VALLEY PHYSICIAN SERVICES PC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY PHYSICIAN SERVICES PC (EIN 46-5285330)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-12
- IRS object ID
- 202333169349300393
- 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 | 2023-11-12T22:11:57-06:00 | 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 | 465285330 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY PHYSICIANS SERVICES PC | 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 506 | 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 | SENIOR VP AND 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 | 2023-11-08 | 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 | ROBERT W BRENNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 ESSEX ROAD 506 | AddressLine1Txt |
| City | PARAMUS | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07652 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $200,994,425 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYHEALTH.COM/VALLEY-MEDICAL-GROUP | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL CARE AND TO CARRY OUT THE PURPOSES OF THE VALLEY HEALTH SYSTEM, INC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 475 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,322,503 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $180,847,334 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $200,994,425 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $417 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $185,170,254 | PYTotalRevenueAmt |
| CY Total Revenue | $200,994,425 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $44,133,513 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $47,852,914 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $118,786,849 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $129,124,826 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,341,874 | PYOtherExpensesAmt |
| CY Other Expenses | $27,158,033 | CYOtherExpensesAmt |
| PY Total Expenses | $188,262,236 | PYTotalExpensesAmt |
| CY Total Expenses | $204,135,773 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,091,982 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,141,348 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,972,839 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,604,976 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,157,411 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $41,930,896 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,184,572 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$15,325,920 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ENGAGE IN THE RENDERING OF PROFESSIONAL SERVICES OF AND RELATED TO THE PRACTICE OF MEDICINE PURSUANT TO "THE PROFESSIONAL SERVICES CORPORATION ACT, AND TO SUPPORT AND CARRY OUT THE CHARITABLE PURPOSE OF VALLEY HEALTH SYSTEM, INC. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $192,352,936 | ExpenseAmt |
| Grant | $47,852,914 | GrantAmt |
| Revenue | $200,994,425 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED MEDICAL CARE TO A TOTAL OF 538,031 PATIENTS IN 2022 IN THE FIELDS OF INTERNAL MEDICINE, FAMILY MEDICINE, AND CARDIOLOGY. THE ORGANIZATION ALSO PROVIDED STRATEGIC FUNDING TO VALLEY HOSPITAL, INC. | Desc |
| Total Program Service Expenses | $192,352,936 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 475 | 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 | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIETTA STONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2012916391 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 ESSEX ROAD | AddressLine1Txt |
| City | PARAMUS | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07652 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| AUDREY MEYERS | ||||||||
| PRESIDENT & CEO, VHS | 0.50 | 39.50 | Yes (X) | Yes (X) | $0 | $3,974,039 | $49,572 | |
| VINCENT FORLENZA | ||||||||
| CHAIR | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEVIN LOBO | ||||||||
| VICE CHAIR | 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 | 2.00 | 38.00 | Yes (X) | $0 | $1,016,955 | $57,305 | ||
| DAVID STRASSBERG | ||||||||
| CHAIR, PRIMARY CARE SERVICES | 0.10 | 39.90 | Yes (X) | $478,540 | $0 | $33,620 | ||
| GERALD SOTSKY | ||||||||
| CHAIR, CARDIOLOGY SERVICES | 2.00 | 38.00 | Yes (X) | $795,102 | $0 | $40,265 | ||
| JUAN GRAU | ||||||||
| DIRECTOR, CARDIOTHORACIC SURGERY | 40.00 | 0.00 | $1,643,753 | $0 | $37,242 | Yes (X) | ||
| ALEX ZAPOLANSKI | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,310,266 | $0 | $38,657 | Yes (X) | ||
| THOMAS AHLBORN MD | ||||||||
| CHAIR, SURGICAL SERVICES | 40.00 | 0.00 | $1,265,394 | $0 | $37,992 | Yes (X) | ||
| MICHAEL RAHMIN MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,225,822 | $0 | $35,702 | Yes (X) | ||
| ROBERT KORST MD | ||||||||
| CHIEF OF ONCOLOGY SURG SERVICE | 40.00 | 0.00 | $1,001,459 | $0 | $50,967 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,720,336 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,452,026 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $409,727 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 351 | 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 |
|---|---|---|---|---|---|
| PROGRESSIVE RADIOLOGY LLC | |||||
| 86 CLINTON AVE | MONTCLAIR | NJ | 07042 | MEDICAL SERVICES | $577,000 |
| LAWRENCE SELTZER MD | |||||
| 215 HARRISON AVE | WESTFIELD | NJ | 07090 | MEDICAL SERVICES | $456,356 |
| MALWINDER SINGH MD | |||||
| 402 JAY COURT | FRANKLIN LAKES | NJ | 07417 | MEDICAL SERVICES | $416,780 |
| RAKESH SHARMA MD | |||||
| 1124 E RIDGEWOOD AVENUE SUITE 103 | RIDGEWOOD | NJ | 07450 | MEDICAL SERVICES | $403,200 |
| ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI | |||||
| 1 GUSTAVE L LEVY PLACE | NEW YORK | NY | 10029 | MEDICAL SERVICES | $312,560 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 624100 | $170,160,398 | $170,160,398 |
| MEDICAL SVCS. TO HOSPITAL | 624100 | $30,834,027 | $30,834,027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $200,994,425 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200,994,425 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $200,994,425 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,852,914 | TotalAmt |
| Program Services | $47,852,914 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,347,527 | TotalAmt |
| Program Services | $385,363 | ProgramServicesAmt |
| Management And General | $962,164 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,915,858 | TotalAmt |
| Program Services | $114,224,696 | ProgramServicesAmt |
| Management And General | $691,162 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,800,808 | TotalAmt |
| Program Services | $2,675,263 | ProgramServicesAmt |
| Management And General | $125,545 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,035,399 | TotalAmt |
| Program Services | $5,015,967 | ProgramServicesAmt |
| Management And General | $19,432 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,025,234 | TotalAmt |
| Program Services | $5,022,763 | ProgramServicesAmt |
| Management And General | $2,471 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,381,550 | TotalAmt |
| Management And General | $9,381,550 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,015 | TotalAmt |
| Management And General | $47,015 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,602,119 | TotalAmt |
| Program Services | $12,602,119 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,516 | TotalAmt |
| Program Services | $11,516 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,557 | TotalAmt |
| Program Services | $39,294 | ProgramServicesAmt |
| Management And General | $526,263 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,335 | TotalAmt |
| Program Services | $7,335 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,212 | TotalAmt |
| Program Services | $34,072 | ProgramServicesAmt |
| Management And General | $1,140 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,680,670 | TotalAmt |
| Program Services | $3,672,429 | ProgramServicesAmt |
| Management And General | $8,241 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTINUING EDUCATION | $744,000 | $744,000 | |
| BAD DEBT EXPENSE | $59,420 | $59,420 | |
| SUBSCRIPTIONS | $16,353 | $16,353 | |
| RECRUITMENT | $4,184 | $3,272 | $912 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,102 | TotalAmt |
| Program Services | $2,513 | ProgramServicesAmt |
| Management And General | $589 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,135,773 | TotalAmt |
| Program Services | $192,352,936 | ProgramServicesAmt |
| Management And General | $11,782,837 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,684,423 | BOYAmt |
| EOY | $2,610,314 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,246,916 | BOYAmt |
| EOY | $23,852,329 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,500 | BOYAmt |
| EOY | $142,333 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,972,839 | BOYAmt |
| EOY | $26,604,976 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,673,765 | BOYAmt |
| EOY | $33,722,121 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,483,646 | BOYAmt |
| EOY | $8,208,775 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,157,411 | BOYAmt |
| EOY | $41,930,896 | 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 | -$12,184,572 | BOYAmt |
| EOY | -$15,325,920 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,184,572 | BOYAmt |
| EOY | -$15,325,920 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,972,839 | BOYAmt |
| EOY | $26,604,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,141,348 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $318,156 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,860,788 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,322,503 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $8,501,447 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $149,157,797 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $162,125,590 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $152,265,272 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $180,847,334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $200,994,425 | CurrentTaxYearAmt |
| Total | $845,390,418 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $149,157,797 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $162,443,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $156,126,060 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $185,169,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $200,994,425 | CurrentTaxYearAmt |
| Total | $853,891,865 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $853,891,865 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,436 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $417 | CurrentTaxYearMinus1YearAmt |
| Total | $1,853 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $149,157,797 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $162,443,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $156,127,496 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $185,170,254 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $200,994,425 | CurrentTaxYearAmt |
| Total | $853,893,718 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED 3RD PARTY PAYOR SETTLEMENTS | Desc |
| Amt | $8,208,775 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,208,775 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $281,598,039 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $104,150,405 | OtherRevenueAmt |
| Revenue Not Reported | $104,150,405 | RevenueNotReportedAmt |
| Revenue Subtotal | $177,447,634 | RevenueSubtotalAmt |
| Other Revenues Not Included | $23,546,791 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $23,546,791 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $200,994,425 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $284,739,390 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $104,150,408 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $104,150,408 | ExpensesNotReportedAmt |
| Expenses Subtotal | $180,588,982 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $23,546,791 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $23,546,791 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $204,135,773 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | VMG RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT VMG HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. VMG IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2019. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE OF RELATED ENTITIES INCLUDED IN COMBINED FINANCIAL STATEMENTS 104,150,405. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH PATIENT SERVICE REVENUE IN FINANCIAL STATEMENTS 59,420. STRATEGIC FUNDING 23,487,371. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES OF RELATED ENTITIES INCLUDED IN COMBINED FINANCIAL STATEMENTS 104,150,408. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH PATIENT SERVICE REVENUE IN FINANCIAL STATEMENTS 59,420. STRATEGIC FUNDING 23,487,371. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE VALLEY HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVENUE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 221487307 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $47,852,914 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | STRATEGIC FUNDING | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDED STRATEGIC FUNDING TO ITS RELATED ENTITY, THE VALLEY HOSPITAL, INC. THE ORGANIZATION MONITORS THE USE OF THE FUNDS THROUGH COMMON MANAGEMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (10 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 |
| JUAN GRAU | ||||||||||||||
| DIRECTOR, CARDIOTHORACIC SURGERY | $1,519,351 | $0 | $100,000 | $0 | $24,402 | $0 | $7,875 | $0 | $29,367 | $0 | $1,680,995 | $0 | $0 | $0 |
| 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 |
| ALEX ZAPOLANSKI | ||||||||||||||
| PHYSICIAN | $886,819 | $0 | $380,463 | $0 | $42,984 | $0 | $9,450 | $0 | $29,207 | $0 | $1,348,923 | $0 | $0 | $0 |
| THOMAS AHLBORN MD | ||||||||||||||
| CHAIR, SURGICAL SERVICES | $978,416 | $0 | $252,000 | $0 | $34,978 | $0 | $10,675 | $0 | $27,317 | $0 | $1,303,386 | $0 | $0 | $0 |
| MICHAEL RAHMIN MD | ||||||||||||||
| PHYSICIAN | $950,970 | $0 | $249,200 | $0 | $25,652 | $0 | $10,675 | $0 | $25,027 | $0 | $1,261,524 | $0 | $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 |
| ROBERT KORST MD | ||||||||||||||
| CHIEF OF ONCOLOGY SURG SERVICE | $836,557 | $0 | $160,000 | $0 | $4,902 | $0 | $15,551 | $0 | $35,416 | $0 | $1,052,426 | $0 | $0 | $0 |
| GERALD SOTSKY | ||||||||||||||
| CHAIR, CARDIOLOGY SERVICES | $585,325 | $0 | $181,753 | $0 | $28,024 | $0 | $9,858 | $0 | $30,407 | $0 | $835,367 | $0 | $0 | $0 |
| DAVID STRASSBERG | ||||||||||||||
| CHAIR, PRIMARY CARE SERVICES | $429,075 | $0 | $38,625 | $0 | $10,840 | $0 | $10,675 | $0 | $22,945 | $0 | $512,160 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | 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. |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION RECEIVED MANAGEMENT SERVICES FROM TWO RELATED ORGANIZATIONS, VALLEY PHYSICIAN SERVICES NY, P.C. AND VALLEY PHYSICIAN SERVICES, INC. SERVICES PROVIDED INCLUDED HUMAN RESOURCE MANAGEMENT, MARKETING AND OTHER ADMINISTRATIVE SERVICES. THE ORGANIZATION INCURRED EXPENSES OF $6,108,543 AND $3,273,006 RESPECTIVELY FOR SERVICES FROM THESE RELATED ORGANIZATIONS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A PROFESSIONAL CORPORATION WITH SHAREHOLDERS. |
| 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 EXECUTIVE COMPENSATION COMMITTEE OF VALLEY HOSPITAL WILL BE RESPONSIBLE FOR APPROVING THE COMPENSATION OF THE PRESIDENT AND OTHER KEY EXECUTIVES OF VPS, P.C. THE COMPENSATION FOR OTHER PHYSICIANS WILL BE APPROVED BY THE PHYSICIAN COMPENSATION COMMITTEE OF VALLEY HEALTH SYSTEM. TOTAL COMPENSATION WILL BE SET BASED ON INFORMATION REGARDING COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR SIMILAR SERVICES, CURRENT COMPENSATION SURVEYS COMPLETED BY INDEPENDENT FIRMS, OR ACTUAL WRITTEN OFFERS FROM SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION IS CONTEMPORANEOUSLY DOCUMENTED AND THE PROCESS WAS LAST UNDERTAKEN IN 2022. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE 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 | PROVIDE MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERS | NJ | 501(C)(3) | LINE 3 | 0 | N/A | |
| VALLEY HOME CARE INC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 223208480 | PROVIDE HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ | NJ | 501(C)(3) | LINE 10 | VALLEY HEALTH SYSTEM INC | 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 | 07450 | 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 | |
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 |
| Province Or State | CAYMAN ISLANDS | ProvinceOrStateNm |
| 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |