VALLEY HOSPITAL FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
VALLEY HOSPITAL FOUNDATION (EIN 22-2324554)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-04
IRS object ID
202433099349303118
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-04T16:46:10-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN873231666PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 TICE BOULEVARD SUITE 315AddressLine1Txt
CityWOODCLIFF LAKECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07677ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222324554EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE VALLEY HOSPITAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone2012916300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVENUEAddressLine1Txt
CityRIDGEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07450ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM KLUTKOWSKIPersonNm
Person TitleSENIOR VP AND CFOPersonTitleTxt
Phone2012916300PhoneNum
Signature2024-11-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD G O'CONNORPreparerPersonNm
PTINP00434443PTIN
Phone2017129800PhoneNum
Preparation2024-10-31PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID BOHANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVENUEAddressLine1Txt
CityRIDGEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07450ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,606,759GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYHOSPITALFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO SOLICIT AND RECEIVE PHILANTHROPIC GIFTS, GRANTS, BEQUESTS FROM DONORS FOR THE PURPOSE OF SUPPORTING THE VALLEY HEALTH SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers71TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,084,206PYContributionsGrantsAmt
CY Contributions Grants$13,446,445CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,032,413PYInvestmentIncomeAmt
CY Investment Income$1,531,471CYInvestmentIncomeAmt
PY Other Revenue$2,321PYOtherRevenueAmt
CY Other Revenue$23,889CYOtherRevenueAmt
PY Total Revenue$12,118,940PYTotalRevenueAmt
CY Total Revenue$15,001,805CYTotalRevenueAmt
PY Grants And Similar Paid$13,186,608PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,362,656CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$130,889PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$189,190CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,051,926CYTotalFundraisingExpenseAmt
PY Other Expenses$3,259,807PYOtherExpensesAmt
CY Other Expenses$3,205,646CYOtherExpensesAmt
PY Total Expenses$16,577,304PYTotalExpensesAmt
CY Total Expenses$17,757,492CYTotalExpensesAmt
PY Revenues Less Expenses-$4,458,364PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,755,687CYRevenuesLessExpensesAmt
Total Assets BOY$53,391,795TotalAssetsBOYAmt
Total Assets EOY$53,150,654TotalAssetsEOYAmt
Total Liabilities BOY$2,031,305TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,806,560TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$51,360,490NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$51,344,094NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE VALLEY HOSPITAL FOUNDATION IS THE PHILANTHROPIC COMPONENT OF VALLEY HEALTH SYSTEM. IT'S PRIMARY FUNCTION IS TO SECURE CHARITABLE CONTRIBUTIONS FROM INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND OTHER FUNDING ENTITIES, TO MANAGE THOSE GIFTS, AND TO DISTRIBUTE THEM IN ACCORDANCE WITH ITS CHARTER. CHARITABLE FUNDS RAISED FOR THE HOSPITAL SUPPORT CONSTRUCTION, CAPITAL IMPROVEMENTS, MEDICAL TECHNOLOGY, BIOMEDICAL RESEARCH, EDUCATION, ENDOWMENTS, AND SPECIAL PROJECTS. FUNDS RAISED FOR VALLEY HOME CARE SUPPORT THE PROGRAMS OF THE AGENCY, SUCH AS HOSPICE, JOURNEYS, MATERNAL CHILD HEALTH, AND ENDOWMENTS. FUNDS RAISED FOR VALLEY MEDICAL GROUP SUPPORT PROGRAMS, CAPITAL IMPROVEMENTS, MEDICAL TECHNOLOGY, EDUCATION AND SPECIAL PROJECTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,362,656ExpenseAmt
Grant$14,362,656GrantAmt
DescTHE FOUNDATION HAS EVALUATED THE NEEDS OF VALLEY HEALTH SYSTEM AND SEEKS TO SECURE FUNDING FOR FOUR DIFFERENT CASES: CONSTRUCTION COSTS FOR THE VALLEY HOSPITAL IN PARAMUS, CAPITAL AND TECHNOLOGICAL IMPROVEMENTS, CLINICAL AND TRANSLATIONAL RESEARCH, AND ENDOWMENTS.VALLEY HEALTH SYSTEM IS A REGIONAL HEALTHCARE SYSTEM THAT SERVES RESIDENTS IN NORTHERN NEW JERSEY AND SOUTHERN NEW YORK. IT COMPRISES THE VALLEY HOSPITAL, VALLEY HOME CARE, AND VALLEY MEDICAL GROUP. KEY SERVICES INCLUDE CARDIOLOGY, ONCOLOGY, WOMEN'S AND CHILDREN'S SERVICES, EMERGENCY CARE, ORTHOPEDICS, AND NEUROSCIENCES. VALLEY HEALTH SYSTEM IS ONE OF THE MOST HONORED HEALTHCARE ORGANIZATIONS IN NEW JERSEY.Desc
Total Program Service Expenses$14,362,656TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LISA JOHNSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2012916300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVEAddressLine1Txt
CityRIDGEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07450ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
EDWARD M RUBIN
CHAIRMAN0.500.00Yes (X)Yes (X)$0$0$0
VICTOR WORTMANN
CHAIRMAN, THRU 6/12/230.500.00Yes (X)Yes (X)$0$0$0
ANDREW GATTO
VICE CHAIRMAN0.500.00Yes (X)Yes (X)$0$0$0
PETER C MARRON
VICE CHAIRMAN0.500.00Yes (X)Yes (X)$0$0$0
RALPH M MASTRANGELO
TREASURER0.500.00Yes (X)Yes (X)$0$0$0
NANCY V BUSH
SECRETARY0.500.00Yes (X)Yes (X)$0$0$0
JOSHUA L ABRAMS
TRUSTEE0.500.00Yes (X)$0$0$0
EPHRAIM CASPER MD
TRUSTEE0.5039.50Yes (X)$0$1,063,653$47,321
SUNNY CHOI MD
TRUSTEE, EFFECTIVE 12/20230.500.00Yes (X)$0$0$0
DANIEL P CUMMINGS
TRUSTEE, THRU 2/23/230.500.00Yes (X)$0$0$0
THEODORE L HARRIS
TRUSTEE0.500.00Yes (X)$0$0$0
LYNN HOLUBA
TRUSTEE0.500.00Yes (X)$0$0$0
KAREN KEYES
TRUSTEE0.500.00Yes (X)$0$0$0
AUDREY MEYERS
TRUSTEE - EX OFFICIO4.0036.00Yes (X)$0$2,880,401$52,035
SURYA N MOHAPATRA
TRUSTEE0.500.00Yes (X)$0$0$0
LYA PFEIFER ESQ
TRUSTEE0.500.00Yes (X)$0$0$0
YOLLA RAHAL
TRUSTEE0.500.00Yes (X)$0$0$0
THOMAS J RAKOWSKI MD
TRUSTEE0.500.00Yes (X)$0$0$0
MARC SABINO
TRUSTEE0.500.00Yes (X)$0$0$0
THERESA A SALAMENO
TRUSTEE - EX OFFICIO0.500.00Yes (X)$0$0$0
JEFFREY SEIDLER
TRUSTEE0.500.00Yes (X)$0$0$0
EDWARD B SELF JR MD
TRUSTEE, EFFECTIVE 12/20230.500.50Yes (X)$0$0$0
ANN MARIE SNYDER
TRUSTEE0.500.00Yes (X)$0$0$0
ROBERT VAN DYK
TRUSTEE0.500.00Yes (X)$0$0$0
CHRIS WRAGGE
TRUSTEE0.500.00Yes (X)$0$0$0
WILLIAM KLUTKOWSKI
SR. VP, FINANCE & CFO0.5039.50Yes (X)$0$1,079,106$51,469
DAVID J BOHAN
VICE PRESIDENT & CDO36.004.00Yes (X)$0$643,957$30,890
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,667,117TotReportableCompRltdOrgAmt
Total Other Compensation$181,715TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FAIRCOM NEW YORK
12 WEST 27TH STREET 13TH FLOORNEW YORKNY10001FUNDRAISING CONSULTING$153,618
HERITAGE WBE INC
224 FRANKLIN AVENUEMIDLAND PARKNJ07432COMMERCIAL PRINTING SERIVCES$113,897
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$59,700FundraisingAmt
Related Organizations$2,000,000RelatedOrganizationsAmt
All Other Contributions$11,386,745AllOtherContributionsAmt
Noncash Contributions$1,171,662NoncashContributionsAmt
Total Contributions$13,446,445TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,214,178TotalRevenueColumnAmt
Exclusion$1,214,178ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,883,864SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,566,571SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$317,293SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$317,293TotalRevenueColumnAmt
Exclusion$317,293ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$39,631FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$59,700ContriRptFundraisingEventAmt
Fundraising Direct Expenses$37,158FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,473TotalRevenueColumnAmt
Exclusion$2,473ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$22,641GamingGrossIncomeAmt
Gaming Direct Expenses$1,225GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,416TotalRevenueColumnAmt
Exclusion$21,416ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,001,805TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,555,360ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,362,656TotalAmt
Program Services$14,362,656ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,944TotalAmt
Management And General$7,944ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,400TotalAmt
Management And General$15,400ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$189,190TotalAmt
Fundraising$189,190FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,798TotalAmt
Management And General$7,798ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$119,014TotalAmt
Management And General$36,417ManagementAndGeneralAmt
Fundraising$82,597FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$133,463TotalAmt
Management And General$13,094ManagementAndGeneralAmt
Fundraising$120,369FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,053TotalAmt
Fundraising$4,053FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,673TotalAmt
Fundraising$1,673FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
REIMBURSED COMPENSATION$2,541,348$262,257$2,279,091
PROGRAM & SPECIAL EVENT$374,953$374,953

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,757,492TotalAmt
Program Services$14,362,656ProgramServicesAmt
Management And General$342,910ManagementAndGeneralAmt
Fundraising$3,051,926FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$577,026BOYAmt
EOY$1,773,814EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,493,621BOYAmt
EOY$596,374EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,312,782BOYAmt
EOY$9,526,971EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$37,008,366BOYAmt
EOY$41,253,495EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$53,391,795BOYAmt
EOY$53,150,654EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,260BOYAmt
EOY$17,302EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,014,045BOYAmt
EOY$1,789,258EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,031,305BOYAmt
EOY$1,806,560EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,762,280BOYAmt
EOY$12,919,770EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,598,210BOYAmt
EOY$38,424,324EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,360,490BOYAmt
EOY$51,344,094EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,391,795BOYAmt
EOY$53,150,654EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,755,687ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,740,391NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,100OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,018,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,154,884CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,867,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,083,106CurrentTaxYearMinus1YearAmt
Current Tax Year$13,446,445CurrentTaxYearAmt
Total$70,570,584TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,018,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,154,884CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,867,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,083,106CurrentTaxYearMinus1YearAmt
Current Tax Year$13,446,445CurrentTaxYearAmt
Total$70,570,584TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,494,177SubstantialContributorsTotAmt
Public Support Total170$68,076,407PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,196,638CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,251,245CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$907,185CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$888,079CurrentTaxYearMinus1YearAmt
Current Tax Year$1,214,178CurrentTaxYearAmt
Total$5,457,325TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,723CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$2,321CurrentTaxYearMinus1YearAmt
Current Tax Year$23,889CurrentTaxYearAmt
Total$57,933TotalAmt
FieldValueIRS element (for citing)
Total Support$76,085,842TotalSupportAmt
Public Support CY1700.89470PublicSupportCY170Pct
Public Support PY1700.90070PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,441,891BeginningYearBalanceAmt
Contributions$461,109ContributionsAmt
Investment Earnings Or Losses$2,196,702InvestmentEarningsOrLossesAmt
Other Expenditures$713,075OtherExpendituresAmt
End Year Balance$20,386,627EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,840,125BeginningYearBalanceAmt
Contributions$303,256ContributionsAmt
Investment Earnings Or Losses-$2,170,944InvestmentEarningsOrLossesAmt
Other Expenditures$682,761OtherExpendituresAmt
End Year Balance$18,289,676EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,740,794BeginningYearBalanceAmt
Contributions$1,085,386ContributionsAmt
Investment Earnings Or Losses$2,340,095InvestmentEarningsOrLossesAmt
Other Expenditures$3,326,150OtherExpendituresAmt
End Year Balance$20,840,125EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,696,561BeginningYearBalanceAmt
Contributions$580,178ContributionsAmt
Investment Earnings Or Losses$2,048,555InvestmentEarningsOrLossesAmt
Other Expenditures$584,500OtherExpendituresAmt
End Year Balance$20,740,794EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,182,482BeginningYearBalanceAmt
Contributions$135,316ContributionsAmt
Investment Earnings Or Losses$2,952,763InvestmentEarningsOrLossesAmt
Other Expenditures$574,000OtherExpendituresAmt
End Year Balance$18,696,561EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.18186BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.48631PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.33183TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ANNUITIES PAYABLE$851,949
DUE TO AFFILIATES$937,309
FieldValueIRS element (for citing)
Total Liability$1,789,258TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,742,196TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,740,391NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,740,391RevenueNotReportedAmt
Revenue Subtotal$15,001,805RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,001,805TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,758,592TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,100OtherExpensesIncludedAmt
Expenses Not Reported$1,100ExpensesNotReportedAmt
Expenses Subtotal$17,757,492ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,757,492TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS WERE RESTATED AS OF THE BEGINNING OF THE YEAR. THE FOUNDATION CURRENTLY MAINTAINS TWELVE DONOR-RESTRICTED AND TWO BOARD-DESIGNATED ENDOWMENT FUNDS WHOSE PURPOSES ARE TO PROVIDE LONG TERM SUPPORT FOR THE PROGRAMS AND SERVICES OF VALLEY HOSPITAL AND/OR VALLEY HOME CARE.
PART X, LINE 2:THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2020.
PART XII, LINE 2D - OTHER ADJUSTMENTS:WRITE-DOWN OF CONTRIBUTIONS 1,100.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
FAIRCOM
12 W 27TH STREETNEW YORKNY10001DIRECT MAIL CONSULTING0$316,248$153,618$162,630
PENTERA
8650 COMMERCE PARK PLACE SUITE GINDIANAPOLISIN46268NEWSLETTERS, AND OTHER SERVICES0$0$35,572-$35,572
FieldValueIRS element (for citing)
Total Gross Receipts$316,248TotalGrossReceiptsAmt
Total Retained By Contractors$189,190TotalRetainedByContractorsAmt
Total Net To Organization$127,058TotalNetToOrganizationAmt
Licensed StatesNJLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesFLLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1STEP UP FOR VALLEYEvent1Nm
Gross Receipts Event1$61,275GrossReceiptsEvent1Amt
Charitable Contri Event1$38,434CharitableContriEvent1Amt
Gross Revenue Event1$22,841GrossRevenueEvent1Amt
Non Cash Prizes Event1$7,828NonCashPrizesEvent1Amt
Event2CAMP NICUEvent2Nm
Gross Receipts Event2$38,056GrossReceiptsEvent2Amt
Charitable Contri Event2$21,266CharitableContriEvent2Amt
Gross Revenue Event2$16,790GrossRevenueEvent2Amt
Food And Beverage Event2$26,257FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$3,073OtherDirectExpensesEvent2Amt
Gross Receipts Total$99,331GrossReceiptsTotalAmt
Charitable Contributions Tot$59,700CharitableContributionsTotAmt
Gross Revenue Total Events$39,631GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$7,828NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$26,257FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,073OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$37,158DirectExpenseSummaryEventsAmt
Net Income Summary$2,473NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$22,641GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$1,025CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$200OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$22,641GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$1,025CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$200OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$1,225DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$21,416NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNJStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility0.66670GamingOwnFacilityPct
Gaming Other Facility0.33330GamingOtherFacilityPct
Individual With BooksMILDRED CHIRIANIIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVENUEAddressLine1Txt
CityRIDGEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07450ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonLISA JOHNSONGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvOVERALL MANAGEMENT AND SUPERVISION OF GAMING ACTIVITIES.GamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrYes (1)CharitableDistributionRqrInd
Distributed$21,416DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S AGREEMENTS WITH PENTERA AND FAIRCOM INCLUDES PAYMENTS FOR SERVICES AND REIMBURSEMENT OF EXPENSES AS APPROVED BY THE FOUNDATION.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
THE VALLEY HOSPITAL INC
223 NORTH VAN DIEN AVENUERIDGEWOODNJ07450221487307501(C)(3)$13,634,631$0PROJECT/CAPITAL PROJECTS/DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES
VALLEY MEDICAL GROUP
15 ESSEX ROADPARAMUSNJ07677320041186501(C)(3)$506,425$0DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES
VALLEY HOME CARE INC
15 ESSEX ROAD 3RD FLOOR SUITE 301PARAMUSNJ07677223208480501(C)(3)$221,600$0DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PROVIDES GRANTS TO ITS RELATED ORGANIZATIONS WITHIN THE VALLEY HEALTH SYSTEM - THE VALLEY HOSPITAL, VALLEY HOME CARE, AND VALLEY MEDICAL GROUP. THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS THROUGH COMMON MANAGEMENT WITH ITS GRANTEE ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AUDREY MEYERS
TRUSTEE - EX OFFICIO$0$1,349,573$0$1,039,480$0$491,348$0$24,750$0$27,285$0$2,932,436$0$437,682
WILLIAM KLUTKOWSKI
SR. VP, FINANCE & CFO$0$669,565$0$204,270$0$205,271$0$21,450$0$30,019$0$1,130,575$0$0
EPHRAIM CASPER MD
TRUSTEE$0$872,270$0$133,039$0$58,344$0$16,500$0$30,821$0$1,110,974$0$0
DAVID J BOHAN
VICE PRESIDENT & CDO$0$387,161$0$159,144$0$97,652$0$15,762$0$15,128$0$674,847$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (DAVID BOHAN, VICE PRESIDENT & CDO OF THE VALLEY HEALTH SYSTEM) IS COMPENSATED BY THE VALLEY HEALTH SYSTEM. THE VALLEY HEALTH SYSTEM HAS ESTABLISHED A POLICY FOR COMPENSATION OF OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES. THE POLICY INCLUDES A PERIODIC REVIEW BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, FREE OF ANY MEMBERS WITH CONFLICTS OF INTEREST. THE COMMITTEE DETERMINES APPROPRIATE LEVELS OF COMPENSATION USING COMPARATIVE DATA OF SIMILAR ORGANIZATIONS. COMPENSATION DECISIONS ARE ADEQUATELY AND CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS WAS LAST UNDERTAKEN IN 2023.
PART I, LINE 4BAUDREY MEYERS, PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN) OF THE VALLEY HEALTH SYSTEM, INC. SHE DID NOT RECEIVE A PAYMENT DURING 2023. AUDREY MEYERS AND WILLIAM KLUTKOWSKI PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. AUDREY MEYERS RECEIVED A PAYMENT IN 2023 IN THE AMOUNT OF $437,682 AS REPORTED IN PART II, COLUMN BIII AND COLUMN F.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution20ContributionCnt
Noncash Contributions Rpt F990$1,160,638NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVG SELLING PRICEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescPATIENT GIFTSDesc
Contribution15ContributionCnt
Noncash Contributions Rpt F990$11,024NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN PART I, COLUMN (B).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION MADE THE FOLLOWING CHANGES TO ITS BYLAWS: - ARTICLE I, SECTION 1.1. PURPOSES OF THE CORPORATIONS: UPDATE TO INCLUDE A DETAILED EXPLANATION OF THE ORGANIZATION'S PURPOSE AND OBJECTIVES. - ARTICLE II, SECTION 2.16. RESIGNATION, REMOVAL, SUSPENSION OR REGULATION OF TRUSTEES: UPDATED TO INCLUDE THE REMOVAL OF TRUSTEES DUE TO UNEXCUSED ABSENCES. - ARTICLE III, SECTION 3.4. CHAIR: UPDATED TO INCLUDE DUTIES OF THE CHAIRMAN. - ARTICLE V, SECTION 5.6. COMMITTEE ADVISORS: UPDATED TO INCLUDE THE COMMITTEE'S OR BOARD'S AUTHORITY TO SELECT AND RETAIN ITS OWN ADVISORS (E.G., LEGAL COUNSEL, PUBLIC ACCOUNTANTS, AND CONSULTANTS). - ARTICLE VII, SECTION 7.1. PROCEDURES UPON DISSOLUTION: UPDATED TO INCLUDE PROCEDURES FOR DISPOSITION OF PROPERTY UPON DISSOLUTION.
FORM 990, PART VI, SECTION A, LINE 6VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AVALLEY HEALTH SYSTEM HAS THE RIGHT TO ELECT ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BANY OF THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF THE SOLE MEMBER: A) SUBJECT TO THE PROVISIONS OF SECTION 2.2 OF THE BYLAWS, TO DETERMINE THE NUMBER OF TRUSTEES ON THE BOARD. B) SUBJECT TO THE PROVISIONS OF SECTION 2.2 OF THE BYLAWS, TO NOMINATE AND ELECT THE TRUSTEES OF THE CORPORATION. C) TO REMOVE ANY OF THE CORPORATION'S TRUSTEES, WITH OR WITHOUT CAUSE, AND TO APPROVE ANY RECOMMENDATION TO REMOVE A TRUSTEE BY THE BOARD D) TO APPROVE THE ELECTION, RE-ELECTION, APPOINTMENT, REAPPOINTMENT AND REMOVAL OF ANY OFFICERS OF THE CORPORATION. E) TO AMEND, REVISE OR RESTATE THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND TO APPROVE ALL AMENDMENTS OR REVISIONS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED OR APPROVED BY THE BOARD BEFORE THEY BECOME EFFECTIVE. F) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION. G) TO CHANGE THE LEGAL STRUCTURE OF THE CORPORATION. H) TO DISSOLVE, DIVIDE, CONVERT OR LIQUIDATE THE CORPORATION, TO CONSOLIDATE OR MERGE THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, TO SELL ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, TO CAUSE THE CORPORATION TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY, AND TO APPROVE ANY OF THE FOREGOING ACTIONS THAT ARE RECOMMENDED BY THE BOARD BEFORE SUCH ACTION BECOMES EFFECTIVE. I) TO APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY AMENDMENTS THERETO. J) TO INITIATE AND TO APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR TO IMPLEMENT ANY FINANCING STRATEGY, INCLUDING WITHOUT LIMITATION IN CONNECTION WITH ANY DEBT ISSUANCE, CAPITAL OR OPERATING LEASING TRANSACTIONS, AND TAXABLE AND NONTAXABLE FINANCINGS. K) TO APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THOSE THRESHOLDS ESTABLISHED BY THE BOARD, IF SUCH INCURRENCE OF DEBT IS NOT INCLUDED IN THE CORPORATION'S APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS. L) TO CAUSE OR DIRECT THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER SUCH FUNDS AS ARE NECESSARY TO PAY ANY OUTSTANDING INDEBTEDNESS OBLIGATIONS, INCLUDING BUT NOT LIMITED TO BORROWINGS, GUARANTIES, NON-RECOURSE INDEBTEDNESS, LEASES, AND DERIVATIVE INSTRUMENTS, CREATED OR APPROVED BY THE CORPORATION. M) TO EXERCISE SUCH OVERSIGHT, INCLUDING INITIATING ACTION OR APPROVING ACTION BY THE CORPORATION, OVER THE MANAGEMENT, POLICIES, DISPOSITION OR ENCUMBRANCE OF ASSETS, INCLUDING REAL OR PERSONAL PROPERTY, OF THE CORPORATION TO CAUSE OR ENSURE COMPLIANCE WITH TERMS AND CONDITIONS OF INDEBTEDNESS OBLIGATIONS AND FINANCIAL RELATIONSHIPS RELATED IN ANY MANNER TO SUCH INDEBTEDNESS. N) TO APPROVE ANY DONATION OR ANY OTHER TRANSFER OF THE CORPORATION'S ASSETS, OTHER THAN TO AN AFFILIATED ENTITY, IN EXCESS OF AN AMOUNT EQUAL TO OR GREATER THAN THE THRESHOLDS ESTABLISHED BY THE BOARD FOR SUCH CORPORATION, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS. O) TO SELECT AND APPOINT AUDITORS OF THE CORPORATION. P) TO INITIATE AND APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION. Q) TO INITIATE AND APPROVE INVESTMENT POLICIES AND CAPITAL CAMPAIGNS OF THE CORPORATION. R) TO INITIATE AND APPROVE THE FORMATION OF SUBSIDIARIES OF THE CORPORATION. S) TO THE EXTENT NOT EXPRESSLY SET FORTH ABOVE, TO DIRECT OR REQUIRE THE CORPORATION TO TAKE ANY OTHER LAWFUL ACTS OR ACTIONS WITH RESPECT TO THE CORPORATION'S BUSINESS, AFFAIRS, MANAGEMENT, PROPERTIES OR ACTIVITIES THAT THE SOLE MEMBER MAY DIRECT.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM. MANAGEMENT REVIEWS, PROVIDES ANY COMMENTS, AND UPON THEIR APPROVAL, A COPY OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS THE FORM 990 ON BEHALF OF THE FOUNDATION BOARD, PROVIDES ANY COMMENTS, AND UPON THE EXECUTIVE COMMITTEE'S APPROVAL, THE RETURN IS FINALIZED AND APPROVED FOR FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION IS INCLUDED IN THE CONFLICT OF INTEREST POLICY OF THE VALLEY HEALTH SYSTEM,INC. ALL OFFICERS AND TRUSTEES ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE GENERAL COUNSEL OF THE VALLEY HEALTH SYSTEM,INC. REVIEWS THE DISCLOSURES TO DETERMINE WHETHER ANY CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE PERSON WILL BE NOTIFIED, AND IS NOT ALLOWED TO VOTE ON OR BE PART OF ANY DECISIONS ABOUT THE RELATED TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON NEW YORK STATE ATTORNEY GENERAL WEBSITE, GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9:WRITE-DOWN OF CONTRIBUTIONS -1,100.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION'S BOARD ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THE ORGANIZATION'S SOLE MEMBER, VALLEY HEALTH SYSTEM, ASSUMES RESPONSIBILITY FOR THE SELECTION OF THE ORGANIZATION'S INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE VALLEY HOSPITAL INC
223 N VAN DIEN AVENUERIDGEWOODNJ07450221487307PROVIDES HEALTHCARE PROGRAMS AND SERVICES TO ALLNJ501(C)(3)3VALLEY HEALTH SYSTEM INC0
VALLEY HOME CARE INC
15 ESSEX ROAD 3RD FLOOR SUITE 301PARAMUSNJ07652223208480PROVIDES HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJNJ501(C)(3)10VALLEY HEALTH SYSTEM INC0
VALLEY PHYSICIAN SERVICES INC
223 N VAN DIEN AVENUERIDGEWOODNJ07450320041186PROVIDE PRIMARY AND SPECIALITY MEDICAL CARENJ501(C)(3)10THE VALLEY HOSPITAL INC0
VALLEY HEALTH SYSTEM INC
223 N VAN DIEN AVENUERIDGEWOODNJ07450222922016PROVIDES MANAGEMENT AND PLANNING SERVICES TO ITS MEMBERSNJ501(C)(3)70N/A
VALLEY PHYSICIAN SERVICES PC
15 ESSEX ROADPARAMUSNJ07652465285330PROVIDE PRIMARY AND SPECIALITY MEDICAL CARENJ501(C)(3)10VALLEY PHYSICIANS SERVICES INC0
VALLEY PHYSICIAN SERVICE NY PC
15 ESSEX ROADPARAMUSNJ07652453125678OPERATES URGENT/PRIMARY CARE CLINICSNY501(C)(3)10VALLEY PHYSICIAN SERVICES INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VHS INSURANCE COMPANY LTDBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1010 MAIN STREETAddressLine1Txt
Province Or StateCAYMAN ISLANDSProvinceOrStateNm
CountryCJCountryCd
FieldValueIRS element (for citing)
EIN980408200EIN
Primary ActivitiesPROVIDES PROFESSIONAL, MEDICAL, AND COMMERCIAL GENERAL LIABILITY INSURANCEPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VALLEY HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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