2023-10-30T11:34:15-05:00 2022-12-31 010723685 DERMODY BURKE & BROWN CPAS LLC 443 N FRANKLIN ST STE 100 SYRACUSE NY 132041441 990 2022-01-01 222511614 VALLEY HEALTH SERVICES INC VALL 3158663330 690 W GERMAN STREET HERKIMER NY 13350 MICHAEL R TREEN CFO 3158663330 2023-10-19 1 MICHAEL TREEN 999009999 0 SHANNON B NELSON P01221640 3154719171 2023-10-19 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CONNIE A JASTREMSKI 690 W GERMAN STREET HERKIMER NY 13350 12972285 0 X WWW.VALLEYHEALTHSERVICES.ORG X 1984 NY AT THE HEART OF VHS' MISSION IS OUR COMMITMENT TO PROVIDING ACCESS TO A CONTINUUM OF LONG-TERM CARE SERVICES WHEN FAMILIES NEED IT. IN AN EFFORT TO PROVIDE QUALITY, PERSON-CENTERED CARE AND MAKE A DIFFERENCE IN THE LIVES OF OUR RESIDENTS AND THEIR FAMILIES, WE ENSURE OUR RESIDENTS A HOME-LIKE ENVIRONMENT SO THEY EXPERIENCE COMFORT AND PRIVACY. INPATIENT AND OUTPATIENT SERVICES ARE OFFERED TO THE RESIDENTS OF HERKIMER AND SURROUNDING COMMUNITIES. 13 13 324 14 0 0 619573 336198 13259219 12452403 142546 30806 214337 152878 14235675 12972285 0 0 0 0 10513959 11808427 0 0 0 4373408 3920831 14887367 15729258 -651692 -2756973 8957963 7440406 6131622 7559858 2826341 -119452 X THE MISSION OF VALLEY HEALTH SERVICES, INC. IS TO PROVIDE QUALITY, PERSON-CENTERED REHABILITATIVE, LONG-TERM AND PALLIATIVE CARE THROUGH DIVERSE PROGRAMS DESIGNED TO PROMOTE HEALTH AND INDEPENDENCE. 0 0 13637618 12603710 EVOLVING FROM A 32-BED TO A 160-BED, LONG-TERM CARE AND REHABILITATIVE FACILITY SINCE ITS FOUNDING IN 1984, VALLEY HEALTH SERVICES, INC. IS A MAJOR HEALTHCARE PROVIDER AND VITAL COMMUNITY ASSET. THE PRIVATELY OWNED, NOT-FOR-PROFIT ORGANIZATION LOCATED IN HERKIMER, NEW YORK, PROVIDES CARE TO A LARGELY RURAL POPULATION AND IS THE EIGHTH LARGEST EMPLOYER IN HERKIMER COUNTY.A COMFORTABLE, HEALTHY ENVIRONMENT WITH QUALIFIED STAFF WHO PLACE AN EQUAL EMPHASIS ON MIND, BODY AND SPIRIT DEFINES THE CARE AT VALLEY HEALTH SERVICES INC. SERVICES AVAILABLE INCLUDE:- SKILLED NURSING, LONG-TERM CARE - SHORT-TERM INPATIENT AND REHABILITATION AND SUB-ACUTE CARE - PHYSICAL THERAPY - OCCUPATIONAL THERAPY - SPEECH THERAPY - WOUND CARE - IV THERAPY -OUTPATIENT REHABILITATION - PHYSICAL THERAPY - OCCUPATIONAL THERAPY - CARDIAC REHABILITATION - SPEECH THERAPY - OSTEOPOROSIS MANAGEMENT THE 12-SLOT ONSITE ADULT DAY CARE MEDICAL MODEL SITE AND 18-SLOT OFFSITE MEDICAL MODEL ADULT DAY CARE PROGRAM IN LITTLE FALLS WERE CANCELLED DUE TO THE COVID-19 PANDEMIC. OPERATIONS HAVE NOT RESUMED TO DATE. SPEECH THERAPY, IV THERAPY, CARDIAC REHABILITATION, PALLIATIVE CARE AND OSTEOPOROSIS MANAGEMENT ARE UNIQUE SERVICES TO THE GREATER HERKIMER AREA AVAILABLE AT VHS, INC. APPROXIMATELY 59% OF VALLEY HEALTH SERVICES REVENUE IS DERIVED FROM MEDICAID. AS SUCH, VHS, INC., INCURS AN APPROXIMATE SHORTFALL OF $63 PER PATIENT DAY REIMBURSED BY THE NYS MEDICAID SYSTEM. AN IN-HOUSE "NEEDY RESIDENT" FUND PROVIDES MONEY FOR INCIDENTAL ITEMS DESIRED BY RESIDENTS. VALLEY HEALTH SERVICES' HUMAN RESOURCES STAFF AND THE DIRECTOR OF COMMUNITY LIFE PARTICIPATED IN CAREER FAIRS WITH HERKIMER COUNTY WORKING SOLUTIONS, HERKIMER COLLEGE AND THE LPN PROGRAM AT HERKIMER COUNTY BOCES. THE DEPARTMENTS OF REHABILITATION THERAPY AND SOCIAL SERVICES PROVIDED CLINICAL SUPERVISION TO COLLEGE INTERNS.VHS' ADMINISTRATOR, KATHY EISENHUT, IS REPRESENTED ON THE BOARD OF HERKIMER COUNTY HEALTHNET AS WELL AS HEALTHNET'S LONG-TERM CARE COMMITTEE. IN ADDITION, PRESIDENT, LISA BETRUS, SERVES ON THE FOLLOWING NONPROFIT BOARDS: - AT HOME CARE, INC. - THE STANLEY THEATER - MOHAWK VALLEY REGIONAL ECONOMIC DEVELOPMENT COUNCIL - WORKFORCE INVESTMENT BOARD OF HERKIMER, MADISON AND ONEIDA COUNTIESVHS SERVES AS A CLINICAL ROTATION SITE FOR THE HERKIMER BOCES LPN AND CNA CLASSES. ADDITIONALLY, VHS OPERATES ITS OWN CNA CLASS. VHS' STAFF ALSO WORKS WITH RESIDENTS, RESIDENTS' FAMILY MEMBERS AND OUTPATIENTS AS REQUESTED TO ADDRESS ELIGIBILITY FOR FEDERAL, STATE AND LOCAL ASSISTANCE FOR ISSUES INVOLVING PATIENT CARE. VHS WORKS WITH CAREER CONNECTIONS OF THE HERKIMER ARC TO MATCH THEIR CLIENTS' SKILLS WITH AVAILABLE JOB OPPORTUNITIES. VHS' ANNUAL FUNDRAISING EVENTS HAVE NOT YET RESUMED. (NOTED BELOW) - BOARDWALK TO BETTER HEALTH- MAGIC OF HERKIMER- CONCERT WITH THE STANLEY THEATRE - BROOKS BBQ DINNER 13637618 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 39 0 1 324 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MICHAEL R TREEN CFO 3158663330 690 WEST GERMAN STREET HERKIMER NY 13350 CONNIE JASTREMSKI BOARD CHAIR 1.00 1.00 X X 0 0 0 JOHN MILITELLO BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 HARRY J ENEA JR TREASURER 1.00 1.00 X X 0 0 0 ANNA LYGA SECRETARY 1.00 1.00 X X 0 0 0 MARY LITTLE SMITH MEMBER (RESIGNED DEC. 2022) 1.00 1.00 X 0 0 0 KATHLEEN A HORN MEMBER 1.00 1.00 X 0 0 0 JANE H MALIN MEMBER 1.00 1.00 X 0 0 0 JEFFREY WOEPPEL MEMBER 1.00 1.00 X 0 0 0 MARIANNE O'DONNELL MEMBER 1.00 1.00 X 0 0 0 ROBERT N BASLOE MEMBER 1.00 1.00 X 0 0 0 KIRSTEN E DUNN MEMBER 1.00 1.00 X 0 0 0 JUDITH GORMAN MEMBER 1.00 1.00 X 0 0 0 KATHLEEN A MAROLLO MEMBER 1.00 1.00 X 0 0 0 CURTIS M PEARSALL MEMBER 1.00 1.00 X 0 0 0 LISA M BETRUS PRESIDENT 39.00 6.00 X 386903 0 19771 KATHLEEN EISENHUT ADMINISTRATOR 40.00 X 125763 0 13233 MICHAEL R TREEN CFO 40.00 1.00 X 0 134060 10704 512666 134060 43708 2 0 1 0 0 51036 53447 231715 336198 RESIDENT SERVICE REVENUE, NET 623000 12452403 12452403 12452403 25306 25306 5500 0 5500 5500 5500 SOLD SERVICES 900099 49594 49594 RENTAL REVENUE - CLINIC 900099 45673 45673 CAFETERIA 900099 1571 1571 56040 56040 152878 12972285 12603710 0 32377 545670 545670 9463184 8974476 488708 258730 249008 9722 794949 728877 66072 745894 668173 77721 40430 40430 33600 33600 862493 401663 460830 1291088 1255510 35578 166625 166625 5370 2034 3336 10675 10675 392951 392951 160806 160806 CASH RECEIPTS ASSESSMEN 559228 559228 BAD DEBT EXP 279794 279794 MISCELLANEOUS EXPENSES 117771 67592 50179 15729258 13637618 2091640 0 200 200 857234 3196878 2381 2381 2274744 2009800 91378 66768 54200 36322 22728699 20933255 2047020 1795444 3630806 332613 8957963 7440406 3578036 2655064 1120138 1720455 1433448 3184339 6131622 7559858 X 2707251 -222337 119090 102885 2826341 -119452 8957963 7440406 X -2756973 -188820 X X 0 1 X 1 0 X 186329 225770 3133950 619573 336198 4501820 15871264 14759328 12932924 13259219 12452403 69275138 14598 12218 65657 214337 152878 459688 16072191 14997316 16132531 14093129 12941479 74236646 0 0 0 74236646 62626 33732 56609 142546 25306 320819 62626 33732 56609 142546 25306 320819 16134817 15031048 16189140 14235675 12966785 74557465 0.99570 0.99530 0.00430 0.00470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 103973 103973 103973 103973 103973 103973 103973 103973 103973 103973 1.00000 0 0 14392286 14073942 318344 633531 499244 134287 7273234 6360069 913165 429648 429648 1795444 DUE TO 3RD PARTY PAYORS 1000122 PATIENT TRUST FUNDS 188915 OPERATING LEASE LIABILITY 140463 DUE TO RELATED PARTY 1854839 3184339 X 12783465 -188820 -188820 12972285 0 12972285 15729258 0 15729258 0 15729258 PART V, LINE 4: INCOME FROM THE ENDOWMENT FUND IS TO BE USED TO FURTHER THE MISSION OF VALLEY HEALTH SERVICES,INC. PART X, LINE 2: MANAGEMENT IS UNAWARE OF ANY UNRELATED BUSINESS ACTIVITIES THAT MAY BE SUBJECT TO UNRELATED BUSINESS INCOME TAX OR ANY ACTIVITIES THAT WOULD JEOPARDIZE THE FACILITY'S EXEMPT STATUS. X X X 0 0 0 0 0 0 0 0 0 LISA M BETRUS PRESIDENT 320794 0 66109 0 0 0 12890 0 6881 0 406674 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED AT A MEETING OF THE BOARD OF DIRECTORS PRIOR TO FILING. ANY QUESTIONS ARE RAISED, AND ONCE APPROVED, THE FORM 990 CAN BE FILED. A COMPLETE COPY OF THE FINAL FORM 990 INCLUDING ALL RELATED SCHEDULES, ARE ULTIMATELY FILED WITH THE IRS, AND MADE AVAILABLE TO EACH MEMBER OF THE BOARD PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING THE BOARD OF DIRECTORS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15 ALL ORGANIZATIONAL EXECUTIVES WILL HAVE THEIR SALARY PLANS REVIEWED AT LEAST ANNUALLY BY THE BOARD OF DIRECTORS OR ITS DESIGNEE. THE REVIEW WILL INCLUDE EXTERNAL SURVEY DATA, RECRUITING EXPERIENCE, ECONOMIC TRENDS AND A COST IMPACT ANALYSIS FOR THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN UNREALIZED INVESTMENT -188,820. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VALLEY HEALTH DEVELOPMENT CORPORATION 690 WEST GERMAN STREET HERKIMER NY 13350 222607657 HOLDS A MORTGAGE FROM VALLEY HEALTH SERVICES, INC. NY 501 (C) (3) 12C N/A 0 COMMUNITY CARE ALLIANCE INC 108 UTICA ROAD CLINTON NY 13323 161565909 FACILITATE IMPROVEMENT OF ECONOMIES OF 5 NURSING HOMES NY 501 (C) (3) 12A N/A 0 THE MARY IMOGENE BASSETT HOSPITAL 1 ATWELL ROAD COOPERSTOWN NY 13326 135596796 180-BED ACUTE CARE INPATIENT TEACHING FACILITY NY 501 (C) (3) 3 BASSETT HEALTHCARE NETWORK 1 BASSETT HEALTHCARE NETWORK 1 ATWELL ROAD COOPERSTOWN NY 13326 133218680 SUPPORTING ORG.TO M.I. BASSETT HOSPITAL,FRIENDS OF BASSETT & TEMPLE FDTN NY 501 (C) (3) 12C N/A 0 LITTLE FALLS HOSPITAL 140 BURWELL STREET LITTLE FALLS NY 13365 150533578 CRITICAL ACCESS HOSPITAL PROVIDING ACUTE CARE AND RESIDENTIAL HEALTH SVCS NY 501 (C) (3) 3 BASSETT HEALTHCARE NETWORK 1 FRIENDS OF BASSETT INC 1 ATWELL ROAD COOPERSTOWN NY 13326 237041610 PROMOTE AND ADVANCE THE WELFARE OF ALL THURSTON CORPORATION MEMBERS NY 501 (C) (3) 7 BASSETT HEALTHCARE NETWORK 1 AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY 1 NORTON AVENUE ONEONTA NY 13820 150539039 HEALTH CARE ORGANIZATION OFFERING INPATIENT AND OUTPATIENT SERVICES NY 501 (C) (3) 3 BASSETT HEALTHCARE NETWORK 1 TEMPLETON FOUNDATION 1 ATWELL ROAD COOPERSTOWN NY 13326 133317084 PROMOTE HEALTH CARE BY PROVIDING RESIDENTIAL FACILITIES & OFFICE SPACE NY 501 (C) (3) 10 BASSETT HEALTHCARE NETWORK 1 O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 161540394 CRITICAL ACCESS HOSPITAL PROVIDING SVCS TO DELAWARE & SURROUNDING REGION NY 501 (C) (3) 3 BASSETT HEALTHCARE NETWORK 1 TRI TOWN REGIONAL HEALTHCARE 43 PEARL STREET SIDNEY NY 13838 260169584 PROVIDE ACUTE & EMERGENCY SVCS TO RESIDENTS - TOWN OF SIDNEY & TRI TOWN COMM NY 501 (C) (3) 3 BASSETT HEALTHCARE NETWORK 1 BASSETT HOSPITAL OF SCHOHARIE CO 178 GRANDVIEW DRIVE COBLESKILL NY 12043 141772971 PROVIDE HEALTH CARE SERVICES TO SCHOHARIE COUNTY & SURROUNDING AREA NY 501 (C) (3) 3 BASSETT HEALTHCARE NETWORK 1 VALLEY RESIDENTIAL SERVICES INC 690 W GERMAN STREET HERKIMER NY 13350 463703838 PROVIDE ENRICHED HSG & MEDICAID ASST.LIVING SVCS-HERKIMER & SURROUNDING AREA NY 501 (C) (3) 3 BASSETT HEALTHCARE NETWORK 1 BASSETT PPS LLC 6181 STATE HIGHWAY 7 ONEONTA NY 13820 811749905 HEALTHCARE NY 501 (C) (3) 12A BASSETT HEALTHCARE NETWORK 1 AT HOME CARE PARTNERS 25 ELM STREET ONEONTA NY 13820 562397098 HEALTHCARE NY 501 (C) (3) 3 N/A 0 AT HOME CARE INC 25 ELM STREET ONEONTA NY 13820 161287069 HEALTHCARE NY 501 (C) (3) 3 N/A 0 AO FOX FOUNDATION 1 NORTON AVENUE ONEONTA NY 13820 222871993 FUNDRAISER NY 501 (C) (3) 9 N/A 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0