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      <MissionDesc>THE VALLEY HOSPITAL SERVES THE COMMUNITY BY HEALING AND CARING FOR PATIENTS, COMFORTING THEIR FAMILIES AND TEACHING GOOD HEALTH. THE VALLEY HOSPITAL IS DISTINGUISHED BY A COMMITMENT TO EXCELLENCE IN CLINICAL CARE, INNOVATION IN PROGRAMS AND TECHNOLOGY, AND PROVIDING A COMPASSIONATE AND RESPECTFUL ENVIRONMENT.</MissionDesc>
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      <Desc>THE VALLEY HOSPITAL IS A FULLY ACCREDITED, ACUTE CARE, NOT-FOR-PROFIT HOSPITAL SERVING MORE THAN 440,000 PEOPLE IN 32 TOWNS IN BERGEN COUNTY AND ADJOINING COMMUNITIES. AS A NOT-FOR-PROFIT HOSPITAL, VALLEY IS COMMITTED TO GIVING BACK TO THE COMMUNITY. VALLEY SERVES THE COMMUNITY BY PROVIDING THOUSANDS OF HOURS OF HEALTHCARE EDUCATION AND SCREENINGS, SUPPORT GROUPS AND CLASSES TO ASSIST THOSE IN NEED, AND CARE TO ALL THOSE WHO COME THROUGH OUR DOORS, REGARDLESS OF THEIR ABILITY TO PAY. THE VALLEY HOSPITAL IS PROUD OF ITS HISTORY OF QUALITY PATIENT CARE AND COMMUNITY SERVICE. VALLEY'S CURRENT LICENSED CAPACITY IS 451 BEDS. IN 2017, 45,539 INDIVIDUALS WERE ADMITTED TO VALLEY, 70,500 PEOPLE WERE TREATED IN THE EMERGENCY DEPARTMENT AND 3,319 BABIES WERE BORN.VALLEY'S COMMUNITY CARE CLINIC HAD 6,800 VISITS IN 2017. THEY PROVIDE CARE AT NO COST TO THE PATIENTS WHO QUALIFY IN 16 (MEDICAL, NEUROLOGY, GI, GENERAL SURGERY, BREAST SURGERY, RHEUMATOLOGY, OPHTHALMOLOGY, GYN, OB, PEDIATRICS, PULMONARY, CARDIOLOGY, PAIN, DERMATOLOGY, ORTHOPEDICS AND UROLOGY) SPECIALTY CLINICS. THEY CONTINUE TO PROVIDE CARE TO CHILDREN IN FOSTER CARE IN BERGEN AND PASSAIC COUNTIES THAT REQUIRE COMPLEX MEDICAL AND SUBSPECIALTY CARE.</Desc>
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        <Desc>IN 2017 VALLEY FORMED THE SYSTEM-WIDE LGBTQ INTERDISCIPLINARY TEAM TO WORK TOWARD GOALS TO BECOME A MORE INCLUSIVE FOR OUR LGTBQ PATIENTS, GUESTS AND EMPLOYEES. VALLEY HAS EARNED DESIGNATION AS AN LGBTQ HEALTHCARE EQUALITY LEADER FROM THE HUMAN RIGHTS CAMPAIGN FOUNDATION. AS A LEADER, VALLEY HAS EARNED THE TOP SCORE IN EACH OF THE FOUR AREAS THAT ARE EVALUATED: NON-DISCRIMINATION AND STAFF TRAINING, LGBTQ PATIENT SERVICES AND SUPPORT, EMPLOYEE BENEFITS AND POLICIES AND LGBTQ PATIENT AND COMMUNITY ENGAGEMENT. VALLEY PARTNERS WITH A NUMBER OF COMMUNITY ORGANIZATIONS TO PROVIDE EDUCATION AND CARE FOR THE COMMUNITIES WE SERVE. SOME PARTNERS INCLUDE: RIDGEWOOD LIBRARY; MAHWAH LIBRARY; HEALTH DEPARTMENTS FOR MAHWAH, FAIR LAWN, RIDGEWOOD AND SADDLE RIVER; BERGEN COUNTY HEALTH DEPARTMENT; COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY; CHRISTIAN HEALTH CARE CENTER; NEW JERSEY MAYORS WELLNESS CAMPAIGN; STUPID CANCER; BERGEN VOLUNTEER MEDICAL INITIATIVE; RIDGEWOOD HIGH SCHOOL; BERGEN COMMUNITY COLLEGE AND RAMAPO COLLEGE; AND COMMUNITY MEALS, INC.THRIVE REACHED 1,140 WOMEN AT THE 23 PROGRAMS THEY HOSTED IN 2017. SOME OF THE PROGRAMS INCLUDE: JUST FOR GIRLS; MOMMY AND ME SERIES; PELVIC HEALTH; DREAMINGOF A BETTER NIGHT'S SLEEP; CELEBRATING HEART HEALTH; THRIVE! WALKING CLUB; BE WELL, STAY WELL; AND MENOPAUSE AND SEXUAL HEALTH.</Desc>
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        <PersonNm>DUANE SACHS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA TAYLOR</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY S TUCKER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <PersonNm>PATRICIA VERDUIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENIS SALAMONE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN LOBO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE WALD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD KENNAN</PersonNm>
        <TitleTxt>SR VP FINANCE &amp; CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA MEDIAGO</PersonNm>
        <TitleTxt>VP, FACILITIES MANAGEMENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GAIL CALLANDRILLO</PersonNm>
        <TitleTxt>VP, PLANNING/ GOVT RELATIONS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN FRASER</PersonNm>
        <TitleTxt>VP, COMMUNICATIONS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER W DIESTEL</PersonNm>
        <TitleTxt>SR. VP ADMINISTRATION/COO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN G HOLLANDER</PersonNm>
        <TitleTxt>SER VP, LEGAL SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC CAREY</PersonNm>
        <TitleTxt>VP/CIO, INFORMATION SYSTEMS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE BALDERRAMA</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID J BOHAN</PersonNm>
        <TitleTxt>VP, FOUNDATION</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM KLUTKOWSKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA KARCHER</PersonNm>
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        <PersonNm>ANN MARIE LEICHMAN</PersonNm>
        <TitleTxt>VP/CNO PATIENT CARE SERVIC</TitleTxt>
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        <PersonNm>JOSEPH YALLOWITZ</PersonNm>
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        <PersonNm>KARTEEK BHAVSAR</PersonNm>
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        <PersonNm>STACY MACK</PersonNm>
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        <PersonNm>LEONARD GUGLIELMO</PersonNm>
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        <PersonNm>JULIE W LO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRAD HASPEL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MCCONNELL</PersonNm>
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            <BusinessNameLine1Txt>TORCON INC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>8 NEWMAN SPRINGS ROAD</AddressLine1Txt>
            <CityNm>RED BANK</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07701</ZIPCd>
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        <ServicesDesc>GENERAL CONTRACTOR</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HDR ARCHITECTURE</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>8404 INDIAN HILLS DRIVE</AddressLine1Txt>
            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BERGEN ANESTHESIA GROUP PC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>500 WEST MAIN STREET SUITE 16</AddressLine1Txt>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NAVIGANT CONSULTING INC</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VALLEY INSTITUTE FOR PAIN</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>1 VALLEY HEALTH PLAZA 3RD FLOOR</AddressLine1Txt>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        <Desc>INSURERS AND PATIENTS</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYMENTS</Desc>
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        <Desc>VALLEY HEALTH PHARMACY</Desc>
        <BusinessCd>621990</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>FOOD SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>PURCHASE DISCOUNTS AND REBATES</Desc>
        <BusinessCd>621990</BusinessCd>
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        <TotalRevenueColumnAmt>6051861</TotalRevenueColumnAmt>
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        <ProgramServicesAmt>204364476</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40794859</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>16378773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3269467</ManagementAndGeneralAmt>
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        <TotalAmt>23237362</TotalAmt>
        <ProgramServicesAmt>19370665</ProgramServicesAmt>
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        <ProgramServicesAmt>13842494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2763185</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>337671</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>153805</TotalAmt>
        <ManagementAndGeneralAmt>153805</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>33967377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7232966</ManagementAndGeneralAmt>
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        <FormAndLineReferenceDesc>THE VALLEY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE HOSPITAL'S CHNA WAS COMPLETED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: CHRISTIAN HEALTH CARE CENTER, ENGLEWOOD HOSPITAL AND MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER AND HOLY NAME MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE VALLEY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: VALLEY HOSPITAL HAS ADDRESSED ALL OF OUR PRIORITY GOALS AND SECONDARY GOALS:OBESITY, FITNESS AND NUTRITION1.VALLEY HAS SPONSORED TWO LARGE MAYOR WELLNESS WEIGHT LOSS CHALLENGES, COMBINED PARTICIPANTS LOST 1,821 POUNDS AND OF THOSE WHO HAD THEIR TOTAL CHOLESTEROL AND A1C SCREENED AND RESCREENED THE MAJORITY SAW POSITIVE RESULTS.2.WE HAVE ALSO PARTNERED WITH COMMUNITY MEALS ON WHEELS TO PROVIDE MEALS FOR 7 BERGEN COUNTY TOWNS.3.VALLEY PROVIDES LOW COST EXERCISE CLASSES FOR SENIORS AND PARTNERED WITH THE COUNTY HEALTH DEPARTMENT TO OFFER FREE EXERCISE IN THE PARK CLASSES.4.HEALTHY STEPS IS A 12 WEEK WALKING CLUB THAT OFFERS BOTH EXERCISE, HEALTH EDUCATION AND FREE SCREENINGS.5.WE ALSO OFFERED MANY NUTRITION PROGRAMS TO THE COMMUNITY, FOCUSED ON HEALTHY EATING, EATING WITH DIABETES, READING FOOD LABELS ETC. MANY OF THESE WERE PROVIDED TO SCHOOL AGE CHILDREN.6.VALLEYS CENTER FOR FAMILY EDUCATION PROVIDED FREE BREASTFEEDING CLASSES TO APPROXIMATELY 800 PEOPLE.7.SPECIFIC FITNESS AND NUTRITION EDUCATION WAS ALSO PROVIDED TO THE DIABETIC AND PRE-DIABETIC POPULATION.CHRONIC DISEASE1.CARDIOVASCULAR DISEASE - THE CENTER FOR WOMEN'S AND MEN'S HEART HEALTH OFFERED 744 FREE SCREENINGS. A LARGE PERCENTAGE OF THE PARTICIPANTS HAD EITHER A HIGH A1C OR CHOLESTEROL AND/OR OBESE. MANY WERE REFERRED TO A CARDIOLOGIST OR PRIMARY CARE PHYSICIAN. VALLEY PROVIDED PROGRAMS TO TARGET STROKE WHICH INCLUDED THREE STROKE SCREENINGS, 191 PEOPLE WERE SCREENED. VALLEY ALSO PROVIDED EDUCATION TARGETED TO PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASE.2.ONCOLOGY - IN PARTNERSHIP WITH THE BERGEN COUNTY DEPARTMENT OF HEALTH, THE PROSTATE CENTER SCREENED 20 MEN IDENTIFIED AS PART OF THE CEED PROGRAM. IN ADDITION 137 PEOPLE RECEIVED A FREE SKIN CANCER SCREENING AND 107 PEOPLE RECEIVED COLORECTAL SCREENING KITS. VALLEY HAS ALSO PROVIDED ONCOLOGY EDUCATION PROGRAMS.3.PULMONARY - THE LUNG CANCER CENTER SCREENED APPROXIMATELY 100 AT RISK PATIENTS. ALSO OUR SMOKING CESSATION PROGRAM SERVED 41 PEOPLE.4.VALLEY'S MOBILE INTENSIVE CARE UNIT INITIATED A NEW MOBILE INTEGRATED HEALTHCARE PROGRAM WHICH PROVIDES POST-DISCHARGE HOME CHECK-UPS AND TREATMENT TO VULNERABLE PATIENTS. THEY HAVE ALSO PROVIDED COVERAGE AT VARIOUS COMMUNITY EVENTS SUCH AS CHARITY RUNS, SCHOOL EVENTS, CONCERTS AND PARADES. OLDER ADULTS1.THROUGH PRIME TIME, VALLEY HAS PROVIDED PROGRAMS GEARED TO PROMOTING HEALTH AND WELLNESS TO THE OLDER ADULT POPULATION. PRIME TIME PROVIDED EDUCATION AND SCREENING PROGRAMS GEARED SPECIFICALLY FOR SENIORS. VALLEY ALSO PARTNERED WITH BERGEN COMMUNITY COLLEGE, CHRISTIAN HEALTH CARE CENTER AND VAN DYK HEALTH CARE TO PROVIDED EDUCATION.ACCESS TO CARE 1.VALLEY HAS WORKED CLOSELY WITH TWO CHURCHES THAT SERVE PREDOMINATELY MEMBERS OF THE AFRICAN AMERICAN COMMUNITY. A RELATIONSHIP HAS BEEN ESTABLISHED AND PLANS ARE SET TO PROVIDE A STROKE SCREENING AND HEART HEALTHY LECTURES IN THE COMING YEAR.2.VALLEY HAS ENLISTED THE HELP OF PHARMATEK TO HELP PATIENTS ENROLL IN PRESCRIPTION ASSISTANCE PROGRAMS.3.VALLEY CONTINUES TO PROVIDE DONATIONS TO ORGANIZATIONS THAT SUPPORT HEALTH AND WELLNESS INITIATIVES TO UNDERSERVED POPULATIONS.MENTAL HEALTH 1. VALLEY HAS ENLISTED THE HELP OF RAMAPO RIDGE PSYCHIATRIC HOSPITAL TO ASSIST WITH MEETING SOME OF THE MENTAL HEALTH NEEDS OF OUR COMMUNITY. THEIR STAFF HAS BEEN INSTRUMENTAL IN PROVIDING EDUCATION TO THE COMMUNITY AND SCHOOLS. IN ADDITION, COMMUNITY HEALTH AND INTEGRATIVE MEDICINE STAFF HAS PROVIDED EDUCATION ON STRESS RELIEF.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 75 COMMUNITY STAKEHOLDERS IN BERGEN COUNTY TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATIONS OUTLINED BELOW.- BERGEN COUNTY CANCER EDUCATION AND EARLY DETECTION- BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- BERGEN COUNTY DEPARTMENT OF HUMAN SERVICES- BERGEN COUNTY SCHOOL NURSES ASSOCIATION- BERGEN COUNTY SPECIAL SERVICES- BERGEN COUNTY UNITED WAY- BERGEN COUNTY YOUTH SERVICES COMMISSION- BERGEN REGIONAL MEDICAL CENTER- BERGEN VOLUNTEER CENTER- BERGENFIELD/HACKENSACK HEALTH DEPARTMENTS- BRIGHTVIEW SENIOR LIVING- CANCERCARE- CARE PLUS MEDICAL SERVICES- CENTER FOR DENTISTRY AT HUMC- CHILDREN'S AID AND FAMILY SERVICES- CHRISTIAN HEALTH CARE CENTER- EDGEWATER OFFICE OF PUBLIC HEALTH/HEALTH DEPARTMENT- ENGLEWOOD HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S CHNA WAS COMPLETED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: CHRISTIAN HEALTH CARE CENTER (RAMAPO RIDGE PSYCHIATRIC HOSPITAL), ENGLEWOOD HOSPITAL AND MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACKUMC AT PASCACK VALLEY AND HOLY NAME MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S CHNA WAS ALSO COMPLETED WITH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY AND THE DEPARTMENT OF HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VALLEY HOSPITAL CHNA IDENTIFIED EIGHTEEN (18) AREAS OF OPPORTUNITY. THESE AREAS WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. WE WILL BE ADDRESSING 16 OF THE 18 AREAS BY:- IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT.- CONTINUE TO OFFER COMMUNITY CARE CLINIC- EXPAND REACH TO UNDERSERVED AND SPECIAL POPULATIONS- EXPAND PRIMARY AND PREVENTATIVE CARE, AND ENHANCE ACCESS AND CONVENIENCE OF PROVIDER SERVICES.- CONTINUE TO OFFER PROGRAMS, SERVICES AND SUPPORT GROUPS TO PROMOTE POSITIVE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE- INCREASE ACCESS TO IMMUNIZATIONS AND REDUCE INFECTIOUS DISEASETHE TWO AREAS NOT COVERED ARE CHILDREN'S DENTAL CARE AND CHILDREN'S PHYSICAL ACTIVITY.THEY WILL NOT BE ADDRESSED BECAUSE:CHILDREN'S DENTAL CARE- HOSPITAL DOES NOT HAVE THE EXPERTISE TO EFFECTIVELY ADDRESS CHILDREN'S DENTAL CARE. ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED. NEED IS NOT AS PRESSING AS OTHER PROBLEMS.CHILDREN'S PHYSICAL ACTIVITY INITIATIVES ARE INCLUDED IN OUR EFFORTS TO IMPROVE HEALTH STATUS HOWEVER WE CHOSE TO ADDRESS ACTIVITY INITIATIVES FOR ALL AGE LEVELS, NOT SPECIFICALLY CHILDREN ONLY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MAILED TO OUR SERVICE AREA. COMMUNITY BENEFIT STATISTICS ARE ALSO REPORTED AT OUR ANNUAL MEETING, WHICH IS OPEN TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO USED TO CALCULATE THE AMOUNTS IN THE TABLE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO SUBSIDIZED HEALTH SERVICES WHICH ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC. COSTS INCLUDED REPRESENT MEDICATION AND TRANSPORTATION FOR INDIGENT PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS IS THE TOTAL BAD DEBT EXPENSE FOR THE HOSPITAL DISCOUNTED BY THE RATIO OF PATIENT CARE COST TO CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS IS THE TOTAL BAD DEBT EXPENSE FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE DISCOUNT BY THE RATIO OF PATIENT CARE COST TO CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. THE METHODOLOGY USED IS THE COST TO CHARGE RATIO, APPLIED ON A BASIS CONSISTENT WITH MEDICARE COST REPORTING PRINCIPLES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO CHARITY CARE, BAD DEBT, AND THE TREATMENT OF FINANCIALLY NEEDY PATIENTS UNDER THE MEDICAID PROGRAM, THE HOSPITAL PROVIDES SERVICES TO ELDERLY AND DISABLED PATIENTS COVERED UNDER THE MEDICARE PROGRAM REGARDLESS OF INCOME. THE UNPAID COSTS ATTRIBUTED TO PROVIDING CARE UNDER THIS PROGRAM, AND THUS CONSIDERED A COMMUNITY BENEFIT, WERE ESTIMATED AT $65.6 MILLION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN A PATIENT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, OUR SYSTEM IS SET UP TO STOP SENDING STATEMENTS TO PREVENT THEM FROM GOING TO A COLLECTION AGENCY. WE ALSO HAVE THE ABILITY TO MANUALLY PUT AN ACCOUNT ON HOLD TO AVOID COLLECTION ACTIVITY AS WELL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL STAFF REVIEWS ALL THE DISCHARGE DATA FROM THE STATE DOHSS TO DETERMINE WHAT THE MAJOR HEALTH ISSUES ARE IN THE COMMUNITY. WE LOOK AT DISEASE SPECIFIC INCIDENCE RATES IN OUR COMMUNITY AND DEVELOP FORECASTS FOR WHAT HEALTH ISSUES ARE PROJECTED TO PLAGUE THE POPULATION IN THE FUTURE. WE REVIEW CENSUS DATA TO MONITOR DEMOGRAPHIC SHIFTS AND WE CONDUCT QUALITATIVE RESEARCH (FOCUS GROUPS) TO ASSESS COMMUNITY FEEDBACK TO NEW PROGRAMS AND SERVICES. WE DEVELOP OUR CORE SERVICES AROUND THE MAJOR HEALTH ISSUES IN THE COMMUNITY - THUS, THEY ARE MOSTLY IN THE AREA OF HEART AND VASCULAR DISEASE, ONCOLOGY (MEDICAL AND SURGICAL), NEUROLOGY (STROKE) AND WOMEN'S AND CHILDREN'S SERVICES (OB, NICU, PICU, MFM AND IVF).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNS ARE POSTED AT EVERY REGISTRATION AREA. INFORMATION REGARDING FINANCIAL SCREENING IS POSTED ON THE HOSPITAL'S WEBSITE FOR CHARITY CARE AS WELL AS THE UNINSURED DISCOUNT POLICY. PATIENTS CAN PRINT APPLICATIONS AND REQUIREMENTS FROM THE WEBSITE. THE HOSPITAL'S STATEMENTS CONTAIN INFORMATION ALERTING PATIENTS OF FINANCIAL ASSISTANCE. THE HOSPITAL'S HANDBOOKS EXPLAIN FINANCIAL OPTIONS WHICH INCLUDE INFORMATION OF STATE ASSISTANCE, DISCOUNT POLICY AND ANY OTHER TYPE OF FINANCIAL ARRANGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIMARY AND SECONDARY SERVICE AREA OF THE VALLEY HOSPITAL IS COMPOSED OF 32 TOWNS IN NORTHWEST BERGEN AND PASSAIC COUNTIES. THESE COMMUNITIES ACCOUNT FOR 70% OF ALL OUR DISCHARGES. THE POPULATION IS 440,000 PEOPLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENEWAL, WHICH IS BEING EVALUATED, IS ALL ABOUT MEETING THE HEALTH CARE NEEDS OF OUR COMMUNITY. THE OLDEST BUILDING ON THE CAMPUS, PHILLIPS, WAS CONSTRUCTED IN 1960. IT HOUSES OVER 250 BEDS, MOST OF WHICH ARE IN SMALL, OUTDATED, SEMI-PRIVATE ROOMS. THE PHYSICAL STRUCTURE CAN NO LONGER ACCOMMODATE THE EQUIPMENT AND TECHNOLOGY NEEDED TO DELIVER CARE, THUS OUR PLANS TO RENEW OUR CAMPUS ARE BASED IN OUR MISSION TO PROVIDE THE BEST QUALITY CARE TO THE RESIDENTS OF OUR COMMUNITY. WHEN WE BUILT THE LUCKOW PAVILION IN PARAMUS, WE DID RESEARCH THAT INDICATED THE BEST WAY TO DELIVER CARE TO CANCER PATIENTS WAS TO LOCATE ALL SERVICES INTO ONE BUILDING. THIS NOT ONLY PROVIDES A SERVICE TO THE PATIENT, IT IS GOOD MEDICINE AS THE MEDICAL ONCOLOGISTS, SURGICAL ONCOLOGISTS AND RADIATION ONCOLOGISTS CAN CONSULT EACH OTHER TO ENSURE THAT THE PATIENT IS RECEIVING THE MOST APPROPRIATE TREATMENT. WE BUILT THE AMBULATORY SURGERY CENTER TO ADAPT TO THE CHANGING PRACTICE OF PERFORMING SURGERY ON A SAME DAY BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <CompensationBasedOnRltdOrgsAmt>505497</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>210650</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17211</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25458</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32892</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>791708</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC CAREY</PersonNm>
        <TitleTxt>VP/CIO, INFORMATION SYSTEMS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>345578</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>106463</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>56532</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20426</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>33038</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>562037</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE BALDERRAMA</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>315269</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>91294</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>42470</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>17550</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17577</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>484160</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID J BOHAN</PersonNm>
        <TitleTxt>VP, FOUNDATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>247290</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>55014</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15677</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>332981</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM KLUTKOWSKI</PersonNm>
        <TitleTxt>VP, FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>278384</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>80560</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>48439</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29725</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>462608</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIA KARCHER</PersonNm>
        <TitleTxt>VP, ADMINISTRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>278358</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>80447</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>38170</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23627</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2077</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>422679</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANN MARIE LEICHMAN</PersonNm>
        <TitleTxt>VP/CNO PATIENT CARE SERVIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>357469</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>98192</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>72961</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24735</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30297</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>583654</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH YALLOWITZ</PersonNm>
        <TitleTxt>VP &amp; CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>421293</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>124754</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>74247</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20092</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30865</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>671251</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARTEEK BHAVSAR</PersonNm>
        <TitleTxt>VP, ADMINISTRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>256921</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>76272</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>31323</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19370</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2550</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>386436</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STACY MACK</PersonNm>
        <TitleTxt>ASST VP, HEART &amp; VASCULAR INST.</TitleTxt>
        <BaseCompensationFilingOrgAmt>215958</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>32292</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>734</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>248984</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEONARD GUGLIELMO</PersonNm>
        <TitleTxt>ASST VP, FACILITIES</TitleTxt>
        <BaseCompensationFilingOrgAmt>240746</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>41268</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10380</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25650</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10827</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>328871</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE W LO</PersonNm>
        <TitleTxt>CHIEF PHYSICIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>266219</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>450</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>592</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17215</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28014</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>312490</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRAD HASPEL</PersonNm>
        <TitleTxt>ASST VP,ANCILLARY SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>220497</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36337</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3202</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22077</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10980</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>293093</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN MCCONNELL</PersonNm>
        <TitleTxt>PHYSICIAN DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>258664</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23733</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6498</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25650</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9407</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>323952</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDREY MEYERS, PRESIDENT, IS COMPENSATED BY THE VALLEY SYSTEM. VALLEY HOSPITAL AND THE SYSTEM SETS UP THE FOLLOWING PROCEDURES TO ESTABLISH COMPENSATION FOR OF THE PRESIDENT. THE HOSPITAL AND SYSTEM 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 2017. DURING 2017 AURDEY MEYERS AND RICHARD KEENAN WITHDREW FUNDS FROM THE DEFERRED COMPENSATION PLAN (DC PLAN)ESTABLISHED BY THE VALLEY HOSPITAL. THE DC PLAN ALLOWS EACH EMPLOYEE IN THE PLAN TO DEFER THEIR COMPENSATION ON AN ANNUAL BASIS UP TO CERTAIN LIMITS. THE DC PLAN IS NOT FUNDED WITH FUNDS FROM THE VALLEY HOSPITAL. THE AMOUNTS WITHDRAWN IN 2017 BY AUDREY MEYERS AND RICHARD KEENAN FROM THE DC PLAN REPRESENTS THE ACCUMULATION OF MANY YEARS OF DEFERRALS OF EACH EMPLOYEE'S DEFERRAL INTO THE DC PLAN. ALL COMPENSATION REPORTED IN THE 2017 SCHEDULE J COLUMN F WERE REPORTED AS DEFERRED COMPENSATION ON THE PROIR YEARS FORM 990 AS REQUIRED BY THE INSTRUCTIONS TO THE FORM 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>-</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS WERE UPDATED ON MARCH 17, 2017 FOR THE FOLLOWING: 1. A 2008 BYLAW AMENDMENT ADOPTED BY THE BOARD, WHICH ALLEVIATED THE OBLIGATION OF THE PRESIDENT OF THE MEDICAL STAFF TO SERVE ON THE EXECUTIVE COMMITTEE OF THE BOARD WAS NOT REMOVED FROM THE BYLAWS. THIS REVISION CONFORMS THE BYLAWS AND CODIFIES THE PRACTICE IN PLACE SINCE 2008. 2. THE NON-DISCRIMINATION LANGUAGE FOUND IN POLICIES AND BYLAWS THROUGHOUT THE SYSTEM WAS UPDATED TO CONFORM WITH CHANGES IN STATE AND FEDERAL LAWS. THIS UPDATE CONFORMS THE BYLAWS WITH THESE CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, A PAPER COPY OR E-FILE COPY IS SUBMITTED TO MEMBERS OF THE BOARD AUDIT COMMITTEE FOR REVIEW AND COMMENTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VALLEY HOSPITAL, INC. HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL OF THE MEMBERS OF MANAGEMENT AND BOARD MEMBERS. ANNUALLY, THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IF A CONFLICT OF INTEREST EXISTS, THE HOSPITAL WILL NOTIFY MANAGEMENT AND OR BOARD MEMBERS AND INVESTIGATE THE POTENTIAL CONFLICT. THE INTERESTED PERSON MUST LEAVE THE BOARD OR COMMITTEE MEETING WHILE A DISCUSSION REGARDING THE POTENTIAL CONFLICT OF INTEREST IS DISCUSSED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS THE MEMBER OF MANAGEMENT OR THE BOARD WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE PART OF ANY DECISIONS ABOUT SUCH MATTERS. THIS PROCESS IS RECORDED IN THE MINUTES OF THE BOARD MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING OF THE RETURN ON GUIDESTAR.ORG AND SIMILAR TYPES OF WEBSITES. IN ADDITION FORM 990 AS WELL AS THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AND OTHER RELEVENT DOCUMENTS ARE AVAILABLE UPON REQUEST AT 223 NORTH VAN DIEN AVENUE, RIDGEWOOD, NJ 07450.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ACCRUED PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS 36,448,580. CHANGE IN ASSETS HELD BY VALLEY HOSPITAL FOUNDATION 728,142. NET TRANSFER TO AFFILIATES 350,000. RESERVE PROVISION 78,560,030. STRATEGIC INITIATIVES 16,504,142.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTANT AND ESTABLISHING A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM PRIOR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>555 MAPLE ACQUISITION LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>223 NORTH VAN DIEN AVENUE</AddressLine1Txt>
          <CityNm>RIDGEWOOD</CityNm>
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          <ZIPCd>07450</ZIPCd>
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        <PrimaryActivitiesTxt>REAL ESTATE HOLDINGS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>8110000</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THE VALLEY HOSPITAL INC</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>599 PARAMUS ACQUISITION LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>223 NORTH VAN DIEN AVENUE</AddressLine1Txt>
          <CityNm>RIDGEWOOD</CityNm>
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          <ZIPCd>07450</ZIPCd>
        </USAddress>
        <EIN>460985392</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDINGS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>11902495</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THE VALLEY HOSPITAL INC</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>620 WINTERS AVENUE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>223 NORTH VAN DIEN AVENUE</AddressLine1Txt>
          <CityNm>RIDGEWOOD</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07450</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDINGS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THE VALLEY HOSPITAL INC</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>1200 EAST RIDGEWOOD LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>223 NORTH VAN DIEN AVENUE</AddressLine1Txt>
          <CityNm>RIDGEWOOD</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07450</ZIPCd>
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        <EIN>464115513</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDINGS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>2736837</TotalIncomeAmt>
        <EndOfYearAssetsAmt>23996648</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THE VALLEY HOSPITAL INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>223 NORTH VAN DIEN AVENUE</AddressLine1Txt>
          <CityNm>RIDGEWOOD</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07450</ZIPCd>
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        <EIN>222922016</EIN>
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        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <ZIPCd>07450</ZIPCd>
        </USAddress>
        <EIN>223260998</EIN>
        <PrimaryActivitiesTxt>PROVIDES CERTAIN MEDICAL CARE TO PATIENTS INCL.PEDIATRIC &amp; NEONATAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALLEY PHYSICIAN SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15 ESSEX ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
        </USAddress>
        <EIN>320041186</EIN>
        <PrimaryActivitiesTxt>PROVIDES MEDICAL CARE TO CARRYOUT THE PURPOSE OF THE VALLEY HEALTH SYSTEM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>THE VALLEY HOSPITAL INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALLEY HOME CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15 ESSEX ROAD</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
        </USAddress>
        <EIN>223208480</EIN>
        <PrimaryActivitiesTxt>PROVIDES REHABILITATION VISITS AND HOME HEALTH AIDS VISITS TO PATIENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE VALLEY HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>223 NORTH VAN DIEN AVENUE</AddressLine1Txt>
          <CityNm>RIDGEWOOD</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07450</ZIPCd>
        </USAddress>
        <EIN>222324554</EIN>
        <PrimaryActivitiesTxt>SOLICIT,RECEIVE AND APPLY CONTRIBUTIONS FOR THE BENEFIT OF THE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VALLEY HEALTH MEDICAL GROUP INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>15 ESSEX ROAD</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
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        <EIN>223475233</EIN>
        <PrimaryActivitiesTxt>OPERATES URGENT/PRIMARY CARE CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM INC</BusinessNameLine1Txt>
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        <EntityTypeTxt>C</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VALLEY HEALTH MEDICAL GROUP NJPC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15 ESSEX ROAD</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
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        <EIN>223475166</EIN>
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        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VALLEY PHYSICIAN SERVICE NY PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15 ESSEX ROAD</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
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        <PrimaryActivitiesTxt>OPERATES URGENT/PRIMARY CARE CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <EntityTypeTxt>C</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VHS INSURANCE COMPANY LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>010 MAIN STREET</AddressLine1Txt>
          <CityNm>CAYMAN ISLANDS</CityNm>
          <CountryCd>CJ</CountryCd>
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        <EIN>980408200</EIN>
        <PrimaryActivitiesTxt>PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>THE VALLEY HOSPITAL INC</BusinessNameLine1Txt>
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        <OwnershipPct>1.00000</OwnershipPct>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VALLEY MEDICAL SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1800000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VALLEY PHYSICIAN SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>55200000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VHS INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>7313000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>