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Nonprofiteer
← VALLEY PHYSICIAN SERVICES NY PC

Form 990 for tax year 2022

Filed by VALLEY PHYSICIAN SERVICES NY PC.

Totals

Total revenue
$12,569,653
Total expenses
$12,569,652
Contributions and grants received
$0
Grants paid
$3,347,152
Program service revenue
$12,569,653
Investment income
$0
Other revenue
$0
Total assets, end of year
$2,370,017
Total liabilities, end of year
$1,709,887
Net assets or fund balances, end of year
$660,130
Program services expenses (Part IX)
$12,517,824
Management and general expenses
$51,828
Fundraising expenses
$0
Program service expenses (Part III)
$12,517,824

Program services were 99.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: MANAGEMENT FEE

    total $6,108,543 · related or exempt $6,108,543

  • 2b · Program service revenue: PATIENT REVENUE

    total $5,695,417 · related or exempt $5,695,417

  • 2c · Program service revenue: MEDICAL SVCS. TO TVH

    total $765,693 · related or exempt $765,693

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,347,152 · program services $3,347,152

  • 7 · Other salaries and wages

    total $6,322,469 · program services $6,321,469 · management and general $1,000

  • 8 · Pension plan contributions

    total $101,928 · program services $101,928

  • 9 · Other employee benefits

    total $128,856 · program services $128,856

  • 10 · Payroll taxes

    total $259,754 · program services $259,702 · management and general $52

  • 11g · Fees: other

    total $1,237,214 · program services $1,237,214

  • 13 · Office expenses

    total $102,576 · program services $51,800 · management and general $50,776

  • 14 · Information technology

    total $59,739 · program services $59,739

  • 16 · Occupancy

    total $583,785 · program services $583,785

  • 17 · Travel

    total $4,192 · program services $4,192

  • 22 · Depreciation, depletion and amortization

    total $100,365 · program services $100,365

  • 23 · Insurance

    total $61,893 · program services $61,893

  • 24a · Other expenses: CLINICAL SUPPLIES

    total $213,930 · program services $213,930

  • 24b · Other expenses: CONTINUING EDUCATION

    total $34,352 · program services $34,352

  • 24c · Other expenses: MISCELLANEOUS EXPENSES

    total $7,806 · program services $7,806

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $3,641 · program services $3,641

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $352,371 · end of year $329,978

  • 4 · Accounts receivable

    beginning of year $1,129,189 · end of year $1,339,634

  • 9 · Prepaid expenses and deferred charges

    beginning of year $30,881 · end of year $43,572

  • 10a · Land, buildings and equipment: cost or other basis

    $1,512,570

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,357,367

  • 10c · Land, buildings and equipment, net

    beginning of year $252,047 · end of year $155,203

  • 15 · Other assets

    beginning of year $462,429 · end of year $501,630

  • 17 · Accounts payable and accrued expenses

    beginning of year $768,738 · end of year $877,118

  • 25 · Other liabilities

    beginning of year $798,050 · end of year $832,769

  • 27 · Net assets without donor restrictions

    beginning of year $660,129 · end of year $660,130

Mission and programs · 2022

Mission

TO ENGAGE IN THE RENDERING OF PROFESSIONAL SERVICES OF AND RELATED TO THE PRACTICE OF MEDICINE PURSUANT TO "THE PROFESSIONAL SERVICES CORPORATION ACT, AND TO SUPPORT AND CARRY OUT THE CHARITABLE PURPOSE OF VALLEY HEALTH SYSTEM, INC. THE ORGANIZATION ALSO PROVIDED STRATEGIC FUNDING TO VALLEY HOSPITAL, INC.

Activities or mission (Part I)

TO PROVIDE MEDICAL CARE AND TO CARRY OUT THE PURPOSES OF THE VALLEY HEALTH SYSTEM, INC.

  • VALLEY PHYSICIAN SERVICES NY, P.C. RENDERED MEDICAL CARE TO A TOTAL OF 42,946 PATIENTS. MEDICAL CARE PROVIDED WAS IN THE FIELDS OF CLINICAL CARDIAC ELECTROPHYSIOLOGY, INTERNAL MEDICINE, AND CARDIOLOGY. THE ORGANIZATION ALSO PROVIDED PROGRAM FUNDING TO VALLEY HOSPITAL, INC.

    Expenses $12,517,824 · Grants $3,347,152 · Revenue $12,569,653

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Audrey Meyers

    PRESIDENT & CEO, VHS

    Total calculated
    $4,023,611
    From this org
    $0
    From related orgs
    $3,974,039
    Other
    $49,572
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,249,299 related
    Bonus
    $0 + $984,960 related
    Other
    $0 + $1,739,780 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $26,697 related
    Filer's total
    $0 + $4,023,611 related
  • Vincent Forlenza

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Kevin Lobo

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Frank J Sheehy

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Ann Limberg

    VICE CHAIR & SECRETARY

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Joseph Marion

    TREASURER

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Judy Baselice

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • James Bush

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Michelle Hasson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • M Shawn Kennedy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Bruce Mactas

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Duane Sachs

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Denis Salamone

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Scott Schroeder

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Edward B Self MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Steven Silverstein

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Jeffrey Tucker

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Patricia Verduin

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Wayne Wald Esq

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Robert W Brenner - President

    CLINICAL INTEGRATION/ PHYSICIAN ENT.

    Total calculated
    $1,489,437
    From this org
    $0
    From related orgs
    $1,461,032
    Other
    $28,405
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $816,543 related
    Bonus
    $0 + $357,704 related
    Other
    $0 + $286,785 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $14,680 related
    Filer's total
    $0 + $1,489,437 related
  • William Klutkowski

    SR. VP, FINANCE & CFO

    Total calculated
    $1,074,260
    From this org
    $0
    From related orgs
    $1,016,955
    Other
    $57,305
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $627,904 related
    Bonus
    $0 + $192,180 related
    Other
    $0 + $196,871 related
    Deferred
    $0 + $21,138 related
    Nontaxable benefits
    $0 + $36,167 related
    Filer's total
    $0 + $1,074,260 related
  • David Strassberg

    CHAIR, PRIMARY CARE SERVICES

    Total calculated
    $512,160
    From this org
    $0
    From related orgs
    $478,540
    Other
    $33,620
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $429,075 related
    Bonus
    $0 + $38,625 related
    Other
    $0 + $10,840 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $22,945 related
    Filer's total
    $0 + $512,160 related
  • Suneet Mittal

    PHYSICIAN

    Total calculated
    $1,505,008
    From this org
    $1,455,507
    From related orgs
    $0
    Other
    $49,501
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $1,138,919
    Bonus
    $293,465
    Other
    $23,123
    Deferred
    $10,675
    Nontaxable benefits
    $38,826
    Filer's total
    $1,505,008
  • Tina Sichrovsky MD

    PHYSICIAN

    Total calculated
    $713,940
    From this org
    $669,734
    From related orgs
    $0
    Other
    $44,206
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $505,112
    Bonus
    $162,000
    Other
    $2,622
    Deferred
    $9,450
    Nontaxable benefits
    $34,756
    Filer's total
    $713,940
  • Dan Musat MD

    PHYSICIAN

    Total calculated
    $663,666
    From this org
    $651,488
    From related orgs
    $0
    Other
    $12,178
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $407,374
    Bonus
    $242,000
    Other
    $2,114
    Deferred
    $10,675
    Nontaxable benefits
    $1,503
    Filer's total
    $663,666
  • Advay Bhatt MD

    PHYSICIAN

    Total calculated
    $615,880
    From this org
    $566,748
    From related orgs
    $0
    Other
    $49,132
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $386,412
    Bonus
    $179,000
    Other
    $1,336
    Deferred
    $10,675
    Nontaxable benefits
    $38,457
    Filer's total
    $615,880
  • Mark Preminger MD

    PHYSICIAN

    Total calculated
    $585,620
    From this org
    $548,428
    From related orgs
    $0
    Other
    $37,192
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $409,703
    Bonus
    $132,500
    Other
    $6,225
    Deferred
    $10,675
    Nontaxable benefits
    $26,517
    Filer's total
    $585,620

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
VALLEY HEALTH SYSTEM HAS DEVELOPED A COMPENSATION PLAN, WHICH GOVERNS THE COMPENSATION FOR ALL EXECUTIVES, INCLUDING THE CEO AND VICE PRESIDENTS OF THE ORGANIZATION. THE PLAN WAS DEVELOPED IN CONJUNCTION WITH A CONSULTING FIRM, REVIEWED BY THE PHYSICIAN LEADERSHIP COUNCIL AND APPROVED BY THE BOARD OF TRUSTEES AND THE VALLEY HEALTH SYSTEM PHYSICIAN COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE PLAN IS REVIEWED AND UPDATED AS NEEDED.
PART I, LINE 4B
AUDREY MEYERS AND WILLIAM KLUTKOWSKI PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. AUDREY MEYERS RECEIVED A PAYMENT IN THE AMOUNT OF $1,583,249 FROM THIS PLAN AS REPORTED IN PART II, COLUMN BIII AND COLUMN F. AUDREY MEYERS PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). SHE DID NOT RECEIVE A PAYMENT DURING 2022.
PART I, LINE 7
EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED FOR THEM IN PART II, COLUMN B(II).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • THE VALLEY HOSPITAL FOUNDATION INC

    501(C)(3) · SOLICITS AND RECEIVES CONTRIBUTIONS FOR THE BENEFIT OF HEALTH SYSTEM · NJ

    Directly controlled by VALLEY HEALTH SYSTEM INC

  • THE VALLEY HOSPITAL INC

    501(C)(3) · PROVIDE HEALTHCARE PROGRAMS AND SERVICES TO ALL · NJ

    Directly controlled by VALLEY HEALTH SYSTEM INC

  • VALLEY HEALTH SYSTEM INC

    501(C)(3) · PROVIDE MANAGEMENT AND PLANNING SERVICES FOR ITS MEMBERS · NJ

  • VALLEY HOME CARE INC

    501(C)(3) · PROVIDE HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ · NJ

    Directly controlled by VALLEY HEALTH SYSTEM INC

  • VALLEY MEDICAL SERVICES PC

    501(C)(3) · PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE · NJ

    Directly controlled by VALLEY PHYSICIAN SERVICES INC

  • VALLEY PHYSICIAN SERVICES INC

    501(C)(3) · PROVIDES MANAGEMENT AND VARIED CONSULTING SERVICES · NJ

    Directly controlled by THE VALLEY HOSPITAL INC

  • VALLEY PHYSICIAN SERVICES PC

    501(C)(3) · PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE · NJ

    Directly controlled by VALLEY PHYSICIAN SERVICES INC

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • VHS INSURANCE COMPANY LTD

    C · PROVIDES PROFESSIONAL, MEDICAL, AND COMMERCIAL GENERAL LIABILITY INSURANCE · CJ

    Directly controlled by VALLEY HEALTH SYSTEM INC

Provenance

Return type
form_990
Tax year
2022
Filed
12 November 2023
IRS schema version
2022v5.0
Source object
202343169349301054

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