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        <Explanation>MANAGEMENT OF VHS IS NOT AWARE OF ANY VIOLATION OF ITS TAX STATUS AS AN ORGANIZATION EXEMPT FOR INCOME TAXES, NOR OF ANY EXPOSURE TO UNRELATED BUSINESS INCOME TAX. CONSEQUENTLY, IN THE OPINION OF MANAGEMENT, ADOPTION OF FIN 48 SHOULD NOT HAVE A SIGNIFICANT EFFECT ON VHS. VHS' CURRENT ACCOUNTING POLICY IS TO PROVIDE LIABILITIES FOR UNCERTAIN TAX POSITIONS WHEN A LIABILITY IS PROBABLE AND ESTIMABLE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EQUITY IN NET LOSS OF SUBSIDIARIES EQUITY TRANSFERS FROM AFFILIATES</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>AUDREY MEYERS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>756811</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>313114</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>354853</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>1430113</TotalCompensationRelatedOrgs>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>VALLEY HEALTH SYSTEM'S FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY'S FINANCE COMMITTEE BEFORE IT WAS FILED. WHEN THE 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 COMMITTE FOR ANY COMMENTS. THE FINANCE COMMITTEE REVIEWS THE 990 AND PROVIDES ANY COMMENTS. THE COMMENTS ARE REVIEWED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>VALLEY HEALTH SYSTEM, INC. MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.COM AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION TO FROM 990 AS WELL AS THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -27. EQUITY IN NET LOSS OF SUBSIDIARIES -1,734,381. EQUITY TRANSFERS FROM AFFILIATES 1,216,253. TOTAL TO FORM 990, PART XI, LINE 5: -518,155.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE VALLEY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>223 N VAN DIEN AVE</AddressLine1>
          <City>RIDGEWOOD</City>
          <State>NJ</State>
          <ZIPCode>07450</ZIPCode>
        </AddressUS>
        <EIN>221487307</EIN>
        <PrimaryActivities>PROVIDE HEALTHCARE PROGRAMS AND SERVICES TO ALL</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE VALLEY HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>223 N VAN DIEN AVE</AddressLine1>
          <City>RIDGEWOOD</City>
          <State>NJ</State>
          <ZIPCode>07450</ZIPCode>
        </AddressUS>
        <EIN>223475166</EIN>
        <PrimaryActivities>SOLICIT, RECEIVE AND APPLY CONTRIBUTIONS FOR THE BENEFIT OF THE HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY HOME CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>15 ESSEX ROAD</AddressLine1>
          <City>PARAMUS</City>
          <State>NJ</State>
          <ZIPCode>07652</ZIPCode>
        </AddressUS>
        <EIN>223208480</EIN>
        <PrimaryActivities>PROVIDE HOME CARE AND HOSPICE SERVICES TO RESIDENTS OF NORTHERN NJ</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>223 N VAN DIEN AVE</AddressLine1>
          <City>RIDGEWOOD</City>
          <State>NJ</State>
          <ZIPCode>07450</ZIPCode>
        </AddressUS>
        <EIN>223260998</EIN>
        <PrimaryActivities>PROVIDE THE VALLEY HOSPITAL WITH EMPLOYED PHYSICIANS AND CONSULTING SERVICES</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY PHYSICIAN SERVICES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>223 N VAN DIEN AVE</AddressLine1>
          <City>RIDGEWOOD</City>
          <State>NJ</State>
          <ZIPCode>07450</ZIPCode>
        </AddressUS>
        <EIN>320041186</EIN>
        <PrimaryActivities>PROVIDE MEDICAL CARE AND CARRY OUT THE PURPOSES OF THE VALLEY HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VALLEY HEALTH MEDICAL GROUP NJPC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>15 ESSEX ROAD</AddressLine1>
          <City>PARAMUS</City>
          <State>NJ</State>
          <ZIPCode>07652</ZIPCode>
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        <EIN>223475166</EIN>
        <PrimaryActivity>OPERATES URGENT/PRIMARY CARE CLINICS IN NORTHEAST NEW JERSEY</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VALLEY HEALTH MEDICAL GROUP</BusinessNameLine1>
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          <AddressLine1>15 ESSEX ROAD</AddressLine1>
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        <EIN>223475233</EIN>
        <PrimaryActivity>OPERATES URGENT/PRIMARY CARE CLINICS IN NORTHEAST NEW JERSEY</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
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      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
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      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>VALLEY HEALTH MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VALLEY HEALTH MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>VALLEY HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1801036</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VALLEY HOME CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>113175</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VALLEY HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1216253</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>