2014-11-17T15:50:15-06:00 2013-12-31 271728945 O'CONNOR DAVIES LLP 15 ESSEX RD PARAMUS NJ 076521412 990 2013-01-01 222324554 THE VALLEY HOSPITAL FOUNDATION INC VALL 2014478000 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 ANATASIOS KOZAITIS PRESIDENT 2014478000 2014-11-17 1 EDWARD G O'CONNOR P00434443 2017129800 2014-11-17 2013 2015-11-30 17:44:51Z ANASTASIOS KOZAITIS 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 37749118 0 X WWW.VALLEYHEALTH.COM X 1980 NJ THE VALLEY HOSPITAL FOUNDATION WAS CREATED TO SOLICIT AND RECEIVE PHILANTHROPIC GIFTS, GRANTS, BEQUESTS OF REAL OR PERSONAL PROPERTY, OR BOTH, FROM INDIVIDUALS, FOUNDATIONS, PARTNERSHIPS, ASSOCIATIONS, GOVERNMENTAL BODIES OR PUBLIC OR PRIVATE CORPORATIONS. THIS GENEROUS PHILANTHROPY IS USED FOR THE PURPOSE OF SUPPORTING THE VALLEY HOSPITAL AND VALLEY HOME CARE. 28 25 0 175 0 0 7886447 10367108 0 0 1044051 4671467 0 0 8930498 15038575 8391640 2607391 0 0 0 0 0 0 1856755 2173501 2794758 10565141 5402149 -1634643 9636426 69582589 78307483 1414091 1529442 68168498 76778041 X THE VALLEY HOSPITAL FOUNDATION IS THE PHILANTHROPIC COMPONENT OF VALLEY HEALTH SYSTEM. IT IS A NONPROFIT, TAX-EXEMPT, MULTI-PURPOSE FOUNDATION. THE FOUNDATION'S PRIMARY FUNCTION IS TO SECURE CHARITABLE CONTRIBUTIONS FROM INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND OTHER FUNDING ENTITIES, TO MANAGE THOSE GIFTS, AND TO DISTRIBUTE THEM IN ACCORDANCE WITH ITS CHARTER. FUNDS ARE RAISED PRIMARILY FOR USE BY THE VALLEY HOSPITAL AND VALLEY HOME CARE. THE VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION. CHARITABLE FUNDS RAISED BY THE FOUNDATION ARE USED BY THE HOSPITAL TO SUPPORT CAPITAL IMPROVEMENTS, MEDICAL TECHNOLOGY, BIOMEDICAL RESEARCH, EDUCATION, ENDOWMENTS, AND SPECIAL PROJECTS. FUNDS RAISED FOR VALLEY HOME CARE SUPPORT THE PROGRAMS OF THE AGENCY, SUCH AS HOSPICE, JOURNEYS, BUTTERFLIES, MATERNAL CHILD HEALTH AND ENDOWMENTS. 0 0 1175000 1175000 THE FOUNDATION HAS EVALUATED THE NEEDS OF THE VALLEY HEALTH SYSTEM AND SEEKS TO SECURE SIGNIFICANT FUNDING FOR THREE DIFFERENT CASES: CAPITAL & TECHNOLOGICAL IMPROVEMENTS, CLINICAL AND TRANSLATIONAL RESEARCH, AND HOSPITAL AND HOME CARE ENDOWMENTS. DURING THE PAST THREE YEARS, THE FOUNDATION HAS RECEIVED MORE THAN $75 MILLION IN COMMITMENTS. 1432391 1432391 THE FOUNDATION CONTINUES TO PLACE IMPORTANCE ON ITS ANNUAL FUND. WHEN PLANNED GIFTS ARE INCLUDED, THE FOUNDATION ANNUALLY RAISES MORE THAN $5 MILLION FOR SPECIFIC HOSPITAL PROJECTS, INCLUDING PATIENT AND STAFF EDUCATION, COMMUNITY CARE, AND TECHNOLOGICAL EQUIPMENT. 427426 WRITE-DOWN OF PLEDGES 427426 3034817 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 22 0 0 0 0 0 0 0 0 0 0 0 0 X 28 25 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 NJ X X PAT PERILLO 2014478000 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 DOUGLAS H DITTRICK CHAIRMAN 0.50 X X 0 0 0 STEPHEN J ERRICO VICE CHAIRMAN 0.50 X X 0 0 0 THOMAS P PALMER VICE CHAIRMAN 0.50 X X 0 0 0 BARNETT BUZZ RUKIN VICE CHAIRMAN-RESIGNED 6/24/13 0.50 X X 0 0 0 SCOTT SCHROEDER VICE CHAIRMAN 0.50 X X 0 0 0 RASHID BADDOURA MD SECRETARY 0.50 X X 0 0 0 ROBERT G GUTENSTEIN TREASURER 0.50 X X 0 0 0 JOSHUA ABRAMS TRUSTEE 0.50 X 0 0 0 MILLICENT ANISFIELD TRUSTEE-RESIGNED 1/24/13 0.50 X 0 0 0 BERNARD BERKOWITZ ESQ TRUSTEE 0.50 X 0 0 0 CHRISTOPHER BYERS ESQ TRUSTEE 0.50 X 0 0 0 JULIE A EPSTEIN TRUSTEE 0.50 X 0 0 0 DANIELLE GAGLIOTI TRUSTEE 0.50 X 0 0 0 FRANK GALLAGHER TRUSTEE 0.50 X 0 0 0 PATRICIA M HICKS MD TRUSTEE 0.50 X 0 0 0 JANET E HUNT ESQ TRUSTEE 0.50 X 0 0 0 JOHN M JOHANSEN TRUSTEE 0.50 X 0 0 0 ALLAN S LEVINE TRUSTEE 0.50 X 0 0 0 FRANK MANGINELLO MD TRUSTEE 0.50 39.50 X 0 741751 42305 PETER C MARRON TRUSTEE 0.50 X 0 0 0 JOSEPH PFEIFER TRUSTEE 0.50 X 0 0 0 YOLLA RAHAL TRUSTEE 0.50 X 0 0 0 MARC SABINO TRUSTEE 0.50 X 0 0 0 LAWRENCE C SALAMENO TRUSTEE 0.50 X 0 0 0 CHARLES SHOTMEYER TRUSTEE 0.50 X 0 0 0 ROBERT VAN DYK TRUSTEE 0.50 X 0 0 0 VICTOR D WORTMANN TRUSTEE 0.50 X 0 0 0 ANASTASIOS KOZAITIS PRESIDENT 40.00 X X 0 331841 41464 AUDREY MEYERS TRUSTEE 0.50 39.50 X 0 1595830 379079 KAREN RHODES TRUSTEE 0.50 X 0 0 0 0 2669422 462848 0 0 1 0 MEDTELLIGENCE LLC 50 SOUTH 16TH STREET- SUITE 4701 PHILADELPHIA PA 19102 DEVELOPS EDUCATION PROGRAMS 151425 WILSON HORITCULTURAL GROUP 76 TRUMAN BOULEVARD OAKLAND NJ 07436 LANDSCAPE CONTRACTORS & DESIGNERS 135750 BLISS DIRECT MEDIA 641 15TH AVENUE NE PO BOX 129 SAINT JOSEPH MN 56374 MARKETING COMMUNICATIONS FOR NON-PROFITA 121608 3 10367108 467958 10367108 807381 807381 26574629 22710543 3864086 3864086 3864086 15038575 0 0 4671467 2607391 2607391 400 400 10025 10025 416884 416884 45209 45209 2521 2521 7439 7439 2115 2115 PAYROLL & BENEFITS REIM 1664587 1664587 WRITE-DOWN OF PLEDGES 427426 427426 PROGRAM & SPECIAL EVENT 192168 192168 EQUIPMENT RENTAL & MAIN 13930 13930 12054 12054 5402149 3034817 510577 1856755 501053 561728 3146075 2879096 4578016 7803790 61301840 67062869 55605 0 69582589 78307483 35974 14563 1378117 1514879 1414091 1529442 X 30804741 32160599 30501260 37527142 6862497 7090300 68168498 76778041 69582589 78307483 9636426 -1026883 0 X X 0 1 X 1 0 X 11453923 13485646 18143256 7886447 10367108 61336380 11453923 13485646 18143256 7886447 10367108 61336380 2380288 58956092 1163392 1796417 1211850 953092 807381 5932132 67268512 0.87640 0.89960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11394642 493443 2281778 5400 14164463 9925431 289223 1204618 24630 11394642 9272705 763210 24634 135118 9925431 7974950 368868 955220 26333 9272705 6693224 497758 789652 5684 7974950 0.31230 0.48960 0.19810 0 0 0 ANNUITIES PAYABLE 1253789 DUE TO THE VALLEY HOSPITAL 261090 1514879 X 14011692 -1026883 -1026883 15038575 0 15038575 5402149 0 5402149 0 5402149 PART X, LINE 2: THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2010. 1 THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 2607391 CAPITAL PROJECTS AND DONOR DESIGNATED SPECIAL PROGRAMS AND SERVICES 1 0 PART I, LINE 2: THE VALLEY HOSPITAL FOUNDATION PROVIDES GRANTS TO THE VALLEY HOSPITAL FOR CAPITAL, CLINICAL RESEARCH AND OTHER NEEDS OF THE HOSPITAL. THE HOSPITAL GRANT ACCOUNTING SYSTEM TRACKS THE EXPENDITURES TO INSURE THE FUNDS ARE PROPERLY ALLOCATED. 0 1 0 0 0 0 0 0 0 FRANK MANGINELLO MD TRUSTEE 0 731845 0 0 0 9906 0 23388 0 18917 0 784056 0 0 ANASTASIOS KOZAITIS PRESIDENT 0 242517 0 76995 0 12329 0 14138 0 27326 0 373305 0 0 AUDREY MEYERS TRUSTEE 0 564225 0 775584 0 256021 0 359256 0 19823 0 1974909 0 186048 PART I, LINE 4B - ANDREY MEYERS RECEIVED $186,048 FROM SERP PLAN. THE PAYMENT IS TAXABLE AND IS REPORTED ON PART II COLUMN F. - AUDREY MEYERS CONTRIBUTED $336,264 IN 457(F) PLAN DURING 2013. THE CONTRIBUTION IS INCLUDED IN PART II COLUMN C IN ADDITION TO 401(K)/457(B) CONTRIBUTIONS. FORM 990, SCHEDULE J, LINE 3 THE VALLEY HOSPITAL HAS ESTABLISHED A POLICY FOR COMPENSATION OF ITS OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES. THE POLICY MANADATES THAT EXECUTIVE BE PERIODICALLY REVIEWED BY THE BOARD. THE BOARD DETERMINES THAT THE EXECUTIVES ARE BEING PAID AN APPROPRIATE LEVEL OF COMPENSATION. X 26021 FMV X 16 417917 FMV X NATURES SOLUT 1 24020 FMV 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN PART 1, COLUMN (B) OF SCHEDULE M. FORM 990, PART VI, SECTION A, LINE 6 THE VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE VALLEY HOSPITAL FOUNDATION, AND THEREFORE HAS THE ABILITY TO ELECT OR APPOINT A MEMBER OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS REGARDING THE BUSINESS, PROPERTY AND AFFAIRS OF THE FOUNDATION SHALL BE MANAGED BY THE BOARD OF TRUSTEES, WHICH SHALL HAVE AND MAY EXERCISE ALL THE POWERS OF THE FOUNDATION TO DO ALL SUCH LAWFUL ACTS THAT ARE NOT BY LAW OR BY THE CERTIFICATE OF INCORPORATION OR OTHER CERTIFICATE FILED PURSUANT TO LAW, OR THESE BYLAWS, DIRECTED OR REQUIRED TO BE EXERCISED OR DONE BY THE MEMBERS OF THE FOUNDATION. IN ADDITION, THE BOARD OF TRUSTEES HAS THE SOLE POWER TO APPOINT OR ELECT THE OFFICERS OF THE FOUNDATION AND THE POWER TO AMENDMENT THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY'S EXECUTIVE COMMITTEE BEFORE IT IS FILED. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT'S SUBMITTED TO MEMBERS OF THE ORGANIZATION'S GOVERNING BODY'S EXECUTIVE COMMITTEE, BY HARD COPY, FOR ANY COMMENTS PRIOR TO ITS SUBMISSION. THE COMMITTEE REVIEWS THE 990 AND PROVIDES ANY COMMENTS. THE COMMENTS ARE REVIEWED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST ANNUALLY. IF A CONFLICT OF INTEREST EXISTS THE ORGANIZATION WILL NOTIFY MEMBERS OF MANAGEMENT OR THE GOVERNING BODY AND INVESTIGATE THE CONFLICT. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE PART OF ANY DECISIONS ABOUT SUCH TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE VALLEY HOSPITAL FOUNDATION MAKES IT'S FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, FORM 990, AS WELL AS THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450. FORM 990 PART XI LINE 2C: 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. THE VALLEY HOSPITAL INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 PROVIDES HEALTHCARE PROGRAMS AND SERVICES TO ALL NJ 501(C)(3) 3 VALLEY HEALTH SYSTEM INC 0 VALLEY HOME CARE INC 15 ESSEX ROAD PARAMUS NJ 07652 223208480 PROVIDES HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ NJ 501(C)(3) 9 VALLEY HEALTH SYSTEM INC 0 VALLEY MEDICAL SERVICES INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 223260998 PROVIDES EMPLOYED PHYSICIANS, CERTAIN MEDICAL AND VARIED CONSULTING SERVICES NJ 501(C)(3) 3 THE VALLEY HOSPITAL INC 0 VALLEY PHYSICIAN SERVICES INC 15 ESSEX ROAD PARAMUS NJ 07652 320041186 PROVIDE PRIMARY AND SPECIALITY MEDICAL CARE NJ 501(C)(3) 3 THE VALLEY HOSPITAL INC 0 VALLEY HEALTH SYSTEM INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 222922016 PROVIDES MANAGEMENT AND PLANNING SERVICES TO ITS MEMBERS NJ 501(C)(3) 3 N/A 0 VALLEY HEALTH MEDICAL GROUP NJPC 15 ESSEX ROAD PARAMUS NJ 07652 223475166 OPERATES URGENT/PRIMARY CARE CLINICS NJ N/A C 0 VALLEY HEALTH MEDICAL GROUP 15 ESSEX ROAD PARAMUS NJ 07652 223475233 OPERATES URGENT/PRIMARY CARE CLINICS NJ VALLEY HEALTH SYSTEM INC C 0 VALLEY PHYSICIAN SERVICE NY PC 15 ESSEX ROAD PARAMUS NJ 07652 453125678 OPERATES URGENT/PRIMARY CARE CLINICS NY VALLEY HEALTH SYSTEM INC C 0 VHS INSURANCE COMPANY LTD 010 MAIN STREET CAYMAN ISLANDS CJ 980408200 PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE CJ THE VALLEY HOSPITAL INC C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0