2017-11-15T17:09:51-06:00 2016-12-31 271728945 PKF O'CONNOR DAVIES LLP 300 TICE BOULEVARD SUITE 315 WOODCLIFF LAKE NJ 07677 990 2016-01-01 222922016 VALLEY HEALTH SYSTEM INC VALL 2012916200 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 AUDREY MEYERS PRESIDENT 2012916200 2017-11-15 1 EDWARD G O'CONNOR P00434443 2017129800 2017-11-13 65.51.112.58 2017-11-15 10:02:06 ES P 8F3E04F861F0216E32497907D09A877E57DED22A CA72600D86868BB63E6792AE27374A61CFC4C663 2016 2018-03-14 21:41:22Z AUDREY MEYERS 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 2840725 0 X WWW.VALLEYHEALTH.COM X 1988 NJ MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERS. 11 10 0 10 0 0 0 0 2631293 2840659 83 66 0 0 2631376 2840725 0 0 0 0 0 0 0 0 0 2631376 2840725 2631376 2840725 0 0 1045567 1179736 0 125000 1045567 1054736 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 1896749 2840659 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. 1896749 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NJ X LAURIE DEBENEDETTO 2012916200 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 AUDREY MEYERS PRESIDENT & CEO 0.50 40.00 X X 0 1527405 46326 JOHN KANDRAVY ESQ CHAIRMAN 0.50 1.00 X X 0 0 0 VINCENT FORLENZA VICE CHAIRMAN 0.50 X X 0 0 0 JOSEPH MARION SECRETARY & TREASURER 0.50 2.50 X X 0 0 0 ANN ALFORD TRUSTEE, THRU 6/6/16 0.50 X 0 0 0 GANEPOLA GANEPOLA MD TRUSTEE 0.50 X 0 0 0 BARNETT BUZZ RUKIN TRUSTEE 0.50 X 0 0 0 DENIS SULLIVAN TRUSTEE 0.50 X 0 0 0 WARREN F COOKE ESQ TRUSTEE 0.50 1.00 X 0 0 0 ROBERT E FINK TRUSTEE 0.50 1.00 X 0 0 0 JOHN W ALBOHM ESQ EX-OFFICIO 0.50 3.00 X 0 0 0 FRANK J SHEEHY EX-OFFICIO 0.50 3.00 X 0 0 0 0 1527405 46326 0 0 1 0 0 AFFILIATE COST ALLOCAT 900099 2840659 2840659 2840659 66 66 2840725 2840659 0 66 6300 6300 61879 61879 634370 634370 1625 1625 340931 37625 303306 153471 153471 500 500 271914 271914 ALLOCATED SALARIES AND 1338409 1338409 EVENTS EXPENSES 30929 30929 FOOD & DIETARY ISSUES C 397 397 2840725 1896749 943976 0 125000 597419 597484 446603 455772 1545 1480 1045567 1179736 0 125000 0 125000 X 1045567 1054736 1045567 1054736 1045567 1179736 X 0 9169 X X 0 1 X 1 0 X 2240901 2192576 2589477 2631293 2840659 12494906 2240901 2192576 2589477 2631293 2840659 12494906 0 0 0 12494906 326 120 120 83 66 715 326 120 120 83 66 715 2241227 2192696 2589597 2631376 2840725 12495621 0.99990 0.99990 0.00010 0.00010 X 0 NET EQUITY IN UNCONSOLIDATED SUBSIDIARY 455772 F 455772 X 2840725 0 2840725 0 2840725 2840725 0 2840725 0 2840725 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. 0 0 0 0 0 0 0 0 0 AUDREY MEYERS PRESIDENT & CEO 0 991656 0 458156 0 77593 0 25135 0 21191 0 1573731 0 0 PART I, LINE 3 AUDREY MEYERS, PRESIDENT, IS COMPENSATED BY THE VALLEY HOSPITAL. VALLEY HOSPITAL SETS UP THE FOLLOWING PROCEDURES TO ESTABLISH COMPENSATION FOR HER. THE HOSPITAL 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 2016. 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 XI, LINE 9: EQUITY IN NET INCOME (LOSS) OF UNCONSOLIDATED SUBSIDIARY 9,169. 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. 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 15 ESSEX ROAD PARAMUS NJ 07652 320041186 PROVIDE MEDICAL CARE AND CARRY OUT THE PURPOSES OF THE VALLEY HOSPITAL NJ 501(C)(3) LINE 10 THE VALLEY HOSPITAL INC 0 VALLEY HEALTH MEDICAL GROUP NJPC 15 ESSEX ROAD PARAMUS NJ 07652 223475166 OPERATES URGENT/PRIMARY CARE CLINICS NJ N/A C 0 VALLEY HEALTH MEDICAL GROUP 15 ESSEX ROAD PARAMUS NJ 07652 223475233 OPERATES URGENT/PRIMARY CARE CLINICS NJ VALLEY HEALTH SYSTEM INC C 16894 469251 1.00000 1 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 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 Q 2690104 COST VALLEY HOME CARE INC Q 150555 COST THE VALLEY HOSPITAL INC S 125000 COST THE VALLEY HOSPITAL INC O 1338409 COST