VALLEY HOSPITAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VALLEY HOSPITAL FOUNDATION (EIN 22-2324554)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349305947
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T15:57:22-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271728945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line115 ESSEX RDAddressLine1
CityPARAMUSCity
StateNJState
ZIP Code076521412ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222324554EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VALLEY HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVALLNameControl
Phone2014478000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVEAddressLine1
CityRIDGEWOODCity
StateNJState
ZIP Code07450ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANATASIOS KOZAITISName
TitlePRESIDENTTitle
Phone2014478000Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEDWARD G O'CONNORName
PTINP00434443PTIN
Phone2017129800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANASTASIOS KOZAITISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1223 N VAN DIEN AVEAddressLine1
CityRIDGEWOODCity
StateNJState
ZIP Code07450ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30666186GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VALLEYHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers157TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18143256ContributionsGrantsPriorYear
Contributions Grants Current Year7886447ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1488031InvestmentIncomePriorYear
Investment Income Current Year1044051InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year19631287TotalRevenuePriorYear
Total Revenue Current Year8930498TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10224310GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8391640GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1564655TotalFundrsngExpCurrentYear
Other Expense Prior Year2255356OtherExpensePriorYear
Other Expenses Current Year2173501OtherExpensesCurrentYear
Total Expenses Prior Year12479666TotalExpensesPriorYear
Total Expenses Current Year10565141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7151621RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1634643RevenuesLessExpensesCY
Total Assets BOY70563847TotalAssetsBOY
Total Assets EOY69582589TotalAssetsEOY
Total Liabilities BOY2560636TotalLiabilitiesBOY
Total Liabilities EOY1414091TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68003211NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY68168498NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7095000Expense
Grants7095000Grants
DescriptionTHE 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1296640Expense
Grants1296640Grants
DescriptionTHE FOUNDATION CONTINUES TO PLACE IMPORTANCE ON ITS ANNUAL FUND. WHEN PLANNED GIFTS ARE INCLUDED, THE FOUNDATION ANNUALLY RAISES ANNUALLY MORE THAN $5 MILLION FOR SPECIFIC HOSPITAL PROJECTS, INCLUDING PATIENT AND STAFF EDUCATION, COMMUNITY CARE, AND TECHNOLOGICAL EQUIPMENT.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense142056Expense
FieldValueIRS element (for citing)
Total Of Other Program Service Exp142056TotalOfOtherProgramServiceExp
Total Program Service Expense8533696TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAT PERILLOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2014478000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1223 NORTH VAN DIEN AVEAddressLine1
CityRIDGEWOODCity
StateNJState
ZIP Code07450ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
RASHID BADDOURA MD
SECRETARY0.50XX000
MILLICENT ANISFIELD
TRUSTEE0.50X000
CHRISTOPHER BYERS ESQ
TRUSTEE0.50X000
DOUGLAS H DITTRICK
CHAIRMAN0.50XX000
STEPHEN J ERRICO
VICE CHAIRMAN0.50XX000
ROBERT G GUTENSTEIN
TREASURER0.50XX000
THOMAS P PALMER
VICE CHAIRMAN0.50XX000
FRANK MANGINELLO MD
TRUSTEE0.50X07567325112339.50
ALLAN S LEVINE
TRUSTEE0.50X000
BARNETT BUZZ RUKIN
VICE CHAIRMAN0.50XX000
LAWRENCE C SALAMENO
TRUSTEE0.50X000
SCOTT SCHROEDER
VICE CHAIRMAN0.50XX000
CHARLES SHOTMEYER
TRUSTEE0.50X000
PETER SOUTHWAY
TRUSTEE (LEFT ON 06/18/2012)0.50X000
DANIELLE GAGLIOTI
TRUSTEE0.50X000
PATRICIA M HICKS MD
TRUSTEE0.50X000
JOHN M JOHANSEN
TRUSTEE0.50X000
BERNARD BERKOWITZ ESQ
TRUSTEE0.50X000
FRANK GALLAGHER
TRUSTEE0.50X000
JANET E HUNT ESQ
TRUSTEE0.50X000
JOSEPH PFEIFER
TRUSTEE0.50X000
JULIE A EPSTEIN
TRUSTEE0.50X000
NANCY DAVIDSON
TRUSTEE (LEFT ON 06/18/2012)0.50X000
VICTOR D WORTMANN
TRUSTEE0.50X000
JOSHUA ABRAMS
TRUSTEE0.50X000
MARC SABINO
TRUSTEE0.50X000
ANASTASIOS KOZAITIS
PRESIDENT40.00X032822039429
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1084952TotalReportableCompFrmRltdOrgs
Total Other Compensation90552TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDTELLIGENCE LLC
50 SOUTH 16TH STREET- SUITE 4701PHILADELPHIAPA19102DEVELOPS EDUCATION PROGRAMS137842
BLISS DIRECT MEDIA
641 15TH AVENUE NE PO BOX 129SAINT JOSEPHMN56374MARKETING COMMUNICATIONS FOR NON-PROFITA123523
CORE CREATIVE
126 NORTH JEFFERSON STREET - 250MILWAUKEEWI53202INTEGRATED MARKETING COMMUNICATION SERVI100760
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions7886447AllOtherContributions
Noncash Contributions437913NoncashContributions
Total Contributions7886447TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column953092TotalRevenueColumn
Exclusion$953,092ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities21826647Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities21735688Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities90959Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column90959TotalRevenueColumn
Exclusion$90,959ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8930498TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,044,051ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8391640Total
Program Services8391640ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2170Total
Management And General2170ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8453Total
Management And General8453ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total336557Total
Management And General336557ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total30683Total
Management And General30683ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6177Total
Management And General6177ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4823Total
Management And General4823ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PAYROLL & BENEFITS REIM13494471349447
PROGRAM & SPECIAL EVENT215208215208
WRITE-DOWN OF PLEDGES142056142056
OTHER EXPENSES3391233912

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total44015Total
Management And General44015ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10565141Total
Program Services8533696ProgramServices
Management And General466790ManagementAndGeneral
Fundraising1564655Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY143603BOY
EOY501053EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6945501BOY
EOY3146075EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4604806BOY
EOY4578016EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY58869937BOY
EOY61301840EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY55605EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY70563847BOY
EOY69582589EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2560636BOY
EOY1414091EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2560636BOY
EOY1414091EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY34102044BOY
EOY30804741EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY27555530BOY
EOY30501260EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6345637BOY
EOY6862497EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68003211BOY
EOY68168498EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY70563847BOY
EOY69582589EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1634643ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1799930ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29811922CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11453923CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13485646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18143256CurrentTaxYearMinus1Year
Current Tax Year7886447CurrentTaxYear
Total80781194Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29811922CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11453923CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13485646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18143256CurrentTaxYearMinus1Year
Current Tax Year7886447CurrentTaxYear
Total80781194Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2211321AmountsSubstContributorsTotal
Public Support Total17078569873PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1437175CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1163392CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1796417CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1211850CurrentTaxYearMinus1Year
Current Tax Year953092CurrentTaxYear
Total6561926Total
FieldValueIRS element (for citing)
Total Support87343120TotalSupport
Public Support Pertcentage1700.89960PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9925431BeginningOfYearBalance
Contributions289223Contributions
Investment Earnings Or Losses1204618InvestmentEarningsOrLosses
Other Expenditures24630OtherExpenditures
End Of Year Balance11394642EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9272705BeginningOfYearBalance
Contributions763210Contributions
Investment Earnings Or Losses24634InvestmentEarningsOrLosses
Other Expenditures135118OtherExpenditures
End Of Year Balance9925431EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7974950BeginningOfYearBalance
Contributions368868Contributions
Investment Earnings Or Losses955220InvestmentEarningsOrLosses
Other Expenditures26333OtherExpenditures
End Of Year Balance9272705EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6693224BeginningOfYearBalance
Contributions497758Contributions
Investment Earnings Or Losses789652InvestmentEarningsOrLosses
Other Expenditures5684OtherExpenditures
End Of Year Balance7974950EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3908776BeginningOfYearBalance
Contributions1698370Contributions
Investment Earnings Or Losses1086078InvestmentEarningsOrLosses
End Of Year Balance6693224EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.33000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.58000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.09000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt10730428TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1799930NetUnrealizedGainsInvestments
Revenue Not Rptd F9901799930RevenueNotRptdF990
Revenue Subtotal8930498RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908930498TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10565141TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10565141ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010565141TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 2009.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
THE VALLEY HOSPITAL
223 NORTH VAN DIEN AVERIDGEWOODNJ07450221487307501(C)(3)7095000CAPITAL PROJECTS
THE VALLEY HOSPITAL
223 NORTH VAN DIEN AVERIDGEWOODNJ07450221487307501(C)(3)1296640DONOR DESIGNATED SPECIAL PROGRAMS AND SERVICES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2:Identifier
ExplanationTHE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRANK MANGINELLO MD
TRUSTEE07468260009906000511230807855022654
ANASTASIOS KOZAITIS
PRESIDENT0227474088660012086015317024112036764900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
ExplanationPART I, 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.Explanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions14NumberOfContributions
Noncash Contribs Rptd F990437913NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BGOVERNANCE DEISIONS OF THE VALLEY HOSPITAL FOUNDATION ARE DETERMINED BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY'S FINANCE 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 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 12CTHE 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 19THE 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.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
THE VALLEY HOSPITAL INC
223 N VAN DIEN AVERIDGEWOODNJ07450221487307PROVIDES HEALTHCARE PROGRAMS AND SERVICES TO ALLNJ501(C)(3)3VALLEY HEALTH SYSTEM INC0
VALLEY HOME CARE INC
15 ESSEX ROADPARAMUSNJ07652223208480PROVIDES HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJNJ501(C)(3)9VALLEY HEALTH SYSTEM INC0
VALLEY MEDICAL SERVICES INC
223 N VAN DIEN AVERIDGEWOODNJ07450223260998PROVIDES EMPLOYED PHYSICIANS, CERTAIN MEDICAL AND VARIED CONSULTING SERVICESNJ501(C)(3)3THE VALLEY HOSPITAL INC0
VALLEY PHYSICIAN SERVICES INC
15 ESSEX ROADPARAMUSNJ07652320041186PROVIDE PRIMARY AND SPECIALITY MEDICAL CARENJ501(C)(3)3THE VALLEY HOSPITAL INC0
VALLEY HEALTH SYSTEM INC
223 N VAN DIEN AVERIDGEWOODNJ07450222922016PROVIDES MANAGEMENT AND PLANNING SERVICES TO ITS MEMBERSNJ501(C)(3)70N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
VALLEY HEALTH MEDICAL GROUP NJPC
15 ESSEX ROADPARAMUSNJ07652223475166OPERATES URGENT/PRIMARY CARE CLINICSNJN/AC0
VALLEY HEALTH MEDICAL GROUP
15 ESSEX ROADPARAMUSNJ07652223475233OPERATES URGENT/PRIMARY CARE CLINICSNJC0VALLEY HEALTH SYSTEM INC
VALLEY PHYSICIAN SERVICE NY PC
15 ESSEX ROADPARAMUSNJ07652453125678OPERATES URGENT/PRIMARY CARE CLINICSNYC0VALLEY HEALTH SYSTEM INC
VHS INSURANCE COMPANY LTD
980408200PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCEC0THE VALLEY HOSPITAL INC010 MAIN STREETCAYMAN ISLANDSCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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