2011-11-15T11:36:05-06:00 2010-12-31 O'CONNOR DAVIES MUNNS & DOBBINS LLP 15 ESSEX RD PARAMUS NJ 076521412 990 2010-01-01 221487307 THE VALLEY HOSPITAL INC VALL 2014478000 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 RICHARD KEENAN 2014478000 2011-11-15 1 BRIAN M FLYNN 2017129800 2010 2016-03-07 17:11:31Z RICHARD KEENAN 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 741429867 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. 21 20 4359 1664 2348255 -226191 2830674 18671430 564895227 583869015 9184293 10294933 10280311 9448628 587190505 622284006 0 0 0 0 314242941 304031804 0 0 0 228417530 245027341 542660471 549059145 44530034 73224861 649362772 698448493 169509691 152982470 479853081 545466023 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 373736179 442047734 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 2010, 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 EIGHT CONSECUTIVE YEARS FOR PROVIDING AN OUTSTANDING INPATIENT EXPERIENCE BY J.D. POWER AND ASSOCIATES. THE HOSPITAL'S PATIENT RELATIONS STAFF AND VOLUNTEERS MADE 14,736 PATIENT-RELATED VISITS AND RESPONDED TO 8,347 CALLS; AND PASTORAL CARE STAFF RESPONDED TO 8,890 INQUIRIES AND MADE 95,334 PATIENT AND FAMILY CONTACTS. 67608553 110055669 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 (OPENING IN 2011).-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 2010, THE HOSPITAL PROVIDED MORE THAN $54 MILLION IN UNCOMPENSATED CARE, ATTRIBUTABLE TO CHARITY CARE, BAD DEBT AND MEDICARE AND MEDICAID SHORTFALLS. PATIENTS RECEIVING UNCOMPENSATED CARE IN 2010 INCLUDE PATIENTS WHO WERE TREATED AT VALLEY'S COMMUNITY CARE CLINIC. IN 2010, THE CLINIC RECORDED 9,017 VISITS. VALLEY'S COMMUNITY CARE CLINIC OFFERS SERVICES IN MANY SPECIALTIES INCLUDING: OBSTETRICS, PEDIATRICS, MEDICINE, CARDIOLOGY, AND SURGERY. ALSO IN 2010, HOMEBOUND COMMUNITY MEMBERS RECEIVED MORE THAN $43,000 IN "AT COST" MEALS. VALLEY'S DEPARTMENT OF COMMUNITY HEALTH OFFERS FREE HEART HEALTH EDUCATION PROGRAMS ATTENDED BY MORE THAN 8,200 PEOPLE. PROGRAMS INCLUDED: A WOMAN'S HEART, HYPNOSIS FOR WEIGHT LOSS, REAL MEN HAVE HEARTS, EATING YOUR WAY TO A HEALTHY HEART, NAVIGATING YOUR HEART RHYTHM, GET YOUR PULSE ON DVT, 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 7,983 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 11,457 CONTACTS WITH PEOPLE WHO ATTENDED SCREENINGS, HEALTH FAIRS, COMMUNITY EDUCATION AND VALLEY HEALTH PRIME TIME (SENIOR MEMBERSHIP) PROGRAMS. VALLEY ALSO MADE CONTACT WITH 4,609 PEOPLE WHO ATTENDED SUPPORT GROUPS. 19868329 31765612 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 2010, THE VALLEY HOSPITAL RECORDED 72,188 EMERGENCY DEPARTMENT VISITS AND 8,674 MOBILE INTENSIVE CARE UNIT DISPATCHES. 461213061 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 378 0 1 4359 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 20 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 1424778 0 5335 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 SIDNEY R SMITH JRPHD 3.00 X 0 0 0 THOMAS R BROME ESQ 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 NANCY DAVIDSON 3.00 X 0 0 0 MICHAEL RAHMIN MD 3.00 X 0 0 0 RICHARD D KEENAN 40.00 X 380410 0 558536 PETER SCHWARTZ 40.00 X 237248 0 82910 MARIA MEDIAGO 40.00 X 314839 0 5082 GAIL CALLANDRILLO 40.00 X 302183 0 4935 LINDA LEWIS 40.00 X 295922 0 0 ERIC CAREY 40.00 X 223061 0 2416 MEGAN FRASER 40.00 X 248687 0 4480 ANASTASIOS KOZAITIS 40.00 X 247604 0 6035 ANN MARIE LEICHMAN 40.00 X 253750 0 5238 RUSSELL SHOWERS 40.00 X 199102 0 578 ROBIN G HOLLANDER 40.00 X 493333 0 57980 PETER W DIESTEL 40.00 X 601937 0 5416 MITCHELL RUBINSTEIN 40.00 X 441548 0 2343 JEFFREY LIETO 40.00 X 409863 0 3198 ANNE RAFTERY 40.00 X 334875 0 1178 6409140 0 745660 584 0 1 0 TROJUNEBRANNEN 80 BRIDGE STREET NEWTON MA 02458 ARCHITECTS 5781611 TORCON INC 8 NEWMAN SPRINGS ROAD RED BANK NJ 07701 GENERAL CONTRACTOR 5043459 EMPATH CONSULTING INC 1160 BRICKYARD COVE ROAD SUITE 110 POINT RICHMOND CA 94801 OPERATIONS IMPROVEMENT 3163639 NYU FERTILITY CENTER 660 FIRST AVENUE 5TH FLOOR NEW YORK NY 10016 FERTILITY CENTER 2587040 BERGEN ANESTHESIA GROUP PO BOX 630 FRANKLIN LAKES NJ 07417 ANESTHESIA GROUP 1654895 103 19057883 -386453 18671430 INSURERS AND PATIENTS 621990 379514860 379514860 MEDICARE/MEDICAID PAYM 621990 204354155 204354155 583869015 8378168 8378168 913481 3586940 -2673459 -2673459 -2673459 117430514 45172 115558229 692 1872285 44480 1916765 1916765 VALLEY HEALTH PHARMACY 621990 2348255 2348255 PATIENT COVENIENCE 621990 2318777 2318777 OTHER 621990 2113041 2113041 5342014 5342014 12122087 622284006 593642847 2348255 7621474 2369059 2369059 240832109 208430019 32402090 15967828 13684429 2283399 27402159 23483650 3918509 17460649 14963776 2496873 826293 826293 375318 375318 24947580 15264497 9683083 3911198 51057 3860141 9076918 6841255 2235663 683173 516421 166752 3430196 1935620 1494576 1789816 1789816 38778699 38778699 SUPPLIES 76821155 64530243 12290912 DRUGS 29616526 29616526 PROVISION FOR BAD DEBTS 21632643 21632643 EQUIPMENT RENTAL 15417955 11525877 3892078 BLOOD 4621196 4621196 13098675 3547337 9551338 549059145 461213061 87846084 0 580790 1952050 55766927 53274925 58197720 66587515 599582660 389469411 218342650 210113249 306836859 340426233 9637826 26094521 649362772 698448493 138298014 152982470 31211677 169509691 152982470 X 472575131 538924526 2848623 2112170 4429327 4429327 479853081 545466023 649362772 698448493 X 73224861 -7611919 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4429327 4429327 4429327 4429327 4429327 4429327 1.00000 0 0 14091207 14091207 317608930 190811566 126797364 232576399 188120758 44455641 35306124 10537087 24769037 210113249 622284006 549059145 73224861 3351176 -10963095 -7611919 65612942 586784714 0 586784714 35499292 35499292 622284006 541075120 0 541075120 7984025 7984025 549059145 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN ACCRUED PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS -10,963,095. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGES TO PRIOR YEAR ALLOWANCES AND REIMBURSEMENT ESTIMATES 9,206,388. NET LOSS ON DISPOSITION OF ASSETS 44,480. NET DISTRIBUTUION FROM VALLEY HOSPITAL FOUNDATION 19,057,883. INVESTMENT INCOME 8,378,168. NET REALIZED GAIN ON SALE OF INVESTMENTS 1,872,285. GIFTS,GRANTS,DONATIONS,BEQUESTS & NET ASSETS RELEASED FOR OPERATING PURPOSES -386,453. NET RENTAL LOSS -2,673,459. PART XIII, LINE 4B - OTHER ADJUSTMENTS: NET LOSS ON DISPOSAL OF ASSETS 44,480. STRATEGIC INITIATIVES AND OTHER NON RECURRING ITEMS 5,975,654. NET TRANSFER TO AFFILIATES 1,216,253. VALLEY HEALTH MEDICAL GROUP/VALLEY HEALTH SYSTEM 747,638. 1 1 1 X 1 X 1 1 1 0 0 9673246 466534 9206712 0.01680 3702761 1921007 1781754 0.00320 13376007 2387541 10988466 0.02000 1138322 92567 1045755 0.00190 128868 3600 125268 0.00020 10074 10074 0.00000 16558 16558 0.00000 1293822 96167 1197655 0.00210 14669829 2483708 12186121 0.02210 179640 133067 46573 0.00010 131304 131304 0.00020 310944 133067 177877 0.00030 0 5862446 4689957 197485666 238344177 -40858511 X 1 1 1 1 THE VALLEY HOSPITAL

223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450

X X X NOT REQUIRED 1 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 6A: THE HOSPITAL DOES NOT PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT, HOWEVER, COMMUNITY BENEFIT STATISTICS ARE 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 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 NEEDED 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 $40.9 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 0 0 0 0 0 0 0 0 AUDREY MEYERS 756811 0 313114 0 354853 0 0 0 5335 0 1430113 0 0 0 RICHARD D KEENAN 341934 0 0 0 38476 0 554314 0 4222 0 938946 0 0 0 PETER SCHWARTZ 60148 0 74003 0 103097 0 82080 0 830 0 320158 0 0 0 MARIA MEDIAGO 222615 0 66620 0 25604 0 0 0 5082 0 319921 0 0 0 GAIL CALLANDRILLO 233942 0 28727 0 39514 0 0 0 4935 0 307118 0 0 0 LINDA LEWIS 234215 0 51994 0 9713 0 0 0 0 0 295922 0 0 0 ERIC CAREY 195670 0 26501 0 890 0 0 0 2416 0 225477 0 0 0 MEGAN FRASER 183598 0 48355 0 16734 0 0 0 4480 0 253167 0 0 0 ANASTASIOS KOZAITIS 187781 0 49059 0 10764 0 0 0 6035 0 253639 0 0 0 ANN MARIE LEICHMAN 219339 0 31191 0 3220 0 0 0 5238 0 258988 0 0 0 RUSSELL SHOWERS 180500 0 11500 0 7102 0 0 0 578 0 199680 0 0 0 ROBIN G HOLLANDER 316698 0 98882 0 77753 0 52000 0 5980 0 551313 0 0 0 PETER W DIESTEL 371514 0 210419 0 20004 0 0 0 5416 0 607353 0 0 0 MITCHELL RUBINSTEIN 340476 0 64829 0 36243 0 0 0 2343 0 443891 0 0 0 JEFFREY LIETO 284992 0 72824 0 52047 0 0 0 3198 0 413061 0 0 0 ANNE RAFTERY 251100 0 33305 0 50470 0 0 0 1178 0 336053 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 900 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 FORMS 990 AND FORM 1023 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 GAINS ON INVESTMENTS: 3,351,176. CHANGE IN ACCRUED PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS -10,963,095. TOTAL TO FORM 990, PART XI, LINE 5: -7,611,919. 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. 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 VALLEY HOSPITAL FOUNDATION 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 223475166 SOLICIT,RECEIVE AND APPLY CONTRIBUTIONS FOR THE BENEFIT OF THE HOSPITAL NJ 501(C)(3) 7 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 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 1 1 0 THE VALLEY HOSPITAL FOUNDATION INC C 2667545 THE VALLEY HEALTH SYSTEM Q 1216253 THE VALLEY HOME CARE P 949599 THE VALLEY HOME CARE I 360900 VALLEY PHYSICIAN SERVICES INC Q 350000 VALLEY MEDICAL SERVICES INC P 1526281 VALLEY HOSPITAL FOUNDATION L 1166202 VALLEY HOSPITAL FOUNDATION P 333799 THE VALLEY HEALTH SYSTEM O 1801036