2013-01-29T14:58:26-06:00 2011-12-31 271728945 O'CONNOR DAVIES LLP 15 ESSEX RD PARAMUS NJ 076521412 990 2011-01-01 221487307 THE VALLEY HOSPITAL INC VALL 2014478000 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 RICHARD KEENAN 2014478000 2012-12-20 1 EDWARD G O'CONNOR P00434443 2017129800 2011 2016-02-25 16:41:14Z RICHARD KEENAN 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 728236191 0 X WWW.VALLEYHEALTH.COM X 1925 NJ THE VALLEY HOSPITAL SERVES THE COMMUNITY BY HEALING AND CARING FOR PATIENTS, COMFORTING THEIR FAMILIES AND TEACHING GOOD HEALTH. 19 18 4029 1559 1843360 -149737 18671430 10345743 583869015 593897928 10294933 8690204 9448628 11197153 622284006 624131028 0 0 0 0 304031804 302130572 0 0 0 245027341 242483237 549059145 544613809 73224861 79517219 698448493 746293899 152982470 187990661 545466023 558303238 X 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. 0 0 362672233 446232763 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 HOSPITAL VALLEY 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.IN 2011, MORE THAN 51,000 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 NINE 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 14,000 PATIENT-RELATED VISITS AND RESPONDED TO MORE THAN 8,000 CALLS; AND PASTORAL CARE STAFF RESPONDED TO OVER 9,000 INQUIRIES AND MADE MORE THAN 92,000 PATIENT AND FAMILY CONTACTS. 70784982 119368619 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 9,500 RADIATION THERAPY TREATMENTS ANNUALLY.-THE GAMMA KNIFE CENTER OPENED IN 2011 AND TREATED 15 PATIENTS.-A FULL-SERVICE LABORATORY.-A DIAGNOSTIC IMAGING CENTER.-THE FERTILITY CENTER.-THE CENTER FOR MATERNAL-FETAL MEDICINE.-A PAIN MANAGEMENT CENTER.-THE BREAST CENTER.-THE PROSTATE CANCER 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 RENAL CARE CENTER OF FAIR LAWN.-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 2011, THE HOSPITAL PROVIDED MORE THAN $57 MILLION IN UNCOMPENSATED CARE, ATTRIBUTABLE TO CHARITY CARE, BAD DEBT AND MEDICARE AND MEDICAID SHORTFALLS. PATIENTS RECEIVING UNCOMPENSATED CARE IN 2011 INCLUDE PATIENTS WHO WERE TREATED AT VALLEY'S COMMUNITY CARE CLINIC. IN 2011, THE CLINIC RECORDED ALMOST 9,000 VISITS. VALLEY'S COMMUNITY CARE CLINIC OFFERS SERVICES IN MANY SPECIALTIES INCLUDING: OBSTETRICS, PEDIATRICS, MEDICINE, CARDIOLOGY, AND SURGERY. ALSO IN 2011, HOMEBOUND COMMUNITY MEMBERS RECEIVED ALMOST $127,000 IN "AT COST" MEALS. VALLEY'S DEPARTMENT OF COMMUNITY HEALTH OFFERS FREE HEART HEALTH EDUCATION PROGRAMS. PROGRAMS INCLUDED: UNDERSTANDING CARDIAC MEDICATIONS, CHOLESTEROL: THE GOOD, BAD AND UGLY, A WOMAN'S HEART, NAVIGATING YOUR HEART RHYTHM, MANAGING CONGESTIVE HEART FAILURE, GET THE PULSE ON DVT, MEN AND HEART DISEASE, EATING YOUR WAY TO A HEALTHY HEART, METABOLIC SYNDROME, HEART HEALTHY EATING, HYPERTENSION, HEART DISEASE PREVENTION, HEART HEALTH, HEART HEALTHY NUTRITION, HEART HEALTH JEOPARDY, HEART HEALTH AWARENESS, AND MANY HEALTH FAIRS. HEALTH SCREENINGS FOR BLOOD PRESSURE, STROKE AND CHOLESTEROL WERE ALSO OFFERED. THE COMMUNITY TRAINING CENTER OFFERS BASIC LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT AND PEDIATRIC ADVANCED LIFE SUPPORT PROGRAMS, AS WELL AS FIRST AID TRAINING. COMPREHENSIVE PARENT EDUCATION PROGRAMS ARE OFFERED TO EXPECTANT FAMILIES THROUGH THE CENTER FOR WOMEN, CHILDREN AND FAMILY EDUCATION. CLASSES, ATTENDED BY ALMOST 2,000 PEOPLE, INCLUDE: CHILDBIRTH PREPARATION, NEWBORN CARE, PARENTING, GRANDPARENTS', MOMS & BABIES SOCIAL HOUR, DADS CLASS, SIBLING ATTENDING BIRTH, INFANT AND CHILD SAFETY, INFANT MASSAGE, BREASTFEEDING, BABY SITTERS, SIBLING, PRE/POSTNATAL EXERCISE, ADOPTIVE PARENTS, MARVELOUS MULTIPLES, AND CHILD PASSENGER SEAT SAFETY. CLINIC PATIENTS ATTEND FREE OF CHARGE.NEW PARENT SUPPORT SERVICES INCLUDE BREASTFEEDING SUPPORT GROUPS, 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/CHILD 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 8,700 CONTACTS WITH PEOPLE WHO ATTENDED SCREENINGS, HEALTH FAIRS, COMMUNITY EDUCATION AND VALLEY HEALTH PRIME TIME (SENIOR MEMBERSHIP) PROGRAMS. VALLEY ALSO MADE CONTACT WITH HUNDREDS OF PEOPLE WHO ATTENDED SUPPORT GROUPS.VALLEY SERVES AS AN INFORMATION RESOURCE FOR THE COMMUNITY. IN 2011, THE PHYSICIAN AND REFERRAL SERVICE HANDLED ALMOST 13,000 TOLL-FREE INQUIRIES FOR PROGRAM/SERVICE AND PHYSICIAN INFORMATION. THE MEDICAL LIBRARY RESPONDED TO 350 INQUIRIES FROM COMMUNITY MEMBERS IN 2011. THE VALLEY WEBSITE PROVIDED FREE HEALTH INFORMATION TO 1.3 MILLION VISITORS. VALLEY SUPPORTS COMMUNITY GROUPS. IN 2011, VALLEY STAFF MEMBERS SERVED AS MEMBERS OF THE ROTARY, THE CHAMBER OF COMMERCE, THE RIDGEWOOD MUNICIPAL AND ALCOHOL ALLIANCE, AND THE VILLAGE'S HUMAN RESOURCES COORDINATING COUNCIL. 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 2011 VALLEY WAS AFFILIATED WITH: BERGEN COMMUNITY COLLEGE, BLOOMFIELD COLLEGE, COLLEGE OF ST. ELIZABETH, COLUMBIA SCHOOL OF NURSING, DOMINICAN COLLEGE, FAIRLEIGH DICKINSON UNIVERSITY, FELICIAN COLLEGE, LIBERTY UNIVERSITY, MONROE COLLEGE, MOUNT SAINT MARY COLLEGE, NYU COLLEGE OF NURSING, RAMAPO COLLEGE, RUTGERS COLLEGE OF NURSING, SETON HALL UNIVERSITY, ST. PETER'S COLLEGE, UMDNJ, WALDEN UNIVERSITY, AND WILLIAM PATERSON UNIVERSITY.IN 2011, VALLEY ALSO PROVIDED 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. 19296967 36358369 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.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, 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 2011, THE VALLEY HOSPITAL RECORDED ALMOST 74,000 EMERGENCY DEPARTMENT VISITS AND 8,759 MOBILE INTENSIVE CARE UNIT AND 4,318 SPECIALTY CARE TRANSPORT UNIT DISPATCHES. 452754182 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 425 0 1 4029 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NJ X X RICHARD D KEENAN 2014478000 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 ANNE GOHEEN CRANE 3.00 X 0 0 0 AUDREY MEYERS 40.00 X X 1946776 0 41593 BRUCE J MACTAS 3.00 X 0 0 0 CYNTHIA J HALABY 3.00 X 0 0 0 JOHN W ALBOHM ESQ 3.00 X 0 0 0 JOSEPH MARION 3.00 X 0 0 0 JUSTICE GARY STEIN 3.00 X 0 0 0 KAY YEOMANS 3.00 X 0 0 0 EDWARD B SELF MD 3.00 X 0 0 0 ROBERT E FINK 3.00 X 0 0 0 RUTH SCHULZE MD 3.00 X 0 0 0 NANCY DAVIDSON 3.00 X 0 0 0 MICHAEL RAHMIN MD 3.00 X 0 0 0 VICTORIA H BRUNI ESQ 3.00 X 0 0 0 VINCENT FORLENZA 3.00 X 0 0 0 WARREN F COOKE ESQ 3.00 X 0 0 0 JAMES CORNELLPHDMD 3.00 X 0 0 0 LESLIE KANE 3.00 X 0 0 0 STEVEN SILVERSTEIN 3.00 X 0 0 0 RICHARD D KEENAN 40.00 X 450439 0 1022290 MARIA MEDIAGO 40.00 X 350930 0 38099 ERIC CAREY 40.00 X 290384 0 39478 MEGAN FRASER 40.00 X 279855 0 41830 RUSSELL SHOWERS 40.00 X 294719 0 20515 ANN MARIE LEICHMAN 40.00 X 330754 0 33715 ANASTASIOS KOZAITIS 40.00 X 276643 0 43191 ROBIN G HOLLANDER 40.00 X 548012 0 110106 PETER W DIESTEL 40.00 X 743810 0 33235 MITCHELL RUBINSTEIN 40.00 X 461043 0 92457 JEFFREY LIETO 40.00 X 433526 0 38931 GAIL CALLANDRILLO 40.00 X 313481 0 139323 6720372 0 1694763 410 0 1 0 TORCON INC 8 NEWMAN SPRINGS ROAD RED BANK NJ 07701 GENERAL CONTRACTOR 7357446 TROJUNEBRANNEN 80 BRIDGE STREET NEWTON MA 02458 ARCHITECTS 6264437 NYU FERTILITY CENTER 660 FIRST AVENUE 5TH FLOOR NEW YORK NY 10016 FERTILITY CENTER 2801627 COLUMBIA UNIVERSITY DEPT OF SURGERY 21 AUDUBON AVENUE NEW YORK NY 10032 MEDICAL/SURGICAL 2754431 EMPATH CONSULTING INC 1160 BRICKYARD COVE ROAD SUITE 110 POINT RICHMOND CA 94801 OPERATIONS IMPROVEMENT 1682330 113 9763076 582667 10345743 INSURERS AND PATIENTS 621990 391972632 391972632 MEDICARE/MEDICAID PAYM 621990 201925296 201925296 593897928 8844240 8844240 905173 3552872 -2647699 -2647699 -2647699 100390090 8165 100540022 12269 -149932 -4104 -154036 -154036 OTHER 621990 6372466 6372466 VALLEY HEALTH PHARMACY 621990 2573107 729747 1843360 FOOD SERVICES 621990 2037696 2037696 2861583 2861583 13844852 624131028 605899420 1843360 6042505 5285640 1535805 3749835 239871842 206582763 33289079 17262868 14654449 2608419 21973416 18653233 3320183 17736806 15056775 2680031 2677544 2677544 98784 98784 25640980 17194305 8446675 3082793 10581 3072212 24246783 13951287 10295496 10618033 2983689 7634344 617155 497687 119468 5713778 4941904 771874 53154457 53154457 SUPPLIES 77641178 64545495 13095683 DRUGS 34176475 34176475 LAUNDRY AND LINENS 2450447 2450447 BLOOD 2364830 2364830 544613809 452754182 91859627 0 1952050 4746546 53274925 54698892 66587515 79842251 626895015 420860782 210113249 206034233 334426233 368779737 6000000 5707681 26094521 26484559 698448493 746293899 152982470 187990661 152982470 187990661 X 538924526 551870971 2112170 2002940 4429327 4429327 545466023 558303238 698448493 746293899 X 79517219 -66680004 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4429327 4429327 4429327 4429327 4429327 4429327 4429327 4429327 1.00000 0 1 1 19641207 19641207 328097615 204987239 123110376 258700915 204698173 54002742 20455278 11175370 9279908 206034233 624131028 544613809 79517219 -5450600 -61229404 -66680004 12837215 585648275 0 585648275 38482753 38482753 624131028 536446068 0 536446068 8167741 8167741 544613809 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN ACCRUED PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS -61,229,404. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGES TO PRIOR YEAR ALLOWANCES AND REIMBURSEMENT ESTIMATES 18,154,837. NET LOSS ON DISPOSITION OF ASSETS -4,105. NET DISTRIBUTUION FROM VALLEY HOSPITAL FOUNDATION 9,763,076. INVESTMENT INCOME 8,844,240. NET REALIZED GAIN ON SALE OF INVESTMENTS -149,932. GIFTS,GRANTS,DONATIONS,BEQUESTS & NET ASSETS RELEASED FOR OPERATING PURPOSES 4,522,336. NET RENTAL LOSS -2,647,699. PART XIII, LINE 4B - OTHER ADJUSTMENTS: NET LOSS ON DISPOSAL OF ASSETS -4,105. STRATEGIC INITIATIVES AND OTHER NON RECURRING ITEMS 5,607,833. NET TRANSFER TO AFFILIATES 2,757,878. VALLEY HEALTH MEDICAL GROUP/VALLEY HEALTH SYSTEM -193,865. 1 1 1 X 1 X 500.000000000000 1 1 1 0 1 1 11717045 677590 11039455 0.02030 4011071 1888559 2122512 0.00390 15728116 2566149 13161967 0.02420 1568275 353184 1215091 0.00220 642777 600 642177 0.00120 388619 388619 0.00070 2369 2369 0.00000 273676 273676 0.00050 2875716 353784 2521932 0.00460 18603832 2919933 15683899 0.02880 236777 126994 109783 0.00020 367799 367799 0.00070 604576 126994 477582 0.00090 0 5900939 3186507 197720545 236634559 -38914014 X 1 1 1 1 THE VALLEY HOSPITAL

223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450

X X X THE VALLEY HOSPITAL 1 1 1 200.000000000000 1 500.000000000000 1 X X X X 1 1 X X X X 1 X 1 X X 1 X 0 0 PART I, LINE 6A: 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. PART I, LINE 7: 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. PART I, LINE 7G: THERE ARE NO SUBSIDIZED HEALTH SERVICES WHICH ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC. COSTS INCLUDED REPRESENT MEDICATION AND TRANSPORTATION FOR INDIGENT PATIENTS. PART II: 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. PART III, LINE 4: 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. PART III, LINE 8: 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 $38.9 MILLION. PART III, LINE 9B: 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. PART VI, LINE 2: 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). PART VI, LINE 3: 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. PART VI, LINE 4: 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. X X X X X X 0 1 0 0 0 0 0 0 0 AUDREY MEYERS 822338 0 1077201 0 47237 0 20583 0 21010 0 1988369 0 339540 0 RICHARD D KEENAN 410421 0 0 0 40018 0 1003598 0 18692 0 1472729 0 0 0 MARIA MEDIAGO 240201 0 105652 0 5077 0 19694 0 18405 0 389029 0 0 0 ERIC CAREY 221219 0 60772 0 8393 0 18216 0 21262 0 329862 0 0 0 MEGAN FRASER 203980 0 65613 0 10262 0 16814 0 25016 0 321685 0 0 0 RUSSELL SHOWERS 234475 0 50887 0 9357 0 13408 0 7107 0 315234 0 0 0 ANN MARIE LEICHMAN 238228 0 75061 0 17465 0 20424 0 13291 0 364469 0 0 0 ANASTASIOS KOZAITIS 205310 0 64766 0 6567 0 15675 0 27516 0 319834 0 0 0 ROBIN G HOLLANDER 324300 0 210898 0 12814 0 84090 0 26016 0 658118 0 0 0 PETER W DIESTEL 417209 0 305763 0 20838 0 8974 0 24261 0 777045 0 0 0 MITCHELL RUBINSTEIN 321657 0 119773 0 19613 0 68867 0 23590 0 553500 0 0 0 JEFFREY LIETO 297914 0 120122 0 15490 0 16610 0 22321 0 472457 0 0 0 GAIL CALLANDRILLO 152817 0 148737 0 11927 0 113307 0 26016 0 452804 0 0 0 PART I, LINE 4B AUDREY MEYERS RECEIVED PAYMENT OF $339,540 FROM THE 457F PLAN. GAIL CALLANDRILLO, ROBIN HOLLANDER, RICHARD KEENAN, MITCHELL RUBINSTEIN CONTRIBUTED FUNDS THAT ARE INCLUDED IN PART II COLUMN C TO THE 457F PLAN IN ADDITION TO 401K/457B CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 PART VI SECTION A LINE 10: WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, A PAPER 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. FORM 990, PART VI, SECTION B, LINE 12C FROM 990 PART VI SECTION B LINE 12C: 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. 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. FORM 990, PART VI, SECTION B, LINE 15 FORM 990 PART VI PAGE 6 LINE 15: THE 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. FORM 990, PART VI, SECTION C, LINE 19 FROM 990 PAGE 6 PART IV SECTION C LINE 19: 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -5,450,600. CHANGE IN ACCRUED PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS -61,229,404. TOTAL TO FORM 990, PART XI, LINE 5: -66,680,004. FORM 990 PART XII 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. 555 MAPLE ACQUISITION INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 453070365 REAL ESTATE ACQUISITION NJ 0 5750000 THE VALLEY HOSPITAL INC VALLEY HEALTH SYSTEM INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 222922016 PROVIDES MANAGEMENT & PLANNING SERVICES FOR ITS MEMBERS NJ 501(C)(3) 3 N/A 0 VALLEY MEDICAL SERVICES INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 223260998 PROVIDES CERTAIN MEDICAL CARE TO PATIENTS INCL.PEDIATRIC & NEONATAL SERVICES NJ 501(C)(3) 3 N/A 0 VALLEY PHYSICIAN SERVICES INC 15 ESSEX ROAD PARAMUS NJ 07652 320041186 PROVIDES MEDICAL CARE TO CARRYOUT THE PURPOSE OF THE VALLEY HEALTH SYSTEM NJ 501(C)(3) 3 N/A 0 VALLEY HOME CARE INC 15 ESSEX ROAD PARAMUS NJ 07652 223208480 PROVIDES REHABILITATION VISITS AND HOME HEALTH AIDS VISITS TO PATIENTS NJ 501(C)(3) 9 N/A 0 THE VALLEY HOSPITAL FOUNDATION INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 222324554 SOLICIT,RECEIVE AND APPLY CONTRIBUTIONS FOR THE BENEFIT OF THE HOSPITAL NJ 501(C)(3) 9 N/A 0 VHS INSURANCE COMPANY LTD 010 MAIN STREET FC CAYMAN ISLANDS CAYMAN ISLANDS CJ 980408200 PROVIDES PROFESSIONAL AND COMMERCIAL GENERAL LIABILITY INSURANCE CJ N/A 0 VALLEY HEALTH MEDICAL GROUP INC 15 ESSEX ROAD PARAMUS NJ 07652 223475233 OPERATES URGENT/PRIMARY CARE CLINICS NJ N/A C VALLEY HEALTH MEDICAL GROUP NJPC 15 ESSEX ROAD PARAMUS NJ 07652 223475166 OPERATES URGENT/PRIMARY CARE CLINICS NJ N/A C VALLEY PHYSICIAN SERVICE NY PC 15 ESSEX ROAD PARAMUS NJ 07652 453125678 OPERATES URGENT/PRIMARY CARE CLINICS NY N/A C 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 1 1 0 THE VALLEY HOSPITAL FOUNDATION C 10149310 THE VALLEY HEALTH SYSTEM Q 2757878 THE VALLEY HOME CARE P 907134 THE VALLEY HOME CARE I 360900 VALLEY PHYSICIAN SERVICES INC Q 350000 VALLEY MEDICAL SERVICES INC P 1514143 VALLEY HOSPITAL FOUNDATION L 1405191 VALLEY HOSPITAL FOUNDATION P 408900 THE VALLEY HEALTH SYSTEM O 1984840