2013-01-29T14:57:19-06:00 2011-12-31 271728945 O'CONNOR DAVIES LLP 15 ESSEX RD PARAMUS NJ 076521412 990 2011-01-01 222324554 THE VALLEY HOSPITAL FOUNDATION INC VALL 2014478000 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 ANATASIOS KOZAITIS 2014478000 2012-12-20 1 EDWARD G O'CONNOR P00434443 2017129800 2011 2016-02-25 16:41:14Z ANASTASIOS KOZAITIS 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 36919989 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. 25 22 0 220 0 0 13485646 18143256 0 0 1796417 1488031 0 0 15282063 19631287 2711345 10224310 0 0 0 0 0 0 1405191 1598606 2255356 4309951 12479666 10972112 7151621 63810326 70563847 1432287 2560636 62378039 68003211 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 9000000 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. 1149310 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. 75000 GRANTS AND ALLOCATION TO THE FOLLOWING ORGANIZATIONS: $5,000 ADLER APHASIA CENTER, $8,000 COMMUNITY MEALS, INC, $8,000 THE CHILDREN'S THERAPY CENTER, $24,500 PONY POWER THERAPIES, INC, $6,500 CHILDREN'S AID & FAMILY SERVICES, $7,500 RIDGEWOOD PUBLIC LIBRARY, $5,000 WEST BERGEN MENTAL HEALTHCARE, $5,500 YWCA OF BERGEN COUNTY, $5,000 INSTITUTE FOR EDUCATIONAL ACHIEVEMENT. 10224310 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 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 25 22 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NJ X X THE VALLEY HOSPITAL 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 AUDREY MEYERS 0.50 X 0 1946776 41593 THOMAS P PALMER 0.50 X X 0 0 0 FRANK MANGINELLO MD 0.50 X 0 727792 39973 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 0.50 X 0 0 0 FRANK GALLAGHER 0.50 X 0 0 0 JANET E HUNT 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 ANASTASIOS KOZAITIS 40.00 X 0 276643 43191 0 2951211 124757 0 0 1 0 ADVANCED MARKETING 99 THIELMAN DRIVE BUFFALO NY 14206 DIRECT MAILING 183986 1 18143256 7807038 18143256 1211850 1211850 17564883 17288702 276181 276181 276181 19631287 0 0 1488031 10224310 10224310 400 400 6135 6135 300759 300759 30097 30097 6368 6368 4278 4278 PAYROLL & BENEFITS REIM 1276011 1276011 WRITE-DOWN OF PLEDGES 441262 441262 PROGRAM & SPECIAL EVENT 129180 129180 OUTSIDE SERVICE FEES 24864 24864 36002 36002 12479666 10224310 850165 1405191 368861 143603 7999796 4604806 55441669 65815438 63810326 70563847 1432287 2560636 1432287 2560636 X 29540484 34102044 27200519 27555530 5637036 6345637 62378039 68003211 63810326 70563847 X 7151621 -1526449 X X 0 1 1 X 0 X 7176899 29811922 11453923 13485646 18143256 80071646 7176899 29811922 11453923 13485646 18143256 80071646 0 0 0 80071646 1387841 1437175 1163392 1796417 1211850 6996675 1387841 1437175 1163392 1796417 1211850 6996675 8564740 31249097 12617315 15282063 19355106 87068321 0.91960 0.90900 0.08040 0.09100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9272705 763210 24634 135118 9925431 7974950 368868 955220 26333 9272705 6693224 497758 789652 5684 7974950 3908776 1698370 1086078 6693224 0.36000 0.64000 0.00000 0 0 0 19631287 12479666 7151621 -1526449 -1526449 5625172 18104838 -1526449 -1526449 19631287 0 19631287 12479666 0 12479666 0 12479666 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION. THE ORGANIZATION IS NO LONGER SUBJECT TO AUDITS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2008. 1 THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 9000000 CAPITAL PROJECTS THE CHILDREN'S THERAPY CENTER 29-01 BERKSHIRE ROAD FAIR LAWN NJ 07410 221508549 501(C)(3) 8000 EQUIPMENT FOT UPPER SCHOOL SPEECH THERAPY DEPT. COMMUNITY MEALS INC CO CHRIST CHURCH 105 COTTAGE PLACE RIDGEWOOD NJ 07450 221976783 501(C)(3) 8000 SUPPORT FOR SUBSIDIZED MEALS TO THE HOME BOUND CHILDREN'S AID & FAMILY SERVICES 200 ROBIN ROAD PARAMUS NJ 07652 221487147 501(C)(3) 6500 BOARDER BABIES PROGRAMS YWCA OF BERGEN COUNTY 112 OAK STREET RIDGEWOOD NJ 07450 221508752 501(C)(3) 5500 "LIVING STRONG LIVING WELL" PROGRAM WEST BERGEN MENTAL HEALTH 120 CHESTNUT STREET RIDGEWOOD NJ 07450 222379139 501(C)(3) 5000 CHILDREN'S SOCIAL ANXIETY PROGRAM PONY POWER THERAPIES INC 1170 RAMAPO VALLEY ROAD MAHWAH NJ 07430 203210841 501(C)(3) 24500 THERAPEUTIC HORSE RIDING TO PEOPLE WITH SPECIAL NEEDS ADLER APHASIA CENTER 60 WEST HUNTER AVENUE MAYWOOD NJ 07607 020687863 501(C)(3) 5000 FUND PART-TIME SOCIAL WORKER TO ASSIST IN ACCESSING PUBLIC SERVIES, ENTILTLEMENTS & PROVIDE COUNSELING RIDGEWOOD PUBLIC LIBRARY 125 NORTH MAPLE AVENUE RIDGEWOOD NJ 07450 223845417 501(C)(3) 7500 DEVELOP EDUCATIONAL WELLNESS PARTNERSHIP WITH WELLNESS CENTER INSTITUTE FOR EDUCATIONAL ACHIEVEMENT 381 MADISON AVENUE NEW MILFORD NJ 07646 223391706 501(C)(3) 5000 OFFSET COST OF PROVIDING INDIVIDUALIZED INSTRUCTION BY STAFF AND ADDITIONAL TRAINING THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 1149310 DONOR DESIGNATED SPECIAL PROGRAMS AND SERVICES 0 0 0 0 0 0 0 0 0 AUDREY MEYERS 0 822338 0 1077201 0 47237 0 20583 0 21010 0 1988369 0 339540 FRANK MANGINELLO MD 0 722644 0 0 0 5148 0 22654 0 17319 0 767765 0 0 ANASTASIOS KOZAITIS 0 205310 0 64766 0 6567 0 15675 0 27516 0 319834 0 0 X 13 7807038 FAIR MARKET VALUE 0 1 0 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,526,449. 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 N/A 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 N/A 0 VALLEY MEDICAL SERVICES INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 223260998 PROVIDE THE VALLEY HOSPITAL WITH EMPLOYED PHYSICIANS AND CONSULTING SERVICES NJ 501(C)(3) 3 N/A 0 VALLEY PHYSICIAN SERVICES INC 15 ESSEX ROAD PARAMUS NJ 07652 320041186 PROVIDES MEDICAL CARE AND CARRY OUT THE PURPOSES OF THE VALLEY HOSPITAL NJ 501(C)(3) 3 N/A 0 VALLEY HEALTH SYSTEM INC 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 222922016 PROVIDES MANAGEMENT AND PLANNING SERVICES TO ITS MEMBERS NJ 501(C)(3) 3 N/A 0 VALLEY HEALTH MEDICAL GROUP NJPC 15 ESSEX ROAD PARAMUS NJ 07652 223475166 OPERATES URGENT/PRIMARY CARE CLINICS NJ N/A C VALLEY HEALTH MEDICAL GROUP 15 ESSEX ROAD PARAMUS NJ 07652 223475233 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 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 THE VALLEY HOSPITAL INC B 10149310 THE VALLEY HOSPITAL INC O 408900 THE VALLEY HOSPITAL INC K 1405191 VALLEY HOME CARE INC Q 732335