VALLEY HOSPITAL FOUNDATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY HOSPITAL FOUNDATION (EIN 22-2324554)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349313260
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T12:53:44-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | 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 | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222324554 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE VALLEY HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 2012916300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BOHAN | PersonNm |
| Person Title | VICE PRESIDENT & CDO | PersonTitleTxt |
| Phone | 2012916300 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | BOHAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EDWARD G O'CONNOR | PreparerPersonNm |
| PTIN | P00434443 | PTIN |
| Phone | 2017129800 | PhoneNum |
| Preparation | 2022-11-09 | 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 | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID BOHAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,301,149 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYHOSPITALFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO SOLICIT AND RECEIVE PHILANTHROPIC GIFTS, GRANTS, BEQUESTS OF REAL OR PERSONAL PROPERTY, OR BOTH, FROM INDIVIDUALS, FOUNDATIONS, PARTNERSHIPS, ASSOCIATIONS, GOVERNMENTAL BODIES OR PUBLIC OR PRIVATE CORPORATIONS. THIS GENEROUS PHILANTHROPY IS USED FOR THE PURPOSE OF SUPPORTING VALLEY HEALTH SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,167,286 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,170,653 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,320,045 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,204,702 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,487,331 | PYTotalRevenueAmt |
| CY Total Revenue | $18,375,355 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $17,027,124 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $17,180,197 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $127,313 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $150,207 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,618,557 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,944,586 | PYOtherExpensesAmt |
| CY Other Expenses | $2,917,905 | CYOtherExpensesAmt |
| PY Total Expenses | $20,099,023 | PYTotalExpensesAmt |
| CY Total Expenses | $20,248,309 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,611,692 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,872,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $64,108,394 | TotalAssetsBOYAmt |
| Total Assets EOY | $62,503,903 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,846,354 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,947,855 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $62,262,040 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $60,556,048 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE VALLEY HOSPITAL FOUNDATION IS THE PHILANTHROPIC COMPONENT OF VALLEY HEALTH SYSTEM. IT IS A NONPROFIT, TAX-EXEMPT, MULTI-PURPOSE FOUNDATION. THE FOUNDATION'S PRIMARY FUNCTION IS TO SECURE CHARITABLE CONTRIBUTIONS FROM INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND OTHER FUNDING ENTITIES, TO MANAGE THOSE GIFTS, AND TO DISTRIBUTE THEM IN ACCORDANCE WITH ITS CHARTER. CHARITABLE FUNDS RAISED BY THE FOUNDATION ARE USED BY THE HOSPITAL TO SUPPORT THE CONSTRUCTION OF THE VALLEY HOSPITAL IN PARAMUS, ADDITIONAL CAPITAL IMPROVEMENTS, MEDICAL TECHNOLOGY, BIOMEDICAL RESEARCH, EDUCATION, ENDOWMENTS, AND SPECIAL PROJECTS. FUNDS RAISED FOR VALLEY HOME CARE SUPPORT THE PROGRAMS OF THE AGENCY, SUCH AS HOSPICE, JOURNEYS, BUTTERFLIES, MATERNAL CHILD HEALTH AND ENDOWMENTS. FUNDS RAISED FOR VALLEY MEDICAL GROUP SUPPORT THEIR PROGRAMS, CAPITAL IMPROVEMENTS, MEDICAL TECHNOLOGY, EDUCATION AND SPECIAL PROJECTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,180,197 | ExpenseAmt |
| Grant | $17,180,197 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE FOUNDATION HAS EVALUATED THE NEEDS OF VALLEY HEALTH SYSTEM AND SEEKS TO SECURE FUNDING FOR FOUR DIFFERENT CASES: CONSTRUCTION COSTS FOR THE VALLEY HOSPITAL IN PARAMUS, CAPITAL AND TECHNOLOGICAL IMPROVEMENTS, CLINICAL AND TRANSLATIONAL RESEARCH, AND ENDOWMENTS.VALLEY HEALTH SYSTEM IS A REGIONAL HEALTHCARE SYSTEM THAT SERVES RESIDENTS IN NORTHERN NEW JERSEY AND SOUTHERN NEW YORK. IT COMPRISES THE VALLEY HOSPITAL, VALLEY HOME CARE, AND VALLEY MEDICAL GROUP. KEY SERVICES INCLUDE CARDIOLOGY, ONCOLOGY, WOMEN'S AND CHILDREN'S SERVICES, EMERGENCY CARE, ORTHOPEDICS, AND NEUROSCIENCES. VALLEY HEALTH SYSTEM IS ONE OF THE MOST HONORED HEALTHCARE ORGANIZATIONS IN NEW JERSEY. | Desc |
| Total Program Service Expenses | $17,180,197 | 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 | 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 | 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 | Yes (1) | 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 | Yes (1) | 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | 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 |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LISA JOHNSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2012916300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 NORTH VAN DIEN AVE | AddressLine1Txt |
| City | RIDGEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07450 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|
| VICTOR WORTMANN | |||||||
| CHAIRMAN | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DANIELLE GAGLIOTI | |||||||
| VICE CHAIRMAN | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PETER C MARRON | |||||||
| VICE CHAIRMAN | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| EDWARD M RUBIN | |||||||
| TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NANCY V BUSH | |||||||
| SECRETARY | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOSHUA ABRAMS | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| EPHRAIM CASPER MD | |||||||
| TRUSTEE | 0.50 | 39.50 | Yes (X) | $0 | $947,492 | $41,829 | |
| DANIEL P CUMMINGS | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DENISE DOWNEY | |||||||
| TRUSTEE - EX OFFICIO | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREW GATTO | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TED HARRIS | |||||||
| TRUSTEE, EFF. 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LYNN HOLUBA | |||||||
| TRUSTEE, EFF. 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RALPH MASTRANGELO | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AUDREY MEYERS | |||||||
| TRUSTEE - EX OFFICIO | 0.50 | 39.50 | Yes (X) | $0 | $1,715,221 | $46,536 | |
| LYA PFEIFER | |||||||
| TRUSTEE, EFF. 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| YOLLA RAHAL | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS J RAKOWSKI MD | |||||||
| TRUSTEE, EFF. 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARC SABINO | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT VAN DYK | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CHRIS WRAGGE | |||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| FRANK GALLAGHER | |||||||
| TRUSTEE, THRU 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM A HENCH | |||||||
| TRUSTEE, THRU 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JANET E HUNT ESQ | |||||||
| TRUSTEE, THRU 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH PFEIFER | |||||||
| TRUSTEE, THRU 6/2021 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID J BOHAN | |||||||
| VICE PRESIDENT & CDO | 40.00 | 0.00 | Yes (X) | $0 | $519,079 | $37,343 | |
| WILLIAM KLUTKOWSKI | |||||||
| SR. VP, FINANCE & CFO | 0.50 | 39.50 | Yes (X) | $0 | $709,400 | $54,102 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,891,192 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $179,810 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FAIRCOM NEW YORK | |||||
| 12 WEST 27TH STREET 13TH FLOOR | NEW YORK | NY | 10001 | FUNDRAISING CONSULTING | $145,372 |
| DEEP 6 AI | |||||
| 1055 E COLORADO BOULEVARD SUITE 4 | PASADENA | CA | 91106 | CLINICAL RESEARCH SOLUTIONS | $105,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $15,170,653 | AllOtherContributionsAmt |
| Noncash Contributions | $2,300,871 | NoncashContributionsAmt |
| Total Contributions | $15,170,653 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $907,185 | TotalRevenueColumnAmt |
| Exclusion | $907,185 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,223,311 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,925,794 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,297,517 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,297,517 | TotalRevenueColumnAmt |
| Exclusion | $2,297,517 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,375,355 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,204,702 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,180,197 | TotalAmt |
| Program Services | $17,180,197 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,141 | TotalAmt |
| Management And General | $2,141 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,025 | TotalAmt |
| Management And General | $17,025 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,207 | TotalAmt |
| Fundraising | $150,207 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,299 | TotalAmt |
| Management And General | $16,299 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,866 | TotalAmt |
| Fundraising | $76,866 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,350 | TotalAmt |
| Management And General | $61,238 | ManagementAndGeneralAmt |
| Fundraising | $51,112 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,147 | TotalAmt |
| Fundraising | $126,147 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,311 | TotalAmt |
| Fundraising | $2,311 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,310 | TotalAmt |
| Fundraising | $1,310 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| PAYROLL & BENEFITS REIM | $2,352,348 | $352,852 | $1,999,496 |
| PROGRAM & SPECIAL EVENT | $211,108 | $211,108 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,248,309 | TotalAmt |
| Program Services | $17,180,197 | ProgramServicesAmt |
| Management And General | $449,555 | ManagementAndGeneralAmt |
| Fundraising | $2,618,557 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $647,126 | BOYAmt |
| EOY | $699,047 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,930,553 | BOYAmt |
| EOY | $2,479,419 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,952,957 | BOYAmt |
| EOY | $19,220,052 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,312,138 | BOYAmt |
| EOY | $40,105,385 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,620 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,108,394 | BOYAmt |
| EOY | $62,503,903 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,323 | BOYAmt |
| EOY | $14,702 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,823,031 | BOYAmt |
| EOY | $1,933,153 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,846,354 | BOYAmt |
| EOY | $1,947,855 | 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 | $9,063,872 | BOYAmt |
| EOY | $11,898,337 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,198,168 | BOYAmt |
| EOY | $48,657,711 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,262,040 | BOYAmt |
| EOY | $60,556,048 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,108,394 | BOYAmt |
| EOY | $62,503,903 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,872,954 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $171,030 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,068 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,758,392 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,509,957 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,022,704 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,161,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,170,653 | CurrentTaxYearAmt |
| Total | $63,623,254 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,758,392 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,509,957 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,022,704 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,161,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,170,653 | CurrentTaxYearAmt |
| Total | $63,623,254 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,115,256 | SubstantialContributorsTotAmt |
| Public Support Total170 | $61,507,998 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,644,693 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,689,779 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,196,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,251,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $907,185 | CurrentTaxYearAmt |
| Total | $6,689,540 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,236 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,951 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,723 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $44,910 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $70,357,704 | TotalSupportAmt |
| Public Support CY170 | 0.87420 | PublicSupportCY170Pct |
| Public Support PY170 | 0.78020 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $20,740,794 | BeginningYearBalanceAmt |
| Contributions | $1,085,386 | ContributionsAmt |
| Investment Earnings Or Losses | $2,340,095 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,326,150 | OtherExpendituresAmt |
| End Year Balance | $20,840,125 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,696,561 | BeginningYearBalanceAmt |
| Contributions | $580,178 | ContributionsAmt |
| Investment Earnings Or Losses | $2,048,555 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $584,500 | OtherExpendituresAmt |
| End Year Balance | $20,740,794 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,182,482 | BeginningYearBalanceAmt |
| Contributions | $135,316 | ContributionsAmt |
| Investment Earnings Or Losses | $2,952,763 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $574,000 | OtherExpendituresAmt |
| End Year Balance | $18,696,561 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,584,512 | BeginningYearBalanceAmt |
| Contributions | $75,231 | ContributionsAmt |
| Investment Earnings Or Losses | -$917,361 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $559,900 | OtherExpendituresAmt |
| End Year Balance | $16,182,482 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,448,852 | BeginningYearBalanceAmt |
| Contributions | $441,207 | ContributionsAmt |
| Investment Earnings Or Losses | $2,255,138 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $560,685 | OtherExpendituresAmt |
| End Year Balance | $17,584,512 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.19160 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.44194 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.36646 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CHARITABLE REMAINDER ANNUITIES PAYABLE | $793,340 |
| DUE TO THE VALLEY HOSPITAL | $1,139,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,933,153 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $18,546,385 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $171,030 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $171,030 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,375,355 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,375,355 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,252,377 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $4,068 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $4,068 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,248,309 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,248,309 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | 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 SERVICES OF VALLEY HOSPITAL AND/OR VALLEY HOME CARE. |
| PART X, LINE 2: | THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2018. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ADJUSTMENT TO CONTRIBUTIONS RECEIVABLE 4,068. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| FAIRCOM | ||||||||
| 12 W 27TH STREET | NEW YORK | NY | 10001 | DIRECT MAIL CONSULTING | 0 | $403,420 | $114,401 | $289,019 |
| GOBEL GROUP | ||||||||
| 200 OLD FORGE LANE SUITE 202 | KENNETT SQUARE | PA | 19348 | GRATEFUL PATIENT PHILANTHROPY CONSULTING | 0 | $0 | $15,321 | -$15,321 |
| PENTERA | ||||||||
| 8650 COMMERCE PARK PLACE SUITE G | INDIANAPOLIS | IN | 46268 | NEWSLETTERS, AND OTHER SERVICES | 0 | $0 | $20,485 | -$20,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $403,420 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $150,207 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $253,213 | TotalNetToOrganizationAmt |
| Licensed States | NJ | LicensedStatesCd |
| Licensed States | NY | LicensedStatesCd |
| Licensed States | FL | LicensedStatesCd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2B | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S AGREEMENT WITH PENTERA AND FAIRCOM INCLUDES PAYMENTS FOR SERVICES AND REIMBURSEMENT OF EXPENSES AS APPROVED BY THE FOUNDATION. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| THE VALLEY HOSPITAL INC | ||||||||
| 223 NORTH VAN DIEN AVENUE | RIDGEWOOD | NJ | 07450 | 221487307 | 501(C)(3) | $16,426,845 | $0 | THE VALLEY HOSPITAL IN PARAMUS, PROJECT/CAPITAL PROJECTS/DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES |
| VALLEY HOME CARE INC | ||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07677 | 223208480 | 501(C)(3) | $226,187 | $0 | DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES |
| VALLEY MEDICAL GROUP | ||||||||
| 223 NORTH VAN DIEN AVENUE | RIDGEWOOD | NJ | 07450 | 320041186 | 501(C)(3) | $527,165 | $0 | DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES GRANTS TO ITS RELATED ORGANIZATIONS WITHIN THE VALLEY HEALTH SYSTEM - THE VALLEY HOSPITAL, VALLEY HOME CARE AND VALLEY MEDICAL GROUP. THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS THROUGH COMMON MANAGEMENT WITH ITS GRANTEE ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 | ||||||||||||||
| TRUSTEE - EX OFFICIO | $0 | $1,165,777 | $0 | $450,000 | $0 | $99,444 | $0 | $21,750 | $0 | $24,786 | $0 | $1,761,757 | $0 | $0 |
| EPHRAIM CASPER MD | ||||||||||||||
| TRUSTEE | $0 | $824,792 | $0 | $67,356 | $0 | $55,344 | $0 | $14,500 | $0 | $27,329 | $0 | $989,321 | $0 | $0 |
| WILLIAM KLUTKOWSKI | ||||||||||||||
| SR. VP, FINANCE & CFO | $0 | $489,691 | $0 | $95,000 | $0 | $124,709 | $0 | $20,300 | $0 | $33,802 | $0 | $763,502 | $0 | $0 |
| DAVID J BOHAN | ||||||||||||||
| VICE PRESIDENT & CDO | $0 | $355,001 | $0 | $90,000 | $0 | $74,078 | $0 | $14,500 | $0 | $22,843 | $0 | $556,422 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | OFFICERS, TOP MANAGEMENT AND EMPLOYEES ARE COMPENSATED BY VALLEY HOSPITAL A RELATED ORGANIZATION. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE COMPENSATION PAID TO THEIR EMPLOYEES. THE HOSPITAL HAS ESTABLISHED A POLICY FOR COMPENSATION OF ITS OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES. THE POLICY MANDATES THAT COMPENSATION FOR ITS OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES BE PERIODICALLY REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FREE OF ANY MEMBERS WITH CONFLICTS OF INTEREST RELATED THERETO. THE COMMITTEE DETERMINES THAT THE EXECUTIVES ARE BEING PAID AN APPROPRIATE LEVEL OF COMPENSATION BY USING COMPARATIVE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION DECISION ON THE AMOUNT OF COMPENSATION PAID AND TERM IS ADEQUATELY DOCUMENTED IN A CONTEMPORANEOUSLY WRITTEN FORMAT. THIS PROCESS WAS LAST UNDERTAKEN IN 2021. |
| PART I, LINE 4B | AUDREY MEYERS PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). SHE DID NOT RECEIVE A PAYMENT DURING 2021. |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $6,650 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 29 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,293,121 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVG SELLING PRICE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | KEYBOARDS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,100 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN PART I, COLUMN (B). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | LYA PFEIFER TRUSTEE EFFECTIVE 6/2021 AND JOSEPH PFEIFER TRUSTEE THRU 6/2021 HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | VALLEY HEALTH SYSTEM HAS THE RIGHT TO ELECT ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | ANY OF THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF THE SOLE MEMBER: A) ORGANIZING, ACQUIRING OR AUTHORIZING THE ORGANIZATION OF, ANY SUBSIDIARY OR AFFILIATE OF THE FOUNDATION B) MAKING ANY DONATIONS, CONTRIBUTIONS, GRANTS OR LOANS TO ANY PERSON OR ENTITY OTHER THAN THE HOSPITAL OR THE PARENT IN EXCESS OF TWENTY FIVE THOUSAND DOLLARS IN ANY FISCAL YEAR OR TO ALL SUCH PERSONS AND ENTITIES IN THE AGGREGATE, IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS IN ANY FISCAL YEAR C) ADOPTION OF A PLAN OF DISSOLUTION OF THE FOUNDATION D) ANY TRANSACTION, OTHER THAN IN ORDINARY AND REGULAR COURSE OF BUSINESS, PROVIDING FOR THE SALE, TRANSFER, MORTGAGE OR OTHER DISPOSITION OR ENCUMBRANCE OF ANY ASSETS OF THE FOUNDATION HAVING AN AGGREGATE VALUE IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS IN ANY FISCAL YEARS E) ADOPTION OF A PLAN OF MERGER OR CONSOLIDATION OF THE FOUNDATION WITH ANOTHER ORGANIZATION F) SELECTION OF INDEPENDENT AUDITORS G) ANY CHANGE IN THE MANNER AND PROCEDURE FOR NOMINATION AND ELECTIONS OF TRUSTEES OF THE FOUNDATION H) AMENDMENT OF THE CERTIFICATE OF INCORPORATION I) AMENDMENT OF THE BYLAWS OF THE FOUNDATION WITH RESPECT TO ANY OF THE SUBJECT MATTERS OF THE ARTICLE III, SECTION 11. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY'S EXECUTIVE COMMITTEE BEFORE IT IS FILED. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, THE COMMITTEE REVIEWS THE 990 AND PROVIDES ANY COMMENTS. THE COMMENTS ARE REVIEWED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST ANNUALLY. GENERAL COUNSEL REVIEWS THE ANNUAL DISCLOSURE TO DETERMINE WHETHER A CONFLICT EXISTS. IF A CONFLICT OF INTEREST EXISTS THE ORGANIZATION WILL NOTIFY MEMBERS OF MANAGEMENT OR THE GOVERNING BODY AND INVESTIGATE THE CONFLICT. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE PART OF ANY DECISIONS ABOUT SUCH TRANSACTIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON NEW YORK STATE ATTORNEY GENERAL WEBSITE, GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450 OR BY CALLING THE ORGANIZATION DIRECTLY AT 201-447-8000. |
| FORM 990, PART XI, LINE 9: | WRITE-DOWN OF CONTRIBUTIONS -4,068. |
| FORM 990, PART XI, LINE 2C | THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND FOR THE OVERSIGNT OF THE AUDIT. 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 INC | |||||||||||
| 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 221487307 | PROVIDES HEALTHCARE PROGRAMS AND SERVICES TO ALL | NJ | 501(C)(3) | 3 | VALLEY HEALTH SYSTEM INC | 0 | |
| VALLEY HOME CARE INC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 223208480 | PROVIDES HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ | NJ | 501(C)(3) | 10 | VALLEY HEALTH SYSTEM INC | 0 | |
| VALLEY PHYSICIAN SERVICES INC | |||||||||||
| 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 320041186 | PROVIDE PRIMARY AND SPECIALITY MEDICAL CARE | NJ | 501(C)(3) | 10 | THE VALLEY HOSPITAL INC | 0 | |
| VALLEY HEALTH SYSTEM INC | |||||||||||
| 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 222922016 | PROVIDES MANAGEMENT AND PLANNING SERVICES TO ITS MEMBERS | NJ | 501(C)(3) | 7 | 0 | N/A | |
| VALLEY MEDICAL SERVICES PC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 465297054 | PROVIDE PRIMARY AND SPECIALITY MEDICAL CARE | NJ | 501(C)(3) | 10 | VALLEY PHYSICIANS SERVICES INC | 0 | |
| VALLEY PHYSICIAN SERVICES PC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 465285330 | PROVIDE PRIMARY AND SPECIALITY MEDICAL CARE | NJ | 501(C)(3) | 10 | VALLEY PHYSICIANS SERVICES INC | 0 | |
| VALLEY PHYSICIAN SERVICE NY PC | |||||||||||
| 15 ESSEX ROAD | PARAMUS | NJ | 07652 | 453125678 | OPERATES URGENT/PRIMARY CARE CLINICS | NY | 501(C)(3) | 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 |
| 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 | 0 | TransferFromOtherOrgInd |
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