VALLEY HOME CARE INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY HOME CARE INC (EIN 22-3208480)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-12
- IRS object ID
- 202333169349300833
- Schema version
- 2022v5.0
- 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 | 2023-11-12T21:37:25-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 873231666 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES ADVISORY LLC | 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 | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223208480 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY HOME CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 2012916000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 ESSEX ROAD 3RD FLOOR 301 | AddressLine1Txt |
| City | PARAMUS | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07652 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM KLUTKOWSKI | PersonNm |
| Person Title | SR. VP, FINANCE & CFO | PersonTitleTxt |
| Phone | 2012916000 | PhoneNum |
| Signature | 2023-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WILLIAM | PersonFirstNm |
| Person Last | KLUTKOWSKI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EDWARD G O'CONNOR | PreparerPersonNm |
| PTIN | P00434443 | PTIN |
| Phone | 2017129800 | PhoneNum |
| Preparation | 2023-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM KLUTKOWSKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 ESSEX ROAD 3RD FLOOR 301 | AddressLine1Txt |
| City | PARAMUS | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07652 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $70,232,631 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | VALLEYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | VALLEY HOME CARE PROVIDES AN INTEGRATED DELIVERY OF BOTH HOME HEALTH AND WELLNESS PROGRAMS TO ITS SERVICE AREA OF PASSAIC AND BERGEN COUNTIES 24 HOURS A DAY SEVEN DAYS A WEEK. IN 2022, THIS CARE INCLUDED OVER 250,000 HOME VISITS PROVIDED BY A DEDICATED AND WELL EDUCATED STAFF INCLUDING NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, HOME HEALTH AIDES, SOCIAL WORKERS AND SPECIALTY CLINICIANS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 496 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $546,855 | PYContributionsGrantsAmt |
| CY Contributions Grants | $638,924 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,343,673 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $64,812,049 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,176,896 | PYInvestmentIncomeAmt |
| CY Investment Income | $820,913 | CYInvestmentIncomeAmt |
| PY Other Revenue | $639 | PYOtherRevenueAmt |
| CY Other Revenue | $708 | CYOtherRevenueAmt |
| PY Total Revenue | $64,068,063 | PYTotalRevenueAmt |
| CY Total Revenue | $66,272,594 | 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 | $38,406,429 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,264,435 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,308,153 | PYOtherExpensesAmt |
| CY Other Expenses | $10,557,087 | CYOtherExpensesAmt |
| PY Total Expenses | $51,714,582 | PYTotalExpensesAmt |
| CY Total Expenses | $58,821,522 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,353,481 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,451,072 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $68,097,114 | TotalAssetsBOYAmt |
| Total Assets EOY | $70,208,195 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,843,930 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,203,835 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,253,184 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $59,004,360 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF VALLEY HOME CARE, WHICH IS PART OF THE VALLEY HEALTH SYSTEM, IS TO SUPPORT THE INTEGRATED DELIVERY OF HEALTH AND WELLNESS PROGRAMS TO POPULATIONS WITHIN OUR SERVICE AREA. VALLEY HOME CARE RESPONDS TO THE CHANGING HEALTH CARE NEEDS OF OUR COMMUNITY WITH FLEXIBILITY AND INNOVATION TO UNDERTAKE THOSE SERVICES WHERE WE CAN MAINTAIN THE HIGHEST STANDARDS OF PRACTICE IN A FISCALLY RESPONSIBLE MANNER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,676,117 | ExpenseAmt |
| Revenue | $40,955,662 | RevenueAmt |
| Desc | VALLEY HOME CARE PROVIDES IN HOME MEDICAL CARE TO THE RESIDENTS OF PASSAIC AND BERGEN COUNTY. IN 2022, VALLEY HOME CARE MADE AN ESTIMATED 190,000 HOME VISITS TO OVER 11,500 PATIENTS. THESE PATIENTS WITH A MULTITUDE OF MEDICAL CONDITIONS VARY IN AGE FROM NEW BORN TO THE ELDERLY. THE VAST MAJORITY (75%) OF THESE PATIENTS ARE MEDICARE AND MEDICAID PARTICIPANTS WITH THE BALANCE OF THE PATIENTS BEING COMMERCIAL INSURANCE, SELF PAY OR CHARITY CARE. VALLEY HOME CARE PROVIDES THIS CARE WITH OVER 400 DEDICATED STAFF MEMBERS, INCLUDING NURSES, THERAPISTS, SOCIAL WORKERS, HOME HEALTH AIDES AND VARIOUS SPECIALTY CLINICIANS. VALLEY HOME CARE, INC'S THREE MAIN HOME CARE PROGRAMS ARE THE ADULT HOME CARE PROGRAM, THE MATERNAL CHILD HEALTH PROGRAM AND THE HOSPICE PROGRAM.THE ADULT HOME CARE PROGRAM PROVIDES HOME CARE SERVICES TO THOSE PATIENTS OVER EIGHTEEN YEARS OLD. THE MAJORITY OF THE PATIENTS IN THIS PROGRAM ARE THE ELDERLY WHO ARE MEDICALLY HOME BOUND AND IN NEED OF MEDICAL ASSISTANCE IN THE HOME. IN MANY CASES THESE PATIENTS LIVE ALONE AND VALLEY HOME CARE IS THEIR LIFE LINE TO MEDICAL CARE. THIS CARE IS PROVIDED BY NURSES, THERAPISTS, SOCIAL WORKERS, HOME HEALTH AIDES AND VARIOUS SPECIALTY CLINICIANS. VALLEY HOME CARE HAS INVESTED SIGNIFICANT RESOURCES TO ASSURE THAT OUR CLINICAL STAFF HAS BOTH THE PROPER TRAINING AND TECHNOLOGY NEEDED TO HANDLE THE COMPLICATED IN HOME MEDICAL NEEDS OF OUR PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,077,352 | ExpenseAmt |
| Revenue | $21,905,944 | RevenueAmt |
| Desc | THE VALLEY HOSPICE PROVIDES END OF LIFE CARE TO PATIENTS IN PASSAIC AND BERGEN COUNTY. THE VALLEY HOSPICE ASSISTS OVER 1,450 PATIENTS AND FAMILIES MAKES OVER 75,000 HOME VISITS EACH YEAR. THE VALLEY HOSPICE NOT ONLY PROVIDES COMFORT AND MEDICAL CARE TO ITS PATIENTS WITH HIGHLY TRAINED CLINICAL STAFF, BUT ALSO HELPS THE FAMILY IN COPING WITH THE LOSS OF A LOVED ONE. THIS IS ACCOMPLISHED THROUGH MANY PROGRAMS WHICH ARE AVAILABLE SUCH AS THE BEREAVEMENT PROGRAM, WHICH HELPS THE FAMILY COPE WITH THE SITUATION. ALSO, THE JOURNEYS PROGRAM, WHICH IS AN ART THERAPY PROGRAM TO HELP THE CHILDREN AND SIBLINGS DEAL WITH THE LOSS OF A LOVED ONE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,380,296 | ExpenseAmt |
| Revenue | $1,190,754 | RevenueAmt |
| Desc | VALLEY HOME CARE PROVIDES OUTPATIENT REHABILITATION SERVICES WITH OVER 11,000 VISITS PROVIDED TO PATIENTS, HELPING THEM TO STAY IN THEIR HOME. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,218,605 | ExpenseAmt |
| Revenue | $759,689 | RevenueAmt |
| Desc | THE MATERNAL CHILD HEALTH PROGRAM PROVIDES HOME CARE SERVICES TO THOSE PATIENTS UNDER EIGHTEEN YEARS OLD. THE MAJORITY OF THE PATIENTS ON THIS PROGRAM ARE INFANTS AND THEIR MOTHER. THE CARE PROVIDED TO THIS GROUP OF PATIENTS RANGE FROM MEDICAL NEEDS OF THE CHILDREN TO THE PARENTAL EDUCATIONAL NEEDS OF THE FAMILY. MANY OF THE YOUNG CHILDREN WHO COME TO VALLEY HOME CARE DO SO WITH SIGNIFICANT MEDICAL NEEDS AND REMAIN VALLEY HOME CARE PATIENTS INTO ADULTHOOD. THE MATERNAL CHILD HEALTH PROGRAM ALSO HAS A PEDIATRIC HOSPICE COMPONENT, THE BUTTERFLIES PROGRAM, WHICH CARES FOR THE TERMINALLY ILL PEDIATRIC PATIENT. THE MATERNAL CHILD HEALTH PROGRAM MAKES OVER 4,300 VISITS ANNUALLY BY VARIOUS VALLEY HOME CARE STAFF MEMBERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,218,605 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $759,689 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $47,352,370 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 496 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TONI MODAK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2012916232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 ESSEX ROAD 3RD FLOOR | AddressLine1Txt |
| City | PARAMUS | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07652 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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, VHS | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $3,974,039 | $49,572 | ||
| VINCENT FORLENZA | |||||||||
| CHAIRMAN | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KEVIN LOBO | |||||||||
| VICE CHAIRMAN | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK J SHEEHY | |||||||||
| VICE CHAIR | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANN LIMBERG | |||||||||
| VICE CHAIR & SECRETARY | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH MARION | |||||||||
| TREASURER | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JUDY BASELICE | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BUSH | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE HASSON | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| M SHAWN KENNEDY | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE MACTAS | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| DUANE SACHS | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| DENIS SALAMONE | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT SCHROEDER | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD B SELF MD | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN SILVERSTEIN | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY TUCKER | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA VERDUIN | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE WALD ESQ | |||||||||
| TRUSTEE | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT W BRENNER PRESIDENT | |||||||||
| CLINICAL INTEGRATION/ PHYSICIAN ENT. | 2.00 | 38.00 | Yes (X) | $0 | $1,461,032 | $28,405 | |||
| WILLIAM KLUTKOWSKI | |||||||||
| SR. VP, FINANCE & CFO | 1.00 | 39.00 | Yes (X) | $0 | $1,016,955 | $57,305 | |||
| TONI MODAK | |||||||||
| VICE PRESIDENT, VHS | 40.00 | $0 | $340,955 | $35,091 | Yes (X) | ||||
| RAMZI ISSA | |||||||||
| ADMISSION NURSE | 40.00 | 0.00 | $257,731 | $0 | $2,242 | Yes (X) | |||
| ROSEMARIE RANURO | |||||||||
| DIRECTOR, CLINCAL SERVICES | 40.00 | 0.00 | $233,498 | $0 | $36,734 | Yes (X) | |||
| FARIBA HAGHSHENAS DIRECTOR | |||||||||
| OF QUALITY & STAFF EDUCATION | 40.00 | 0.00 | $205,102 | $0 | $9,113 | Yes (X) | |||
| JOSEPH P SO | |||||||||
| PHYSICAL THERAPIST | 40.00 | 0.00 | $182,866 | $0 | $37,875 | Yes (X) | |||
| HELEN PITTMAN | |||||||||
| COMMUNITY HEALTH NURSE | 40.00 | 0.00 | $181,794 | $0 | $17,158 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,060,991 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,792,981 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $273,495 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 141 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCBEE ASSOCIATES INC | |||||
| POBOX 823519 | PHILADELPHIA | PA | 191823519 | MEDICAL SERVICES | $515,401 |
| CHRISTIAN HEALTH CARE CENTER | |||||
| 301 SICOMAC AVENUE | WYCKOFF | NJ | 07481 | REHABILITATIVE SERVICES | $475,936 |
| HOMECARE HOMEBASE LLC | |||||
| POBOX 678637 | DALLAS | TX | 752678637 | SOFTWARE SRV AND MAINTENANCE | $470,371 |
| FGA RECEIVABLES | |||||
| 720 KING GEORGES POST ROAD SUITE 3 | FORDS | NJ | 08863 | BILLING & COLLECTION SVCS. | $216,000 |
| HEALTH RECOVERY SOLUTIONS INC | |||||
| POBOX 670538 | DALLAS | TX | 752670538 | REMOTE CARE MANAGEMENT | $181,570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $327,162 | RelatedOrganizationsAmt |
| Government Grants | $306,762 | GovernmentGrantsAmt |
| All Other Contributions | $5,000 | AllOtherContributionsAmt |
| Total Contributions | $638,924 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $64,812,049 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $64,812,049 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $64,812,049 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $937,902 | TotalRevenueColumnAmt |
| Exclusion | $937,902 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,843,048 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,960,037 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$116,989 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$116,989 | TotalRevenueColumnAmt |
| Exclusion | -$116,989 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAL RECORD FEES | 900099 | $398 | $398 |
| MISCELLANEOUS REVENUE | 900099 | $310 | $310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $708 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,272,594 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $64,812,049 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $821,621 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,832,294 | TotalAmt |
| Program Services | $32,796,120 | ProgramServicesAmt |
| Management And General | $7,036,174 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,138,032 | TotalAmt |
| Program Services | $987,922 | ProgramServicesAmt |
| Management And General | $150,110 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,806,075 | TotalAmt |
| Program Services | $4,172,139 | ProgramServicesAmt |
| Management And General | $633,936 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,488,034 | TotalAmt |
| Program Services | $2,159,854 | ProgramServicesAmt |
| Management And General | $328,180 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,275 | TotalAmt |
| Program Services | $67,950 | ProgramServicesAmt |
| Management And General | $10,325 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,258 | TotalAmt |
| Management And General | $11,258 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,403,103 | TotalAmt |
| Program Services | $2,491,376 | ProgramServicesAmt |
| Management And General | $2,911,727 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,795 | TotalAmt |
| Program Services | $3,294 | ProgramServicesAmt |
| Management And General | $501 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,080 | TotalAmt |
| Program Services | $824,761 | ProgramServicesAmt |
| Management And General | $125,319 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $711,111 | TotalAmt |
| Program Services | $617,313 | ProgramServicesAmt |
| Management And General | $93,798 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,136 | TotalAmt |
| Program Services | $309,160 | ProgramServicesAmt |
| Management And General | $46,976 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,776 | TotalAmt |
| Program Services | $628,308 | ProgramServicesAmt |
| Management And General | $95,468 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,553 | TotalAmt |
| Program Services | $6,557 | ProgramServicesAmt |
| Management And General | $996 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,824 | TotalAmt |
| Program Services | $80,580 | ProgramServicesAmt |
| Management And General | $12,244 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750 | TotalAmt |
| Program Services | $651 | ProgramServicesAmt |
| Management And General | $99 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,133,108 | $2,132,319 | $789 |
| ADMISSION KITS | $69,156 | $60,034 | $9,122 |
| MISCELLANEOUS EXPENSES | $16,162 | $14,032 | $2,130 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,821,522 | TotalAmt |
| Program Services | $47,352,370 | ProgramServicesAmt |
| Management And General | $11,469,152 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,907,397 | BOYAmt |
| EOY | $5,767,114 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,680 | BOYAmt |
| EOY | $1,008,715 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,996,365 | BOYAmt |
| EOY | $7,438,694 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,396 | BOYAmt |
| EOY | $291,536 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $646,819 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $379,761 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,200 | BOYAmt |
| EOY | $267,058 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,484,884 | BOYAmt |
| EOY | $49,633,001 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,611,192 | BOYAmt |
| EOY | $5,802,077 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,097,114 | BOYAmt |
| EOY | $70,208,195 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,232,237 | BOYAmt |
| EOY | $6,544,785 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,611,693 | BOYAmt |
| EOY | $4,659,050 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,843,930 | BOYAmt |
| EOY | $11,203,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,325,295 | BOYAmt |
| EOY | $54,796,214 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,927,889 | BOYAmt |
| EOY | $4,208,146 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,253,184 | BOYAmt |
| EOY | $59,004,360 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,097,114 | BOYAmt |
| EOY | $70,208,195 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,451,072 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,213,353 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$486,543 | 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 |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $392,201 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $354,584 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,375,905 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $546,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $638,924 | CurrentTaxYearAmt |
| Total | $5,308,469 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,694,739 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,136,848 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,173,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,343,673 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,812,049 | CurrentTaxYearAmt |
| Total | $290,161,118 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55,086,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,491,432 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,549,714 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,890,528 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,450,973 | CurrentTaxYearAmt |
| Total | $295,469,587 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,000 | CurrentTaxYearMinus4YearsAmt |
| Total | $5,000 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,000 | CurrentTaxYearMinus4YearsAmt |
| Total | $5,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $295,464,587 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $935,572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $899,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $608,485 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $895,580 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $937,902 | CurrentTaxYearAmt |
| Total | $4,277,268 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $935,572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $899,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $608,485 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $895,580 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $937,902 | CurrentTaxYearAmt |
| Total | $4,277,268 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,887 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,664 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $639 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $708 | CurrentTaxYearAmt |
| Total | $45,773 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,036,387 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,410,048 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,169,863 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,786,747 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,389,583 | CurrentTaxYearAmt |
| Total | $299,792,628 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98560 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98530 | PublicSupportPY509Pct |
| Investment Income CY | 0.01430 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01450 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2018 AMOUNT: $ 6,047. 2019 AMOUNT: $ 1,180. 2020 AMOUNT: $ 11,363. 2021 AMOUNT: $ 483. 2022 AMOUNT: $ 310. CLINICAL EDUCATION - MEDICAL RECORD FEES - 2018 AMOUNT: $ 7,828. 2019 AMOUNT: $ 17,707. 2020 AMOUNT: $ 301. 2021 AMOUNT: $ 156. 2022 AMOUNT: $ 398. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,927,890 | BeginningYearBalanceAmt |
| Contributions | $96,232 | ContributionsAmt |
| Investment Earnings Or Losses | -$584,659 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $231,316 | GrantsOrScholarshipsAmt |
| End Year Balance | $4,208,147 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,629,033 | BeginningYearBalanceAmt |
| Contributions | $3,889 | ContributionsAmt |
| Investment Earnings Or Losses | $511,635 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $216,667 | GrantsOrScholarshipsAmt |
| End Year Balance | $4,927,890 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,360,950 | BeginningYearBalanceAmt |
| Contributions | $109,525 | ContributionsAmt |
| Investment Earnings Or Losses | $425,955 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $267,397 | GrantsOrScholarshipsAmt |
| End Year Balance | $4,629,033 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,929,581 | BeginningYearBalanceAmt |
| Contributions | $76,408 | ContributionsAmt |
| Investment Earnings Or Losses | $655,683 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $300,722 | GrantsOrScholarshipsAmt |
| End Year Balance | $4,360,950 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,148,853 | BeginningYearBalanceAmt |
| Contributions | $207,959 | ContributionsAmt |
| Investment Earnings Or Losses | -$203,702 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $223,529 | GrantsOrScholarshipsAmt |
| End Year Balance | $3,929,581 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.54356 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.45644 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,418 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,840 | DepreciationAmt |
| Book Value | $4,578 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,158 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,321 | DepreciationAmt |
| Book Value | $8,837 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $616,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $362,600 | DepreciationAmt |
| Book Value | $253,643 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $267,058 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS HELD BY RELATED ORGANIZATIONS | $4,208,146 |
| OPERATING LEASE - RIGHT OF USE ASSET | $1,593,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,802,077 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $2,522,457 |
| OPERATING LEASE LIABILITY | $1,593,931 |
| DUE TO AFFILIATES | $542,662 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,659,050 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $59,572,698 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$6,213,353 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$6,213,353 | RevenueNotReportedAmt |
| Revenue Subtotal | $65,786,051 | RevenueSubtotalAmt |
| Other Revenues Not Included | $486,543 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $486,543 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $66,272,594 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $58,821,522 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $58,821,522 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $58,821,522 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | VALLEY HOME CARE'S ENDOWMENT FUNDS ARE HELD BY THE VALLEY HOSPITAL FOUNDATION. THE FOUNDATION CURRENTLY MAINTAINS EIGHT DONOR-RESTRICTED AND TWO BOARD-DESIGNATED ENDOWMENT FUNDS WHOSE PURPOSES ARE TO PROVIDE LONG TERM SUPPORT FOR THE PROGRAMS AND SERVICE OF THE VALLEY HOSPITAL AND/OR VALLEY HOME CARE. |
| PART X, LINE 2: | VHC IS A TAX-EXEMPT ORGANIZATION UNDER EXISTING PROVISIONS OF THE INTERNAL REVENUE CODE 501(C)(3), AND ITS RELATED INCOME IS NOT SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAXES. VHC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT VHC HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. VHC IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO THE 2019 TAX YEAR. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DECREASE IN ASSETS HELD BY RELATED ORGANIZATION 486,543. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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, VHS | $0 | $1,249,299 | $0 | $984,960 | $0 | $1,739,780 | $0 | $22,875 | $0 | $26,697 | $0 | $4,023,611 | $0 | $1,583,249 |
| ROBERT W BRENNER PRESIDENT | ||||||||||||||
| CLINICAL INTEGRATION/ PHYSICIAN ENT. | $0 | $816,543 | $0 | $357,704 | $0 | $286,785 | $0 | $13,725 | $0 | $14,680 | $0 | $1,489,437 | $0 | $0 |
| WILLIAM KLUTKOWSKI | ||||||||||||||
| SR. VP, FINANCE & CFO | $0 | $627,904 | $0 | $192,180 | $0 | $196,871 | $0 | $21,138 | $0 | $36,167 | $0 | $1,074,260 | $0 | $0 |
| TONI MODAK | ||||||||||||||
| VICE PRESIDENT, VHS | $0 | $279,355 | $0 | $38,556 | $0 | $23,044 | $0 | $15,559 | $0 | $19,532 | $0 | $376,046 | $0 | $0 |
| ROSEMARIE RANURO | ||||||||||||||
| DIRECTOR, CLINCAL SERVICES | $208,255 | $0 | $22,298 | $0 | $2,945 | $0 | $10,417 | $0 | $26,317 | $0 | $270,232 | $0 | $0 | $0 |
| RAMZI ISSA | ||||||||||||||
| ADMISSION NURSE | $149,067 | $0 | $108,350 | $0 | $314 | $0 | $2,242 | $0 | $0 | $0 | $259,973 | $0 | $0 | $0 |
| JOSEPH P SO | ||||||||||||||
| PHYSICAL THERAPIST | $181,244 | $0 | $400 | $0 | $1,222 | $0 | $4,638 | $0 | $33,237 | $0 | $220,741 | $0 | $0 | $0 |
| FARIBA HAGHSHENAS DIRECTOR | ||||||||||||||
| OF QUALITY & STAFF EDUCATION | $184,263 | $0 | $19,260 | $0 | $1,579 | $0 | $7,113 | $0 | $2,000 | $0 | $214,215 | $0 | $0 | $0 |
| HELEN PITTMAN | ||||||||||||||
| COMMUNITY HEALTH NURSE | $164,503 | $0 | $15,800 | $0 | $1,491 | $0 | $5,935 | $0 | $11,223 | $0 | $198,952 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ORGANIZATION'S BOARD IS A SHARED BOARD WITH THE VALLEY HEALTH SYSTEM. VALLEY HEALTH SYSTEM HAS DEVELOPED A COMPENSATION PLAN, WHICH GOVERNS THE THE ORGANIZATION. THE PLAN WAS DEVELOPED IN CONJUNCTION WITH A CONSULTING BOARD OF TRUSTEES AND THE VALLEY HEALTH SYSTEM PHYSICIAN COMPENSATION COMPENSATION FOR ALL EXECUTIVES, INCLUDING THE CEO AND VICE PRESIDENTS OF FIRM, REVIEWED BY THE PHYSICIAN LEADERSHIP COUNCIL AND APPROVED BY THE COMMITTEE. ON AN ANNUAL BASIS, THE PLAN IS REVIEWED AND UPDATED AS NEEDED. |
| PART I, LINE 4B | AUDREY MEYERS AND WILLIAM KLUTKOWSKI PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. AUDREY MEYERS RECEIVED A PAYMENT IN THE AMOUNT OF $1,583,249 FROM THIS PLAN AS REPORTED IN PART II, COLUMN BIII AND COLUMN F. AUDREY MEYERS PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). SHE DID NOT RECEIVE A PAYMENT DURING 2022. |
| PART I, LINE 7 | EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED FOR THEM IN PART II, COLUMN B(II). |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S SOLE MEMBER IS VALLEY HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S SOLE MEMBER HAS THE RIGHT TO NOMINATE, ELECT, AND REMOVE THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING DECISIONS OF THE ORGANIZATION ARE RESERVED TO THE ORGANIZATION'S SOLE MEMBER: TO DETERMINE THE NUMBER OF TRUSTEES ON THE BOARD; 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; TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION; TO CHANGE THE LEGAL STRUCTURE OF THE CORPORATION; TO COMMIT TO ADD OR THE ADDITION OF ANOTHER HOSPITAL OR HEALTH SYSTEM TO THE CORPORATION; 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; TO APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY AMENDMENTS THERETO; 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; 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; 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; 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; TO APPROVE THE CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF THOSE THRESHOLDS ESTABLISHED BY THE BOARD, IF SUCH CAPITAL EXPENDITURES ARE NOT INCLUDED IN THE CORPORATION'S APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS; 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; TO SELECT AND APPOINT AUDITORS OF THE CORPORATION; TO INITIATE AND APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION; TO INITIATE AND APPROVE INVESTMENT POLICIES AND CAPITAL CAMPAIGNS OF THE CORPORATION; TO INITIATE AND APPROVE THE CLOSURE OR RELOCATION OF A LICENSED HEALTH CARE FACILITY OF THE CORPORATION; TO INITIATE AND APPROVE THE FORMATION OF SUBSIDIARIES OF THE CORPORATION; TO APPROVE THE CORPORATION'S ACQUISITION OF CONTROLLING INTERESTS IN ORGANIZATIONS OR BUSINESSES OUTSIDE OF THE CORPORATION'S APPROVED STRATEGIC PLAN; 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 11B | THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE OF VALLEY HEALTH SYSTEM. A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE VALLEY HEALTH SYSTEM HAS A CONFLICT OF INTEREST POLICY WHICH COVERS ALL CONTROLLED ORGANIZATIONS WITHIN THE HEALTH SYSTEM, INCLUDING THIS ORGANIZATION. THE POLICY REQUIRES ALL TRUSTEES, OFFICERS, AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT, DISCLOSING ANY POTENTIAL CONFLICTS WHICH MAY EXIST. SUCH PERSONS ARE ALSO REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS AS THEY ARISE. CONFLICTS ARE DETERMINED BY THE BOARD OF TRUSTEES OR DELEGATED COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. PERSONS WITH CONFLICTS OF INTEREST MUST NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON THE RELATED MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S BOARD IS A SHARED BOARD WITH THE VALLEY HEALTH SYSTEM. THE VALLEY HEALTH SYSTEM HAS DEVELOPED A COMPENSATION PLAN, WHICH GOVERNS THE COMPENSATION FOR ALL EXECUTIVES, INCLUDING THE CEO AND VICE PRESIDENTS OF THE ORGANIZATION. THE PLAN WAS DEVELOPED IN CONJUNCTION WITH A CONSULTING FIRM, REVIEWED BY THE PHYSICIAN LEADERSHIP COUNCIL AND APPROVED BY THE BOARD OF TRUSTEES AND THE VALLEY HEALTH SYSTEM PHYSICIAN COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE PLAN IS REVIEWED AND UPDATED AS NEEDED. THE COMPENSATION IS CONTEMPORANEOUSLY DOCUMENTED AND THE PROCESS WAS LAST UNDERTAKEN IN 2022. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORM 990 AS WELL AS THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9: | DECREASE IN ASSETS HELD BY RELATED ORGANIZATION -486,543. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE VALLEY HOSPITAL FOUNDATION INC | |||||||||||
| 223 NORTH VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 222324554 | SOLICITS AND RECEIVES CONTRIBUTIONS FOR THE BENEFIT OF HEALTH SYSTEM | NJ | 501(C)(3) | LINE 7 | VALLEY HEALTH SYSTEM INC | 0 | |
| THE VALLEY HOSPITAL INC | |||||||||||
| 223 NORTH VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 221487307 | PROVIDE HEALTHCARE PROGRAMS AND SERVICES TO ALL | NJ | 501(C)(3) | LINE 3 | VALLEY HEALTH SYSTEM INC | 0 | |
| VALLEY HEALTH SYSTEM INC | |||||||||||
| 223 NORTH VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 222922016 | PROVIDES MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERS | NJ | 501(C)(3) | LINE 3 | 0 | N/A | |
| VALLEY MEDICAL SERVICES PC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 465297054 | PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE | NJ | 501(C)(3) | LINE 10 | VALLEY PHYSICIAN SERVICES INC | 0 | |
| VALLEY PHYSICIAN SERVICE NY PC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 453125678 | OPERATES URGENT/PRIMARY CARE CLINICS | NY | 501(C)(3) | LINE 10 | VALLEY PHYSICIAN SERVICES INC | 0 | |
| VALLEY PHYSICIAN SERVICES INC | |||||||||||
| 223 NORTH VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 320041186 | PROVIDES MANAGEMENT AND VARIED CONSULTING SERVICES | NJ | 501(C)(3) | LINE 10 | THE VALLEY HOSPITAL INC | 0 | |
| VALLEY PHYSICIAN SERVICES PC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 465285330 | PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE | NJ | 501(C)(3) | LINE 10 | VALLEY PHYSICIAN SERVICES INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VHS INSURANCE COMPANY LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 010 MAIN STREET | AddressLine1Txt |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980408200 | EIN |
| Primary Activities | PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Comments