2023-11-12T21:37:25-06:00 2022-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 300 TICE BOULEVARD SUITE 315 WOODCLIFF LAKE NJ 07677 990 2022-01-01 223208480 VALLEY HOME CARE INC VALL 2012916000 15 ESSEX ROAD 3RD FLOOR 301 PARAMUS NJ 07652 WILLIAM KLUTKOWSKI SR. VP, FINANCE & CFO 2012916000 2023-11-12 1 WILLIAM KLUTKOWSKI 999009999 1 EDWARD G O'CONNOR P00434443 2017129800 2023-11-09 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM KLUTKOWSKI 15 ESSEX ROAD 3RD FLOOR 301 PARAMUS NJ 07652 70232631 0 X VALLEYHEALTH.COM X 1986 NJ 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. 19 18 496 30 0 0 546855 638924 62343673 64812049 1176896 820913 639 708 64068063 66272594 0 0 0 0 38406429 48264435 0 0 0 13308153 10557087 51714582 58821522 12353481 7451072 68097114 70208195 9843930 11203835 58253184 59004360 X 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. 0 0 28676117 40955662 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. 16077352 21905944 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. 1380296 1190754 VALLEY HOME CARE PROVIDES OUTPATIENT REHABILITATION SERVICES WITH OVER 11,000 VISITS PROVIDED TO PATIENTS, HELPING THEM TO STAY IN THEIR HOME. 1218605 759689 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. 1218605 759689 47352370 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 496 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X TONI MODAK 2012916232 15 ESSEX ROAD 3RD FLOOR PARAMUS NJ 07652 AUDREY MEYERS PRESIDENT & CEO, VHS 1.00 39.00 X X 0 3974039 49572 VINCENT FORLENZA CHAIRMAN 0.10 0.40 X X 0 0 0 KEVIN LOBO VICE CHAIRMAN 0.10 0.40 X X 0 0 0 FRANK J SHEEHY VICE CHAIR 0.10 0.40 X X 0 0 0 ANN LIMBERG VICE CHAIR & SECRETARY 0.10 0.40 X X 0 0 0 JOSEPH MARION TREASURER 0.10 0.40 X X 0 0 0 JUDY BASELICE TRUSTEE 0.10 0.40 X 0 0 0 JAMES BUSH TRUSTEE 0.10 0.40 X 0 0 0 MICHELLE HASSON TRUSTEE 0.10 0.40 X 0 0 0 M SHAWN KENNEDY TRUSTEE 0.10 0.40 X 0 0 0 BRUCE MACTAS TRUSTEE 0.10 0.40 X 0 0 0 DUANE SACHS TRUSTEE 0.10 0.40 X 0 0 0 DENIS SALAMONE TRUSTEE 0.10 0.40 X 0 0 0 SCOTT SCHROEDER TRUSTEE 0.10 0.40 X 0 0 0 EDWARD B SELF MD TRUSTEE 0.10 0.40 X 0 0 0 STEVEN SILVERSTEIN TRUSTEE 0.10 0.40 X 0 0 0 JEFFREY TUCKER TRUSTEE 0.10 0.40 X 0 0 0 PATRICIA VERDUIN TRUSTEE 0.10 0.40 X 0 0 0 WAYNE WALD ESQ TRUSTEE 0.10 0.40 X 0 0 0 ROBERT W BRENNER PRESIDENT CLINICAL INTEGRATION/ PHYSICIAN ENT. 2.00 38.00 X 0 1461032 28405 WILLIAM KLUTKOWSKI SR. VP, FINANCE & CFO 1.00 39.00 X 0 1016955 57305 TONI MODAK VICE PRESIDENT, VHS 40.00 X 0 340955 35091 RAMZI ISSA ADMISSION NURSE 40.00 0.00 X 257731 0 2242 ROSEMARIE RANURO DIRECTOR, CLINCAL SERVICES 40.00 0.00 X 233498 0 36734 FARIBA HAGHSHENAS DIRECTOR OF QUALITY & STAFF EDUCATION 40.00 0.00 X 205102 0 9113 JOSEPH P SO PHYSICAL THERAPIST 40.00 0.00 X 182866 0 37875 HELEN PITTMAN COMMUNITY HEALTH NURSE 40.00 0.00 X 181794 0 17158 1060991 6792981 273495 141 0 1 0 MCBEE ASSOCIATES INC POBOX 823519 PHILADELPHIA PA 191823519 MEDICAL SERVICES 515401 CHRISTIAN HEALTH CARE CENTER 301 SICOMAC AVENUE WYCKOFF NJ 07481 REHABILITATIVE SERVICES 475936 HOMECARE HOMEBASE LLC POBOX 678637 DALLAS TX 752678637 SOFTWARE SRV AND MAINTENANCE 470371 FGA RECEIVABLES 720 KING GEORGES POST ROAD SUITE 3 FORDS NJ 08863 BILLING & COLLECTION SVCS. 216000 HEALTH RECOVERY SOLUTIONS INC POBOX 670538 DALLAS TX 752670538 REMOTE CARE MANAGEMENT 181570 20 327162 306762 5000 638924 PATIENT SERVICE REVENUE 621610 64812049 64812049 64812049 937902 937902 3843048 3960037 -116989 -116989 -116989 MEDICAL RECORD FEES 900099 398 398 MISCELLANEOUS REVENUE 900099 310 310 708 66272594 64812049 0 821621 39832294 32796120 7036174 1138032 987922 150110 4806075 4172139 633936 2488034 2159854 328180 78275 67950 10325 11258 11258 5403103 2491376 2911727 3795 3294 501 950080 824761 125319 711111 617313 93798 356136 309160 46976 723776 628308 95468 7553 6557 996 92824 80580 12244 750 651 99 MEDICAL SUPPLIES 2133108 2132319 789 ADMISSION KITS 69156 60034 9122 MISCELLANEOUS EXPENSES 16162 14032 2130 58821522 47352370 11469152 0 9907397 5767114 632680 1008715 7996365 7438694 240396 291536 646819 379761 224200 267058 43484884 49633001 5611192 5802077 68097114 70208195 5232237 6544785 4611693 4659050 9843930 11203835 X 53325295 54796214 4927889 4208146 58253184 59004360 68097114 70208195 X 7451072 -6213353 -486543 X X 0 1 X 1 0 X 392201 354584 3375905 546855 638924 5308469 54694739 56136848 52173809 62343673 64812049 290161118 55086940 56491432 55549714 62890528 65450973 295469587 5000 5000 0 5000 5000 295464587 935572 899729 608485 895580 937902 4277268 935572 899729 608485 895580 937902 4277268 13875 18887 11664 639 708 45773 56036387 57410048 56169863 63786747 66389583 299792628 0.98560 0.98530 0.01430 0.01450 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4927890 96232 -584659 231316 4208147 4629033 3889 511635 216667 4927890 4360950 109525 425955 267397 4629033 3929581 76408 655683 300722 4360950 4148853 207959 -203702 223529 3929581 0.54356 0.45644 0 1 1 16418 11840 4578 14158 5321 8837 616243 362600 253643 267058 ASSETS HELD BY RELATED ORGANIZATIONS 4208146 OPERATING LEASE - RIGHT OF USE ASSET 1593931 5802077 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 2522457 OPERATING LEASE LIABILITY 1593931 DUE TO AFFILIATES 542662 4659050 X 59572698 -6213353 -6213353 65786051 486543 486543 66272594 58821522 0 58821522 0 58821522 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. X 0 0 X X X X 0 1 0 0 0 0 0 1 0 AUDREY MEYERS PRESIDENT & CEO, VHS 0 1249299 0 984960 0 1739780 0 22875 0 26697 0 4023611 0 1583249 ROBERT W BRENNER PRESIDENT CLINICAL INTEGRATION/ PHYSICIAN ENT. 0 816543 0 357704 0 286785 0 13725 0 14680 0 1489437 0 0 WILLIAM KLUTKOWSKI SR. VP, FINANCE & CFO 0 627904 0 192180 0 196871 0 21138 0 36167 0 1074260 0 0 TONI MODAK VICE PRESIDENT, VHS 0 279355 0 38556 0 23044 0 15559 0 19532 0 376046 0 0 ROSEMARIE RANURO DIRECTOR, CLINCAL SERVICES 208255 0 22298 0 2945 0 10417 0 26317 0 270232 0 0 0 RAMZI ISSA ADMISSION NURSE 149067 0 108350 0 314 0 2242 0 0 0 259973 0 0 0 JOSEPH P SO PHYSICAL THERAPIST 181244 0 400 0 1222 0 4638 0 33237 0 220741 0 0 0 FARIBA HAGHSHENAS DIRECTOR OF QUALITY & STAFF EDUCATION 184263 0 19260 0 1579 0 7113 0 2000 0 214215 0 0 0 HELEN PITTMAN COMMUNITY HEALTH NURSE 164503 0 15800 0 1491 0 5935 0 11223 0 198952 0 0 0 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). 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. 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 N/A 0 VALLEY MEDICAL SERVICES PC 15 ESSEX ROAD PARAMUS NJ 07652 465297054 PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE NJ 501(C)(3) LINE 10 VALLEY PHYSICIAN SERVICES INC 0 VALLEY 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 VHS INSURANCE COMPANY LTD 010 MAIN STREET CJ 980408200 PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE CJ VALLEY HEALTH SYSTEM INC C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 1