VALLEY HEALTH SYSTEM INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY HEALTH SYSTEM INC (EIN 22-2922016)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-12-20
- IRS object ID
- 201803549349300625
- Schema version
- 2017v2.3
- Note
- A later return for the same period supersedes this one.
- 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 | 2018-12-20T11:21:24-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222922016 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 2012916200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AUDREY MEYERS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2012916200 | PhoneNum |
| Signature | 2018-11-29 | 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 | 2018-11-28 | 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 | 2018-11-29 | IPDt |
| IP Tm | 14:12:01 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Federal Original Submission Id | 262423201831903f6e86 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5AEF29F42FDC2AF57A851BCD6B7A76FEBEDE7D9E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | AUDREY MEYERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $65,208,765 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 276 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,840,659 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,204,368 | CYProgramServiceRevenueAmt |
| PY Investment Income | $66 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,036 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $3,361 | CYOtherRevenueAmt |
| PY Total Revenue | $2,840,725 | PYTotalRevenueAmt |
| CY Total Revenue | $65,208,765 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,620,117 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,840,725 | PYOtherExpensesAmt |
| CY Other Expenses | $28,533,167 | CYOtherExpensesAmt |
| PY Total Expenses | $2,840,725 | PYTotalExpensesAmt |
| CY Total Expenses | $65,153,284 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $55,481 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,179,736 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,282,105 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $125,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,524,347 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,054,736 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $757,758 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VALLEY HEALTH SYSTEM IS A FULL SERVICE HEALTHCARE SYSTEM SERVING THE RESIDENTS OF NORTHERN NEW JERSEY. IT COMPRISES THE MANY PROGRAMS AND SERVICES OF THE VALLEY HOSPITAL, A FULL SERVICE HOME CARE AGENCY, VALLEY HOME CARE, AND COMMUNITY-BASED PRIMARY AND URGENT CARE CENTERS, VALLEY HEALTH MEDICAL GROUPS, THAT BRING QUALITY HEALTHCARE TO MANY COMMUNITIES OF BERGEN COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Revenue | $65,204,368 | RevenueAmt |
| Desc | 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. | Desc |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 276 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 | LAURIE DEBENEDETTO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2012916200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| AUDREY MEYERS | |||||||||
| PRESIDENT & CEO | 40.00 | 1.50 | Yes (X) | Yes (X) | $3,479,003 | $0 | $47,458 | ||
| JOHN KANDRAVY ESQ | |||||||||
| CHAIRMAN | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VINCENT FORLENZA | |||||||||
| VICE CHAIRMAN | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH MARION | |||||||||
| SECRETARY & TREASURER | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GANEPOLA GANEPOLA MD | |||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| BARNETT BUZZ RUKIN | |||||||||
| TRUSTEE | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| WARREN F COOKE ESQ | |||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT E FINK | |||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN W ALBOHM ESQ | |||||||||
| EX-OFFICIO | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK J SHEEHY | |||||||||
| EX-OFFICIO | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD KEENAN | |||||||||
| SR VP FINANCE & CFO | 40.00 | Yes (X) | $10,481,351 | $0 | $46,480 | ||||
| MARIA MEDIAGO | |||||||||
| VP, FACILITIES MANAGEMENT | 40.00 | $585,889 | $0 | $47,238 | Yes (X) | ||||
| ERIC CAREY | |||||||||
| VP/CIO, INFORMATION SYSTEMS | 40.00 | $508,573 | $0 | $53,464 | Yes (X) | ||||
| ROBIN G HOLLANDER | |||||||||
| SER VP, LEGAL SERVICES | 40.00 | $733,358 | $0 | $58,350 | Yes (X) | ||||
| GAIL CALLANDRILLO | |||||||||
| VP, PLANNING /GOVT RELATIONS | 40.00 | $547,108 | $0 | $53,769 | Yes (X) | ||||
| ROBERT W BRENNER | |||||||||
| SR VP/CHIEF PHYSICIAN | 40.00 | $1,155,941 | $0 | $31,663 | Yes (X) | ||||
| PETER W DIESTEL | |||||||||
| SR VP. ADMINISTRATION/COO | 40.00 | $836,517 | $0 | $55,056 | Yes (X) | ||||
| JOSE BALDERRAMA | |||||||||
| VP, HUMAN RESOURCES | 40.00 | $449,033 | $0 | $35,127 | Yes (X) | ||||
| MEGAN FRASER | |||||||||
| VP, COMMUNICATIONS/MARKETING | 40.00 | $403,076 | $0 | $27,597 | Yes (X) | ||||
| TONI P MODAK | |||||||||
| DIRECTOR, POPULATION HEALTH | 40.00 | $194,092 | $0 | $43,703 | Yes (X) | ||||
| CLYDE E WESP JR | |||||||||
| DIRECTOR, CHIEF MEDICAL INFORMATION OFFICER | 40.00 | $399,409 | $0 | $38,776 | Yes (X) | ||||
| EPHRAIM S CASPER | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $848,731 | $0 | $46,052 | Yes (X) | ||||
| NISHA SIKDER | |||||||||
| VICE PRESIDENT, PAYER STRATEGIES | 40.00 | $224,327 | $0 | $24,729 | Yes (X) | ||||
| MICHAEL P BURKE | |||||||||
| ASST VP, INFORMATION SYSTEMS | 40.00 | $226,769 | $0 | $32,634 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $21,073,177 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $642,096 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AFFILIATE COST ALLOCATION | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $65,204,368 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,204,368 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,204,368 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,036 | TotalRevenueColumnAmt |
| Exclusion | $1,036 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,361 | TotalRevenueColumnAmt |
| Exclusion | $3,361 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,361 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,208,765 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,204,368 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,397 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,636,051 | TotalAmt |
| Management And General | $19,636,051 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,022,365 | TotalAmt |
| Management And General | $11,022,365 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,440,940 | TotalAmt |
| Management And General | $1,440,940 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,352,884 | TotalAmt |
| Management And General | $2,352,884 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,167,877 | TotalAmt |
| Management And General | $2,167,877 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,518,086 | TotalAmt |
| Management And General | $2,518,086 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,300 | TotalAmt |
| Management And General | $12,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,104,292 | TotalAmt |
| Management And General | $10,104,292 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,371,787 | TotalAmt |
| Management And General | $6,371,787 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,275 | TotalAmt |
| Management And General | $511,275 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $811,368 | TotalAmt |
| Management And General | $811,368 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,401 | TotalAmt |
| Management And General | $320,401 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| LICENSES & ASSESMENTS | $3,634,013 | $3,634,013 |
| ALLOCATED OTHER EXPENSE | $2,418,006 | $2,418,006 |
| REGIONAL ACO PROGRAMS | $981,666 | $981,666 |
| MEMBERSHIP DUES | $849,973 | $849,973 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,153,284 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $65,153,284 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,000 | BOYAmt |
| EOY | $629,368 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,484 | BOYAmt |
| EOY | $598,521 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $133,588 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,321,515 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,772 | BOYAmt |
| EOY | $103,313 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,480 | BOYAmt |
| EOY | $3,495,800 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,179,736 | BOYAmt |
| EOY | $11,282,105 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,000 | BOYAmt |
| EOY | $10,524,347 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,000 | BOYAmt |
| EOY | $10,524,347 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,054,736 | BOYAmt |
| EOY | $757,758 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,054,736 | BOYAmt |
| EOY | $757,758 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,179,736 | BOYAmt |
| EOY | $11,282,105 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $55,481 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$352,459 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,192,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,589,477 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,631,293 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,840,659 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,204,368 | CurrentTaxYearAmt |
| Total | $75,458,373 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,192,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,589,477 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,631,293 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,840,659 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,204,368 | CurrentTaxYearAmt |
| Total | $75,458,373 | 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 | $75,458,373 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $83 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,036 | CurrentTaxYearAmt |
| Total | $1,425 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $83 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,036 | CurrentTaxYearAmt |
| Total | $1,425 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,192,696 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,589,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,631,376 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,840,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,205,404 | CurrentTaxYearAmt |
| Total | $75,459,798 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM VALLEY HOSPITAL | Desc |
| Book Value | $3,495,800 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,495,800 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $65,208,765 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $65,208,765 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $65,208,765 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $65,503,284 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $350,000 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $350,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $65,153,284 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $65,153,284 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE COMPANY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS FOR PERIODS PRIOR TO DECEMBER 31, 2013. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | TRANSFER TO HOSPITAL 350,000. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 | ||||||||||||||
| PRESIDENT & CEO | $1,020,380 | $0 | $481,941 | $0 | $1,976,682 | $0 | $25,650 | $0 | $21,808 | $0 | $3,526,461 | $0 | $949,749 | $0 |
| RICHARD KEENAN | ||||||||||||||
| SR VP FINANCE & CFO | $746,339 | $0 | $313,122 | $0 | $9,421,890 | $0 | $24,640 | $0 | $21,840 | $0 | $10,527,831 | $0 | $5,436,158 | $0 |
| MARIA MEDIAGO | ||||||||||||||
| VP, FACILITIES MANAGEMENT | $309,021 | $0 | $96,641 | $0 | $180,227 | $0 | $25,650 | $0 | $21,588 | $0 | $633,127 | $0 | $0 | $0 |
| ERIC CAREY | ||||||||||||||
| VP/CIO, INFORMATION SYSTEMS | $345,578 | $0 | $106,463 | $0 | $56,532 | $0 | $20,426 | $0 | $33,038 | $0 | $562,037 | $0 | $0 | $0 |
| ROBIN G HOLLANDER | ||||||||||||||
| SER VP, LEGAL SERVICES | $505,497 | $0 | $210,650 | $0 | $17,211 | $0 | $25,458 | $0 | $32,892 | $0 | $791,708 | $0 | $0 | $0 |
| GAIL CALLANDRILLO | ||||||||||||||
| VP, PLANNING /GOVT RELATIONS | $325,813 | $0 | $98,198 | $0 | $123,097 | $0 | $25,650 | $0 | $28,119 | $0 | $600,877 | $0 | $0 | $0 |
| ROBERT W BRENNER | ||||||||||||||
| SR VP/CHIEF PHYSICIAN | $735,770 | $0 | $272,860 | $0 | $147,311 | $0 | $20,280 | $0 | $11,383 | $0 | $1,187,604 | $0 | $0 | $0 |
| PETER W DIESTEL | ||||||||||||||
| SR VP. ADMINISTRATION/COO | $590,877 | $0 | $224,360 | $0 | $21,280 | $0 | $25,650 | $0 | $29,406 | $0 | $891,573 | $0 | $0 | $0 |
| JOSE BALDERRAMA | ||||||||||||||
| VP, HUMAN RESOURCES | $315,269 | $0 | $91,294 | $0 | $42,470 | $0 | $17,550 | $0 | $17,577 | $0 | $484,160 | $0 | $0 | $0 |
| MEGAN FRASER | ||||||||||||||
| VP, COMMUNICATIONS/MARKETING | $272,157 | $0 | $81,482 | $0 | $49,437 | $0 | $17,084 | $0 | $10,513 | $0 | $430,673 | $0 | $0 | $0 |
| TONI P MODAK | ||||||||||||||
| DIRECTOR, POPULATION HEALTH | $165,447 | $0 | $27,750 | $0 | $895 | $0 | $15,348 | $0 | $28,355 | $0 | $237,795 | $0 | $0 | $0 |
| CLYDE E WESP JR | ||||||||||||||
| DIRECTOR, CHIEF MEDICAL INFORMATION | $343,060 | $0 | $46,243 | $0 | $10,106 | $0 | $15,330 | $0 | $23,446 | $0 | $438,185 | $0 | $0 | $0 |
| EPHRAIM S CASPER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $749,369 | $0 | $77,264 | $0 | $22,098 | $0 | $13,500 | $0 | $32,552 | $0 | $894,783 | $0 | $0 | $0 |
| NISHA SIKDER | ||||||||||||||
| VICE PRESIDENT, PAYER STRATEGIES | $176,445 | $0 | $20,000 | $0 | $27,882 | $0 | $0 | $0 | $24,729 | $0 | $249,056 | $0 | $0 | $0 |
| MICHAEL P BURKE | ||||||||||||||
| ASST VP, INFORMATION SYSTEMS | $193,720 | $0 | $31,561 | $0 | $1,488 | $0 | $17,081 | $0 | $15,553 | $0 | $259,403 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | AUDREY MEYERS, PRESIDENT, IS COMPENSATED BY THE VALLEY 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 2017 AURDEY MEYERS AND 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 2017 BY AUDREY MEYERS AND 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 2017 SCHEDULE J COLUMN F WERE REPORTED AS DEFERRED COMPENSATION ON THE PROIR YEARS FORM 990 AS REQUIRED BY THE INSTRUCTIONS TO THE FORM 990 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX B | THE TAXPAYER IS FILING AN 2017 AMENDED RETURN TO CORRECTLY REPORT RESPONSES TO THE FOLLOWING QUESTIONS ON THE 990. THE RESPONSES ON THE ORIGINALLY FILED 990 WERE INCORRECT DUE TO A SOFTWARE PROCESSING ERROR THAT WAS DISCOVERED SUBSEQUENT TO THE FILING OF THE 990. PART I, LINE 5 - NUMBER OF W-2 PART IV, LINES 12B AND 35B - CHANGED TO YES FROM NO PART V, LINE 2B - CHANGED TO YES FROM NO PART XII, LINE 2A - NUMBER OF W-2'S IN ADDITION, PART IX OF THE ORIGINALLY FILED 990 IS BEING AMENDED TO ALLOCATE THE AMOUNTS FROM LINE 24A TO LINES 5, 7, 8 THROUGH 10. |
| 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 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 399,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 399,238. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,927,464. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,927,464. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 564,244. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 564,244. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,213,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,213,346. |
| FORM 990, PART XI, LINE 9: | EQUITY IN NET INCOME (LOSS) OF UNCONSOLIDATED SUBSIDIARY -2,459. TRANSFER TO HOSPITAL -350,000. |
| 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. |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| THE VALLEY HOSPITAL INC | ||||||||||
| 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 221487307 | PROVIDE HEALTHCARE PROGRAMS AND SERVICES TO ALL | NJ | 501(C)(3) | LINE 3 | VALLEY HEALTH SYSTEM INC | Yes (1) |
| 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 | Yes (1) |
| VALLEY HOME CARE INC | ||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 223208480 | PROVIDE HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ | NJ | 501(C)(3) | LINE 11 | VALLEY HEALTH SYSTEM INC | Yes (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 11 | THE VALLEY HOSPITAL INC | 0 |
| VALLEY PHYSICIAN SERVICES INC | ||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 320041186 | PROVIDE MEDICAL CARE AND CARRY OUT THE PURPOSES OF THE VALLEY HOSPITAL | NJ | 501(C)(3) | LINE 11 | THE VALLEY HOSPITAL INC | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VALLEY HEALTH MEDICAL GROUP OF NJ PC | |||||||||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 223475166 | OPERATES URGENT/PRIMARY CARE CLINICS | NJ | N/A | C | -$2,161 | $14,867 | 0 | ||||||
| VALLEY HEALTH MEDICAL GROUP | |||||||||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 223475233 | OPERATES URGENT/PRIMARY CARE CLINICS | NJ | C | -$2,886 | $116,371 | Yes (1) | VALLEY HEALTH SYSTEM INC | 1.00000 | |||||
| VALLEY PHYSICIAN SERVICE NY PC | |||||||||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 453125678 | OPERATES URGENT/PRIMARY CARE CLINICS | NY | N/A | C | 0 | ||||||||
| VHS INSURANCE COMPANY LTD | |||||||||||||||||
| 980408200 | PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE | C | 0 | THE VALLEY HOSPITAL INC | 010 MAIN STREET | CAYMAN ISLANDS | CJ | CJ | |||||||||
| 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 | 0 | 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 | 0 | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| THE VALLEY HOSPITAL INC | |
| Q | COST |
| VALLEY HOME CARE INC | |
| Q | COST |
| THE VALLEY HOSPITAL INC | |
| S | COST |
| THE VALLEY HOSPITAL INC | |
| O | COST |