2013-11-14T15:57:22-06:00 2012-12-31 271728945 O'CONNOR DAVIES LLP 15 ESSEX RD PARAMUS NJ 076521412 990 2012-01-01 222324554 THE VALLEY HOSPITAL FOUNDATION INC VALL 2014478000 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 ANATASIOS KOZAITIS 2014478000 2013-11-14 1 EDWARD G O'CONNOR P00434443 2017129800 2012 2016-02-25 16:41:14Z ANASTASIOS KOZAITIS 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 30666186 0 X WWW.VALLEYHEALTH.COM X 1980 NJ THE VALLEY HOSPITAL FOUNDATION WAS CREATED TO SOLICIT AND RECEIVE PHILANTHROPIC GIFTS, GRANTS, BEQUESTS OF REAL OR PERSONAL PROPERTY, OR BOTH, FROM INDIVIDUALS, FOUNDATIONS, PARTNERSHIPS, ASSOCIATIONS, GOVERNMENTAL BODIES OR PUBLIC OR PRIVATE CORPORATIONS. THIS GENEROUS PHILANTHROPY IS USED FOR THE PURPOSE OF SUPPORTING THE VALLEY HOSPITAL AND VALLEY HOME CARE. 24 22 0 157 0 0 18143256 7886447 0 0 1488031 1044051 0 0 19631287 8930498 10224310 8391640 0 0 0 0 0 0 1564655 2255356 2173501 12479666 10565141 7151621 -1634643 70563847 69582589 2560636 1414091 68003211 68168498 X THE VALLEY HOSPITAL FOUNDATION IS THE PHILANTHROPIC COMPONENT OF VALLEY HEALTH SYSTEM. IT IS A NONPROFIT, TAX-EXEMPT, MULTI-PURPOSE FOUNDATION. THE FOUNDATION'S PRIMARY FUNCTION IS TO SECURE CHARITABLE CONTRIBUTIONS FROM INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND OTHER FUNDING ENTITIES, TO MANAGE THOSE GIFTS, AND TO DISTRIBUTE THEM IN ACCORDANCE WITH ITS CHARTER. FUNDS ARE RAISED PRIMARILY FOR USE BY THE VALLEY HOSPITAL AND VALLEY HOME CARE. THE VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION. CHARITABLE FUNDS RAISED BY THE FOUNDATION ARE USED BY THE HOSPITAL TO SUPPORT CAPITAL IMPROVEMENTS, MEDICAL TECHNOLOGY, BIOMEDICAL RESEARCH, EDUCATION, ENDOWMENTS, AND SPECIAL PROJECTS. FUNDS RAISED FOR VALLEY HOME CARE SUPPORT THE PROGRAMS OF THE AGENCY, SUCH AS HOSPICE, JOURNEYS, BUTTERFLIES, MATERNAL CHILD HEALTH AND ENDOWMENTS. 0 0 7095000 7095000 THE FOUNDATION HAS EVALUATED THE NEEDS OF THE VALLEY HEALTH SYSTEM AND SEEKS TO SECURE SIGNIFICANT FUNDING FOR THREE DIFFERENT CASES: CAPITAL & TECHNOLOGICAL IMPROVEMENTS, CLINICAL AND TRANSLATIONAL RESEARCH, AND HOSPITAL AND HOME CARE ENDOWMENTS. DURING THE PAST THREE YEARS, THE FOUNDATION HAS RECEIVED MORE THAN $75 MILLION IN COMMITMENTS. 1296640 1296640 THE 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. 142056 142056 8533696 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 25 0 0 0 0 0 0 0 0 0 0 0 0 X 24 22 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 NJ X X PAT PERILLO 2014478000 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 RASHID BADDOURA MD 0.50 X X 0 0 0 MILLICENT ANISFIELD 0.50 X 0 0 0 CHRISTOPHER BYERS ESQ 0.50 X 0 0 0 DOUGLAS H DITTRICK 0.50 X X 0 0 0 STEPHEN J ERRICO 0.50 X X 0 0 0 ROBERT G GUTENSTEIN 0.50 X X 0 0 0 THOMAS P PALMER 0.50 X X 0 0 0 FRANK MANGINELLO MD 0.50 39.50 X 0 756732 51123 ALLAN S LEVINE 0.50 X 0 0 0 BARNETT BUZZ RUKIN 0.50 X X 0 0 0 LAWRENCE C SALAMENO 0.50 X 0 0 0 SCOTT SCHROEDER 0.50 X X 0 0 0 CHARLES SHOTMEYER 0.50 X 0 0 0 PETER SOUTHWAY 0.50 X 0 0 0 DANIELLE GAGLIOTI 0.50 X 0 0 0 PATRICIA M HICKS MD 0.50 X 0 0 0 JOHN M JOHANSEN 0.50 X 0 0 0 BERNARD BERKOWITZ ESQ 0.50 X 0 0 0 FRANK GALLAGHER 0.50 X 0 0 0 JANET E HUNT ESQ 0.50 X 0 0 0 JOSEPH PFEIFER 0.50 X 0 0 0 JULIE A EPSTEIN 0.50 X 0 0 0 NANCY DAVIDSON 0.50 X 0 0 0 VICTOR D WORTMANN 0.50 X 0 0 0 JOSHUA ABRAMS 0.50 X 0 0 0 MARC SABINO 0.50 X 0 0 0 ANASTASIOS KOZAITIS 40.00 X 0 328220 39429 0 1084952 90552 0 0 1 0 MEDTELLIGENCE LLC 50 SOUTH 16TH STREET- SUITE 4701 PHILADELPHIA PA 19102 DEVELOPS EDUCATION PROGRAMS 137842 BLISS DIRECT MEDIA 641 15TH AVENUE NE PO BOX 129 SAINT JOSEPH MN 56374 MARKETING COMMUNICATIONS FOR NON-PROFITA 123523 CORE CREATIVE 126 NORTH JEFFERSON STREET - 250 MILWAUKEE WI 53202 INTEGRATED MARKETING COMMUNICATION SERVI 100760 3 7886447 437913 7886447 953092 953092 21826647 21735688 90959 90959 90959 8930498 0 0 1044051 8391640 8391640 2170 2170 8453 8453 336557 336557 30683 30683 6177 6177 4823 4823 PAYROLL & BENEFITS REIM 1349447 1349447 PROGRAM & SPECIAL EVENT 215208 215208 WRITE-DOWN OF PLEDGES 142056 142056 OTHER EXPENSES 33912 33912 44015 44015 10565141 8533696 466790 1564655 143603 501053 6945501 3146075 4604806 4578016 58869937 61301840 0 55605 70563847 69582589 2560636 1414091 2560636 1414091 X 34102044 30804741 27555530 30501260 6345637 6862497 68003211 68168498 70563847 69582589 -1634643 1799930 0 X X 0 1 X 1 0 X 29811922 11453923 13485646 18143256 7886447 80781194 29811922 11453923 13485646 18143256 7886447 80781194 2211321 78569873 1437175 1163392 1796417 1211850 953092 6561926 87343120 0.89960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9925431 289223 1204618 24630 11394642 9272705 763210 24634 135118 9925431 7974950 368868 955220 26333 9272705 6693224 497758 789652 5684 7974950 3908776 1698370 1086078 6693224 0.33000 0.58000 0.09000 0 0 0 X 10730428 1799930 1799930 8930498 0 8930498 10565141 0 10565141 0 10565141 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2009. 1 THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 7095000 CAPITAL PROJECTS THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 1296640 DONOR DESIGNATED SPECIAL PROGRAMS AND SERVICES 1 PART I, LINE 2: THE VALLEY HOSPITAL FOUNDATION PROVIDES GRANTS TO THE VALLEY HOSPITAL FOR CAPITAL, CLINICAL RESEARCH AND OTHER NEEDS OF THE HOSPITAL. THE HOSPITAL GRANT ACCOUNTING SYSTEM TRACKS THE EXPENDITURES TO INSURE THE FUNDS ARE PROPERLY ALLOCATED. 0 0 0 0 0 0 0 0 0 FRANK MANGINELLO MD 0 746826 0 0 0 9906 0 0 0 51123 0 807855 0 22654 ANASTASIOS KOZAITIS 0 227474 0 88660 0 12086 0 15317 0 24112 0 367649 0 0 PART 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. X 14 437913 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 THE VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE VALLEY HOSPITAL FOUNDATION, AND THEREFORE HAS THE ABILITY TO ELECT OR APPOINT A MEMBER OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DEISIONS OF THE VALLEY HOSPITAL FOUNDATION ARE DETERMINED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 A 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 12C THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST ANNUALLY. IF A CONFLICT OF INTEREST EXISTS THE ORGANIZATION WILL NOTIFY MEMBERS OF MANAGEMENT OR THE GOVERNING BODY AND INVESTIGATE THE CONFLICT. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE PART OF ANY DECISIONS ABOUT SUCH TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE VALLEY HOSPITAL FOUNDATION MAKES IT'S FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, FORM 990, AS WELL AS THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990 PART XI LINE 2C: THE PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTANT AND ESTABLISHING A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM PRIOR YEARS. THE VALLEY HOSPITAL INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 PROVIDES HEALTHCARE PROGRAMS AND SERVICES TO ALL NJ 501(C)(3) 3 VALLEY HEALTH SYSTEM INC 0 VALLEY HOME CARE INC 15 ESSEX ROAD PARAMUS NJ 07652 223208480 PROVIDES HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ NJ 501(C)(3) 9 VALLEY HEALTH SYSTEM INC 0 VALLEY MEDICAL SERVICES INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 223260998 PROVIDES EMPLOYED PHYSICIANS, CERTAIN MEDICAL AND VARIED CONSULTING SERVICES NJ 501(C)(3) 3 THE VALLEY HOSPITAL INC 0 VALLEY PHYSICIAN SERVICES INC 15 ESSEX ROAD PARAMUS NJ 07652 320041186 PROVIDE PRIMARY AND SPECIALITY MEDICAL CARE NJ 501(C)(3) 3 THE VALLEY HOSPITAL INC 0 VALLEY HEALTH SYSTEM INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 222922016 PROVIDES MANAGEMENT AND PLANNING SERVICES TO ITS MEMBERS NJ 501(C)(3) 7 N/A 0 VALLEY HEALTH MEDICAL GROUP NJPC 15 ESSEX ROAD PARAMUS NJ 07652 223475166 OPERATES URGENT/PRIMARY CARE CLINICS NJ N/A C 0 VALLEY HEALTH MEDICAL GROUP 15 ESSEX ROAD PARAMUS NJ 07652 223475233 OPERATES URGENT/PRIMARY CARE CLINICS NJ VALLEY HEALTH SYSTEM INC C 0 VALLEY PHYSICIAN SERVICE NY PC 15 ESSEX ROAD PARAMUS NJ 07652 453125678 OPERATES URGENT/PRIMARY CARE CLINICS NY VALLEY HEALTH SYSTEM INC C 0 VHS INSURANCE COMPANY LTD 010 MAIN STREET CAYMAN ISLANDS CJ 980408200 PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE CJ THE VALLEY HOSPITAL INC C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0