VALLEY PHYSICIAN SERVICES PC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY PHYSICIAN SERVICES PC (EIN 46-5285330)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349313785
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T12:54:08-06:00 | 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 | 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 | ROBERT W BRENNER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2012916000 | 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 | ROBERT | PersonFirstNm |
| Person Last | BRENNER | 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 | 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 | $185,170,254 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL CARE AND CARRY OUT THE PURPOSES OF VALLEY HEALTH SYSTEM, INC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 445 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,860,788 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,322,503 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $152,265,272 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $180,847,334 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,446 | PYOtherRevenueAmt |
| CY Other Revenue | $417 | CYOtherRevenueAmt |
| PY Total Revenue | $156,131,506 | PYTotalRevenueAmt |
| CY Total Revenue | $185,170,254 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $24,386,912 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $44,133,513 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $112,202,183 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $118,786,849 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,787,502 | PYOtherExpensesAmt |
| CY Other Expenses | $25,341,874 | CYOtherExpensesAmt |
| PY Total Expenses | $158,376,597 | PYTotalExpensesAmt |
| CY Total Expenses | $188,262,236 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,245,091 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,091,982 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,664,339 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,972,839 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,756,929 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,157,411 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$9,092,590 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$12,184,572 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE MEDICAL CARE AND CARRY OUT THE PURPOSES OF VALLEY HEALTH SYSTEM, INC. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $178,591,030 | ExpenseAmt |
| Grant | $44,133,513 | GrantAmt |
| Revenue | $180,847,334 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED MEDICAL CARE TO A TOTAL OF 525,552 PATIENTS IN 2021 IN THE FIELDS OF FAMILY MEDICINE, INTERNAL MEDICINE, CARDIOLOGY, OB/GYN, URGENT CARE, AND ENDOCRINOLOGY. THE ORGANIZATION ALSO PROVIDED STRATEGIC FUNDING TO VALLEY HOSPITAL, INC. | Desc |
| Total Program Service Expenses | $178,591,030 | 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 | 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 445 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 (29 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| AUDREY MEYERS | |||||||||
| PRESIDENT & CEO, VHS | 0.50 | 39.50 | Yes (X) | Yes (X) | $0 | $1,715,221 | $46,536 | ||
| VINCENT FORLENZA | |||||||||
| CHAIRMAN | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK J SHEEHY | |||||||||
| VICE CHAIRMAN | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANN LIMBERG | |||||||||
| DIRECTOR | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH MARION | |||||||||
| DIRECTOR | 0.10 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GAIL MATTHEWS | |||||||||
| TREASURER, THRU 4/2021 | 0.10 | 39.90 | Yes (X) | Yes (X) | $414,498 | $0 | $10,931 | ||
| 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 | |||
| KEVIN LOBO | |||||||||
| 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 | |||
| WILLIAM KLUTKOWSKI | |||||||||
| SR. VP, FINANCE & CFO | 2.00 | 38.00 | Yes (X) | $0 | $709,400 | $54,102 | |||
| ROBERT W BRENNER PRESIDENT | |||||||||
| CLINICAL INTEGRATION/ PHYSICIAN ENTERPRISE | 2.00 | 38.00 | Yes (X) | $0 | $1,278,073 | $25,357 | |||
| DAVID STRASSBERG | |||||||||
| VICE PRESIDENT | 0.10 | 39.90 | Yes (X) | $528,097 | $0 | $27,150 | |||
| GERALD SOTSKY | |||||||||
| SECRETARY/TREASURER | 2.00 | 38.00 | Yes (X) | $784,222 | $0 | $38,389 | |||
| ALEX ZAPOLANSKI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,480,935 | $0 | $36,529 | Yes (X) | |||
| ROBERT KORST MD | |||||||||
| CHIEF OF ONCOLOGY SURGERY | 40.00 | 0.00 | $923,336 | $0 | $50,560 | Yes (X) | |||
| THOMAS AHLBORN MD | |||||||||
| CHAIR, SURGICAL SERVICES | 40.00 | 0.00 | $1,328,315 | $0 | $37,479 | Yes (X) | |||
| MICHAEL RAHMIN MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,183,432 | $0 | $45,364 | Yes (X) | |||
| JUAN GRAU | |||||||||
| DIRECTOR, CARDIOTHORACIC SURGERY | 40.00 | 0.00 | $1,602,819 | $0 | $30,171 | Yes (X) | |||
| RICHARD KEENAN | |||||||||
| FORMER SENIOR VP FINANCE/CFO | 0.00 | 0.00 | $0 | $4,692,143 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,245,654 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,394,837 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $402,568 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 322 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 CONSULTING | $532,250 |
| LAWRENCE SELTZER MD | |||||
| 215 HARRISON AVE | WESTFIELD | NJ | 07090 | MEDICAL CONSULTING | $429,597 |
| MALWINDER SINGH MD | |||||
| 402 JAY COURT | FRANKLIN LAKES | NJ | 07417 | MEDICAL CONSULTING | $420,735 |
| RAKESH SHARMA MD | |||||
| 1124 E RIDGEWOOD AVENUE SUITE 103 | RIDGEWOOD | NJ | 07450 | MEDICAL SERVICES | $420,595 |
| PHYSICIAN SPECIALISTS OF NORTHERN NJ | |||||
| 1 SEARS DRIVE SUITE 306 | PARAMUS | NJ | 07652 | MEDICAL SERVICES | $214,270 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,322,503 | GovernmentGrantsAmt |
| Total Contributions | $4,322,503 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 624100 | $151,907,789 | $151,907,789 |
| MEDICAL SVCS. TO TVH | 624100 | $28,939,545 | $28,939,545 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $180,847,334 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BAD DEBT RECOVERY | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $417 | TotalRevenueColumnAmt |
| Exclusion | $417 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $417 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $185,170,254 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $180,847,334 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $417 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,133,513 | TotalAmt |
| Program Services | $44,133,513 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,803,286 | TotalAmt |
| Program Services | $1,778,557 | ProgramServicesAmt |
| Management And General | $24,729 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,990,938 | TotalAmt |
| Program Services | $104,579,002 | ProgramServicesAmt |
| Management And General | $1,411,936 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,716,416 | TotalAmt |
| Program Services | $2,705,723 | ProgramServicesAmt |
| Management And General | $10,693 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,471,660 | TotalAmt |
| Program Services | $3,356,022 | ProgramServicesAmt |
| Management And General | $115,638 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,804,549 | TotalAmt |
| Program Services | $4,791,196 | ProgramServicesAmt |
| Management And General | $13,353 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,968,559 | TotalAmt |
| Management And General | $6,968,559 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,640 | TotalAmt |
| Management And General | $76,640 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,002,905 | TotalAmt |
| Program Services | $12,354,647 | ProgramServicesAmt |
| Management And General | $648,258 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,812 | TotalAmt |
| Program Services | $199,784 | ProgramServicesAmt |
| Management And General | $396,028 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,128 | TotalAmt |
| Program Services | $16,128 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7 | TotalAmt |
| Program Services | $7 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,348 | TotalAmt |
| Program Services | $22,291 | ProgramServicesAmt |
| Management And General | $57 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355 | TotalAmt |
| Management And General | $355 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,762,439 | TotalAmt |
| Program Services | $3,762,439 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTINUING EDUCATION | $769,982 | $769,982 | $0 |
| BAD DEBT EXPENSE | $79,420 | $79,420 | $0 |
| RECRUITMENT | $33,915 | $28,955 | $4,960 |
| CLINICAL SUPPLIES | $4,855 | $4,855 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,509 | TotalAmt |
| Program Services | $3,509 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,262,236 | TotalAmt |
| Program Services | $178,591,030 | ProgramServicesAmt |
| Management And General | $9,671,206 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,339,354 | BOYAmt |
| EOY | $4,684,423 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,083,107 | BOYAmt |
| EOY | $17,246,916 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $41,500 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,241,878 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,664,339 | BOYAmt |
| EOY | $21,972,839 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,685,499 | BOYAmt |
| EOY | $23,673,765 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,071,430 | BOYAmt |
| EOY | $10,483,646 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,756,929 | BOYAmt |
| EOY | $34,157,411 | 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 | -$9,092,590 | BOYAmt |
| EOY | -$12,184,572 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$9,092,590 | BOYAmt |
| EOY | -$12,184,572 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,664,339 | BOYAmt |
| EOY | $21,972,839 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,091,982 | 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 Minus2 Years | $318,156 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,860,788 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,322,503 | CurrentTaxYearAmt |
| Total | $8,501,447 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,265,190 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $149,157,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $162,125,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152,265,272 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $180,847,334 | CurrentTaxYearAmt |
| Total | $777,661,183 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,265,190 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $149,157,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $162,443,746 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,126,060 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $185,169,837 | CurrentTaxYearAmt |
| Total | $786,162,630 | 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 | $786,162,630 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $98,304 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $1,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $417 | CurrentTaxYearAmt |
| Total | $100,157 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,363,494 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $149,157,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $162,443,746 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,127,496 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $185,170,254 | CurrentTaxYearAmt |
| Total | $786,262,787 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCE PAYMENT FROM MEDICARE | $2,726,251 |
| ESTIMATED 3RD PARTY PAYOR SETTLEMENTS | $7,757,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,483,646 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $260,390,139 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $75,299,305 | OtherRevenueAmt |
| Revenue Not Reported | $75,299,305 | RevenueNotReportedAmt |
| Revenue Subtotal | $185,090,834 | RevenueSubtotalAmt |
| Other Revenues Not Included | $79,420 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $79,420 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $185,170,254 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $263,482,124 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $75,299,308 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $75,299,308 | ExpensesNotReportedAmt |
| Expenses Subtotal | $188,182,816 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $79,420 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $79,420 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $188,262,236 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | VMG RECOGNIZES THE BENEFIT FROM INCOME TAX POSITIONS TAKEN IN ITS INCOME TAX RETURNS ONLY WHEN THOSE POSITIONS ARE BELIEVED TO BE MORE LIKELY THAN NOT TO BE SUSTAINED UPON REVIEW BY THE TAX AUTHORITIES. VMG PROVIDES VALUATION ALLOWANCES FOR NET DEFERRED TAX ASSETS WHEN THE REALIZATION OF THE DEFERRED TAX ASSET IS UNCERTAIN. MANAGEMENT HAS DETERMINED THAT VMG HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ENTITIES INCLUDED IN VMG ARE NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO THE 2018 TAX YEAR. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE OF RELATED ENTITIES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 75,299,305. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH PATIENT SERVICE REVENUE IN FINANCIAL STATEMENTS 79,420. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES OF RELATED ENTITIES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 75,299,308. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH PATIENT SERVICE REVENUE IN FINANCIAL STATEMENTS 79,420. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | 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 | $44,133,513 | 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 MADE A GRANT 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD KEENAN | ||||||||||||||
| FORMER SENIOR VP FINANCE/CFO | $0 | $0 | $0 | $0 | $0 | $4,692,143 | $0 | $0 | $0 | $0 | $0 | $4,692,143 | $0 | $4,692,143 |
| AUDREY MEYERS | ||||||||||||||
| PRESIDENT & CEO, VHS | $0 | $1,165,777 | $0 | $450,000 | $0 | $99,444 | $0 | $21,750 | $0 | $24,786 | $0 | $1,761,757 | $0 | $0 |
| JUAN GRAU | ||||||||||||||
| DIRECTOR, CARDIOTHORACIC SURGERY | $1,478,417 | $0 | $100,000 | $0 | $24,402 | $0 | $4,092 | $0 | $26,079 | $0 | $1,632,990 | $0 | $0 | $0 |
| ALEX ZAPOLANSKI | ||||||||||||||
| PHYSICIAN | $870,434 | $0 | $567,999 | $0 | $42,502 | $0 | $10,150 | $0 | $26,379 | $0 | $1,517,464 | $0 | $0 | $0 |
| THOMAS AHLBORN MD | ||||||||||||||
| CHAIR, SURGICAL SERVICES | $996,876 | $0 | $297,461 | $0 | $33,978 | $0 | $10,150 | $0 | $27,329 | $0 | $1,365,794 | $0 | $0 | $0 |
| ROBERT W BRENNER PRESIDENT | ||||||||||||||
| CLINICAL INTEGRATION/ PHYSICIAN ENTE | $0 | $785,377 | $0 | $235,000 | $0 | $257,696 | $0 | $13,050 | $0 | $12,307 | $0 | $1,303,430 | $0 | $0 |
| MICHAEL RAHMIN MD | ||||||||||||||
| PHYSICIAN | $967,177 | $0 | $191,853 | $0 | $24,402 | $0 | $10,150 | $0 | $35,214 | $0 | $1,228,796 | $0 | $0 | $0 |
| ROBERT KORST MD | ||||||||||||||
| CHIEF OF ONCOLOGY SURGERY | $681,136 | $0 | $237,298 | $0 | $4,902 | $0 | $15,950 | $0 | $34,610 | $0 | $973,896 | $0 | $0 | $0 |
| GERALD SOTSKY | ||||||||||||||
| SECRETARY/TREASURER | $598,466 | $0 | $158,732 | $0 | $27,024 | $0 | $10,150 | $0 | $28,239 | $0 | $822,611 | $0 | $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 STRASSBERG | ||||||||||||||
| VICE PRESIDENT | $414,097 | $0 | $103,000 | $0 | $11,000 | $0 | $10,150 | $0 | $17,000 | $0 | $555,247 | $0 | $0 | $0 |
| GAIL MATTHEWS | ||||||||||||||
| TREASURER, THRU 4/2021 | $196,783 | $0 | $74,781 | $0 | $142,934 | $0 | $7,452 | $0 | $3,479 | $0 | $425,429 | $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 | RICHARD KEENAN RECEIVED A FINAL DISTRIBUTION PAYMENT FROM HIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN 2021 AS REPORTED IN PART II, COLUMNS B(III) AND F. AUDREY MEYERS AND WILLIAM KLUTKOWSKI ALSO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THEY DID NOT RECEIVE A PAYMENT DURING 2021. AUDREY MEYERS PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). THEY DID NOT RECEIVE A PAYMENT DURING 2021. |
| 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 $1,714,910 AND $5,253,649 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 A, LINE 7B | THE FOLLOWING DECISIONS OF THE ORGANIZATION ARE RESERVED TO THE BOARD OF VALLEY PHYSICIAN SERVICES: STRATEGIC ACTIONS, WHICH SHALL INCLUDE, BUT NOT BE LIMITED TO, NEW STRATEGIC PLANS, MODIFICATIONS OF EXISTING STRATEGIC PLANS OR MISSION STATEMENTS; MAJOR CORPORATE DECISIONS, WHICH MAY POTENTIALLY IMPACT THE PHILOSOPHY OF THE VALLEY SYSTEM, WHICH SHALL INCLUDE, BUT NOT BE LIMITED TO, JOINT VENTURES, CORPORATE ACQUISITIONS, PROGRAMMATIC AFFILICATIONS, MERGERS OR CONSOLIDATIONS, CONVERSION OF THE TAX-EXEMPT STATUS, SALE OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE DISSOLUTION OF THE CORPORATION; ANY SINGLE EXPENDITURE GREATER THAN FIVE PERCENT (5%) OF THE ANNUAL OPERATING BUDGET OF THE CORPORATION AND AMENDMENTS THERETO; THE ELECTION, APPOINTMENT, REPLACEMENT OR REMOVAL OF TRUSTEES OF THE CORPORATION WITH OR WITHOUT CAUSE; THE SELECTION OF AUDITORS; THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION (OR THE APPROVAL OF ANY RECCOMENDATION OF THE VPS BOARD FOR REMOVAL); THE ADOPTION, AMENDMENT, REVISION OR DELETION OF THE CORPORATION'S BYLAWS AND THE CREATION OR APPROVAL OF ANY AMENDMENTS, ALTERATIONS OR REVISIONS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION; THE ADOPTION OF THE CORPORATION'S ANNUAL CAPITAL AND OPERATING BUDGETS; MAJOR CORPORATE DECISIONS REGARDING THE INCURRENCE OF DEBT IN EXCESS OF FIVE PERCENT (5%) OF THE OPERATING BUDGET OF THE CORPORATION (INCLUDING CAPITAL AND OPERATING LEASES), AND THE TRANSFER OR LOAN OF CASH OR THE CONVEYANCE, LEASE OR OTHER DISPOSITION OF OTHER ASSETS TO AN AFFILIATE OR SUBSIDIARY WITHOUT RECEIVING EQUIVALENT VALUE IN RETURN. THE APPROVAL OF THE PURCHASE OR SALE OF ANY REAL PROPERTY BY THE CORPORATION AND THE APPROVAL OF THE CREATION OF A MORTGAGE, LIEN, OR ANY OTHER SECURITY INTERESTS IN THE CORPORATION'S REAL OR PERSONAL PROPERTY; DETERMINATIONS OF HOW ANY AND ALL EXCESS CASH GENERATED BY THE CORPORATION WILL BE SPENT; THE CESSATION OR ANY CHANGE IN THE CORPORATION'S PROVISION OF SERVICES TO MEDICARE AND MEDICAID RECIPIENTS AND ITS PROVISION OF CHARITY CARE SERVICES IN ACCORDANCE WITH CHARITY CARE SERVICES IN ACCORDANCE WITH CHARITY CARE POLICIES ESTABLISHED BY THE VALLEY HOSPITAL. |
| 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. ANY ISSUES ARE ADDRESSED AND RESOLVED. 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 15B | 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 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | VPS P.C MAKES ITS FORM 990, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS 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 2C | THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND FOR THE OVERSIGHT 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 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Comments