121 | DALLAS | TX | 753952121 | COMPUTER SERVICE | $363,934 |
| OPTUM | |||||
| THE ADVISORY BOARD COMPANY PO BOX 8 | CHICAGO | IL | 606894002 | CONSULTING SERVICE | $273,736 |
| PRESS GANEY ASSOCIATES INC | |||||
| PO BOX 88335 | MILWAUKEE | WI | 532880335 | CONSULTING SERVICE | $256,311 |
| SOERRIES CODING & BILLING INSTITUTE INC | |||||
| 1412 SW EAGLES PKY | GRAIN VALLEY | MO | 64029 | EDUCATIONAL SERVICES | $156,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $103,278,008 | RelatedOrganizationsAmt |
| Total Contributions | $103,278,008 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEE REVENUE | 900099 | $1,167,401 | $1,167,401 |
| NET PATIENT SERVICE REVENUE | 624100 | $1,045,219 | $1,045,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,212,620 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $14,070 | TotalRevenueColumnAmt |
| Exclusion | $14,070 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,070 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,504,698 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,212,620 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,070 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,444 | TotalAmt |
| Program Services | $336,444 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,186,472 | TotalAmt |
| Program Services | $1,701,750 | ProgramServicesAmt |
| Management And General | $484,722 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,966,265 | TotalAmt |
| Program Services | $31,075,045 | ProgramServicesAmt |
| Management And General | $8,891,220 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,267,513 | TotalAmt |
| Program Services | $1,068,093 | ProgramServicesAmt |
| Management And General | $199,420 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,472,622 | TotalAmt |
| Program Services | $6,620,888 | ProgramServicesAmt |
| Management And General | $1,851,734 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,369,091 | TotalAmt |
| Program Services | $2,844,654 | ProgramServicesAmt |
| Management And General | $524,437 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,285 | TotalAmt |
| Program Services | $4,285 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,250 | TotalAmt |
| Program Services | $21,950 | ProgramServicesAmt |
| Management And General | $46,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,136,360 | TotalAmt |
| Program Services | $900,589 | ProgramServicesAmt |
| Management And General | $9,235,771 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,481 | TotalAmt |
| Program Services | $9,598 | ProgramServicesAmt |
| Management And General | $883 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,730,504 | TotalAmt |
| Program Services | $1,534,408 | ProgramServicesAmt |
| Management And General | $196,096 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,327 | TotalAmt |
| Program Services | $544,786 | ProgramServicesAmt |
| Management And General | $202,541 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,258,965 | TotalAmt |
| Program Services | $13,590,168 | ProgramServicesAmt |
| Management And General | $668,797 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,807 | TotalAmt |
| Program Services | $31,925 | ProgramServicesAmt |
| Management And General | $10,882 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,954 | TotalAmt |
| Program Services | $6,729 | ProgramServicesAmt |
| Management And General | $35,225 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,041,016 | TotalAmt |
| Program Services | $6,128,557 | ProgramServicesAmt |
| Management And General | $912,459 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,916 | TotalAmt |
| Program Services | $243,916 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINICAL SUPPLIES | $14,438,102 | $14,438,102 | |
| TEMPORARY HELP | $393,668 | $393,668 | |
| UNIFORMS, LAUNDRY AND L | $334,039 | $330,302 | $3,737 |
| LICENSES AND DUES | $133,745 | $91,409 | $42,336 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,866 | TotalAmt |
| Program Services | $228,332 | ProgramServicesAmt |
| Management And General | $132,534 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,584,692 | TotalAmt |
| Program Services | $82,145,598 | ProgramServicesAmt |
| Management And General | $23,439,094 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,215,760 | BOYAmt |
| EOY | $813,499 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,600 | BOYAmt |
| EOY | $78,224 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,639 | BOYAmt |
| EOY | $80,317 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,998 | BOYAmt |
| EOY | $249,107 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,980,386 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,156,028 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,301,009 | BOYAmt |
| EOY | $26,824,358 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,354,871 | BOYAmt |
| EOY | $1,519,989 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,313,196 | BOYAmt |
| EOY | $76,118,415 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,799,073 | BOYAmt |
| EOY | $105,683,909 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,117,432 | BOYAmt |
| EOY | $6,015,520 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,787 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,020,341 | BOYAmt |
| EOY | $73,637,876 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,768,560 | BOYAmt |
| EOY | $79,653,396 | 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 | $26,030,513 | BOYAmt |
| EOY | $26,030,513 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,030,513 | BOYAmt |
| EOY | $26,030,513 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,799,073 | BOYAmt |
| EOY | $105,683,909 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$79,994 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $79,994 | 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 |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $83,166,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $103,278,008 | CurrentTaxYearAmt |
| Total | $186,444,234 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,820,953 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,491,173 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,933,230 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,924,941 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,212,620 | CurrentTaxYearAmt |
| Total | $201,382,917 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,820,953 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,491,173 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,933,230 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,091,167 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $105,490,628 | CurrentTaxYearAmt |
| Total | $387,827,151 | 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 | $387,827,151 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $524 | CurrentTaxYearMinus3YearsAmt |
| Total | $524 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $524 | CurrentTaxYearMinus3YearsAmt |
| Total | $524 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,162,180 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,624,506 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $149,039 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $77,063 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,070 | CurrentTaxYearAmt |
| Total | $29,026,858 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $86,983,133 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $123,116,203 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,082,269 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,168,230 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $105,504,698 | CurrentTaxYearAmt |
| Total | $416,854,533 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93040 | PublicSupportCY509Pct |
| Public Support PY509 | 0.89690 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | INCOME FROM VALLEY HOSPITAL - 2015 AMOUNT: $ 11,347,905. 2016 AMOUNT: $ 16,143,605. 2017 AMOUNT: $ 130,326. OTHER INCOME - 2015 AMOUNT: $ 814,275. 2016 AMOUNT: $ 480,901. 2017 AMOUNT: $ 18,713. 2018 AMOUNT: $ 77,063. 2019 AMOUNT: $ 14,070. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,293,506 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,700,392 | DepreciationAmt |
| Book Value | $15,593,114 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,151,733 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,455,636 | DepreciationAmt |
| Book Value | $10,696,097 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $535,147 | OtherCostOrOtherBasisAmt |
| Book Value | $535,147 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,824,358 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $282,077 |
| ASSETS HELD BY RELATED ORGANIZATION | $4,851,537 |
| ROU ASSET - REAL ESTATE | $70,984,801 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $76,118,415 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $287,088 |
| ESTIMATED THIRD-PARTY PAYER SETTLEMENT | $1,390,920 |
| LEASE LIABILITY | $71,959,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $73,637,876 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $170,314,829 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $64,812,685 | OtherRevenueAmt |
| Revenue Not Reported | $64,812,685 | RevenueNotReportedAmt |
| Revenue Subtotal | $105,502,144 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,554 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,554 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $105,504,698 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $249,080,129 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $143,495,437 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $143,495,437 | ExpensesNotReportedAmt |
| Expenses Subtotal | $105,584,692 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $105,584,692 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE COMPANY 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 2016 TAX YEAR. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE ATTRIBUTABLE TO OTHER ENTITIES 64,812,685. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT RECOVERY INCLUDED IN REVENUE 2,554. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES ATTRIBUTABLE TO OTHER ENTITIES 143,492,883. BAD DEBT RECOVERY NETTED AGAINST EXPENSES 2,554. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| VALLEY PHYSICIAN SERVICES PC | |||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 465285330 | 501(C)(3) | $318,156 | STRATEGIC FUNDING |
| VALLEY PHYSICIAN SERVICES NY PC | |||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 453125678 | 501(C)(3) | $17,588 | STRATEGIC FUNDING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUDREY MEYERS | ||||||||||||||
| EX-OFFICIO TRUSTEE | $0 | $1,066,752 | $0 | $551,670 | $0 | $92,069 | $0 | $20,825 | $0 | $22,512 | $0 | $1,753,828 | $0 | $0 |
| SUNEET MITTAL MD | ||||||||||||||
| TRUSTEE | $0 | $979,155 | $0 | $138,066 | $0 | $2,622 | $0 | $9,800 | $0 | $33,049 | $0 | $1,162,692 | $0 | $0 |
| MARC R GOLDSTEIN | ||||||||||||||
| PRES. VALLEY MEDICAL THRU 8/15/19 | $383,002 | $0 | $134,650 | $0 | $421,467 | $0 | $9,800 | $0 | $15,407 | $0 | $964,326 | $0 | $325,606 | $0 |
| TIMOTHY WILLOX | ||||||||||||||
| VP, VALLEY MEDICAL | $347,331 | $0 | $20,000 | $0 | $55,023 | $0 | $0 | $0 | $13,021 | $0 | $435,375 | $0 | $0 | $0 |
| JEAN FLANAGAN | ||||||||||||||
| CHIEF OPERATING OFFICER | $251,345 | $0 | $37,250 | $0 | $42,627 | $0 | $9,019 | $0 | $28,806 | $0 | $369,047 | $0 | $0 | $0 |
| JOSEPH JEROME | ||||||||||||||
| DIRECTOR OF FINANCE, VMG | $183,026 | $0 | $25,000 | $0 | $2,321 | $0 | $0 | $0 | $16,242 | $0 | $226,589 | $0 | $0 | $0 |
| MARYANN KEPPLE | ||||||||||||||
| CFO, THRU 03/29/19 | $132,937 | $0 | $53,816 | $0 | $1,245 | $0 | $2,827 | $0 | $310 | $0 | $191,135 | $0 | $0 | $0 |
| MARY AIOSA | ||||||||||||||
| DIRECTOR CLINICAL SERVICES | $128,563 | $0 | $12,500 | $0 | $1,773 | $0 | $5,228 | $0 | $22,915 | $0 | $170,979 | $0 | $0 | $0 |
| EDWINA ANTONIO | ||||||||||||||
| RN | $144,730 | $0 | $3,770 | $0 | $0 | $0 | $7,520 | $0 | $10,260 | $0 | $166,280 | $0 | $0 | $0 |
| CAROL PERSLEY | ||||||||||||||
| MANAGER REGIONAL SPECIALTY | $133,550 | $0 | $8,478 | $0 | $1,769 | $0 | $5,076 | $0 | $10,299 | $0 | $159,172 | $0 | $0 | $0 |
| JOSHUA GREGOIRE | ||||||||||||||
| MANAGER, QUALITY | $133,721 | $0 | $8,615 | $0 | $269 | $0 | $5,165 | $0 | $5,250 | $0 | $153,020 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | MARC GOLDSTEIN RECEIVED A $325,606 DISTRIBUTION FROM A 457(F) PLAN. |
| PART I, LINE 7 | THE FOLLOWING EMPLOYEES RECEIVED A BOARD DISCRETIONARY BONUS IN THEIR 2019 W-2 FROM THE ORGANIZATION: 1. MARC R. GOLDSTEIN, $134,650 2. TIMOTHY WILLOX, $20,000 3. JEAN FLANAGAN, $37,250 4. JOSEPH JEROME, $25,000 5. MARYANN KEPPLE, $53,816 6. MARY AIOSA, $12,500 7. EDWINA ANTONIO, $3,770 8. CAROL PERSLEY, $8,478 9. JOSHUA GREGOIRE, $8,615 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | ON 5/21/2019, VALLEY PHYSICIAN SERVICES, INC. (AS PART OF VALLEY MEDICAL GROUP) UPDATED AND ADOPTED NEW BYLAWS AND LEGAL DOCUMENTS TO IMPLEMENT FORMALLY THE BOARD'S INTEGRATION INTO A PARALLEL BOARD OF THE VALLEY HEALTH SYSTEM'S ("VHS") BOARD. THIS CHANGE TOOK EFFECT JULY 1, 2019. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE 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 7A | THE PARENT BOARD SHALL HAVE THE RIGHT TO APPROVE THE SLATE OF NOMINEES FOR TRUSTEES AND/OR TO DETERMINE AND SUBMIT A SUBSTITUTE SLATE OF NOMINEES PURSUANT TO THE PROVISIONS OF SECTION 3.3 OF THE BY-LAWS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED AND/OR SUBJECT TO APPROVAL OF THE PARENT BOARD: 1) STRATEGIC ACTIONS 2) MAJOR CORPORATE DECISIONS 3) ANY SINGLE EXPENDITURE GREATER THAN FIVE PERCENT OF THE ANNUAL OPERATING BUDGET 4) SELECTION OF AUDITORS 5) APPOINTMENT AND REMOVAL OF THE CHIEF PHYSICIAN EXECUTIVE/CMO AND THE PRESIDENT OF THE GROUP 6) MAJOR CORPORATE DECISIONS REGARDING THE INCURRENCE OF DEBT IN EXCESS OF FIVE PERCENT OF THE OPERATING BUDGET |
| FORM 990, PART VI, SECTION B, LINE 11B | VPS 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 THE DIRECTOR OF FINANCE AND FINANCE COMMITTEE FOR REVIEW. ANY COMMENTS ARE SUMMARIZED AND PROVIDED TO DIRECTOR OF FINANCE. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED BY THE FINANCE 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 12C | VALLEY PHYSICIAN SERVICES, INC. HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL OF THE MEMBERS OF MANAGEMENT AND BOARD MEMBERS. ANNUALLY, 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 OF INTEREST THAT MAY EXIST. LEGAL REVIEWS AND DETERMINES IF CONFLICT OF INTEREST EXISTS. 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 MEMBERS 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. THIS PROCESS IS DOCUMENTED IN THE MINUTES OF THE BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 15 | VPS 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 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | VPS MAKES ITS FORM 990, FINANCIAL STATEMENTS, FORM 1023, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS AVAILABLE UPON WRITTEN REQUEST AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450 OR BY CALLING THE ORGANIZATION DIRECTLY AT 201-447-8000. |
| FORM 990, PART XI, LINE 9: | CHANGE IN ASSETS HELD BY FOUNDATION 79,994. |
| FORM 990, PART XI, LINE 2C | THE AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT AND FOR OVERSIGNT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE VALLEY HOSPITAL INC | |||||||||||
| 223 NORTH VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 221487307 | PROVIDE HEALTHCARE PROGRAMS AND SERVICES TO ALL | NJ | 501(C)(3) | LINE 3 | VALLEY HEALTH SYSTEM INC | 0 | |
| VALLEY HEALTH SYSTEM INC | |||||||||||
| 223 NORTH VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 222922016 | PROVIDE MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERS | NJ | 501(C)(3) | LINE 3 | 0 | N/A | |
| 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 | 0 | |
| THE VALLEY HOSPITAL FOUNDATION INC | |||||||||||
| 223 NORTH VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 222324554 | SOLICITS, RECEIVES AND APPLIES CONTRIBUTIONS FOR THE BENEFIT OF THE HOSPITAL | NJ | 501(C)(3) | LINE 7 | VALLEY HEALTH SYSTEM INC | 0 | |
| VALLEY PHYSICIAN SERVICE NY PC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07450 | 453125678 | OPERATES URGENT/PRIMARY CARE CLINICS | NY | 501(C)(3) | LINE 10 | VALLEY PHYSICIAN SERVICES INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VHS INSURANCE COMPANY LTD | ||||||||||||||
| 010 MAIN STREET | CAYMAN ISLANDS | CJ | 980408200 | PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE | CJ | VALLEY HEALTH SYSTEM INC | C | 0 | ||||||
| VALLEY HEALTH MEDICAL GROUP INC | ||||||||||||||
| 223475235 | OPERATES URGENT/PRIMARY CARE CLINICS | VALLEY HEALTH SYSTEM INC | C | 0 | 15 ESSEX ROAD | PARAMUS | NJ | 07652 | NJ | |||||
| VALLEY HEALTH MEDICAL GROUP NJPC | ||||||||||||||
| 223475166 | OPERATES URGENT/PRIMARY CARE CLINICS | C | 0 | 15 ESSEX ROAD | PARAMUS | NJ | 07652 | NJ | N/A | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 |