2022-12-12T10:40:46-06:00 2020-12-31 271728945 PKF O'CONNOR DAVIES LLP 300 TICE BOULEVARD SUITE 315 WOODCLIFF LAKE NJ 07677 990 2020-01-01 221487307 THE VALLEY HOSPITAL INC VALL 2014478000 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 WILLIAM KLUTKOWSKI VP FINANCE & CFO 2014478000 2022-12-09 1 WILLIAM KLUTKOWSKI 999009999 EDWARD G O'CONNOR P00434443 2017129800 2022-12-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X WILLIAM KLUTKOWSKI 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 1482735706 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. 18 17 4156 1301 5424898 0 368715 90953885 828330166 761188083 14015516 33006001 17427712 12249054 860142109 897397023 0 79111186 0 0 330964627 405415923 0 0 0 415847045 358963016 746811672 843490125 113330437 53906898 1846770409 2094706375 670082760 779283273 1176687649 1315423102 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 651332157 79111186 761622455 THE VALLEY HOSPITAL IN RIDGEWOOD, NEW JERSEY IS A FULLY ACCREDITED, ACUTE CARE, NOT-FOR-PROFIT HOSPITAL SERVING MORE THAN 440,000 PEOPLE IN 32 TOWNS IN BERGEN COUNTY AND ADJOINING COMMUNITIES. THE VALLEY HOSPITAL IS PART OF VALLEY HEALTH SYSTEM, A REGIONAL HEALTHCARE SYSTEM THAT SERVES RESIDENTS IN NORTHERN NEW JERSEY AND SOUTHERN NEW YORK. IT COMPRISES THE VALLEY HOSPITAL, VALLEY HOME CARE, AND VALLEY MEDICAL GROUP. AS A NOT-FOR-PROFIT HOSPITAL, VALLEY IS COMMITTED TO GIVING BACK TO THE COMMUNITY. VALLEY SERVES THE COMMUNITY BY PROVIDING THOUSANDS OF HOURS OF HEALTHCARE EDUCATION AND SCREENINGS, SUPPORT GROUPS, AND CLASSES TO ASSIST THOSE IN NEED, AND CARE TO ALL THOSE WHO COME THROUGH OUR DOORS, REGARDLESS OF THEIR ABILITY TO PAY. VALLEY'S CURRENT LICENSED CAPACITY IS 431 BEDS. BERGEN COUNTY IS PREDOMINANTLY WHITE AND NON-HISPANIC. THERE ARE 955,732 RESIDENTS IN THE 233.01 SQUARE MILES OF BERGEN COUNTY, NJ. THE POPULATION IS 21% HISPANIC AND 17% ASIAN. THE MEDIAN HOUSEHOLD INCOME IS $101,144. RESIDENTS ARE GENERALLY WELL-EDUCATED AND HAVE HIGHER GRADUATION RATES THAN NJ AS A WHOLE AND THE U.S. AS A WHOLE. THE VALLEY HOSPITAL EMPLOYS PEOPLE WHO REPRESENT AND LIVE IN THE COMMUNITIES WE SERVE. MORE THAN 3,600 EMPLOYEES CONSTITUTE THE VALLEY HOSPITAL.ON MARCH 14, 2020, VALLEY ADMITTED ITS FIRST PATIENT WITH COVID-19. THE YEAR THAT FOLLOWED BROUGHT UNPRECEDENTED PROFESSIONAL AND DEEPLY PERSONAL CHALLENGES FOR THE COMMUNITY. THROUGHOUT THE CRISIS, VALLEY'S EMPLOYEES HEROICALLY STEPPED UP AND, REGARDLESS OF THEIR USUAL ROLE, MET RAPIDLY CHANGING NEEDS. OVER 2,660 COVID-19 PATIENTS CAME THROUGH THE DOORS OF THE HOSPITAL IN 2020. VALLEY LAUNCHED A MAJOR REMOTE WORKFORCE ALLOWING THE PROVISION OF SUPPORT SERVICES IN ALL CLINICAL AREAS TO CARE FOR COVID-19 PATIENTS. NURSING UNITS WERE RETROFITTED TO CARE FOR CRITICALLY ILL PATIENTS THROUGH THE CREATION OF OVER 200 NEGATIVE PRESSURE ROOMS. BY RETROFITTING ROOMS TO ALLOW INFUSION PUMPS TO REMAIN OUTSIDE ROOMS, STAFF SAFETY IMPROVED AND SCARCE PPE WAS PRESERVED. OUR PARAMEDICS TRANSITIONED FROM TRAVELING IN SUV/PICKUPS IN TO AMBULANCES SO THAT WHEN THERE WAS A SUSPECTED COVID-19 CASE AND NO ONE ELSE RESPONDED, THEY WOULD BE ABLE TO TRANSPORT THE PATIENT WITHOUT DELAY. MANY OF THE TOWNS DID NOT RESPOND TO COVID CASES FOR MANY MONTHS. STAFF WAS REDEPLOYED TO ADDRESS SYSTEM ISSUES. REDEPLOYED STAFF WAS CROSS-TRAINED AND RE-TRAINED TO SUPPORT SYSTEM NEEDS. SOME NEW POSITIONS STAFFED BY REDEPLOYED EMPLOYEES INCLUDED RUNNERS, LAUNDRY STAFF, CLEANING STAFF, PRONATION TEAM, AND TEMPERATURE MONITORS. A COVID 19 SCREENING HOTLINE WAS ESTABLISHED FOR PEOPLE TO SPEAK DIRECTLY WITH A NURSE REGARDING COVID CONCERNS. ADDITIONALLY, SWAB AND GO SITES FOR SICK PATIENTS TO BE CARED FOR OUTSIDE OF THE OFFICE SETTING WAS SET UP, WHICH HELPED PRESERVE PPE AND REDUCE COVID TRANSMISSION TO STAFF. WHEN THE PANDEMIC STRUCK, SOCIAL WORKERS UNITED WITH FLOOR NURSES TO MEET THE UNCERTAIN NEEDS OF OUR COVID PATIENTS. THEY BECAME THE LIAISONS, LINKING PATIENTS AND FAMILIES NOW SEPARATED DUE TO VISITATION RESTRICTIONS. BY APRIL 2020, OUR HOSPITAL WAS AT 80% COVID-POSITIVE CAPACITY. PARTNERSHIP WITH THE PALLIATIVE CARE STAFF BECAME EVEN MORE ESSENTIAL, AS FAMILIES FACED DIFFICULT, HEART-WRENCHING DECISIONS. MORE THAN EVER, FAMILIES NEEDED COMMUNICATION AND SUPPORT TO DEAL WITH THEIR FEARS, PAIN, SADNESS, AND LOSS. WE COLLABORATED WITH HOSPICE SOCIAL WORKERS WHO HAD DEVELOPED BEREAVEMENT OUTREACH PLANS FOR FAMILIES WHO EXPERIENCED A LOSS. SADLY, MANY OF OUR ELDERLY PATIENTS PASSED AWAY. LOCAL NURSING HOMES TRANSFERRED TO US MANY RESIDENTS DIAGNOSED WITH COVID-19, THEN WORKED WITH US TO DEVELOP PATHWAYS FOR PATIENTS WHO SURVIVED TO RETURN TO THOSE FACILITIES. COLLABORATION WITH FUNERAL HOMES WAS AT ITS PEAK. IN 2020, 41,345 INDIVIDUALS WERE ADMITTED TO VALLEY, 51,792 PEOPLE WERE TREATED IN THE EMERGENCY DEPARTMENT, AND 3,528 BABIES WERE BORN. IN ADDITION TO ITS "CENTERS OF EXCELLENCE" IN CARDIAC/HEART FAILURE, DIABETES, ONCOLOGY, PULMONARY, GERIATRICS, TOTAL JOINT, AND NEUROVASCULAR, VALLEY ALSO OFFERS THE SERVICES OF A COMPREHENSIVE CANCER CENTER, CENTER FOR CHILDBIRTH, CENTER FOR MINIMALLY INVASIVE AND ROBOTIC SURGERY, A TOTAL JOINT REPLACEMENT CENTER, A NEUROSCIENCE CENTER, A CENTER FOR METABOLIC SURGERY AND WEIGHT-LOSS MANAGEMENT, A CENTER FOR SLEEP MEDICINE, THE GAMMA KNIFE CENTER, AND THE KIREKER CENTER FOR CHILD DEVELOPMENT, AMONG OTHERS. BERGEN COUNTY HAS THE SECOND HIGHEST PERCENTAGE OF ADULTS 65 AND OVER AMONG ALL COUNTIES IN NEW JERSEY. PEOPLE OVER THE AGE 65 MAKE UP 17.7% OF BERGEN COUNTY RESIDENTS COMPARED TO NEW JERSEY OVERALL AT 16.6%. VALLEY HEALTH PRIMETIME WAS CREATED TO HELP OLDER ADULTS STAY HEALTHY BY TEACHING THEM GOOD HEALTH AND PROVIDING OPPORTUNITIES TO REMAIN SOCIALLY ACTIVE. IN 2020, VALLEY HEALTH PRIMETIME TRANSITIONED TO VIRTUAL PROGRAMS AND OFFERED 34 FREE, VIRTUAL PROGRAMS TO OVER 930 OLDER ADULTS. EACH YEAR, VALLEY DINING PREPARES OVER 23,000 MEALS FOR COMMUNITY MEALS, INC. AND FINANCIAL RESOURCES TO SUPPORT HOMEBOUND OLDER ADULTS IN VALLEY'S SERVICE AREA. VALLEY'S COMMUNITY CARE CLINIC HAD 4,716 VISITS IN 2020. THEY PROVIDE CARE AT NO COST TO THE PATIENTS WHO QUALIFY IN 16 (MEDICAL, NEUROLOGY, GI, GENERAL SURGERY, BREAST SURGERY, RHEUMATOLOGY, OPHTHALMOLOGY, GYN, OB, PEDIATRICS, PULMONARY, CARDIOLOGY, PAIN, DERMATOLOGY, ORTHOPEDICS, AND UROLOGY) SPECIALTY CLINICS. THEY CONTINUE TO PROVIDE CARE TO CHILDREN IN FOSTER CARE IN BERGEN AND PASSAIC COUNTIES THAT REQUIRE COMPLEX MEDICAL AND SUBSPECIALTY CARE. COMMUNITY EDUCATION CLASSES WERE ORIGINALLY DESIGNED AS IN-PERSON SESSIONS, BUT WHEN THE PANDEMIC HIT, THE COMMUNITY HEALTH DEPARTMENT QUICKLY ASSESSED HOW TO OFFER CLASSES VIRTUALLY. OVER 9,400 PEOPLE PARTICIPATED IN FREE EDUCATION PROGRAMS IN PERSON AND VIRTUALLY IN 2020, AND 586 PEOPLE PARTICIPATED IN FREE SCREENINGS PROVIDED BY VALLEY PRIOR TO THE COVID-19 PANDEMIC. OVER 500 PEOPLE PARTICIPATED IN BLOOD PRESSURE SCREENING CLINICS PRIOR TO THE COVID-19 PANDEMIC, AND 1,128 PEOPLE PARTICIPATED IN PROGRAMS ON CARDIAC AND STROKE. SOME PROGRAM TOPICS INCLUDE MANAGING BLOOD PRESSURE, HEART HEALTH JEOPARDY, HEART VALVE SURGERY, C-REACTIVE PROTEIN, WOMEN TAKE HEART, AND ATRIAL FIBRILLATION. VALLEY ALSO HOSTS A STROKE SUPPORT GROUP WITH APPROXIMATELY 15 PARTICIPANTS EACH MONTH.VALLEY'S FREE COMPREHENSIVE HEART SCREENING, A PROGRAM DESIGNED TO IDENTIFY A PERSON'S POTENTIAL RISK FOR HEART DISEASE AND HELP PATIENTS TAKE STEPS TO PREVENT IT, HAD 259 PARTICIPANTS.IN 2020, 246 PEOPLE PARTICIPATED IN CANCER EDUCATION PROGRAMS. THYROID, MAMMOGRAMS, SKIN CANCER, PROSTATE, GENETICS, COLON CANCER, AND NUTRITION AND CANCER WERE TOPICS OF INTEREST. OVER 1,000 PEOPLE ATTENDED FREE SUPPORT GROUPS OFFERED BY VALLEY IN 2020. OVER 1,800 PEOPLE ATTENDED MENTAL HEALTH AND SUBSTANCE ABUSE EDUCATION PROGRAMS ON TOPICS INCLUDING POSITIVE COPING, MANAGING STRESS, COPING WITH COVID, STRESS IN STUDENTS, AND MINDFULNESS. PROGRAMS ON FIBROMYALGIA, JOINT PAIN, AND BACK PAIN HAD AN AUDIENCE OF 127 PEOPLE. 651332157 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 233 0 4156 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 1 0 1 1 1 1 1 0 0 1 1 0 0 1 1 1 1 0 NJ X WILLIAM KLUTKOWSKI 2014478000 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 AUDREY MEYERS PRESIDENT/CEO, VHS 18.00 22.00 X X 0 1842384 45085 VINCENT FORLENZA CHAIRMAN 0.10 0.40 X X 0 0 0 FRANK J SHEEHY VICE CHAIRMAN 0.10 0.40 X X 0 0 0 JOSEPH MARION TREASURER 0.10 0.40 X X 0 0 0 ANN LIMBERG SECRETARY 0.10 0.40 X X 0 0 0 EDWARD B SELF MD TRUSTEE 0.10 0.40 X 0 0 0 STEVEN SILVERSTEIN TRUSTEE 0.10 0.40 X 0 0 0 MICHELLE HASSON TRUSTEE 0.10 0.40 X 0 0 0 BRUCE MACTAS TRUSTEE 0.10 0.40 X 0 0 0 JUDY BASELICE TRUSTEE 0.10 0.40 X 0 0 0 DUANE SACHS TRUSTEE 0.10 0.40 X 0 0 0 SCOTT SCHROEDER TRUSTEE 0.10 0.40 X 0 0 0 JEFFREY S TUCKER TRUSTEE 0.10 0.40 X 0 0 0 PATRICIA VERDUIN TRUSTEE 0.10 0.40 X 0 0 0 DENIS SALAMONE TRUSTEE 0.10 0.40 X 0 0 0 KEVIN LOBO TRUSTEE 0.10 0.40 X 0 0 0 WAYNE WALD TRUSTEE 0.10 0.40 X 0 0 0 JAMES BUSH TRUSTEE 0.10 0.40 X 0 0 0 RICHARD KENNAN SR VP FINANCE & CFO THRU 8/2020 32.00 8.00 X 0 1159434 37643 WILLIAM KLUTKOWSKI VP & CFO EFF. 3/2020 10.00 30.00 X 0 664987 51335 JOSEPH YALLOWITZ VP & CHIEF MEDICAL OFFICER 40.00 X 733203 0 44360 ANN MARIE LEICHMAN SR VP/CNO PATIENT CARE SVC 40.00 X 679658 0 40260 JULIA KARCHER VP, ADMINISTRATION 40.00 X 501339 0 36286 KARTEEK BHAVSAR VP, ADMINISTRATION 40.00 X 496829 0 21225 JULIE W LO CHIEF PHYSICIST 40.00 X 302676 0 36069 BETTYANN KEMPIN ASST VP, ONCOLOGY 40.00 X 289568 0 45183 BRAD HASPEL ASST VP,ANCILLARY SERVICES 40.00 X 303033 0 26730 STACY MACK ASST VP, HEART & VASCULAR 40.00 X 289710 0 42706 CHARLES VANNOY ASST VP, WOMEN'S/CHILDREN'S 40.00 X 286267 0 42193 3882283 3666805 469075 648 0 1 0 TORCON INC 328 NEWMAN SPRINGS ROAD RED BANK NJ 07701 GENERAL CONTRACTOR 28971707 HDR ARCHITECTURE 1917 SOUTH 67TH STREET OMAHA NE 68106 ARCHITECTURAL 7292566 BERGEN ANESTHESIA GROUP PC 500 WEST MAIN STREET SUITE 16 WYCKOFF NJ 07481 ANESTHESIA 4950765 VIZIENT PO BOX 742081 ATLANTA GA 30374 TEMPORARY STAFFING 2874433 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS PA 55480 ARCHITECTURAL 1400960 109 16320525 74633360 90953885 NET PATIENT SERVICE REVENUE 621990 759893629 759893629 HEALTH AND WELLNESS CENTER 713940 1294454 1294454 761188083 17853636 17853636 5177589 6498070 -1320481 -1320481 -1320481 593087841 905137 578468647 371966 14619194 533171 15152365 15152365 VALLEY HEALTH PHARMACY 621990 5424898 5424898 PURCHASE DISCOUNTS AND REBATES 900099 3170400 3170400 OTHER 900099 3008668 3008668 1965569 434372 1531197 13569535 897397023 761622455 5424898 39395785 79111186 79111186 3128458 2596620 531838 268047003 223396816 44650187 89375624 74485930 14889694 27043264 22538178 4505086 17821574 14852500 2969074 332302 332302 125004 125004 44419339 38321898 6097441 743527 480870 262657 3824841 2066227 1758614 16176546 5076335 11100211 334434 296893 37541 2429876 2326324 103552 3773862 3773862 53556077 53556077 SUPPLIES 103614323 2274638 101339685 DRUGS 83660496 83660496 EQUIPMENT RENTALS 20863566 17408484 3455082 PROVISION FOR BAD DEBT 20262213 20262213 4846610 4846610 843490125 651332157 192157968 0 417736565 374451825 74960105 82284585 21306934 21941066 10016461 20973725 1287107230 804401543 404402827 482705687 752358675 955814648 115203 0 165873639 156534839 1846770409 2094706375 111733591 229434263 400728310 384730219 59586984 58953806 98033875 106164985 670082760 779283273 X 1170107959 1308757553 6579690 6665549 1176687649 1315423102 1846770409 2094706375 X 53906898 8200223 76628332 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 92962762 92962762 560160453 378192162 181968291 471966801 424951995 47014806 162017214 1257386 160759828 482705687 ASSETS HELD BY RELATED ORGANIZATION 42753788 DEFERRED FINANCING COSTS AND OTHER ASSETS 113781051 156534839 ACCRUED BOND INTEREST PAYABLE 7365827 AMOUNT DUE TO THIRD PARTY PAYERS AND OTHER LIABILITIES 59423352 ESTIMATED PROFESSIONAL MEDICAL LIABILITY 32146623 CAPEX BENEFIT LIABILITY 7229183 106164985 X 886013818 8200223 8200223 877813595 19583428 19583428 897397023 824439870 1706140 1706140 822733730 20756395 20756395 843490125 PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION IN 2020 OR 2019. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS OFFSET AGAINST REVENUE 20,262,213. RENTAL LOSS INCLUDED IN STRATEGIC INITIATIVES -1,706,138. CONTRIBUTIONS FROM COLIGOCARE, LLC 494,182. LOSS ON DISPOSITION OF ASSETS 533,171. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL LOSS INCLUDED IN STRATEGIC INITIATIVES 1,706,138. ROUNDING 2. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT PROVISION OFFSET AGAINST REVENUE 20,262,213. CONTRIBUTIONS FROM COLIGOCARE, LLC 494,182. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 8618137 8618137 0.01020 20309096 13690761 6618335 0.00780 28927233 13690761 15236472 0.01800 2877584 77854 2799730 0.00330 1696484 1696484 0.00200 2360986 2360986 0.00280 2371613 2371613 0.00280 334714 220 334494 0.00040 9641381 78074 9563307 0.01130 38568614 13768835 24799779 0.02930 317175 86131 231044 0.00030 26739 26739 0.00000 80724 80724 0.00010 424638 86131 338507 0.00040 0 20262213 8712752 216885920 327576426 -110690506 X 1 1 1 1 THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 X THE VALLEY HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X WWW.VALLEYHEALTH.COM/SERVICES/COMMUNITY-HEALTH X 1 19 1 WWW.VALLEYHEALTH.COM/SERVICES/COMMUNITY-HEALTH 0 1 X 200.000000000000 500.000000000000 X 1 1 X X X 1 X WWW.VALLEYHEALTH.COM/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X WWW.VALLEYHEALTH.COM/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X WWW.VALLEYHEALTH.COM/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 1 X X X X 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE VALLEY HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL'S CHNA WAS COMPLETED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: CHRISTIAN HEALTH CARE CENTER (RAMAPO RIDGE PSYCHIATRIC HOSPITAL), ENGLEWOOD HOSPITAL AND MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACKUMC AT PASCACK VALLEY AND HOLY NAME MEDICAL CENTER. THE VALLEY HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL'S CHNA WAS ALSO COMPLETED WITH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY AND THE DEPARTMENT OF HEALTH. THE VALLEY HOSPITAL PART V, SECTION B, LINE 11: THE VALLEY HOSPITAL CHNA IDENTIFIED EIGHTEEN (18) AREAS OF OPPORTUNITY. THESE AREAS WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. WE WILL BE ADDRESSING 16 OF THE 18 AREAS BY:- IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT.- CONTINUE TO OFFER COMMUNITY CARE CLINIC- EXPAND REACH TO UNDERSERVED AND SPECIAL POPULATIONS- EXPAND PRIMARY AND PREVENTATIVE CARE, AND ENHANCE ACCESS AND CONVENIENCE OF PROVIDER SERVICES.- CONTINUE TO OFFER PROGRAMS, SERVICES AND SUPPORT GROUPS TO PROMOTE POSITIVE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE- INCREASE ACCESS TO IMMUNIZATIONS AND REDUCE INFECTIOUS DISEASETHE TWO AREAS NOT COVERED ARE CHILDREN'S DENTAL CARE AND CHILDREN'S PHYSICAL ACTIVITY. THEY WILL NOT BE ADDRESSED BECAUSE:CHILDREN'S DENTAL CARE- HOSPITAL DOES NOT HAVE THE EXPERTISE TO EFFECTIVELY ADDRESS CHILDREN'S DENTAL CARE. ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED. NEED IS NOT AS PRESSING AS OTHER PROBLEMS.CHILDREN'S PHYSICAL ACTIVITY INITIATIVES ARE INCLUDED IN OUR EFFORTS TO IMPROVE HEALTH STATUS HOWEVER WE CHOSE TO ADDRESS ACTIVITY INITIATIVES FOR ALL AGE LEVELS, NOT SPECIFICALLY CHILDREN ONLY. SCHEDULE H, PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY ENGAGING INDIVIDUALS ACROSS BERGEN COUNTY TO PARTICIPATE IN THE ASSESSMENT AND PLANNING PROCESS. REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE PROVIDERS; COUNTY LEADERSHIP AND STAFF; FAITH LEADERS; COMMUNITY RESIDENTS; HOSPITAL LEADERSHIP, CLINICIANS AND STAFF; COMMUNITY AND PUBLIC HEALTH OFFICIALS; AND COMMUNITY ORGANIZERS AND ADVOCATES PARTICIPATED IN THE PROCESS. EACH REPRESENTATIVE ORGANIZATION ON THE STEERING COMMITTEE SUBMITTED A LIST OF KEY INFORMANTS THAT COULD PROVIDE A DEEP AND BROAD PERSPECTIVE ON THE HEALTH-RELATED NEEDS OF THE COUNTY AND BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH APPROXIMATELY 80 COMMUNITY STAKEHOLDERS THROUGHOUT THE COUNTY. THE INTERVIEWS CONFIRMED AND/OR REFINED THE FINDINGS FROM QUANTITATIVE DATA SOURCES AND PROVIDED VALUABLE INSIGHT ON COMMUNITY NEED, COMMUNITY HEALTH PRIORITIES, SEGMENTS OF THE POPULATION MOST AT-RISK AND COMMUNITY HEALTH ASSETS. TO FURTHER-ENGAGE COMMUNITY RESIDENTS AND STAKEHOLDERS, INCLUDING SEGMENTS THAT ARE TYPICALLY HARD TO REACH, A MAIL-BASED RANDOM HOUSEHOLD SURVEY WAS DISTRIBUTED TO MORE THAN 4,000 RANDOMLY IDENTIFIED HOUSEHOLDS IN THE COUNTY. IN ALL, 1,372 COMMUNITY RESIDENTS RESPONDED TO THE SURVEY.THE FOLLOWING INDIVIDUALS WERE CONSULTED:- SUE DEBIAK, DIVISION DIRECTOR, OFFICE OF ALCOHOL AND DRUG DEPENDENCY, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- SUSAN DEVLIN, ASSOCIATE EXECUTIVE DIRECTOR, COMPREHENSIVE BEHAVIORAL HEALTH CARE- MICHELLE HART LOUGHLIN, DIRECTOR, DIVISION OF MENTAL HEALTH SERVICES, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- CAROLYN DEBOER, DIRECTOR OF CORPORATION PLANNING, PARTNERSHIP FOR MATERNAL AND CHILD HEALTH- THOMAS DEMAIO, PRINCIPAL, PASCACK VALLEY HIGH SCHOOL- ELLEN ELIAS, SENIOR VICE PRESIDENT OF PREVENTION AND COMMUNITY SERVICES, CHILDREN'S AID AND FAMILY SERVICES- MARIAM GERGES, DIRECTOR OF SCHOOL BASED HEALTH SERVICES, DWIGHT MORROW ZONE, BERGEN FAMILY CENTER- WENDY LAMPARELLI, SCHOOL NURSE, HACKENSACK SCHOOL DISTRICT- ILLISE ZIMMERMAN, CEO, PARTNERSHIP FOR MATERNAL AND CHILD HEALTH- GARY BUCHHEISTER, DIRECTOR OF RECREATION, WESTWOOD RECREATION DEPARTMENT- DR. STEVEN CLARKE, DIRECTOR, WYCKOFF BOARD OF HEALTH- ROBERT ESPOSITO, DIRECTOR, BERGEN COUNTY DIVISION OF COMMUNITY DEVELOPMENT- KEN KATTER, HEALTH OFFICER, TOWNSHIP OF TEANECK- DANIEL KOTKIN, DIVISION OF DISABILITY SERVICES, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- DARLENE REVEILLE, PUBLIC HEALTH NURSE, CITY OF GARFIELD- KAREN WOLUJEWICZ, ASSISTANT HEALTH OFFICER, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- ANN GUILLORY, CHAIRWOMAN OF HEALTH AND HUMAN SERVICES COMMITTEE, BERGEN COUNTY LINKS- JAE CHUN, HEALTH INSURANCE AGENT/INTERPRETER- BIANCA MAYES, HEALTH AND WELLNESS COORDINATOR, GARDEN STATE EQUALITY- JEANNE MARTIN, EXECUTIVE DIRECTOR, MEALS ON WHEELS NORTH JERSEY- JACLYN PADOVANO, REGISTERED DIETICIAN, SHOPRITE OF HILLSDALE- JAMIE PEPPER, REGISTERED DIETICIAN, SHOPRITE OF NORTHVALE- KEVIN BRENDLEN, VICE PRESIDENT OF STRATEGIC PARTNERSHIPS, VAN DYK HEALTH CARE- SUSAN CRANDALL, BERGEN COUNTY CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAM COORDINATOR, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- CAROL SILVER ELLIOTT, CEO/PRESIDENT, JEWISH HOME FAMILY- KIMBERLY GITTINES, HEALTH SYSTEM MANAGER, AMERICAN CANCER SOCIETY- AMANDA MISSEY, PRESIDENT/CEO, BERGEN VOLUNTEER MEDICAL INITIATIVE- KATHY NUGENT, DIRECTOR OF REGIONAL PROGRAMS, CANCERCARE- DR. FLORDELIZ PANEM, CHIEF MEDICAL OFFICER, NORTH HUDSON COMMUNITY ACTION- ELIZABETH DAVIS, EXECUTIVE DIRECTOR, SENIOR HOUSING SERVICES- JULIA ORLANDO, DIRECTOR, BERGEN COUNTY HOUSING AUTHORITY- SUE ULLRICH, PROGRAM DIRECTOR, RIDGECREST APARTMENTS- LT. JAY HUTCHINSON, WESTWOOD POLICE DEPARTMENT- LISA BONTEMPS, PROGRAM MANAGER, WESTWOOD FOR ALL AGES- SHEILA BROGAN, MIDLAND PARK SENIOR CENTER AND AGE-FRIENDLY RIDGEWOOD- BRIANNA GREENBERG, CASE MANAGER, BERGEN COUNTY DIVISION OF SENIOR SERVICES- JANET SHARMA, PROJECT COORDINATOR, AGE FRIENDLY ENGLEWOOD- JOAN CAMPANELLI, SENIOR SERVICES, BERGEN COUNTY DIVISION OF SENIOR SERVICES- KAARIN VARON, PROGRAM OFFICER, THE RUSSELL BERRIE FOUNDATION- REV. MACK BRANDON, METROPOLITAN CHURCH- KATE DUGGAN, EXECUTIVE DIRECTOR, FAMILY PROMISE OF RIDGEWOOD- JOAN QUIGLEY, PRESIDENT/CEO, NORTH HUDSON COMMUNITY ACTION CORPORATION- DENISE VOLLKOMMER, EXECUTIVE DIRECTOR, SOCIAL SERVICE ASSOCIATION OF RIDGEWOOD AND VICINITYBERGEN NEW BRIDGE MEDICAL CENTER- SENIOR LEADERSHIP TEAM (GROUP INTERVIEW WITH APPROXIMATELY 12 ATTENDEES)- DR. RAJASHREE KANTHA, PHYSICIAN- ADRIENNE MARIANO, DIRECTOR OF BEHAVIORAL HEALTH SERVICES- DEBORAH VISCONI, PRESIDENT/CEOENGLEWOOD HEALTH- DR. STEPHEN BRUNNQUELL, PRESIDENT, ENGLEWOOD HEALTH PHYSICIANS NETWORK- DR. HILLARY COHEN, VICE PRESIDENT OF MEDICAL AFFAIRS- KATHY KAMINSKY, SENIOR VICE PRESIDENT, CHIEF POPULATION HEALTH OFFICER, CHIEF NURSING OFFICER- RICHARD LERNER, BOARD OF TRUSTEES- DR. ANNE PARK, DIRECTOR OF COMMUNITY HEALTH- THOMAS SENTER, CHAIRMAN OF THE BOARD- RICHARD SPOSA, DIRECTOR OF EMERGENCY MEDICAL SERVICES- JOANN VENEZIA, PROGRAM DIRECTOR OF BEHAVIORAL HEALTH SERVICESHACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL CENTER- DR. ERIC AVEZZANO, GASTROENTEROLOGY- DAWN DEPALMA, MANAGER OF PATIENT EXPERIENCE- DR. EDWARD GOLD, INTERNAL MEDICINE- ANA MARIA RESTREPO, DIRECTOR OF THE EMERGENCY SERVICESHACKENSACK UNIVERSITY MEDICAL CENTER- CLINICAL AND DEPARTMENT LEADERSHIP (GROUP MEETING WITH APPROXIMATELY 20 ATTENDEES)HOLY NAME MEDICAL CENTER- KYUNG HEE CHOI, VP OF ASIAN HEALTH SERVICES- DR. CLENTON COLEMAN, INTERNAL MEDICINE- REKHA NANDWANI, PROGRAM MANAGER, INDIAN MEDICAL PROGRAM- EDWARD TORRES, ADMINISTRATIVE DIRECTOR OF LABORATORY SERVICES- ANNA WANG, MANAGER OF COMMUNITY PROGRAMS, ASIAN HEALTH SERVICESRAMAPO RIDGE PSYCHIATRIC HOSPITAL- CLINICAL AND DEPARTMENT LEADERSHIP (GROUP MEETING WITH APPROXIMATELY 10 ATTENDEES)THE VALLEY HOSPITAL- DR. GEORGE BECKER, MEDICAL DIRECTOR, EMERGENCY DEPARTMENT- LAFE BUSH, DIRECTOR OF EMERGENCY SERVICES- TONI MODAK, DIRECTOR OF POPULATION HEALTH, VALLEY HEALTH SYSTEM- DIANE TEDESCHI, DIRECTOR OF COMMUNITY CARE CLINIC PART I, LINE 6A: THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MAILED TO OUR SERVICE AREA. COMMUNITY BENEFIT STATISTICS ARE ALSO REPORTED AT OUR ANNUAL MEETING, WHICH IS OPEN TO THE PUBLIC. IN ADDITION, THE COMMUNITY BENEFIT REPORT IS ALSO POSTED ON THE HOSPITAL'S WEBSITE. 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, COMMUNITY BUILDING ACTIVITIES: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 2: THIS IS THE TOTAL BAD DEBT EXPENSE FOR THE HOSPITAL DISCOUNTED BY THE RATIO OF PATIENT CARE COST TO CHARGES. PART III, LINE 3: THIS IS THE TOTAL BAD DEBT EXPENSE FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE DISCOUNT BY THE RATIO OF PATIENT CARE COST TO CHARGES. PART III, LINE 4: NET PATIENT SERVICE REVENUES ARE RECOGNIZED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ORGANIZATION EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING COMMERCIAL AND GOVERNMENTAL PROGRAMS) AND OTHERS AND INCLUDES VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS AND INVESTIGATIONS. GENERALLY, THE ORGANIZATION BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUES ARE RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED.PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE ORGANIZATION. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL SERVICES INCURRED IN RELATION TO TOTAL EXPECTED (OR ACTUAL) PAYMENTS. THE ORGANIZATION BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE ORGANIZATION RECEIVING INPATIENT ACUTE CARE SERVICES. THE ORGANIZATION MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE FACILITY TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME ARE RECOGNIZED WHEN SERVICES ARE PROVIDED AND THE ORGANIZATION DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT.GENERALLY, BECAUSE ALL THE ORGANIZATION'S PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, THE ORGANIZATION HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ACCOUNTING STANDARD CODIFICATION (ASC) 606-10-50-14(A) AND, THEREFORE, THE ORGANIZATION IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. THE ORGANIZATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE ORGANIZATION'S POLICY AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE ORGANIZATION DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. PART III, LINE 8: IN ADDITION TO CHARITY CARE, BAD DEBT, AND THE TREATMENT OF FINANCIALLY NEEDY 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 $33.2 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. PART VI, LINE 5: RENEWAL, WHICH IS BEING EVALUATED, 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. SCHEDULE H, PART VI, LINE 7 THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH NEW JERSEY. 1 VALLEY HEALTH PHYSICIANS INC 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 320041186 501(C)(3) 78883801 GENERAL SUPPORT RAMAPO COLLEGE FOUNDATION 505 RAMAPO VALLEY RD MAHWAH NJ 07495 510244756 501(C)(3) 20000 GENERAL SUPPORT FAMILY PROMISE 100 DAYTON ST RIDGEWOOD NJ 07450 222853599 501(C)(3) 20000 GENERAL SUPPORT PONY POWER THERAPIES INC 1170 RAMAPO VALLEY RD MAHWAH NJ 07495 203210841 501(C)(3) 20000 GENERAL SUPPORT BERGEN VOLUNTEER MEDICAL INITIATIVE 75 ESSEX ST HACKENSACK NJ 07692 202633437 501(C)(3) 25000 GENERAL SUPPORT THE CNTR FOR ALCOHOL & DRUG RESOURC 22-08 ROUTE 208 S FAIR LAWN NJ 07410 222286969 501(C)(3) 10500 GENERAL SUPPORT RIDGEWOOD YMCA 55 N BROAD ST RIDGEWOOD NJ 07450 221508752 501(C)(3) 8000 GENERAL SUPPORT WEST BERGEN MENTAL HEALTH INC 120 CHESTNUT ST RIDGEWOOD NJ 07450 221736531 501(C)(3) 8000 GENERAL SUPPORT MONTVALE CHAMBER OF COMMERCE 12 MERCEDES DR MONTVALE NJ 07645 999999999 501(C)(3) 7500 GENERAL SUPPORT BERGEN VOLUNTEER CENTER 64 PASSAIC ST HACKENSACK NJ 07692 221821282 501(C)(3) 7500 GENERAL SUPPORT COMMUNITY MEALS INC 105 COTTAGE PL RIDGEWOOD NJ 07450 221976783 501(C)(3) 6000 GENERAL SUPPORT NORTH JERSEY MASTERS 2208 LANCASTER CT MAHWAH NJ 07495 222335554 501(C)(3) 5500 GENERAL SUPPORT 14 X 1 0 X X X X 0 1 0 0 0 0 0 1 0 AUDREY MEYERS PRESIDENT/CEO, VHS 0 1166636 0 592200 0 83548 0 21375 0 23710 0 1887469 0 0 RICHARD KENNAN SR VP FINANCE & CFO THRU 8/2020 0 633136 0 342696 0 183602 0 21375 0 16268 0 1197077 0 0 JOSEPH YALLOWITZ VP & CHIEF MEDICAL OFFICER 462121 0 172329 0 98753 0 14250 0 30110 0 777563 0 0 0 ANN MARIE LEICHMAN SR VP/CNO PATIENT CARE SVC 411922 0 168290 0 99446 0 18375 0 21885 0 719918 0 0 0 WILLIAM KLUTKOWSKI VP & CFO EFF. 3/2020 0 445152 0 121535 0 98300 0 18525 0 32810 0 716322 0 0 JULIA KARCHER VP, ADMINISTRATION 311824 0 109910 0 79605 0 18525 0 17761 0 537625 0 0 0 KARTEEK BHAVSAR VP, ADMINISTRATION 316454 0 117312 0 63063 0 18525 0 2700 0 518054 0 0 0 JULIE W LO CHIEF PHYSICIST 301562 0 100 0 1014 0 15675 0 20394 0 338745 0 0 0 BETTYANN KEMPIN ASST VP, ONCOLOGY 248358 0 39229 0 1981 0 21375 0 23808 0 334751 0 0 0 STACY MACK ASST VP, HEART & VASCULAR 245119 0 43334 0 1257 0 14250 0 28456 0 332416 0 0 0 BRAD HASPEL ASST VP,ANCILLARY SERVICES 235801 0 47245 0 19987 0 15490 0 11240 0 329763 0 0 0 CHARLES VANNOY ASST VP, WOMEN'S/CHILDREN'S 240847 0 43484 0 1936 0 18525 0 23668 0 328460 0 0 0 PART I, LINE 3 THE ORGANIZATION'S BOARD IS A SHARED BOARD WITH THE VALLEY HEALTH SYSTEM. THE VALLEY HEALTH SYSTEM HAS DEVELOPED A COMPENSATION PLAN, WHICH GOVERNS THE COMPENSATION FOR ALL EXECUTIVES, INCLUDING THE CEO AND VICE PRESIDENTS OF THE ORGANIZATION. THE PLAN WAS DEVELOPED IN CONJUNCTION WITH A CONSULTING FIRM, REVIEWED BY THE PHYSICIAN LEADERSHIP COUNCIL AND APPROVED BY THE BOARD OF TRUSTEES AND THE VALLEY HEALTH SYSTEM PHYSICIAN COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE PLAN IS REVIEWED AND UPDATED AS NEEDED. PART I, LINE 4B THE FOLLOWING PERSONS PARTICIPATED IN A SERP PLAN: - AUDREY MEYERS - ANNE MARIE LEICHMAN - WILLIAM KLUTKOWSKI - JULIA KARCHER THE FOLLOWING INDIVIDUALS PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). THEY DID NOT RECEIVE A PAYMENT DURING 2020: - AUDREY MEYERS - ROBIN GOLDFISCHER-HOLLANDER - PETER DIESTEL SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION OF THE ARRANGEMENT. PART I, LINE 7 THE FOLLOWING EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED FOR THEM IN PART II, COLUMN B(II): 1. JOSEPH YALLOWITZ, $172,329 2. ANN MARIE LEICHMAN, $168,290 3. DAVID BOHAN, $110,840 4. JULIA KARCHER, $109,910 5. KARTEEK BHAVSAR, $117,312 6. JULIE LO, $100 7. BETTYANN KEMPIN, $39,229 8. STACY M MACK, $43,334 9. BRAD A HASPEL, $47,245 10. CHARLES VANNOY, $43,484 A NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 645790NB8 2019-12-11 402437137 CONSTRUCTION OF NEW HOSPITAL 0 0 0 A 402437137 11632617 2437137 73812221 314555162 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 A 1 AUDREY MEYERS PRESIDENT/CEO, VHS SEE PART V X 9071138 10899922 0 1 1 ROBIN GOLDFISCHER-HOLLANDER SENIOR VP, LEGAL SERVICES SEE PART V X 3392128 4075998 0 1 1 PETER DIESTEL PRESIDENT, VHS OPERATIONS SEE PART V X 5796536 6965146 0 1 1 21941066 SCHEDULE L, PART II, COLUMN (C) THE HOSPITAL PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT A LOAN BECAUSE NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE HOSPITAL RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE HOSPITAL. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD THE HOSPITAL RECOVERS NOT ONLY ITS OUTLAYS BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. CASD WORKS AS FOLLOWS. THE HOSPITAL DEPOSITS FUNDS INTO CASH VALUE LIFE INSURANCE POLICIES ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST THE CASH SURRENDER VALUE TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE HOSPITAL'S RECOVERY RIGHTS. AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE HOSPITAL ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. IF DEATH HAD OCCURRED DURING THE REPORTING YEAR, ANY REMAINING DEATH PROCEEDS WOULD HAVE BEEN PAID TO THE HOSPITAL. FORM 990, BOX B, AMENDED RETURN THE ORGANIZATION MADE THE FOLLOWING AMENDMENTS TO THIS RETURN: 1. PART IV, LINE 26, CHECKED YES DUE TO CAP-EX (SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT) 2. PART X, LINE 5, 15, DUE TO RECLASS OF CAP-EX (SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT) 3. SCHEDULE J, PART III, INCLUDED CAP-EX (SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT) NARRATIVE 4. SCHEDULE L, PART II, INCLUDED CAP-EX (SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT) 5. SCHEDULE L, PART V, INCLUDED CAP-EX (SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT) NARRATIVE FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION IS INCLUDED IN CONSOLIDATED BYLAWS FOR VALLEY HEALTH SYSTEM, INC., THE VALLEY HOSPITAL, INC., AND VALLEY PHYSICIAN SERVICES, INC. IN APRIL 2020, THE BYLAWS WERE AMENDED TO INCLUDE AN ARTICLE FOR CRISIS STANDARDS OF CARE (CSC) AND AMENDMENTS TO THE BYLAWS DURING CSC DUE TO A PERVASIVE OR CATASTROPHIC DISASTER (I.E. THE COVID-19 PANDEMIC). THE CRISIS STANDARD OF CARE BYLAWS PROVISIONS INCLUDE THE FOLLOWING DURING THE CSC: THE PERMITTED NUMBER OF TRUSTEES WAS AMENDED TO BE NO FEWER THAN NINE. THE EXECUTIVE COMMITTEE WAS ALLOWED TO ACT ON BEHALF OF THE FULL BOARD UNTIL THE BOARD IS ABLE TO ACT OR OTHERWISE EXERCISE ITS POWERS. THE BOARD DELEGATES FINAL APPROVAL OF MEDICAL STAFF PRIVILEGES TO THE PRESIDENT & CEO OF THE HOSPITAL. THE BOARD EMPOWERS MANAGEMENT TO CHANGE POLICIES AND PROCEDURES AS IT DEEMS NECESSARY. THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF DELEGATES APPROVAL OF MEDICAL STAFF PRIVILEGE CHANGES AND TEMPORARY PRIVILEGES TO THE PRESIDENT OF THE MEDICAL STAFF OR DESIGNEE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS VALLEY HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER HAS THE RIGHT TO NOMINATE, ELECT, AND REMOVE THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DECISIONS OF THE ORGANIZATION ARE RESERVED TO THE ORGANIZATION'S SOLE MEMBER: TO DETERMINE THE NUMBER OF TRUSTEES ON THE BOARD TO AMEND, REVISE OR RESTATE THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND TO APPROVE ALL AMENDMENTS OR REVISIONS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED OR APPROVED BY THE BOARD BEFORE THEY BECOME EFFECTIVE; TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION; TO CHANGE THE LEGAL STRUCTURE OF THE CORPORATION; TO COMMIT TO ADD OR THE ADDITION OF ANOTHER HOSPITAL OR HEALTH SYSTEM TO THE CORPORATION; TO DISSOLVE, DIVIDE, CONVERT OR LIQUIDATE THE CORPORATION, TO CONSOLIDATE OR MERGE THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, TO SELL ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, TO CAUSE THE CORPORATION TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY, AND TO APPROVE ANY OF THE FOREGOING ACTIONS THAT ARE RECOMMENDED BY THE BOARD BEFORE SUCH ACTION BECOMES EFFECTIVE; TO APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY AMENDMENTS THERETO; TO INITIATE AND TO APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR TO IMPLEMENT ANY FINANCING STRATEGY, INCLUDING WITHOUT LIMITATION IN CONNECTION WITH ANY DEBT ISSUANCE, CAPITAL OR OPERATING LEASING TRANSACTIONS, AND TAXABLE AND NONTAXABLE FINANCINGS; TO APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THOSE THRESHOLDS ESTABLISHED BY THE BOARD, IF SUCH INCURRENCE OF DEBT IS NOT INCLUDED IN THE CORPORATION'S APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS; TO CAUSE OR DIRECT THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER SUCH FUNDS AS ARE NECESSARY TO PAY ANY OUTSTANDING INDEBTEDNESS OBLIGATIONS, INCLUDING BUT NOT LIMITED TO BORROWINGS, GUARANTIES, NON-RECOURSE INDEBTEDNESS, LEASES, AND DERIVATIVE INSTRUMENTS, CREATED OR APPROVED BY THE CORPORATION; TO EXERCISE SUCH OVERSIGHT, INCLUDING INITIATING ACTION OR APPROVING ACTION BY THE CORPORATION, OVER THE MANAGEMENT, POLICIES, DISPOSITION OR ENCUMBRANCE OF ASSETS, INCLUDING REAL OR PERSONAL PROPERTY, OF THE CORPORATION TO CAUSE OR ENSURE COMPLIANCE WITH TERMS AND CONDITIONS OF INDEBTEDNESS OBLIGATIONS AND FINANCIAL RELATIONSHIPS RELATED IN ANY MANNER TO SUCH INDEBTEDNESS; TO APPROVE THE CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF THOSE THRESHOLDS ESTABLISHED BY THE BOARD, IF SUCH CAPITAL EXPENDITURES ARE NOT INCLUDED IN THE CORPORATION'S APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS; TO APPROVE ANY DONATION OR ANY OTHER TRANSFER OF THE CORPORATION'S ASSETS, OTHER THAN TO AN AFFILIATED ENTITY, IN EXCESS OF AN AMOUNT EQUAL TO OR GREATER THAN THE THRESHOLDS ESTABLISHED BY THE BOARD FOR SUCH CORPORATION, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS; TO SELECT AND APPOINT AUDITORS OF THE CORPORATION; TO INITIATE AND APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION; TO INITIATE AND APPROVE INVESTMENT POLICIES AND CAPITAL CAMPAIGNS OF THE CORPORATION; TO INITIATE AND APPROVE THE CLOSURE OR RELOCATION OF A LICENSED HEALTH CARE FACILITY OF THE CORPORATION; TO INITIATE AND APPROVE THE FORMATION OF SUBSIDIARIES OF THE CORPORATION; TO APPROVE THE CORPORATION'S ACQUISITION OF CONTROLLING INTERESTS IN ORGANIZATIONS OR BUSINESSES OUTSIDE OF THE CORPORATION'S APPROVED STRATEGIC PLAN; TO THE EXTENT NOT EXPRESSLY SET FORTH ABOVE, TO DIRECT OR REQUIRE THE CORPORATION TO TAKE ANY OTHER LAWFUL ACTS OR ACTIONS WITH RESPECT TO THE CORPORATION'S BUSINESS, AFFAIRS, MANAGEMENT, PROPERTIES OR ACTIVITIES THAT THE SOLE MEMBER MAY DIRECT. FORM 990, PART VI, SECTION B, LINE 11B THE VALLEY HOSPITAL HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 IS PREPARED, IT IS SUBMITTED TO MANAGEMENT AND THE AUDIT COMMITTEE FOR REVIEW. ANY COMMENTS ARE SUMMARIZED AND PROVIDED TO THE DIRECTOR OF FINANCE. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED BY THE AUDIT COMMITTEE FOR FILING WITH THE INTERNAL REVENUE SERVICE. BEFORE FILING, THE FORM 990 IS MADE AVAILABLE FOR THE BOARD'S REVIEW, BY HARD COPY AND OR ELECTRONIC COPY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BOARD IS A SHARED BOARD WITH THE VALLEY HEALTH SYSTEM. THE VALLEY HEALTH SYSTEM HAS DEVELOPED A COMPENSATION PLAN, WHICH GOVERNS THE COMPENSATION FOR ALL EXECUTIVES, INCLUDING THE CEO AND VICE PRESIDENTS OF THE ORGANIZATION. THE PLAN WAS DEVELOPED IN CONJUNCTION WITH A CONSULTING FIRM, REVIEWED BY THE PHYSICIAN LEADERSHIP COUNCIL AND APPROVED BY THE BOARD OF TRUSTEES AND THE VALLEY HEALTH SYSTEM PHYSICIAN COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE PLAN IS REVIEWED AND UPDATED AS NEEDED. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. FORM 990, PART VI, 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 FORM 990 AS WELL AS THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AND OTHER RELEVENT DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FOR OPERATING PURPOSES 85,858. CHANGE IN ASSETS HELD BY RELATED ORGANIZATION -4,268,460. CHANGE IN ACCRUED PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS 81,344,105. NET LOSS ON DISPOSITION OF ASSETS -533,171. FORM 990, PART XII, 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. 620 WINTERS AVENUE LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 462091667 REAL ESTATE HOLDINGS DE 0 0 THE VALLEY HOSPITAL INC 1200 EAST RIDGEWOOD LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 464115513 REAL ESTATE HOLDINGS DE 3693422 20709385 THE VALLEY HOSPITAL INC 555 MAPLE ACQUISITION LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 453070365 REAL ESTATE HOLDINGS DE 0 8110000 THE VALLEY HOSPITAL INC 599 PARAMUS ACQUISITION LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 460985392 REAL ESTATE HOLDINGS DE 0 11498069 THE VALLEY HOSPITAL INC VALLEY HEALTH SYSTEM INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 222922016 PROVIDES MANAGEMENT & PLANNING SERVICES FOR ITS MEMBERS NJ 501(C)(3) LINE 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) LINE 10 THE VALLEY HOSPITAL INC 1 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) LINE 10 VALLEY HEALTH SYSTEM INC 0 THE VALLEY HOSPITAL FOUNDATION INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD NJ 07450 222324554 SOLICITS AND RECEIVES CONTRIBUTIONS FOR THE BENEFIT OF HEALTH SYSTEM NJ 501(C)(3) LINE 7 VALLEY HEALTH SYSTEM INC 0 VALLEY PHYSICIAN SERVICE NY PC 15 ESSEX ROAD PARAMUS NJ 07652 453125678 OPERATES URGENT/PRIMARY CARE CLINICS NJ 501(C)(3) LINE 10 VALLEY PHYSICIAN SERVICES INC 0 VALLEY MEDICAL SERVICES PC 15 ESSEX ROAD PARAMUS NJ 07652 465297054 PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE NJ 501(C)(3) LINE 10 VALLEY PHYSICIAN SERVICES INC 0 VALLEY PHYSICIANS SERVICES PC 15 ESSEX ROAD PARAMUS NJ 07652 465285330 PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE NJ 501(C)(3) LINE 10 VALLEY PHYSICIAN SERVICES INC 0 VHS INSURANCE COMPANY LTD 010 MAIN STREET CAYMAN ISLANDS CJ 980408200 PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE CJ VALLEY HEALTH SYSTEM C 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 1 VALLEY PHYSICIAN SERVICES INC R 78883801 COST