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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>INPATIENT SERVICES:IT IS THE MISSION OF THE VALLEY HOSPITAL TO SERVE THE COMMUNITY BY HEALING AND CARING FOR PATIENTS, COMFORTING THEIR FAMILIES AND TEACHING GOOD HEALTH. VALLEY HAS THREE BUILDINGS ON ITS MAIN CAMPUS. THE VALLEY HOSPITAL SERVES MORE THAN 440,000 PEOPLE IN 32 TOWNS IN BERGEN COUNTY AND ADJOINING COMMUNITIES. IT IS THE SECOND BUSIEST HOSPITAL IN NEW JERSEY BASED ON ADMISSIONS AND A REGIONAL PROVIDER OF COMPLEX MEDICAL AND SURGICAL CARE. (SEE CONTINUATION ON SCHEDULE O).IN 2013, APPROXIMATELY 50,000 INDIVIDUALS WERE ADMITTED TO VALLEY. OUR CORE INPATIENT SERVICES INCLUDE:-THE VALLEY HEART AND VASCULAR INSTITUTE, WHICH PROVIDES A CONTINUUM OF PREVENTION AND WELLNESS SERVICES, DIAGNOSTIC AND TREATMENT SERVICES, RESEARCH, AND EDUCATION FOR ALL TYPES OF CARDIAC AND VASCULAR DISEASE.-THE VALLEY COLUMBIA HEART CENTER, OUR CARDIAC SURGERY PROGRAM, AND PART OF THE VALLEY HEART AND VASCULAR INSTITUTE.-A CARDIAC SURGERY INTENSIVE CARE UNIT.-FOUR CRITICAL CARE UNITS.-A CARDIAC CATHETERIZATION LABORATORY.-AN INPATIENT ONCOLOGY UNIT.-THE NEUROSCIENCE CENTER OF EXCELLENCE, WHICH INCLUDES THE STROKE CENTER AS WELL AS PROGRAMS AND SERVICES FOR A WIDE RANGE OF NEUROLOGICAL DISORDERS.-MEDICAL AND SURGICAL FLOORS.-A GERIATRIC SERVICES UNIT.-THE INSTITUTE FOR ROBOTIC AND MINIMALLY INVASIVE SURGERY.-THE TOTAL JOINT REPLACEMENT CENTER.-THE CENTER FOR METABOLIC AND WEIGHT LOSS SURGERY.-THE CENTER FOR CHILDBIRTH, WHICH WELCOMES MORE THAN 3,000 NEWBORNS EACH YEAR, AND INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT NURSERY.-A PEDIATRIC INTENSIVE CARE UNIT.VALLEY HAS BEEN RECOGNIZED FOR 10 CONSECUTIVE YEARS FOR PROVIDING AN OUTSTANDING INPATIENT EXPERIENCE BY J.D. POWER AND ASSOCIATES. THE HOSPITAL'S PATIENT RELATIONS STAFF AND VOLUNTEERS MADE MORE THAN 13,375 PATIENT-RELATED VISITS AND RESPONDED TO MORE THAN 8,416 CALLS; AND PASTORAL CARE STAFF RESPONDED TO OVER 8,500 INQUIRIES AND MADE 87,069 PATIENT AND FAMILY CONTACTS.</Desc>
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        <Desc>OUTPATIENT SERVICES: THROUGH SATELLITE FACILITIES LOCATED THROUGHOUT ITS SERVICE AREA, THE VALLEY HOSPITAL PROVIDES THE COMMUNITIES IT SERVES WITH A COMPREHENSIVE ARRAY OF OUTPATIENT SERVICES. THOSE SERVICES INCLUDE:-THE BLUMENTHAL CANCER CENTER, OFFERING COMPREHENSIVE OUTPATIENT CANCER SERVICES, INCLUDING CHEMOTHERAPY INFUSION SERVICES AND MORE THAN 13,914 RADIATION THERAPY TREATMENTS ANNUALLY.-THE GAMMA KNIFE CENTER GAVE 85 TREATMENTS.-A FULL-SERVICE LABORATORY.(SEE CONTINUATION ON SCHEDULE O).-A DIAGNOSTIC IMAGING CENTER.-THE FERTILITY CENTER.-THE CENTER FOR MATERNAL-FETAL MEDICINE.-A PAIN MANAGEMENT CENTER.-THE BREAST CENTER.-THE UROLOGIC ONCOLOGY CENTER.-INTEGRATIVE HEALING SERVICES, WHICH PROVIDES COMPLEMENTARY MEDICINE, EDUCATIONAL PROGRAMS AND SUPPORT GROUPS.-THE LUNG CANCER CENTER.-REHABILITATION MEDICINE.-THE KIREKER CENTER FOR CHILD DEVELOPMENT.-THE GEORGE R. JAQUA SAME DAY SERVICES CENTER.-THE CENTER FOR SLEEP MEDICINE.-THE PEDIATRIC SLEEP DISORDERS AND APNEA CENTER.-THE SPINE CENTER.-THE CENTER FOR WOMEN'S HEART HEALTH.-THE MEN'S HEART CENTER.IN ADDITION, IN 2013, THE HOSPITAL PROVIDED MORE THAN $12 MILLION IN UNCOMPENSATED CARE, ATTRIBUTABLE TO CHARITY CARE, BAD DEBT AND MEDICARE AND MEDICAID SHORTFALLS. PATIENTS RECEIVING UNCOMPENSATED CARE IN 2013 INCLUDE PATIENTS WHO WERE TREATED AT VALLEY'S COMMUNITY CARE CLINIC. IN 2013, THE CLINIC RECORDED ALMOST 8,300 VISITS. VALLEY'S COMMUNITY CARE CLINIC OFFERS SERVICES IN MANY SPECIALTIES INCLUDING: ALLERGY, CARDIOLOGY, COUMADIN, DERMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, GYNECOLOGY, NEUROLOGY, OBSTETRICS, OPHTHALMOLOGY, ORTHOPEDICS, PEDIATRICS, PODIATRY, PULMONARY, RHEUMATOLOGY, SURGICAL AND UROLOGY. ALSO IN 2013, HOMEBOUND COMMUNITY MEMBERS RECEIVED ALMOST $105,000 IN "AT COST" MEALS. VALLEY'S DEPARTMENT OF COMMUNITY HEALTH OFFERS FREE HEART HEALTH EDUCATION PROGRAMS. PROGRAMS INCLUDED: A WOMAN'S HEART, AM I TOO OLD FOR HEART SURGERY, CARING FOR CONGESTIVE HEART FAILURE, CHOLESTEROL- THE GOOD, BAD AND UGLY, CONTROLLING CORONARY ARTERY DISEASE, HEART HEALTHY EATING ON BLOOD THINNERS, TIA- THIS IS YOUR WARNING, AND YOUNG AT HEART- REVERSING HEART DISEASE, AND MANY HEALTH FAIRS. HEALTH SCREENINGS FOR BLOOD PRESSURE, BODY FAT, STROKE, DIABETES, CHOLESTEROL AND COLON, AND PROSTATE AND SKIN CANCER SCREENINGS WERE ALSO OFFERED. THE COMMUNITY TRAINING CENTER OFFERS BASIC LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT AND PEDIATRIC ADVANCED LIFE SUPPORT PROGRAMS.COMPREHENSIVE PARENT EDUCATION PROGRAMS ARE OFFERED TO EXPECTANT FAMILIES THROUGH THE FAMILY EDUCATION CENTER. CLASSES, ATTENDED BY ALMOST 5,278 PEOPLE, INCLUDE: CHILDBIRTH PREPARATION, MARVELOUS MULTIPLES(R), NEWBORN CARE, GRANDPARENTS', SIBLING, INFANT AND CHILD SAFETY, INFANT MASSAGE, BREASTFEEDING, BABY SITTERS, PRE/POSTNATAL YOGA AND HEALTHY EATING FOR BABY AND ME. CLINIC PATIENTS ATTEND FREE OF CHARGE.NEW PARENT SUPPORT SERVICES INCLUDE BREASTFEEDING SUPPORT GROUPS, POSTPARTUM SUPPORT GROUP, A HELPLINE AND LACTATION CONSULTATIONS. WEEKLY TOURS OF MATERNITY SERVICES AND A SELF-HELP SUPPORT GROUP FOR BEREAVED PARENTS ARE OFFERED AT NO CHARGE. THE KIREKER CENTER FOR CHILD DEVELOPMENT PROVIDES FREE IN-SERVICES AND INFORMATION ABOUT LICENSED CHILD CARE FACILITIES AND COMMUNITY GROUPS. TOPICS INCLUDE INFANT/HILD GROWTH AND DEVELOPMENT; ATYPICAL DEVELOPMENT; ENHANCING LANGUAGE SKILLS IN THE 0-5 POPULATION; DETERMINING IF A CHILD SHOULD BE ASSESSED FOR A SUSPECTED DEVELOPMENTAL DELAY; AND GENERAL PEDIATRIC HEALTH ISSUES. A PARENT SUPPORT GROUP AND FREE INFORMATION IS PROVIDED ON A RANGE OF CHILD CARE TOPICS, INCLUDING DEVELOPMENTALLY APPROPRIATE TOYS, TRANSITIONS INTO PRE-SCHOOL AND CHOICES IN CHILD CARE. A SCHOOL PSYCHOLOGIST, DEVELOPMENTAL PEDIATRICIAN, AND APNEA SPECIALIST SPEAK WITH SCHOOLS AND PHYSICIAN GROUPS ABOUT LEARNING ISSUES AND BEHAVIORAL CONCERNS. VALLEY'S COMMUNITY EDUCATION PROGRAMS MADE MORE THAN 23,000 CONTACTS WITH PEOPLE WHO ATTENDED SCREENINGS, HEALTH FAIRS, COMMUNITY EDUCATION AND VALLEY HEALTH PRIMETIME (SENIOR MEMBERSHIP) PROGRAMS. VALLEY ALSO MADE CONTACT WITH 2,000 PEOPLE WHO ATTENDED SUPPORT GROUPS STROKE, PROSTATE HEALTH, BREAST CANCER, PANCREATIC CANCER, IMPLANTABLE DEFIBRILLATORS, HEART HEALTH, DOWN SYNDROME, STRESS, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE AND WOMEN'S HEALTH.VALLEY SERVES AS AN INFORMATION RESOURCE FOR THE COMMUNITY. IN 2013, THE PHYSICIAN AND REFERRAL SERVICE HANDLED 10,068 TOLL-FREE INQUIRIES FOR PROGRAM/SERVICE AND PHYSICIAN INFORMATION. THE MEDICAL LIBRARY RESPONDED TO APPROXIMATELY 1,000 INQUIRIES FROM COMMUNITY MEMBERS IN 2013. THE VALLEY WEBSITE PROVIDED FREE HEALTH INFORMATION TO ALMOST 1.3 MILLION VISITORS. PRESS RELEASES ON DISEASE INFORMATION AND INFORMATIVE NEWSLETTERS ABOUT HEALTH ARE DISTRIBUTED REGULARLY TO MEMBERS OF THE COMMUNITY THROUGH DIRECT MAIL PIECES AND NEWSPAPER PLACEMENT. ADDITIONALLY, VALLEY STAFF REGULARLY CONTRIBUTE TO WCBS 880 AM'S HEALTH &amp; WELLBEING REPORT.VALLEY SUPPORTS COMMUNITY GROUPS. IN 2013 VALLEY STAFF MEMBERS SERVED AS MEMBERS OF THE ROTARY, THE CHAMBER OF COMMERCE, THE RIDGEWOOD MUNICIPAL ALLIANCE, BERGEN COUNTY COLLABORATIVE, AND THE VILLAGE'S HUMAN RESOURCES COORDINATING COUNCIL. VALLEY PROVIDES FINANCIAL CONTRIBUTIONS TO LOCAL ORGANIZATIONS FOR DIABETES, CANCER, MENTAL HEALTH, DOMESTIC VIOLENCE AND MINORITY NEEDS. VALLEY HOSPITAL SUPPORTS THE COMMUNITY THROUGH EMERGENCY MANAGEMENT AND DISASTER PREPARATION. HOSPITAL REPRESENTATIVES SERVE ON TOWN, COUNTY, AND STATE-WIDE EMERGENCY MANAGEMENT COMMITTEES AND EXECUTIVE LEVEL COMMITTEES FOR COUNTER-TERRORISM EFFORTS AND DISASTER PREPAREDNESS. THE VALLEY HOSPITAL OPERATES AND MAINTAINS BERGEN COUNTY'S MOBILE AMBULANCE BUS FOR EMERGENCY EVACUATIONS AND MEDICAL ATTENTION.VALLEY HAS ESTABLISHED AFFILIATIONS WITH A NUMBER OF EDUCATIONAL INSTITUTIONS TO HELP EDUCATE AND TRAIN THE NEXT GENERATION OF NURSES AND OTHER HEALTHCARE PROVIDERS. IN 2013 VALLEY WAS AFFILIATED WITH: BERGEN COMMUNITY COLLEGE, FAIRLEIGH DICKINSON UNIVERSITY, RAMAPO COLLEGE, RUTGERS COLLEGE OF NURSING, AND WILLIAM PATERSON UNIVERSITY.THE PHYSICIAN SHADOWING AND PA SHADOWING PROGRAMS ARE VOLUNTEER ROLES DESIGNED TO PROVIDE COLLEGE STUDENTS WITH A MEDICAL OR HEALTHCARE CAREER FOCUS AN OPPORTUNITY FOR ADVANCED EXPOSURE TO A VAST ARRAY OF CAREER OPPORTUNITIES WITHIN VALLEY HEALTH SYSTEM. IN 2013, 134 STUDENTS PARTICIPATED IN THESE PROGRAMS AND ALSO IN THE CAREER DEVELOPMENT PROGRAMS. THESE ASSIGNMENTS PERMIT STUDENTS TO EXPLORE THEIR AREA OF INTEREST BY SHADOWING HEALTHCARE PROFESSIONALS, LEARNING ABOUT THE OPERATION OF A HEALTHCARE ENVIRONMENT, GAINING AN UNDERSTANDING OF THE NEEDS OF PATIENTS AND FAMILIES, ASSISTING STAFF AND WORKING ON ASSIGNED PROJECTS.IN 2013 VALLEY ALSO PROVIDED 175 AREA YOUTH IN THE COMMUNITIES SERVED WITH EDUCATIONAL OPPORTUNITIES. THROUGH THE AWARD-WINNING RIDGEWOOD ACADEMY FOR HEALTH PROFESSIONS, THE BERGEN ACADEMIES AND CAREER FRONTIERS, STUDENTS ARE INTRODUCED AND LEARN ABOUT THE DIVERSE OPPORTUNITIES IN HEALTH CARE. ADDITIONALLY, VALLEY STAFF MEMBERS SPEAK AT AREA SCHOOLS ABOUT THEIR PROFESSIONS AND PROVIDE TOURS TO STUDENTS THROUGHOUT THE YEAR. VALLEY IS CURRENTLY CONDUCTING ONCOLOGY CLINICAL TRIALS TO EVALUATE THE SAFETY AND EFFECTIVENESS OF NEW TREATMENTS, MEDICATIONS, DEVICES, AND PROTOCOLS IN MANY TYPES OF CANCER, INCLUDING LUNG, PROSTATE, BREAST, GYNECOLOGIC, ESOPHAGEAL, PANCREATIC, LIVER, NEUROLOGIC AND COLON. VALLEY WORKS TO REDUCE ENVIRONMENTAL HAZARDS. THE VALLEY HOSPITAL HAS SIGNED ON TO SUPPORT THE HEALTHIER HOSPITALS INITIATIVE. AN ALL-VOLUNTEER TASK FORCE OF GREEN CHAMPIONS, VALLEY EMPLOYEES, OVERSEES ENVIRONMENTAL EFFORTS AT ALL VALLEY FACILITIES. VALLEY PURCHASES PRODUCE FROM LOCAL FARMERS. VALLEY HAS AN INNOVATIVE ORGANIC FOOD WASTE SYSTEM THAT CONVERTS FOOD WASTE INTO WATER. THIS POSITIVE ENVIRONMENTAL IMPACT HAS NO HARMFUL METHANE EMISSIONS AND THE FOOD WASTE IS DIVERTED FROM LANDFILLS. IN 2013, WE RECYCLED 561 TONS OF MATERIALS.</Desc>
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        <Desc>EMERGENCY SERVICES:THE VALLEY HOSPITAL OFFERS THE COMMUNITIES IT SERVES A FULL-SERVICE EMERGENCY DEPARTMENT PROVIDING EMERGENCY SERVICES AND MINOR TREATMENT SERVICES. ALL PHYSICIANS ON THE ACTIVE STAFF ARE BOARD CERTIFIED IN EMERGENCY MEDICINE, AND MANY NURSES ARE CERTIFIED IN EMERGENCY NURSING. SERVICES INCLUDE A MINOR TREATMENT AREA AND A PEDIATRIC EMERGENCY ROOM THAT FEATURES A CHILD-FRIENDLY LAYOUT AND DESIGN. THE DEPARTMENT ALSO HAS A DEDICATED COMPUTED TOMOGRAPHY SCANNER. (SEE CONTINUATION ON SCHEDULE O).VALLEY'S EMERGENCY DEPARTMENT ALSO FEATURES THE SERVICES OF SEVERAL MOBILE INTENSIVE CARE UNITS, WHICH ANSWER THOUSANDS OF CALLS EACH YEAR. MOBILE INTENSIVE CARE UNITS, STAFFED BY QUALIFIED VALLEY PARAMEDICS, ARE SPECIALLY EQUIPPED VEHICLES THAT BRING THE HIGHLY SOPHISTICATED TECHNIQUES OF INTRAVENOUS THERAPY, AIRWAY MANAGEMENT, CARDIAC MONITORING AND DEFIBRILLATION DIRECTLY TO PEOPLE IN NEED OF EMERGENCY CARE.VALLEY ALSO OFFERS LIFELINE(R), A COMMUNICATION DEVICE THAT LINKS A HOMEBOUND INDIVIDUAL WITH EMERGENCY CARE OR PERSONAL SUPPORT WITH THE PUSH OF A BUTTON, 24 HOURS A DAY, 365 DAYS A YEAR.IN 2013, THE VALLEY HOSPITAL RECORDED OVER 75,000 EMERGENCY DEPARTMENT VISITS AND 8,563 MOBILE INTENSIVE CARE UNIT AND 7,235 SPECIALTY CARE TRANSPORT UNIT DISPATCHES.</Desc>
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        <USAddress>
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        <OwnWebsiteURLTxt>WWW.VALLEYHEALTH.COM</OwnWebsiteURLTxt>
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        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE VALLEY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: THE PARTICIPATING HOSPITALS UTILIZED THE SERVICES OF A NUMBER OF PEOPLE REPRESENTING VARIOUS AREAS OF THE HEALTHCARE COMMUNITY IN BERGEN COUNTY. THE MEMBERS OF THE LEADERSHIP STEERING COMMITTEE AND ADVISORY COMMITTEE ARE LISTED BELOW:LEADERSHIP STEERING COMMITTEE:CATHY PILONE, CHRISTIAN HEALTH CARE CENTERMICHAEL PIETROWICZ, ENGLEWOOD HOSPITAL AND MEDICAL CENTERTOM FLYNN, HACKENSACK UNIVERSITY MEDICAL CENTERCATHERINE YAXLEY, HOLY NAME MEDICAL CENTERCOLETTE CUMMINGS, THE VALLEY HOSPITALMARLA KLEIN, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICESELIZABETH RUBOCK, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICESADVISORY COMMITTEE:NANCY MANGIERI, BERGEN COUNTY DEPT. OF HEALTH SERVICESDOUG STRUYK, CHRISTIAN HEALTH CARE CENTERDAVE VOLPE, BOROUGH OF BERGENFIELDNELSON XAVIER-CRUZ, CITY OF ENGLEWOODJOHN CHRIST, CITY OF HACKENSACKNANCY ELLSON, HOLY NAME MEDICAL CENTERPAUL OSTROW, HOLY NAME MEDICAL CENTERVINNY URGOLA, NORTH HUDSON COMMUNITY ACTION CORPORATIONSARA BERK, THE VALLEY HOSPITALGAIL CALLANDRILLO, THE VALLEY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE VALLEY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 4: 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>
      <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 DISCOUNTED 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 $60.2 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>
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      <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>
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        <PersonNm>ANASTASIOS KOZAITIS</PersonNm>
        <TitleTxt>PRESIDENT, FOUNDATION</TitleTxt>
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        <PersonNm>JULIA KARCHER</PersonNm>
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        <PersonNm>ROBIN G HOLLANDER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER W DIESTEL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MITCHELL RUBINSTEIN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC CAREY</PersonNm>
        <TitleTxt>VP/CIO, INFORMATION SYSTEM</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GAIL CALLANDRILLO</PersonNm>
        <TitleTxt>VP, PLANNING/ GOV'T RELATIONS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>PETER SCHWARTZ</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
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        <PersonNm>JEFFREY LIETO</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>-THE FOLLOWING PERSONS RECEIVED PAYMENT FROM SERP PLAN DURING 2013: AUDREY MEYERS RECEIVED $186,048, PETER DIESTEL RECEIVED $26,473, GAIL CALLANDRILLO RECEIVED $75,933 AND JEFFREY LIETO RECEIVED $124,078. THESE AMOUNTS ARE TAXABLE AND ARE REPORTED ON PART II COLUMN F. -PETER SCHWARTZ RECEIVED PAYMENT OF $113,747 FROM EXECUTIVE BENEFIT PLAN DURING 2013. THIS AMOUNT IS TAXABLE AND REPORTED ON PART II COLUMN F. -THE FOLLOWING PERSONS CONTRIBUTED IN 457(F) PLAN DURING 2013: AUDREY MEYERS CONTRIBUTED $336,264, RICHARD KEENAN CONTRIBUTED $891,960, GAIL CALLANDRILLO CONTRIBUTED $148,741, ROBIN HOLLANDER CONTRIBUTED $69,500, MITCHELL RUBINSTEIN CONTRIBUTED $61,289, AND RUSSELL SHOWERS CONTRIBUTED 15,400. THESE CONTRIBUTIONS ARE INCLUDED IN PART II COLUMN C IN ADDITION TO 401(K)/457(B) CONTRIBUTIONS. -JEFFERY LIETO RECEIVED A SEVERANCE PAYMENT OF $27,886 IN 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS IS BASED ON MANAGEMENT PERFORMANCE AND IS DETERMINED BY THE BOARD OF TRUSTEES. BONUS CAN BE DEFERRED TO 457F PLAN AND 401K PLAN AND THUS IS NOT TAXABLE IN THE CURRENT YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</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 SENT TO MEMBERS OF THE BOARD AUDIT COMMITTEE FOR REVIEW AND COMMENTS. ANY COMMENTS AND QUESTIONS CONCERNING THE 990 ARE DISCUSSED WITH MANAGEMENT AND APPROPRIATE ACTIONS ARE TAKEN WHEN NECESSARY BEFORE FILING WITH THE IRS.</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 INTEREST 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 IT A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS THE MEMBERS 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 OCTOBER 2013.</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 79,097,824. CHANGE IN ASSETS HELD BY VALLEY HOSPITAL FOUNDATION 6,716,902.</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>
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          <AddressLine1>15 ESSEX ROAD</AddressLine1>
          <City>PARAMUS</City>
          <State>NJ</State>
          <ZIPCode>07652</ZIPCode>
        </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 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>THE VALLEY HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VALLEY HOME CARE INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>15 ESSEX ROAD</AddressLine1>
          <City>PARAMUS</City>
          <State>NJ</State>
          <ZIPCode>07652</ZIPCode>
        </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 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>VALLEY HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>THE VALLEY HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>223 NORTH VAN DIEN AVENUE</AddressLine1>
          <City>RIDGEWOOD</City>
          <State>NJ</State>
          <ZIPCode>07450</ZIPCode>
        </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>
          <BusinessNameLine1>VALLEY HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VALLEY HEALTH MEDICAL GROUP INC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>15 ESSEX ROAD</AddressLine1>
          <City>PARAMUS</City>
          <State>NJ</State>
          <ZIPCode>07652</ZIPCode>
        </USAddress>
        <EIN>223475233</EIN>
        <PrimaryActivitiesTxt>OPERATES URGENT/PRIMARY CARE CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>VALLEY HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VALLEY HEALTH MEDICAL GROUP NJPC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>15 ESSEX ROAD</AddressLine1>
          <City>PARAMUS</City>
          <State>NJ</State>
          <ZIPCode>07652</ZIPCode>
        </USAddress>
        <EIN>223475166</EIN>
        <PrimaryActivitiesTxt>OPERATES URGENT/PRIMARY CARE CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VALLEY PHYSICIAN SERVICE NY PC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>15 ESSEX ROAD</AddressLine1>
          <City>PARAMUS</City>
          <State>NJ</State>
          <ZIPCode>07652</ZIPCode>
        </USAddress>
        <EIN>453125678</EIN>
        <PrimaryActivitiesTxt>OPERATES URGENT/PRIMARY CARE CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>VALLEY HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VHS INSURANCE COMPANY LTD</BusinessNameLine1>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1>010 MAIN STREET</AddressLine1>
          <City>CAYMAN ISLANDS</City>
          <Country>CJ</Country>
        </ForeignAddress>
        <EIN>980408200</EIN>
        <PrimaryActivitiesTxt>PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>THE VALLEY HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>48390260</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</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>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>VALLEY MEDICAL SERVICES INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1053887</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>VALLEY PHYSICIAN SERVICES INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1552830</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>VHS INSURANCE COMPANY LTD</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>6596000</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>