2016-11-15T11:20:31-06:00 2015-12-31 271728945 PKF O'CONNOR DAVIES LLP 15 ESSEX RD PARAMUS NJ 076521412 990 2015-01-01 222324554 THE VALLEY HOSPITAL FOUNDATION INC VALL 2014478000 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 AUDREY MEYERS TRUSTEE 2014478000 2016-11-15 1 EDWARD G O'CONNOR P00434443 2017129800 2015 2017-02-10 21:41:12Z AUDREY MEYERS 223 N VAN DIEN AVE RIDGEWOOD NJ 07450 20780925 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, VALLEY HOME CARE AND VALLEY MEDICAL GROUP. 25 23 0 189 0 0 7322207 10648615 0 0 1767582 1455635 0 -167456 9089789 11936794 5070861 10349364 0 0 0 0 0 0 1605199 2179557 2410064 7250418 12759428 1839371 -822634 80167951 77399250 1464472 1033611 78703479 76365639 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, VALLEY MEDICAL GROUP 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 8620164 8620164 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 FIVE YEARS, THE FOUNDATION HAS RECEIVED MORE THAN $75 MILLION IN COMMITMENTS. 1729200 1729200 THE FOUNDATION CONTINUES TO PLACE IMPORTANCE ON ITS ANNUAL FUND. THE FOUNDATION ANNUALLY RAISES APPROXIMATELY $5 MILLION FOR SPECIFIC VHS PROJECTS, INCLUDING PATIENT AND STAFF EDUCATION, COMMUNITY CARE, AND TECHNOLOGICAL EQUIPMENT. 10349364 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 39 0 0 0 0 0 0 0 1 1 0 0 0 0 X 25 23 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 NJ X X PAT PERILLO 2012916300 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 X SCOTT SCHROEDER CHAIRMAN 0.50 X X 0 0 0 VICTOR D WORTMANN VICE CHAIRMAN 0.50 X X 0 0 0 RASHID BADDOURA MD SECRETARY 0.50 X X 0 0 0 JOSHUA ABRAMS TRUSTEE 0.50 X 0 0 0 BERNARD BERKOWITZ ESQ TRUSTEE 0.50 X 0 0 0 NANCY BUSH TRUSTEE 0.50 X 0 0 0 CHRISTOPHER BYERS ESQ TRUSTEE 0.50 X 0 0 0 DANIEL P CUMMINGS TRUSTEE 0.50 X 0 0 0 JULIE A EPSTEIN TRUSTEE 0.50 X 0 0 0 FRANK GALLAGHER TRUSTEE 0.50 X 0 0 0 PATRICIA M HICKS MD TRUSTEE 0.50 X 0 0 0 JANET E HUNT ESQ TRUSTEE 0.50 X 0 0 0 ALLAN S LEVINE VICE CHAIRMAN 0.50 X X 0 0 0 FRANK MANGINELLO MD TRUSTEE 0.50 39.50 X 0 774848 44535 PETER C MARRON VICE CHAIRMAN 0.50 X X 0 0 0 AUDREY MEYERS TRUSTEE 0.50 39.50 X 0 1505017 45496 JOSEPH PFEIFER TRUSTEE 0.50 X 0 0 0 YOLLA RAHAL TRUSTEE 0.50 X 0 0 0 EDWARD MRUBIN TRUSTEE 0.50 X 0 0 0 MARC SABINO TRUSTEE 0.50 X 0 0 0 CHARLES SHOTMEYER TRUSTEE 0.50 X 0 0 0 ROBERT VAN DYK TRUSTEE 0.50 X 0 0 0 ROBERT GGUTENSTEIN TREASURER 0.50 X X 0 0 0 DANIELLE GAGLIOTI VICE CHAIRMAN 0.50 X X 0 0 0 ELAINE HEIMBERGER TRUSTEE 0.50 X 0 0 0 DOUGLAS DITTRICK CHAIRMAN- LEFT JUNE 2015 0.50 X X 0 0 0 STEPHEN ERRICO VICE CHAIRMAN - LEFT JUNE 2015 0.50 X X 0 0 0 THOMAS PPALMER VICE CHAIRMAN - LEFT JUNE 2015 0.50 X X 0 0 0 ANASTASIOS KOZAITIS PRESIDENT 40.00 X 0 406158 46923 0 2686023 136954 0 0 1 0 NAVIGANT 30 SOUTH WACKER DRIVE-SUITE 3100 CHICAGO IL 60606 GLOBAL MANAGEMENT CONSULTING 182774 BLISS DIRECT MEDIA 641 15TH AVENUE NE POBOX 129 SAINT JOSEPH MN 56374 MARKETING COMMUNICATIONS 147342 HERITAGE INC 4 WILSEY SQUARE RIDGEWOOD NJ 07450 PRINTING/PROMOTIONS/ADVERTISING 122445 MEDITELLIGENCE 50 SOUTH 16TH STREET-SUITE4701 PHILADELPHIA PA 19102 INNOVATIVE TARGETED THERAPIES 120438 LAERDAL MEDICAL CORPORATION 167 MYERS CORNERS ROAD WAPPINGERS FALLS NY 12590 EMERGENCY MEDICAL PRODUCTS 104056 5 466396 10182219 3324301 10648615 1113762 1113762 8995548 8653675 341873 341873 341873 23000 466396 190456 -167456 -167456 11936794 0 0 1288179 10349364 10349364 40131 40131 12770 12770 342853 321153 21700 51100 51100 1589 1589 8129 8129 5954 5954 PAYROLL & BENEFITS REIM 1577611 313970 1263641 PROGRAM & SPECIAL EVENT 319858 319858 EQUIPMENT RENTAL & MAIN 43040 43040 DIETARY ISSUES EXPENSE 7029 7029 12759428 10349364 804865 1605199 575273 270898 2505551 4944239 7176869 5379998 69758174 66645008 152084 159107 80167951 77399250 56524 10500 1407948 1023111 1464472 1033611 X 32532858 31419737 39021208 37665381 7149413 7280521 78703479 76365639 80167951 77399250 X -822634 -1493043 -22163 X X 0 1 X 1 0 X 18143256 7886447 10367108 7322207 10648615 54367633 18143256 7886447 10367108 7322207 10648615 54367633 8205789 46161844 1211850 953092 807381 1026566 1113762 5112651 59480284 0.77610 0.84190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14811997 528149 -142665 131150 15066331 14164463 141765 626269 120500 14811997 11394642 493443 2281778 5400 14164463 9925431 289223 1204618 24630 11394642 9272705 763210 24634 135118 9925431 0.33140 0.47360 0.19500 0 0 0 ANNUITIES PAYABLE 1023111 1023111 X 10443751 -1493043 -1493043 11936794 0 11936794 12781591 22163 22163 12759428 0 12759428 PART V, LINE 4: THE FOUNDATION CURRENTLY MAINTAINS SIX DONOR-RESTRICTED AND TWO BOARD-DESIGNATED ENDOWMENT FUNDS WHOSE PURPOSES ARE TO PROVIDE LONG TERM SUPPORT FOR THE PROGRAMS AND SERVICE OF THE VALLEY HOSPITAL AND/OR VALLEY HOME CARE. 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 2012. PART XII, LINE 2D - OTHER ADJUSTMENTS: WRITE-DOWN OF PLEDGES RE-CLASSED FROM EXPENSE TO CHANGE IN NET ASSETS 22,163. SPECIAL EVENT 489396 466396 23000 107558 11900 70998 489396 466396 23000 107558 11900 70998 190456 -167456 1 THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVE RIDGEWOOD NJ 07450 221487307 501(C)(3) 10349364 CAPITAL PROJECTS AND DONOR-DESIGNATED SPECIAL PROGRAMS, SERVICES AND RESEARCH. 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 TRUSTEE 0 693705 0 66665 0 14478 0 24605 0 19930 0 819383 0 0 AUDREY MEYERS TRUSTEE 0 962606 0 467522 0 74889 0 25175 0 20321 0 1550513 0 0 ANASTASIOS KOZAITIS PRESIDENT 0 273719 0 79888 0 52551 0 18960 0 27963 0 453081 0 0 PART I, LINE 7 BONUS IS BASED ON MANAGEMENT PERFORMANCE AND IS DETERMINED BY THE BOARD OF TRUSTEES. BONUS CAN BE DEFERRED TO 457(F) PLAN AND 401(K) PLAN. X 1 16500 APPRAISED RETAIL VALUE X 275 FMV X 630 FMV X 21 3280861 FMV X 5 3465 FMV X WINE 1 14400 FMV X ENTERTAINMENT 40 7379 FMV X JEWELRY 2 525 FMV X OFFICE SUPPLIES 3 266 FMV 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE REVISED TO GIVE AUTHORITY OVER INVESTMENTS TO INVESTMENT COMMITTEE. 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 ANY OF THE FOLLOWING ACTIONS BY THE VALLEY HOSPITAL FOUNDATION SHALL REQUIRE THE APPROVAL OF THE VALLEY HEALTH SYSTEM: A) ORGANIZING, ACQUIRING OR AUTHORIZING THE ORGANIZATION OF, ANY SUBSIDIARY OR AFFILIATE OF THE FOUNDATION B) MAKING ANY DONATIONS, CONTRIBUTIONS, GRANTS OR LOANS TO ANY PERSON OR ENTITY OTHER THAN THE HOSPITAL OR THE PARENT IN EXCESS OF TWENTY FIVE THOUSAND DOLLARS IN ANY FISCAL YEAR OR TO ALL SUCH PERSONS AND ENTITIES IN THE AGGREGATE, IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS IN ANY FISCAL YEAR C) ADOPTION OF A PLAN OF DISSOLUTION OF THE FOUNDATION D) ANY TRANSACTION, OTHER THAN IN ORDINARY AND REGULAR COURSE OF BUSINESS, PROVIDING FOR THE SALE, TRANSFER, MORTGAGE OR OTHER DISPOSITION OR ENCUMBRANCE OF ANY ASSETS OF THE FOUNDATION HAVING AN AGGREGATE VALUE IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS IN ANY FISCAL YEARS E) ADOPTION OF A PLAN OF MERGER OR CONSOLIDATION OF THE FOUNDATION WITH ANOTHER CORPORATION F) SELECTION OF INDEPENDENT AUDITORS G) ANY CHANGE IN THE MANNER AND PROCEDURE FOR NOMINATION AND ELECTIONS OF TRUSTEES OF THE FOUNDATION H) AMENDMENT OF THE CERTIFICATE OF INCORPORATION I) AMENDMENT OF THE BYLAWS OF THE FOUNDATION WITH RESPECT TO ANY OF THE SUBJECT MATTERS OF THE ARTICLE III, SECTION 11. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY'S EXECUTIVE COMMITTEE AND BOARD 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 AND BOARD, FOR ANY COMMENTS PRIOR TO ITS SUBMISSION. THE COMMITTEE AND BOARD 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 AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450. FORM 990, PART VII, LINE 7: ANASTASIOS KOZAITIS WORKS FOR THE VALLEY HOSPITAL FOUNDATION, BUT IS COMPENSATED BY THE VALLEY HOSPITAL. FORM 990, PART XI, LINE 9: WRITE-DOWN OF PLEDGES -22,163. 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) 9 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) 9 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