2019-11-14T14:58:58-06:00 2018-12-31 271728945 PKF O'CONNOR DAVIES LLP 300 TICE BOULEVARD SUITE 315 WOODCLIFF LAKE NJ 07677 990 2018-01-01 222922016 VALLEY HEALTH SYSTEM INC VALL 2012916200 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 RICH KEENAN SR. VP FINANCE - CFO 2012916200 2019-11-13 1 EDWARD G O'CONNOR P00434443 2017129800 2019-11-13 47.19.39.42 2019-11-13 08:28:42 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 296073058FCED3F205F1B4BEA9A179C246384284 2018 2020-03-31 21:24:44Z AUDREY MEYERS 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 66468276 0 X WWW.VALLEYHEALTH.COM X 1988 NJ MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERS. 9 8 310 12 0 29987 0 0 65204368 66468276 1036 0 3361 0 65208765 66468276 0 0 0 0 36620117 40202862 0 0 0 28533167 25862235 65153284 66065097 55481 403179 11282105 10154334 10524347 8997701 757758 1156633 X VALLEY HEALTH SYSTEM IS A FULL SERVICE HEALTHCARE SYSTEM SERVING THE RESIDENTS OF NORTHERN NEW JERSEY. IT COMPRISES THE MANY PROGRAMS AND SERVICES OF THE VALLEY HOSPITAL, A FULL SERVICE HOME CARE AGENCY, VALLEY HOME CARE, AND COMMUNITY-BASED PRIMARY AND URGENT CARE CENTERS, VALLEY HEALTH MEDICAL GROUPS, THAT BRING QUALITY HEALTHCARE TO MANY COMMUNITIES OF BERGEN COUNTY. 0 0 66468276 HEALTH CARE DELIVERY & MANAGEMENT, GENERAL/OTHER: VALLEY HEALTH SYSTEM PROVIDES MANAGEMENT & PLANNING SERVICES FOR ITS MEMBERS: VALLEY HEALTH MEDICAL GROUP, THE VALLEY HOSPITAL, VALLEY HOME CARE. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 134 0 310 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NJ X LAURIE DEBENEDETTO 2012916200 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 AUDREY MEYERS PRESIDENT & CEO 40.00 2.00 X X 1610026 0 48093 JOHN KANDRAVY ESQ CHAIRMAN - THRU 5/2018 0.50 1.00 X X 0 0 0 VINCENT FORLENZA CHAIRMAN 0.50 X X 0 0 0 JOHN W ALBOHM ESQ VICE CHAIRMAN 0.50 2.00 X X 0 0 0 JOSEPH MARION SECRETARY & TREASURER 0.50 X X 0 0 0 GANEPOLA GANEPOLA MD TRUSTEE THRU 5/2018 0.50 X 0 0 0 BARNETT BUZZ RUKIN TRUSTEE 0.50 X 0 0 0 WARREN F COOKE ESQ TRUSTEE THRU 5/2018 0.50 1.00 X 0 0 0 ROBERT E FINK TRUSTEE THRU 5/2018 0.50 X 0 0 0 FRANK J SHEEHY EX-OFFICIO 0.50 3.00 X 0 0 0 GEORGE BECKER MD TRUSTEE 0.50 3.00 X 0 0 0 BRUCE MACTAS TRUSTEE 0.50 4.00 X 0 0 0 SCOTT SCHROEDER TRUSTEE 0.50 0.50 X 0 0 0 RICHARD KEENAN SR VP FINANCE & CFO 40.00 1.00 X 1280851 0 48827 MARIA MEDIAGO VP, FACILITIES MANAGEMENT 40.00 1.00 X 658921 0 48213 ERIC CAREY VP/CIO, INFORMATION SYSTEM 40.00 1.00 X 559876 0 53664 ROBIN G HOLLANDER SER VP, LEGAL SERVICES 40.00 1.00 X 748033 0 58440 GAIL CALLANDRILLO VP, PLANNING /GOVT RELATIO 40.00 1.00 X 613331 0 55495 ROBERT W BRENNER SR VP/CHIEF PHYSICIAN 40.00 1.00 X 1192357 0 30898 PETER W DIESTEL SR VP. ADMINISTRATION/COO 40.00 1.00 X 930276 0 38889 JOSE BALDERRAMA VP, HUMAN RESOURCES 40.00 1.00 X 484556 0 34404 MEGAN FRASER VP, COMMUNICATIONS/MARKETI 40.00 1.00 X 411387 0 38397 MARIEL GESUALDO DIRECTOR, LEGAL AFFAIRS 40.00 X 257250 0 11366 JANET ZICARELLI DIRECTOR, RISK/CLAIM MGT 40.00 X 207656 0 28153 EPHRAIM S CASPER CHIEF MEDICAL OFFICER 40.00 0.50 X 909199 0 50983 NISHA SIKDER VICE PRESIDENT, PAYER STRA 40.00 X 289664 0 38855 MICHAEL P BURKE ASST VP, INFORMATION SYSTE 40.00 X 229001 0 33956 10382384 0 618633 96 0 1 0 CORE CREATIVE INC 600 W VIRGINIA STREET SUITE 700 MILWAUKEE WI 53204 ADVERTISING & BRANDING 1411912 FURMAN ROTH ADVERTISING 801 SECOND AVENUE NEW YORK NY 10017 ADVERTISING SERVICES 1133027 LOWENSTEIN SANDLER LLP 65 LIVINGSTON AVE ROSELAND NJ 07068 LEGAL COUNSELING 958581 DAY PITNEY LLP PO BOX 416234 BOSTON MA 02241 LEGAL COUNSELING 928367 NORTH JERSEY MEDIA GROUP 1 GARRET MOUNTAIN PLAZA WOODLAND PARK NJ 07424 NEWSPAPER ADVERTISING 779280 30 AFFILIATE COST ALLOCATION 900099 64230610 64230610 PROFESSIONAL REVENUE 900099 2237666 2237666 66468276 66468276 66468276 0 0 X 8944934 8944934 24279431 24279431 1660787 1660787 3148800 3148800 2168910 2168910 1755122 1755122 12300 12300 9723436 9723436 5615429 5615429 533954 533954 976015 976015 90207 90207 207480 207480 327400 327400 LICENSES & ASSESMENTS 3744268 3744268 ALLOCATED OTHER EXPENSE 1892124 1892124 DUES & SUBSCRIPTIONS 984500 984500 66065097 0 66065097 0 629368 822222 598521 600507 133588 759660 6321515 5011672 103313 96422 3495800 2863851 11282105 10154334 10524347 8893560 0 104141 10524347 8997701 X 757758 1156633 757758 1156633 11282105 10154334 X 403179 -4304 X X 0 1 X 1 0 X 2589477 2631293 2840659 65204368 66468276 139734073 2589477 2631293 2840659 65204368 66468276 139734073 0 0 0 139734073 120 83 66 1036 1305 120 83 66 1036 1305 2589597 2631376 2840725 65205404 66468276 139735378 1.00000 1.00000 0.00000 X 0 DUE FROM VALLEY HOSPITAL 2863851 2863851 DUE TO VALLEY HOME CARE, INC. 104141 104141 X 66468276 0 66468276 0 66468276 66065097 0 66065097 0 66065097 PART X, LINE 2: THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE COMPANY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS FOR PERIODS PRIOR TO DECEMBER 31, 2015. X 0 0 X X X X 0 1 0 0 0 0 0 1 0 AUDREY MEYERS PRESIDENT & CEO 1050913 0 488048 0 71065 0 26125 0 21968 0 1658119 0 0 0 RICHARD KEENAN SR VP FINANCE & CFO 727209 0 317880 0 235762 0 25282 0 23545 0 1329678 0 0 0 MARIA MEDIAGO VP, FACILITIES MANAGEMENT 309447 0 99576 0 249898 0 26125 0 22088 0 707134 0 350658 0 ERIC CAREY VP/CIO, INFORMATION SYSTEM 359247 0 111580 0 89049 0 25990 0 27674 0 613540 0 39810 0 ROBIN G HOLLANDER SER VP, LEGAL SERVICES 514382 0 210635 0 23016 0 26125 0 32315 0 806473 0 0 0 GAIL CALLANDRILLO VP, PLANNING /GOVT RELATIO 328669 0 98700 0 185962 0 26019 0 29476 0 668826 0 90984 0 ROBERT W BRENNER SR VP/CHIEF PHYSICIAN 732975 0 264240 0 195142 0 20625 0 10273 0 1223255 0 0 0 PETER W DIESTEL SR VP. ADMINISTRATION/COO 609118 0 222300 0 98858 0 9625 0 29264 0 969165 0 442564 0 JOSE BALDERRAMA VP, HUMAN RESOURCES 335058 0 100576 0 48922 0 17774 0 16630 0 518960 0 0 0 MEGAN FRASER VP, COMMUNICATIONS/MARKETI 274055 0 80920 0 56412 0 25974 0 12423 0 449784 0 0 0 MARIEL GESUALDO DIRECTOR, LEGAL AFFAIRS 242406 0 14367 0 477 0 8366 0 3000 0 268616 0 0 0 JANET ZICARELLI DIRECTOR, RISK/CLAIM MGT 188775 0 17135 0 1746 0 15830 0 12323 0 235809 0 0 0 EPHRAIM S CASPER CHIEF MEDICAL OFFICER 771341 0 115760 0 22098 0 23375 0 27608 0 960182 0 0 0 NISHA SIKDER VICE PRESIDENT, PAYER STRA 220788 0 38159 0 30717 0 11491 0 27364 0 328519 0 0 0 MICHAEL P BURKE ASST VP, INFORMATION SYSTE 197047 0 30428 0 1526 0 17194 0 16762 0 262957 0 0 0 PART I, LINE 3 AUDREY MEYERS, PRESIDENT, IS COMPENSATED BY THE VALLEY HEALTH SYSTEM ("SYSTEM"). VALLEY HOSPITAL AND THE SYSTEM SETS UP THE FOLLOWING PROCEDURES TO ESTABLISH COMPENSATION FOR OF THE PRESIDENT. THE HOSPITAL AND SYSTEM HAS ESTABLISHED A POLICY FOR COMPENSATION OF ITS OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES. THE POLICY MANDATES THAT COMPENSATION FOR ITS OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES BE PERIODICALLY 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 2017. DURING 2018 RICHARD KEENAN WITHDREW FUNDS FROM THE DEFERRED COMPENSATION PLAN (DC PLAN)ESTABLISHED BY THE VALLEY HOSPITAL. THE DC PLAN ALLOWS EACH EMPLOYEE IN THE PLAN TO DEFER THEIR COMPENSATION ON AN ANNUAL BASIS UP TO CERTAIN LIMITS. THE DC PLAN IS NOT FUNDED WITH FUNDS FROM THE VALLEY HOSPITAL. THE AMOUNTS WITHDRAWN IN 2018 BY RICHARD KEENAN FROM THE DC PLAN REPRESENTS THE ACCUMULATION OF MANY YEARS OF DEFERRALS OF EACH EMPLOYEE'S DEFERRAL INTO THE DC PLAN. ALL COMPENSATION REPORTED IN THE 2018 SCHEDULE J COLUMN F WERE REPORTED AS DEFERRED COMPENSATION ON THE PROIR YEARS FORM 990 AS REQUIRED BY THE INSTRUCTIONS TO THE FORM 990 PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THEIR 457(F) PLANS: PETER DIESTEL, $71,922 GAIL CALLANDRILLO, $ 55,870 MARIA MEDIAGO, $128,550 ERIC CAREY, $ 25,868 PART I, LINE 7 THE FOLLOWING EMPLOYEES RECEIVED A BOARD DISCRETIONARY BONUS IN THEIR 2018 W-2 FROM THE ORGANIZATION: 1. AUDREY MEYERS, $488,048 2. RICHARD KEENAN, $317,880 3. MARIA MEDIAGO, $99,576 4. ERIC CAREY, $111,580 5. ROBIN G HOLLANDER, $210,635 6. GAIL CALLANDRILLO, $98,700 7. ROBERT W BRENNER, $264,240 8. PETER DIESTEL, $222,300 9. JOSE BALDERRAMA, $100,576 10. MEGAN FRASER, $80,920 11. MARIEL GESUALDO, $14,367 12. JANET ZICARELLI, $17,135 13. EPHRAIM S CASPER, $115,760 14. NISHA SIKDER, $38,159 15. MICHAEL P BURKE, $30,428 FORM 990, PART VI, SECTION B, LINE 11B VALLEY HEALTH SYSTEM'S FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY'S FINANCE COMMITTEE. WHEN THE 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT'S SUBMITTED TO MEMBERS OF THE ORGANIZATION'S GOVERNING BODY'S FINANCE COMMITTE FOR ANY COMMENTS. THE FINANCE COMMITTEE REVIEWS THE 990 AND PROVIDES ANY COMMENTS. THE COMMENTS ARE REVIEWED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST ANNUALLY. IF A CONFLICT OF INTEREST EXISTS THE ORGANIZATION WILL NOTIFY MEMBERS OF MANAGEMENT OR THE GOVERNING BODY AND INVESTIGATE THE CONFLICT. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE PART OF ANY DECISIONS ABOUT SUCH TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL AND SYSTEM HAS ESTABLISHED A POLICY FOR COMPENSATION OF ITS OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES. THE POLICY MANDATES THAT COMPENSATION FOR ITS OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES BE PERIODICALLY 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. FORM 990, PART VI, SECTION C, LINE 19 VALLEY HEALTH SYSTEM, INC. MAKES ITS FORM 990, FINANCIAL STATEMENTS, FORM 1023, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON WRITTEN REQUEST AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450 OR BY CALLING THE ORGANIZATION DIRECTLY AT 201-291-6200. FORM 990, PART IX, LINE 11G OUTSIDE SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 288,638. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 288,638. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,001,338. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,001,338. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 299,785. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 299,785. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,950,836. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,950,836. AGENCY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 182,839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,839. FORM 990, PART XI, LINE 9: EQUITY IN NET INCOME (LOSS) OF SUBSIDIARY -4,303. ROUNDING -1. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATREMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. COLIGOCARE LLC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 CLINICALLY INTERGRATED NETWORK NJ 2237666 694916 VALLEY HEALTH SYSTEM INC THE VALLEY HOSPITAL INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 PROVIDE HEALTHCARE PROGRAMS AND SERVICES TO ALL NJ 501(C)(3) LINE 3 VALLEY HEALTH SYSTEM INC 1 THE VALLEY HOSPITAL FOUNDATION INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 222324554 SOLICIT, RECEIVE AND APPLY CONTRIBUTIONS FOR THE BENEFIT OF THE HOSPITAL NJ 501(C)(3) LINE 7 VALLEY HEALTH SYSTEM INC 1 VALLEY HOME CARE INC 15 ESSEX ROAD PARAMUS NJ 07652 223208480 PROVIDE HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ NJ 501(C)(3) LINE 10 VALLEY HEALTH SYSTEM INC 1 VALLEY MEDICAL SERVICES INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 223260998 PROVIDE THE VALLEY HOSPITAL WITH EMPLOYED PHYSICIANS AND CONSULTING SERVICES NJ 501(C)(3) LINE 10 THE VALLEY HOSPITAL INC 0 VALLEY PHYSICIAN SERVICES INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 320041186 PROVIDES MANAGEMENT AND VARIED CONSULTING SERVICES NJ 501(C)(3) LINE 10 THE VALLEY HOSPITAL INC 0 VALLEY PHYSICIAN SERVICE NY PC 15 ESSEX ROAD PARAMUS NJ 07652 453125678 OPERATES URGENT/PRIMARY CARE CLINICS NY 501(C)(3) LINE 10 VALLEY PHYSICIAN SERVICES INC 0 VALLEY MEDICAL SERVICES PC 15 ESSEX ROAD PARAMUS NJ 07652 465297054 PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE NJ 501(C)(3) LINE 10 VALLEY PHYSICIAN SERVICES INC 0 VALLEY PHYSICIANS SERVICES PC 15 ESSEX ROAD PARAMUS NJ 07652 465285330 PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE NJ 501(C)(3) LINE 10 VALLEY PHYSICIAN SERVICES INC 0 VALLEY HEALTH MEDICAL GROUP OF NJ PC 15 ESSEX ROAD PARAMUS NJ 07652 223475166 OPERATES URGENT/PRIMARY CARE CLINICS NJ VALLEY HEALTH SYSTEM INC C -6980 13969 1.00000 0 VALLEY HEALTH MEDICAL GROUP 15 ESSEX ROAD PARAMUS NJ 07652 223475233 OPERATES URGENT/PRIMARY CARE CLINICS NJ VALLEY HEALTH SYSTEM INC C -2285 108253 1.00000 1 VHS INSURANCE COMPANY LTD 010 MAIN STREET CAYMAN ISLANDS CJ 980408200 PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE CJ THE VALLEY HOSPITAL INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 THE VALLEY HOSPITAL INC O 32769045 COST VALLEY HOME CARE INC P 0 COST THE VALLEY HOSPITAL INC Q 3300000 COST THE VALLEY HOSPITAL INC S 65653509 COST