2011-11-15T10:00:35-06:00 2010-12-31 O'CONNOR DAVIES MUNNS & DOBBINS LLP 15 ESSEX RD PARAMUS NJ 076521412 990 2010-01-01 222324554 THE VALLEY HOSPITAL FOUNDATION INC VALL 2014478000 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 ANATASIOS KOZAITIS 2014478000 2011-08-15 1 BRIAN M FLYNN 2017129800 2010 2016-03-07 17:11:31Z ANASTASIOS KOZAITIS 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 26087282 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. 22 21 0 146 0 0 11453923 13485646 0 0 1163392 1796417 0 0 12617315 15282063 2417745 2711345 0 0 0 0 0 0 1166202 22196611 1598606 24614356 4309951 -11997041 10972112 51898514 63810326 1439280 1432287 50459234 62378039 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 2000000 THE VALLEY HOSPITAL FOUNDATION IS TESTING THE CURRENT ECONOMIC CLIMATE AND HOPES THAT IT WILL ONE DAY IN THE COMING 24 MONTHS ANNOUNCE A NEW CAMPAIGN. IN THE MEANTIME, 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 $60 MILLION IN COMMITMENTS. 652300 THE FOUNDATION CONTINUES TO PLACE IMPORTANCE ON ITS ANNUAL FUND. WHEN PLANNED GIFTS ARE INCLUDED, THE FOUNDATION RAISES ANNUALLY MORE THAN $5 MILLION FOR SPECIFIC HOSPITAL PROJECTS, INCLUDING PATIENT AND STAFF EDUCATION, COMMUNITY CARE, AND TECHNOLOGICAL EQUIPMENT. 59045 GRANTS AND ALLOCATION TO THE FOLLOWING ORGANIZATIONS: $8,000 THE CHILDREN'S THERAPY CENTER, $7,000 COMMUNITY MEALS, INC, $6,500 CHILDREN'S AID & FAMILY SERVICES, $5,000 WEST BERGEN MENTAL HEALTHCARE, $5,000 RIDGEWOOD YMCA, $15,245 THE VALLEY HOSPITAL INNOVATION GRANT, $2,500 PUSH TO WALK, $9,800 PONY POWER THERAPIES, INC. 2711345 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 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 22 21 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 0 0 0 STEPHEN J ERRICO 0.50 X 0 0 0 ROBERT G GUTENSTEIN 0.50 X X 0 0 0 AUDREY MEYERS 0.50 X 0 1424778 5335 THOMAS P PALMER 0.50 X 0 0 0 FRANK MANGINELLO MD 0.50 X 0 754013 2785 KEVIN FEE 0.50 X 0 0 0 BARNETT BUZZ RUKIN 0.50 X 0 0 0 LAWRENCE C SALAMENO 0.50 X 0 0 0 SCOTT SCHROEDER 0.50 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 ANASTASIOS KOZAITIS 40.00 X 0 247604 6035 0 2426395 14155 0 0 1 0 0 13485646 189510 13485646 1344689 1344689 11256947 10805219 451728 451728 451728 15282063 0 0 1796417 2711345 2711345 9362 9362 301868 301868 23700 23700 3914 3914 2588 2588 PAYROLL & BENEFITS REIM 1073874 1073874 PROGRAM & SPECIAL EVENT 92328 92328 WRITE-DOWN OF PLEDGES 32993 32993 EQUIPMENT RENTAL & MAIN 18396 18396 OTHER EXPENSES 14003 14003 25580 25580 4309951 2711345 432404 1166202 3001213 368861 1472765 7999796 47424536 55441669 51898514 63810326 1439280 1432287 1439280 1432287 X 34381304 29540484 10683528 27200519 5394402 5637036 50459234 62378039 51898514 63810326 X 10972112 946693 X X 0 1 1 X 0 X 6004301 7176899 29811922 11453923 13485646 67932691 6004301 7176899 29811922 11453923 13485646 67932691 0 0 0 67932691 1017225 1387841 1437175 1163392 1796417 6802050 1017225 1387841 1437175 1163392 1796417 6802050 7021526 8564740 31249097 12617315 15282063 74734741 0.90900 0.93200 0.09100 0.06800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8841948 368868 955220 26333 10139703 6693224 1364756 789652 5684 8841948 3908776 1698370 1086078 6693224 0.44000 0.56000 0.00000 0 0 0 15282063 4309951 10972112 946693 946693 11918805 16228756 946693 946693 15282063 0 15282063 4309951 0 4309951 0 4309951 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, 2007. 1 THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 2000000 CAPITAL PROJECTS THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 652300 DONOR DESIGNATED SPECIAL PROGRAMS AND SERVICES 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) 7000 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 THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 8005 INNOVATION GRANTS: FALL RISK PREDICTIVE TOOL RIDGEWOOD YMCA 112 OAK STREET RIDGEWOOD NJ 07450 221508752 501(C)(3) 5000 "LIVING STRONG LIVING WELL" PROGRAM THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 7240 INNOVATION GRANTS: ISU-USA PUSH TO WALK 6 NORTH CORPORATE DR RIVERDALE NJ 07457 208059368 501(C)(3) 2500 TRAINER EDUCATION FOR EXERCISE AND RECOVERY 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) 9800 THERAPEUTIC HORSE RIDING TO PEOPLE WITH SPECIAL NEEDS 0 0 0 0 0 0 0 0 0 AUDREY MEYERS 0 756811 0 313114 0 354853 0 0 0 5335 0 1430113 0 1391062 FRANK MANGINELLO MD 0 744336 0 0 0 9677 0 0 0 2785 0 756798 0 730885 ANASTASIOS KOZAITIS 0 187781 0 53952 0 5871 0 0 0 6035 0 253639 0 209835 X 13 189510 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 FINANCE 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 GAINS ON INVESTMENTS: 946,693. 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 PROVIDE 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 PROVIDE 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 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 320041186 PROVIDE 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 PROVIDE 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 IN NORTHEAST NEW JERSEY NJ N/A C VALLEY HEALTH MEDICAL GROUP 15 ESSEX ROAD PARAMUS NJ 07652 223475233 OPERATES URGENT/PRIMARY CARE CLINICS IN NORTHEAST NEW JERSEY NJ N/A C 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 THE VALLEY HOSPITAL B 2667545 THE VALLEY HOSPITAL O 333799 THE VALLEY HOSPITAL K 1166202 VALLEY HOME CARE INC Q 287779