TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) AUDREY MEYERS...................................................................... PRESIDENT & CEO, VHS	0.50 ................. 39.50	X	X	1,715,221	46,536
(2) VINCENT FORLENZA...................................................................... CHAIRMAN	0.10 ................. 0.40	X	X	0	0
(3) JOSEPH MARION...................................................................... TREASURER	0.10 ................. 0.40	X	X	0	0
(4) ANN LIMBERG...................................................................... VICE CHAIRMAN & SECRETARY	0.10 ................. 0.40	X	X	0	0
(5) KEVIN LOBO...................................................................... VICE CHAIRMAN	0.10 ................. 0.40	X	X	0	0
(6) FRANK J SHEEHY...................................................................... VICE CHAIRMAN	0.10 ................. 0.40	X	X	0	0
(7) JUDY BASELICE...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(8) JAMES BUSH...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(9) MICHELLE HASSON...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(10) M SHAWN KENNEDY...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(11) BRUCE MACTAS...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(12) DUANE SACHS...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(13) DENIS SALAMONE...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(14) SCOTT SCHROEDER...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(15) EDWARD B SELF MD...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(16) STEVEN SILVERSTEIN...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0
(17) JEFFREY S TUCKER...................................................................... TRUSTEE	0.10 ................. 0.40	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) PATRICIA VERDUIN........................................................................ TRUSTEE	0.10 .......................0.40	X					0	0	0
(19) WAYNE WALD ESQ........................................................................ TRUSTEE	0.10 .......................0.40	X					0	0	0
(20) WILLIAM KLUTKOWSKI........................................................................ SR. VP, FINANCE & CFO	2.00 .......................38.00		X				0	709,400	54,102
(21) KARTEEK BHAVSAR........................................................................ VP, ADMINISTRATION	40.00 .......................0.00			X			509,494	0	21,600
(22) ANN MARIE LEICHMAN........................................................................ SR. VP/CNO, PATIENT CARE SVCS	40.00 .......................0.00			X			429,153	0	31,818
(23) JULIA KARCHER........................................................................ VP, ADMINISTRATION	40.00 .......................0.00			X			371,529	104,315	42,830
(24) CHARLES VANNOY........................................................................ VP/CNO, PATIENT CARE SVCS	40.00 .......................0.00			X			339,560	0	41,196
(25) JOSEPH YALLOWITZ........................................................................ VP & CHIEF MEDICAL OFFICER	40.00 .......................0.00				X		678,459	0	48,302
(26) DAVID BOHAN........................................................................ VP & CHIEF DEVELOPMENT OFFICER	40.00 .......................0.00				X		519,079	0	37,343
(27) JULIE LO........................................................................ CHIEF PHYSICIST	40.00 .......................0.00				X		307,552	0	35,208
(28) BETTYANN KEMPIN........................................................................ AVP, ONCOLOGY	40.00 .......................0.00				X		293,694	0	46,329
(29) BRAD HASPEL........................................................................ AVP, ANCILLARY SERVICES	40.00 .......................0.00				X		296,974	0	27,535
(30) RICHARD KENNAN........................................................................ FORMER SENIOR VP FINANCE/CFO	0.00 .......................0.00					X	0	4,692,143	0

(A) Name and business address	(B) Description of services	(C) Compensation
TORCON INC 328 NEWMAN SPRINGS ROAD RED BANK,NJ07701	GENERAL CONTRACTOR	17,637,815
HDR ARCHITECTURE 1917 SOUTH 67TH STREET OMAHA,NE68106	ARCHITECTURAL	4,676,959
BERGEN ANESTHESIA GROUP PC 500 WEST MAIN STREET SUITE 16 WYCKOFF,NJ07481	ANESTHESIA	3,547,122
VIZIENT PO BOX 742081 ATLANTA,GA30374	TEMPORARY STAFFING	3,257,547
MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS,PA55480	LABORATORY	1,801,635
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 130

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization THE VALLEY HOSPITAL INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization THE VALLEY HOSPITAL INC		Employer identification number 22-1487307

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization THE VALLEY HOSPITAL INC			Employer identification number 22-1487307
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	92,962,762		92,962,762
b	Buildings ....	621,566,076	400,668,907	220,897,169
c	Leasehold improvements
d	Equipment ....	486,544,979	454,947,649	31,597,330
e	Other .....	330,743,195	1,124,443	329,618,752
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				675,076,013

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)ASSETS HELD BY RELATED ORGANIZATION				36,848,483
(2)DEFERRED FINANCING COSTS AND OTHER ASSETS				123,206,262
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				160,054,745

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	118,406,627
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	967,086,249
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-4,953,407
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	1,914,670
e	Add lines 2a through 2d .....................			2e	-3,038,737
3	Subtract line 2e from line 1..................			3	970,124,986
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	30,404,117
c	Add lines 4a and 4b....................			4c	30,404,117
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,000,529,103

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	827,370,483
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	1,914,670
e	Add lines 2a through 2d....................			2e	1,914,670
3	Subtract line 2e from line 1...................			3	825,455,813
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	30,404,117
c	Add lines 4a and 4b.....................			4c	30,404,117
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	855,859,930

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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 THRESHOLD IN 2021 OR 2020.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RECLASS OF CERTAIN RENTAL LOSSES TO PART VIII 1,914,670.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RECLASS OF PROVISION FOR BAD DEBTS 30,312,650. RECLASS OF GAIN ON DISPOSITION OF ASSETS TO PART VIII 91,467.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RECLASS OF CERTAIN RENTAL LOSSES TO PART VIII 1,914,670.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS 30,312,650. RECLASS OF GAIN ON DISPOSITION OF ASSETS TO PART VIII 91,467.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	9,360,767		9,360,767	1.190 %
b	Medicaid (from Worksheet 3, column a) . . . . .	24,119,661	18,025,344	6,094,317	0.770 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	33,480,428	18,025,344	15,455,084	1.960 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,063,832	56,742	3,007,090	0.380 %
f	Health professions education (from Worksheet 5) . . .	2,173,571		2,173,571	0.270 %
g	Subsidized health services (from Worksheet 6) . . . .	2,012,918		2,012,918	0.260 %
h	Research (from Worksheet 7) .	2,546,315		2,546,315	0.320 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	356,971	590	356,381	0.050 %
j	Total. Other Benefits . .	10,153,607	57,332	10,096,275	1.280 %
k	Total. Add lines 7d and 7j .	43,634,035	18,082,676	25,551,359	3.240 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	323,779	86,131	237,648	0.030 %
4	Environmental improvements	24,739		24,739	0 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	46,598		46,598	0.010 %
9	Other
10	Total	395,116	86,131	308,985	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

30,312,649

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

13,034,439

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

276,391,381

Enter Medicare allowable costs of care relating to payments on line 5.....

355,048,088

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-78,656,707

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	THE VALLEY HOSPITAL 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450	X

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	THE VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.VALLEYHEALTH.COM/SERVICES/COMMUNITY-HEALTH

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.VALLEYHEALTH.COM/SERVICES/COMMUNITY-HEALTH

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.VALLEYHEALTH.COM/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.VALLEYHEALTH.COM/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.VALLEYHEALTH.COM/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	THE VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	THE VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)


Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)


Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of %
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Explained the method for applying for financial assistance?...................

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections


Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)


Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 $78.7 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 (Form 990) 2021

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
THE VALLEY HOSPITAL INC

Employer identification number
22-1487307

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) VALLEY PHYSICIAN SERVICES INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450	32-0041186	501(C)(3)	86,660,239	GENERAL SUPPORT
(2) VALLEY HEALTH SYSTEM 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450	22-2922016	501(C)(3)	2,245,605	GENERAL SUPPORT
(3) BOROUGH OF PARAMUS JOCKISH SQUARE PARAMUS,NJ07652	22-6002186	BOROUGH OF PARAMUS	55,000	GENERAL SUPPORT
(4) BERGEN VOLUNTEER MEDICAL INITIATIVE 75 ESSEX STREET HACKENSACK,NJ07692	20-2633437	501(C)(3)	32,500	GENERAL SUPPORT
(5) FAMILY PROMISE OF BERGEN COUNTY 100 DAYTON STREET RIDGEWOOD,NJ07450	22-2853599	501(C)(3)	20,000	GENERAL SUPPORT
(6) PONY POWER THERAPIES INC 1170 RAMAPO VALLEY ROAD MAHWAH,NJ07430	20-3210841	501(C)(3)	17,500	GENERAL SUPPORT
(7) MAHWAH REGIONAL CHAMBER OF COMMERCE INC ONE INTERNATIONAL BOULEVARD MAHWAH,NJ07495	22-3145589	501(C)(6)	10,525	GENERAL SUPPORT
(8) CHILDREN'S AID & FAMILY SERVICES INC 200 ROBIN ROAD PARAMUS,NJ07652	22-1487147	501(C)(3)	9,000	GENERAL SUPPORT
(9) WEST BERGEN MENTAL HEALTH INC 120 CHESTNUT STREET RIDGEWOOD,NJ07450	22-1736531	501(C)(3)	8,000	GENERAL SUPPORT
(10) SHARING NETWORK FOUNDATION INC 691 CENTRAL AVENUE NEW PROVIDENCE,NJ07974	20-2737719	501(C)(3)	7,500	GENERAL SUPPORT
(11) BERGEN VOLUNTEER CENTER 64 PASSAIC STREET HACKENSACK,NJ07601	22-1821282	501(C)(3)	7,000	GENERAL SUPPORT
(12) ADLER APHASIA CENTER 60 WEST HUNTER AVENUE MAYWOOD,NJ07607	02-0687863	501(C)(3)	6,750	GENERAL SUPPORT
(13) CANCER CARE INC 275 7TH AVENUE NEW YORK,NY10001	13-1825919	501(C)(3)	6,000	GENERAL SUPPORT
(14) AMERICAN CANCER SOCIETY PO BOX P MANASQUAN,NJ08736	13-1788491	501(C)(3)	6,000	GENERAL SUPPORT
(15) COMMUNITY MEALS INC 105 COTTAGE PLACE RIDGEWOOD,NJ07450	22-1976783	501(C)(3)	6,000	GENERAL SUPPORT
(16) RIDGEWOOD YMCA 55 N BROAD STREET RIDGEWOOD,NJ07450	22-1508752	501(C)(3)	6,000	GENERAL SUPPORT
(17) CHRISTIAN HEALTH CARE CENTER 301 SICOMAC AVENUE WYCKOFF,NJ07481	22-1546163	501(C)(3)	5,500	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation

Schedule I (Form 990) 2021

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1RICHARD KENNAN FORMER SENIOR VP FINANCE/CFO	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 4,692,143	0 ------------- 0	0 ------------- 0	0 ------------- 4,692,143	0 ------------- 4,692,143
2AUDREY MEYERS PRESIDENT & CEO, VHS	(i) (ii)	0 ------------- 1,165,777	0 ------------- 450,000	0 ------------- 99,444	0 ------------- 21,750	0 ------------- 24,786	0 ------------- 1,761,757	0 ------------- 0
3WILLIAM KLUTKOWSKI SR. VP, FINANCE & CFO	(i) (ii)	0 ------------- 489,691	0 ------------- 95,000	0 ------------- 124,709	0 ------------- 20,300	0 ------------- 33,802	0 ------------- 763,502	0 ------------- 0
4JOSEPH YALLOWITZ VP & CHIEF MEDICAL OFFICER	(i) (ii)	458,153 ------------- 0	105,000 ------------- 0	115,306 ------------- 0	14,500 ------------- 0	33,802 ------------- 0	726,761 ------------- 0	0 ------------- 0
5DAVID BOHAN VP & CHIEF DEVELOPMENT OFFICER	(i) (ii)	355,001 ------------- 0	90,000 ------------- 0	74,078 ------------- 0	14,500 ------------- 0	22,843 ------------- 0	556,422 ------------- 0	0 ------------- 0
6KARTEEK BHAVSAR VP, ADMINISTRATION	(i) (ii)	349,766 ------------- 0	85,000 ------------- 0	74,728 ------------- 0	18,850 ------------- 0	2,750 ------------- 0	531,094 ------------- 0	0 ------------- 0
7JULIA KARCHER VP, ADMINISTRATION	(i) (ii)	227,438 ------------- 84,813	80,000 ------------- 0	64,091 ------------- 19,502	16,065 ------------- 5,985	15,185 ------------- 5,595	402,779 ------------- 115,895	0 ------------- 0
8ANN MARIE LEICHMAN SR. VP/CNO, PATIENT CARE SVCS	(i) (ii)	269,718 ------------- 0	105,040 ------------- 0	54,395 ------------- 0	17,050 ------------- 0	14,768 ------------- 0	460,971 ------------- 0	0 ------------- 0
9CHARLES VANNOY VP/CNO, PATIENT CARE SVCS	(i) (ii)	276,214 ------------- 0	41,700 ------------- 0	21,646 ------------- 0	18,850 ------------- 0	22,346 ------------- 0	380,756 ------------- 0	0 ------------- 0
10JULIE LO CHIEF PHYSICIST	(i) (ii)	300,308 ------------- 0	6,237 ------------- 0	1,007 ------------- 0	15,950 ------------- 0	19,258 ------------- 0	342,760 ------------- 0	0 ------------- 0
11BETTYANN KEMPIN AVP, ONCOLOGY	(i) (ii)	250,701 ------------- 0	41,027 ------------- 0	1,966 ------------- 0	21,750 ------------- 0	24,579 ------------- 0	340,023 ------------- 0	0 ------------- 0
12BRAD HASPEL AVP, ANCILLARY SERVICES	(i) (ii)	235,474 ------------- 0	36,831 ------------- 0	24,669 ------------- 0	15,911 ------------- 0	11,624 ------------- 0	324,509 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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	RICHARD KEENAN RECEIVED A FINAL DISTRIBUTION PAYMENT FROM HIS NONQUALIFIED RETIREMENT PLAN AS REPORTED ON PART II, COLUMN BIII AND COLUMN F. THE FOLLOWING PERSONS ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THEY DID NOT RECEIVE A PAYMENT DURING 2021: - AUDREY MEYERS - ANNE MARIE LEICHMAN - WILLIAM KLUTKOWSKI - JULIA KARCHER AUDREY MEYERS, ROBIN GOLDFISCHER-HOLLANDER, AND PETER DIESTEL PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN). THEY DID NOT RECEIVE A PAYMENT DURING 2021: SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION OF THE ARRANGEMENT.
PART I, LINE 7	EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED IN PART II, COLUMN B(II).

Schedule J (Form 990) 2021

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
THE VALLEY HOSPITAL INC

Employer identification number
22-1487307

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084	645790NB8	12-11-2019	402,437,137	CONSTRUCTION OF NEW HOSPITAL		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	402,511,017
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	22,799,829
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,437,137
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	226,079,885
11 Other spent proceeds .............
12 Other unspent proceeds .............	151,120,286
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2021

Additional Data

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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) AUDREY MEYERS	PRESIDENT/CEO, VHS	SEE PART V		X	9,071,138	11,223,425		No	Yes		Yes
(2) ROBIN GOLDFISCHER-HOLLANDER	SENIOR VP, LEGAL SERVICES	SEE PART V		X	3,392,128	4,196,971		No	Yes		Yes
(3) PETER DIESTEL	PRESIDENT, VHS OPERATIONS	SEE PART V		X	5,796,536	7,171,867		No	Yes		Yes



Total ............... $						22,592,263

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

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.

Schedule L (Form 990) 2021

Additional Data

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Return Reference	Explanation
PART III, LINE 4A, CONTINUATION PART II	NOT ONLY HAS VALLEY ENLISTED THE SERVICES OF UBER HEALTH TO PROVIDE TRANSPORTATION FOR PATIENTS WHO QUALIFY BASED ON INCOME LEVEL, BUT VALLEY OFFERS A FREE NON-EMERGENT TRANSPORTATION SERVICE FOR PATIENTS WHO ARE UNABLE TO DRIVE OR HAVE ACCESS TO PUBLIC TRANSPORTATION. VALLEY HEALTH SYSTEM HAS ALSO PARTNERED WITH DISPATCHHEALTH, A NATIONWIDE ON-DEMAND HEALTHCARE COMPANY, TO DELIVER HIGH-QUALITY URGENT CARE TO NORTHERN NEW JERSEY RESIDENTS OF ALL AGES, IN THE COMFORT OF THEIR HOMES. DISPATCHHEALTH AND VALLEY ARE WORKING TOGETHER TO INCREASE ACCESSIBILITY TO AFFORDABLE CARE FOR SENIORS OR BUSY WORKING PARENTS, BOTH OF WHOM CAN BENEFIT FROM STAYING HOME FOR TREATMENT. IN FACT, THE MEDICAL COST FOR A DISPATCHHEALTH VISIT IS NEARLY ONE-TENTH OF THE MEDICAL COST FOR AN ER VISIT. IN 2021, DISPATCHHEALTH MADE 6,343 VISITS. THE VALLEY HOSPITAL WAS DESIGNATED A LUNG CANCER SCREENING CENTER BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR LUNG CANCER SCREENING CENTER DESIGNATION IS A VOLUNTARY PROGRAM THAT RECOGNIZES FACILITIES THAT HAVE COMMITTED TO PRACTICE SAFE, EFFECTIVE DIAGNOSTIC CARE FOR INDIVIDUALS AT THE HIGHEST RISK FOR LUNG CANCER. IN ORDER TO RECEIVE THIS ELITE DISTINCTION, VALLEY MUST BE ACCREDITED BY THE ACR AND UNDERGO A RIGOROUS ASSESSMENT OF ITS LUNG CANCER SCREENING PROTOCOL AND INFRASTRUCTURE. ALSO REQUIRED ARE PROCEDURES IN PLACE FOR FOLLOW-UP PATIENT CARE, SUCH AS COUNSELING AND SMOKING CESSATION PROGRAMS. VALLEY WAS THE FIRST HEALTHCARE ORGANIZATION IN NEW JERSEY TO BE ACCREDITED BY THE ASSOCIATION FOR THE ACCREDITATION OF HUMAN RESEARCH PROTECTION PROGRAMS. THIS PLACES VALLEY AMONG THE MOST RESPECTED RESEARCH INSTITUTIONS IN THE WORLD. VALLEY'S CANCER PROGRAM EARNED A THREE-YEAR ACCREDITATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. ACCREDITATION IS ONLY AWARDED TO FACILITIES THAT VOLUNTARILY COMMIT TO PROVIDING THE HIGHEST QUALITY OF CANCER CARE THROUGH A PATIENT-CENTERED, MULTIDISCIPLINARY APPROACH. THE VALLEY HOSPITAL'S ENDOSCOPY DEPARTMENT RECEIVED THE AMERICAN COLLEGE OF GASTROENTEROLOGY'S 2021 SCOPY AWARD (SERVICE AWARD FOR COLORECTAL OUTREACH, PREVENTION, AND YEAR-ROUND EXCELLENCE). THIS ANNUAL AWARD RECOGNIZES THE ACHIEVEMENTS OF HEALTHCARE ORGANIZATIONS IN THEIR COMMUNITY ENGAGEMENT, EDUCATION, AND AWARENESS EFFORTS FOR COLORECTAL CANCER PREVENTION. VALLEY WAS RECOGNIZED IN THE CATEGORY OF "BEST COMMUNITY SERVICE DELIVERY AND COMPREHENSIVE COMMUNITY EDUCATION INITIATIVE BY A HEALTH SYSTEM." VALLEY WAS INVITED TO PARTICIPATE IN A PILOT PROJECT AIMED AT IMPROVING RACIAL AND ETHNIC DIVERSITY IN CANCER CLINICAL TRIALS. VALLEY WAS ONE OF 75 RESEARCH SITES NATIONWIDE TO BE SELECTED FOR THE PROJECT, A COLLABORATION OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) AND THE ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC). VALLEY WILL WORK WITH OTHER RESEARCH SITES TO ESTABLISH STRATEGIES TO INCREASE PARTICIPATION IN CANCER CLINICAL TRIALS, PARTICULARLY AMONG PATIENTS FROM HISTORICALLY UNDERREPRESENTED ETHNIC AND RACIAL COMMUNITIES. VALLEY HEALTH SYSTEM WAS RE-ACCREDITED WITH THE CEO CANCER GOLD STANDARD FOR MAINTAINING A STRONG COMMITMENT TO THE HEALTH OF ITS EMPLOYEES THROUGH HEALTHY WORKPLACE INITIATIVES AND ACCESS TO QUALITY CANCER PREVENTION AND TREATMENT SERVICES. VALLEY HAS HELD CEO CANCER GOLD STANDARD ACCREDITATION SINCE 2013. IN 2021, 818 PEOPLE PARTICIPATED IN CANCER EDUCATION PROGRAMS. GYNECOLOGIC CANCERS, BREAST HEALTH/ MAMMOGRAMS, SKIN CANCER, PROSTATE, AND COLON CANCER WERE TOPICS OF INTEREST. OVER 1,700 PEOPLE ATTENDED FREE SUPPORT GROUPS OFFERED BY VALLEY IN 2021. OVER 1,400 PEOPLE ATTENDED MENTAL HEALTH AND SUBSTANCE ABUSE EDUCATION PROGRAMS ON TOPICS INCLUDING TEEN MENTAL HEALTH, BULLYING, SENIORS AND ISOLATION, VAPING, ADDICTION, AND THE EFFECTS OF COVID-19 ON MENTAL HEALTH. PROGRAMS ON RHEUMATOID, BACK PAIN, PHYSICAL THERAPY, OSTEOPOROSIS, AND JOINT PAIN HAD AN AUDIENCE OF 725 PEOPLE. VALLEY OFFERS OPPORTUNITIES FOR COMMUNITY MEMBERS TO VOLUNTEER. OVER THE PAST YEAR, OUR COMMUNITY HAS REDEFINED WHAT IT MEANS TO BE A VOLUNTEER. OUR AMAZING VOLUNTEERS STEPPED UP IN NEW WAYS TO CONTINUE TO ENGAGE WITH PATIENTS, CELEBRATE AND SUPPORT STAFF, AND SERVE OUR COMMUNITY. TO MEET THE NEEDS OF OUR COMMUNITY, VOLUNTEER RESOURCES HAS CONTINUED TO OFFER VIRTUAL VOLUNTEER OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS TO PROMOTE SERVICE LEARNING AND MINDFULNESS, HIGHLIGHT HEALTHCARE CAREERS, AND PROVIDE EDUCATION. THESE INNOVATIVE OPPORTUNITIES HAVE AFFORDED STUDENTS THE ABILITY TO CONTINUE THEIR VOLUNTEERISM AND MEET SCHOOL REQUIREMENTS FOR SERVICE HOURS VIRTUALLY. IN 2021, WE WERE ABLE TO WELCOME BACK VALLEY VOLUNTEERS TO AREAS THROUGHOUT THE SYSTEM. VOLUNTEERS SERVED IN KEY AREAS INCLUDING VACCINATION CLINICS, THE EMERGENCY DEPARTMENT, TRANSPORT, PET THERAPY FOR STAFF, AND ASSISTING STAFF IN OFFICES. IN 2021, WE HAD 300 VOLUNTEERS WHO SERVED APPROXIMATELY 30,000 HOURS THROUGHOUT THE SYSTEM. THE RIDGEWOOD ACADEMY FOR HEALTH PROFESSIONS (RAHP) IS A PARTNERSHIP BETWEEN VALLEY, RIDGEWOOD HIGH SCHOOL, AND BERGEN COMMUNITY COLLEGE. THIS THREE-YEAR PROGRAM BEGAN IN 2005 AND HAS GRADUATED OVER 500 STUDENTS INTERESTED IN PURSUING CAREERS IN HEALTHCARE. DURING THE STUDENT'S FIRST YEAR, TERMED THEIR "EXPLORATION YEAR," STUDENTS VISIT THREE FULL-DAY SESSIONS LEARNING ABOUT DIFFERENT DEPARTMENTS IN THE HEALTHCARE SETTING. THE SECOND YEAR CONCENTRATES ON AREAS OF INTEREST THE STUDENTS WOULD LIKE TO FURTHER INVESTIGATE. DURING THE STUDENT'S THIRD YEAR, TERMED THEIR "MENTORSHIP YEAR," STUDENTS CHOOSE ONE HEALTH-RELATED ISSUE TO EXPLORE UNDER THE GUIDANCE OF A MENTOR AND PREPARE A CAPSTONE PROJECT. VALLEY HAS ALREADY HIRED THREE NURSES, TWO SOCIAL WORKERS, AND AN ADMINISTRATOR WHO ARE ALL GRADUATES OF RAHP. FOR THE SIXTH CONSECUTIVE YEAR, VALLEY RECEIVED NATIONAL ACCOLADES FOR OUR SUSTAINABILITY PRACTICES FROM PRACTICE GREENHEALTH, THE NATION'S LEADING ORGANIZATION DEDICATED TO ENVIRONMENTAL SUSTAINABILITY IN HEALTHCARE. VALLEY RECEIVED THE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD FOR ITS ONGOING COMMITMENT TO IMPROVING ITS ENVIRONMENTAL PERFORMANCE AND EFFORTS TO BUILD SUSTAINABILITY INTO THE HOSPITAL'S OPERATIONS. VALLEY WAS RECOGNIZED BY THE COMMERCE AND INDUSTRY ASSOCIATION OF NEW JERSEY (CIANJ) AND ITS FLAGSHIP PUBLICATION, COMMERCE MAGAZINE, FOR OUR ENVIRONMENTAL LEADERSHIP IN WASTE MINIMIZATION. VALLEY HAS A LONG-STANDING COMMITMENT TO SUSTAINABILITY AND ENVIRONMENTALLY FRIENDLY PRACTICES. DURING 2020, A MULTITUDE OF INITIATIVES WERE IMPLEMENTED TO FURTHER DECREASE OUR CARBON FOOTPRINT: -SUSTAINABLY MADE, REUSABLE PATIENT-BELONGING BAGS CONTINUE TO REPLACE SINGLE-USE PLASTIC BAGS. -VALLEY DINING SWITCHED FROM STYROFOAM PLATES AND CLAMSHELL FOOD CONTAINERS TO COMPOSTABLE PRODUCTS. -THE ADDITION OF THE SETERICYCLE CSRX CONTROLLED WASTE DISPOSAL SYSTEM ENSURES THAT INAPPROPRIATE WASTE DOES NOT ENTER THE COMMUNITY'S WATERSHED. -USING EMERALD BRAND TREE-FREE PRODUCTS SAVED 947 TREES AND 325,296 GALLONS OF WATER AND AVOIDED CREATING 102,772 POUNDS OF LANDFILL WASTE. -THE PURCHASE OF 20 REUSABLE PATIENT GROUNDING ELECTRODES IS DRASTICALLY REDUCING THE NUMBER OF DISPOSABLE GROUNDING PADS USED. -A REDUCTION IN THE NUMBER OF INSTRUMENTS IN THE SURGICAL INSTRUMENTATION TRAYS LED TO A REDUCTION IN THE AMOUNT OF WATER AND ENZYMATIC CLEANERS REQUIRED TO REPROCESS INSTRUMENTATION. VALLEY WORKS WITH OVER 70 LOCAL, SMALL BUSINESSES TO PROVIDE AN ARRAY OF SERVICES. SOME LOCAL BUSINESSES INCLUDE SERVICES FOR FURNITURE PURCHASES AND REPAIRS, TEMPORARY AND OUTDOOR SIGNAGE, MARKETING AND PRINTING MATERIALS, TRAFFIC AND SAFETY EQUIPMENT, JANITORIAL SUPPLY, HVAC AND ELECTRICAL SERVICES, AND CONSTRUCTION. THE COMPASSION FUND IS VALLEY'S WAY OF HELPING FELLOW EMPLOYEES IN SERIOUS NEED OF FINANCIAL ASSISTANCE TO PAY RENT, UTILITY BILLS, FOOD COSTS, AND OTHER EVERYDAY EXPENSES. VALLEY PROVIDED $100,000 TO LOCAL ORGANIZATIONS TO IMPROVE ACCESS AND BUILD CAPACITY THROUGH GRANTS. AN ADDITIONAL $195,838 OF CASH AND IN-KIND DONATIONS WERE GIVEN TO COMMUNITY GROUPS AND LOCAL CHARITY EVENTS TO SUPPORT ACCESS TO CARE, MENTAL HEALTH, CANCER, HEART DISEASE, AND EFFORTS TO IMPROVE NON-MEDICAL DETERMINANTS OF HEALTH. IN ADDITION TO VALLEY SPONSORING LOCAL EVENTS, OUR EMPLOYEES PARTICIPATE IN MANY EVENTS TO RAISE FUNDS FOR RESEARCH. IN 2021, THE LUSTGARTEN FOUNDATION WALK FOR PANCREATIC CANCER RESEARCH, NJ SHARING NETWORK 5K, ALS ASSOCIATION'S WALK TO DEFEAT ALS, RELAY FOR LIFE, AND THE BREAST CANCER WALK ARE SOME OF THE EVENTS VALLEY EMPLOYEE TEAMS PARTICIPATED IN.
PART III, LINE 4A, CONTINUATION PART II	THE CORONAVIRUS (COVID-19) PANDEMIC HAS LEFT A DEVASTATING IMPACT AROUND THE WORLD. INDIA WAS EXPERIENCING THE WORLD'S WORST OUTBREAK WITH NEW CASES SURGING PAST 400,000 PER DAY. THE NEW JERSEY HOSPITAL ASSOCIATION AND LOCAL HEALTHCARE FACILITIES RECOGNIZED THE NEED TO ACT FAST TO ASSIST INDIA IN THEIR FIGHT AGAINST COVID-19. AS PART OF THIS EFFORT, VALLEY DONATED FOUR RESPIRATORY VENTILATORS AND SEVEN SYRINGE PUMPS. VALLEY'S PARAMEDIC TEAM PROVIDED OVER 80 HOURS OF EDUCATION TO LOCAL, VOLUNTEER EMTS. THE FREE TRAINING INCLUDED PERTINENT TOPICS, SUCH AS EPINEPHRINE AUTO INJECTOR TRAINING, NARCAN USE, PRE-HOSPITAL TRAUMA LIFE SUPPORT, PEDIATRIC CARE, WINTER EMERGENCIES, SEPSIS, AND STROKE. THE VALLEY HOSPITAL GAMMA KNIFE TEAM, VALLEY HOSPITAL SECURITY, AND PARAMUS POLICE DEPARTMENT PARTICIPATED IN DISTANCE ALARM TRAINING, AN 8-HOUR COURSE DEVELOPED BY THE US DEPARTMENT OF ENERGY'S OFFICE OF RADIOLOGICAL SECURITY (ORS), TO REVIEW SECURITY ENHANCEMENTS IN THE GAMMA KNIFE SUITE IN THE LUCKOW PAVILION AND TO DEVELOP AND DISCUSS TECHNIQUES AND PROCEDURES WHEN RESPONDING TO THE ATTEMPTED THEFT OF RADIOACTIVE MATERIALS FROM THE GAMMA SUITE. A SECOND 2-HOUR TABLE-TOP EXERCISE DEVELOPED BY ORS WAS HELD TO PREPARE FOR AN ATTACK AND THEFT OF RADIOACTIVE MATERIAL. SINCE 2003, THE VALLEY HOSPITAL HAS BEEN A RECIPIENT OF THE PRESTIGIOUS MAGNET DESIGNATION FOR NURSING EXCELLENCE FROM THE AMERICAN NURSES CREDENTIALING CENTER. THE VALLEY HOSPITAL RECEIVED THE INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANT (IBCLC) CARE AWARD BY THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS AND THE INTERNATIONAL LACTATION CONSULTANT ASSOCIATION. THE IBCLC CARE AWARD RECOGNIZES HEALTHCARE ORGANIZATIONS THAT STAFF IBCLC-CERTIFIED PROFESSIONALS AND EXCEL IN PROMOTING, PROTECTING, AND SUPPORTING BREASTFEEDING. THIS IS A GLOBAL, TWO-YEAR RECOGNITION. IBCLCS FOCUS ON PREVENTIVE CARE AND ARE AVAILABLE DURING PREGNANCY TO ASSESS AND PROVIDE INFORMATION ON HOW TO SUCCESSFULLY INITIATE BREASTFEEDING. THEY CONTINUE ASSISTANCE AFTER THE BABY IS BORN BY HELPING FAMILIES OVERCOME BREASTFEEDING CHALLENGES, PROVIDING ACCURATE INFORMATION, AND OFFERING CONTINUING SUPPORT AS THEIR BABY GROWS. IN ADDITION TO LACTATION SERVICES, OVER 1,100 PEOPLE JOINED VALLEY FOR BREASTFEEDING SUPPORT GROUPS AND CLASSES IN 2021. FOR THE EIGHTH TIME, THE VALLEY HOSPITAL EARNED THE 2021 WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE, WHICH SIGNIFIES THAT THEY HAVE MET THE HIGHEST STANDARDS FOR PATIENT EXPERIENCE IN THE U.S. VALLEY IS ONE OF ONLY FOUR HOSPITALS IN NEW JERSEY THAT RECEIVED THIS DISTINCTION. THIS DISTINCTION REFLECTS VALLEY'S COMMITMENT AND DEDICATION TO PROVIDING EXCEPTIONAL CARE AND SERVICE TO ALL PATIENTS, INCLUDING WOMEN AND THEIR FAMILIES. VALLEY ALSO EARNED THE WOMEN'S CHOICE AWARD FOR AMERICA'S BEST BREAST CENTERS AND AMERICA'S BEST HOSPITALS FOR OBSTETRICS. FOR THE 17TH TIME, THE VALLEY HOSPITAL RECEIVED AN "A" GRADE FOR PATIENT SAFETY FROM THE LEAPFROG GROUP. THIS RECOGNITION DISTINGUISHES VALLEY AS ONE OF THE SAFEST HOSPITALS IN THE UNITED STATES. SAFETY IS ALWAYS PARAMOUNT AT VALLEY. DURING THE LAST 20 MONTHS, OUR PHYSICIANS, NURSES, AND STAFF HAVE GONE ABOVE AND BEYOND TO MAKE VALLEY A SAFE PLACE TO RECEIVE CARE, VISIT A LOVED ONE, AND WORK, MAKING THIS DISTINCTION ALL THE MORE MEANINGFUL. THE VALLEY HOSPITAL WAS ONCE AGAIN NAMED ONE OF AMERICA'S 250 BEST HOSPITALS BY HEALTHGRADES, PLACING US AMONG THE TOP FIVE PERCENT OF HOSPITALS NATIONWIDE FOR SUPERIOR CLINICAL PERFORMANCE. VALLEY IS ONE OF ONLY FOUR HOSPITALS IN NEW JERSEY AND THE ONLY HOSPITAL IN BERGEN, PASSAIC, ESSEX, AND HUDSON COUNTIES TO EARN THIS DISTINCTION FOR 2021. HEALTHGRADES BESTOWED THIS AWARD AFTER ASSESSING MORE THAN 4,500 HOSPITALS NATIONWIDE FOR OVERALL CLINICAL EXCELLENCE ACROSS A BROAD SPECTRUM OF CARE. THIS DISTINCTION IS A TESTAMENT TO VALLEY'S COMMITMENT TO PROVIDING SAFE, HIGH-QUALITY CLINICAL CARE AND SERVICE TO OUR PATIENTS AND FAMILIES. THE VALLEY HOSPITAL HOLDS DISEASE-SPECIFIC CERTIFICATIONS FROM THE JOINT COMMISSION IN PERINATAL CARE; COMPREHENSIVE STROKE; TOTAL HIP REPLACEMENT; TOTAL KNEE REPLACEMENT; AND WOUND CARE. THE VALLEY HOSPITAL ONCE AGAIN RECEIVED DISEASE-SPECIFIC CARE CERTIFICATION IN WOUND CARE FROM THE JOINT COMMISSION. THIS CERTIFICATION IS GIVEN TO INSTITUTIONS AND PROGRAMS THAT ARE COMMITTED TO PROVIDING CONSISTENT CLINICAL QUALITY WHEN PROVIDING CARE FOR THEIR PATIENTS. BEING CERTIFIED RECOGNIZES VALLEY'S SAFE AND EFFECTIVE CARE OF INFECTION-RELATED DISEASES INVOLVING WOUNDS. THE VALLEY HOSPITAL WAS RANKED THE THIRD BEST HOSPITAL IN NEW JERSEY AND ACHIEVED AN OVERALL RANKING AS THE FIFTEENTH BEST HOSPITAL (IN A THREE-WAY TIE) IN THE ENTIRE NEW YORK METROPOLITAN AREA, BY U.S. NEWS & WORLD REPORT FOR 2021-2022. IN ADDITION, VALLEY ACHIEVED THE HIGHEST POSSIBLE RATING HIGH PERFORMING IN 12 AREAS OF CARE (UP FROM EIGHT LAST YEAR): ORTHOPEDICS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), COLON CANCER SURGERY, DIABETES, HEART ATTACK, HEART FAILURE, HIP REPLACEMENT, KNEE REPLACEMENT, KIDNEY FAILURE, LUNG CANCER SURGERY, PNEUMONIA, AND STROKE. THE U.S. NEWS & WORLD REPORT ANALYSIS OF HOSPITALS INCLUDES NATIONWIDE DATA FROM ACROSS MULTIPLE CLINICAL SPECIALTIES, PROCEDURES, AND CONDITIONS. SCORES ARE BASED ON PATIENT OUTCOMES, PATIENT EXPERIENCE, A VARIETY OF CARE-RELATED FACTORS, AND EXPERT OPINION OBTAINED THROUGH PHYSICIAN SURVEYS. OF THE NEARLY 5,000 HOSPITALS ANALYZED, AND 30,000 PHYSICIANS SURVEYED, ONLY 175 HOSPITALS RANKED IN AT LEAST ONE OF THE SPECIALTIES. THESE DISTINCTIONS ARE A REFLECTION OF VALLEY'S LONGSTANDING COMMITMENT TO PROVIDING EXCELLENT CLINICAL CARE AND SERVICE TO ALL MEMBERS OF THE COMMUNITY WE SERVE. THE VALLEY HOSPITAL WAS NAMED ONE OF THE WORLD'S BEST HOSPITALS BY NEWSWEEK FOR A THIRD CONSECUTIVE YEAR. CREATED BY STATISTICA, THE WORLD'S BEST HOSPITALS 2021 RANKING LISTS THE 2,000 BEST HOSPITALS ACROSS 25 COUNTRIES, INCLUDING THE UNITED STATES, THE UNITED KINGDOM, GERMANY, AND CANADA. VALLEY WAS RANKED AS THE 132ND BEST HOSPITAL IN THE U.S. AND THE THIRD BEST HOSPITAL IN NEW JERSEY FOR 2021. THE 2,000 HOSPITALS RECOGNIZED ON THE WORLD'S BEST HOSPITALS 2021 LIST WERE SELECTED BASED ON RECOMMENDATIONS FROM MEDICAL PROFESSIONALS, PATIENT SURVEY RESULTS, AND MEDICAL PERFORMANCE INDICATORS. SCORES ARE COMPARABLE ONLY BETWEEN HOSPITALS IN THE SAME COUNTRY. THE NUMBER OF AWARDS PER COUNTRY VARIED BASED ON THE NUMBER OF HOSPITALS AND DATA AVAILABILITY. THE U.S. HAD THE MOST HOSPITALS AWARDED, WITH 334. THE VALLEY HOSPITAL WAS RECOGNIZED WITH THE 2021-2022 AMERICAN ASSOCIATION FOR RESPIRATORY CARE APEX RECOGNITION AWARD FOR OUR CONTINUED BEST PRACTICES AND PROMOTION OF PATIENT SAFETY IN RESPIRATORY CARE. THIS IS OUR SECOND CONSECUTIVE APEX RECOGNITION AWARD, HAVING PREVIOUSLY RECEIVED IT FOR 2019-2020. THE APEX RECOGNITION AWARD DISTINGUISHES FACILITIES FOR THEIR COMMITMENT TO EXCELLENCE IN PROFESSIONAL DEVELOPMENT, EVIDENCE-BASED CARE, PATIENT SAFETY, PATIENT SATISFACTION, AND QUALITY IMPROVEMENT. FOR THE 21ST CONSECUTIVE YEAR, VALLEY HEALTH SYSTEM WAS NAMED AMONG HEALTHCARE'S "MOST WIRED," ACCORDING TO CHIME HEALTHCARE'S MOST WIRED 2021 SURVEY. VALLEY RECEIVED A LEVEL 9 CERTIFICATION ONE OF THE HIGHEST GIVEN BY CHIME IN RECOGNITION OF ITS STATUS AS A LEADER IN HEALTHCARE TECHNOLOGY. THE MOST WIRED DISTINCTION RECOGNIZES HOSPITALS AND HEALTH SYSTEMS THAT ARE AT THE FOREFRONT OF APPLYING CORE AND ADVANCED TECHNOLOGIES TO IMPROVE HEALTHCARE IN THEIR COMMUNITIES. THE VALLEY HOSPITAL WAS RANKED AMONG THE TOP THREE HOSPITALS BY NJBIZ, BASED ON INPATIENT ACTIVITY. VALLEY POSTED NEARLY 34,000 DISCHARGES IN 2021, MOVING UP TWO SPOTS FROM LAST YEAR'S LIST. THESE NUMBERS VALIDATE THAT BECAUSE OF THE OUTSTANDING CARE OUR STAFF PROVIDES, HUNDREDS OF THOUSANDS OF PATIENTS CONTINUE TO CHOOSE VALLEY FOR THEIR HEALTH AND WELLNESS NEEDS. VALLEY HEALTH SYSTEM HAS EARNED THE TOP SPOT IN EACH OF THE FIVE CATEGORIES IN WHICH IT WAS NOMINATED IN THE 2021 NJBIZ READER RANKINGS POLL. VALLEY RECEIVED THE MOST VOTES IN THESE CATEGORIES: -BEST HEALTH CARE SYSTEM -BEST HOSPITAL -BEST CARDIAC CARE CENTER -BEST PHYSICIAN GROUP (VALLEY MEDICAL GROUP) -BEST NONPROFIT ORGANIZATION (THE VALLEY HOSPITAL FOUNDATION)
PART III, LINE 4A, CONTINUATION PART III	VALLEY WAS HONORED TO BE AMONG THE TOP THREE HOSPITALS IN THE JEWISH STANDARD'S 2021 READERS' CHOICE. VALLEY WAS RANKED FOR INPATIENT EXPERIENCE, EMERGENCY ROOM, BIRTHING CENTER, BREAST CARE CENTER, AND HOSPITAL FOOD. VALLEY ALSO RANKED AMONG THE TOP TWO HOSPITALS FOR HOME HEALTH CARE. VALLEY ACHIEVED MANY SIGNIFICANT ACCOLADES AND RECOGNITIONS IN 2021, DESPITE CONTINUING TO DEAL WITH THE IMPACTS OF THE ONGOING PANDEMIC. THE RECOGNITIONS AND ACTIVITIES INCLUDE BEING NAMED AMONG THE TOP THREE BEST HOSPITALS IN NEW JERSEY BY U.S. NEWS & WORLD REPORT, BEING NAMED AS THE BEST PLACE TO WORK BY 201 MAGAZINE, BEING RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S 250 BEST HOSPITALS.
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. 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 2021.
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:	CHANGE IN HOSPITAL NET ASSETS HELD BY VALLEY HOSPITAL FOUNDATION -5,905,363. ADJUSTMENT FOR NET ASSETS OF DISREGARDED ENTITIES 2,902,396.
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE VALLEY HOSPITAL INC

Employer identification number

22-1487307

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) 620 WINTERS AVENUE LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450 46-2091667	REAL ESTATE HOLDINGS	DE	0	0	THE VALLEY HOSPITAL INC
(2) 1200 EAST RIDGEWOOD LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450 46-4115513	REAL ESTATE HOLDINGS	DE	3,672,595	22,350,640	THE VALLEY HOSPITAL INC
(3) 555 MAPLE ACQUISITION LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450 45-3070365	REAL ESTATE HOLDINGS	DE	0	8,110,000	THE VALLEY HOSPITAL INC
(4) 599 PARAMUS ACQUISITION LLC 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450 46-0985392	REAL ESTATE HOLDINGS	DE	0	9,942,120	THE VALLEY HOSPITAL INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)VALLEY HEALTH SYSTEM INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450 22-2922016	PROVIDES MANAGEMENT & PLANNING SERVICES FOR ITS MEMBERS	NJ	501(C)(3)	LINE 3	N/A		No
(2)VALLEY PHYSICIAN SERVICES INC 15 ESSEX ROAD PARAMUS,NJ07652 32-0041186	PROVIDES MEDICAL CARE TO CARRYOUT THE PURPOSE OF THE VALLEY HEALTH SYSTEM	NJ	501(C)(3)	LINE 10	THE VALLEY HOSPITAL INC	Yes
(3)VALLEY HOME CARE INC 15 ESSEX ROAD PARAMUS,NJ07652 22-3208480	PROVIDES REHABILITATION VISITS AND HOME HEALTH AIDS VISITS TO PATIENTS	NJ	501(C)(3)	LINE 10	VALLEY HEALTH SYSTEM INC		No
(4)THE VALLEY HOSPITAL FOUNDATION INC 223 NORTH VAN DIEN AVENUE RIDGEWOOD,NJ07450 22-2324554	SOLICITS AND RECEIVES CONTRIBUTIONS FOR THE BENEFIT OF HEALTH SYSTEM	NJ	501(C)(3)	LINE 7	VALLEY HEALTH SYSTEM INC		No
(5)VALLEY PHYSICIAN SERVICE NY PC 15 ESSEX ROAD PARAMUS,NJ07652 45-3125678	OPERATES URGENT/PRIMARY CARE CLINICS	NJ	501(C)(3)	LINE 10	VALLEY PHYSICIAN SERVICES INC		No
(6)VALLEY MEDICAL SERVICES PC 15 ESSEX ROAD PARAMUS,NJ07652 46-5297054	PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE	NJ	501(C)(3)	LINE 10	VALLEY PHYSICIAN SERVICES INC		No
(7)VALLEY PHYSICIANS SERVICES PC 15 ESSEX ROAD PARAMUS,NJ07652 46-5285330	PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE	NJ	501(C)(3)	LINE 10	VALLEY PHYSICIAN SERVICES INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) VHS INSURANCE COMPANY LTD 010 MAIN STREET CAYMAN ISLANDS CJ 98-0408200	PROVIDES PROFESSIONAL, MEDICAL AND COMMERCIAL GENERAL LIABILITY INSURANCE	CJ	VALLEY HEALTH SYSTEM	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) VALLEY PHYSICIAN SERVICES PC	S	25,684,298	COST
(2) VALLEY PHYSICIAN SERVICES INC	R	86,660,239	COST
(3) VALLEY PHYSICIAN SERVICES PC NY	S	558,231	COST

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE VALLEY HOSPITAL SERVES THE COMMUNITY BY HEALING AND CARING FOR PATIENTS, COMFORTING THEIR FAMILIES AND TEACHING GOOD HEALTH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	4,328
6	Total number of volunteers (estimate if necessary) .............	6	900
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	690,191
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	90,953,885	48,649,420
9	Program service revenue (Part VIII, line 2g) .........	761,188,083	894,617,449
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	33,006,001	30,738,761
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	12,249,054	26,523,473
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	897,397,023	1,000,529,103
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	79,111,186	89,176,604
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	405,415,923	344,729,669
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	358,963,016	421,953,657
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	843,490,125	855,859,930
19	Revenue less expenses. Subtract line 18 from line 12.......	53,906,898	144,669,173
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,094,706,375	2,214,086,950
21	Total liabilities (Part X, line 26).............	779,283,273	761,951,049
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,315,423,102	1,452,135,901

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 689,209,926 including grants of $ 89,176,604 ) (Revenue $ 894,476,641 )
	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 THE MOST POPULOUS COUNTY IN NEW JERSEY AND ONE OF THE WEALTHIEST COUNTIES IN THE UNITED STATES. THERE ARE 931,275 RESIDENTS IN THE 233.01 SQUARE MILES OF BERGEN COUNTY, NJ. THE POPULATION IS 55% WHITE AND NON-HISPANIC, 21% HISPANIC, 7% BLACK, AND 17% ASIAN. THE MEDIAN HOUSEHOLD INCOME IS $104,623. 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.OVER 2,660 COVID-19 PATIENTS CAME THROUGH THE DOORS OF THE HOSPITAL IN 2021. IN FEBRUARY 2021, VALLEY OPENED A COVID-19 VACCINE CENTER AND ADMINISTERED MORE THAN 170,000 COVID-19 VACCINES TO MEMBERS OF OUR COMMUNITY THROUGHOUT THE YEAR.BY THE END OF 2021, A TOTAL OF 974 MONOCLONAL ANTIBODY INFUSIONS WERE GIVEN. MONOCLONAL ANTIBODY TREATMENT IS FOR PATIENTS AT HIGH-RISK WITH MILD TO MODERATE COVID-19 INFECTION AND GIVEN WITHIN 10 DAYS OF SYMPTOM ONSET.IN 2021, 50,120 INDIVIDUALS WERE ADMITTED TO VALLEY, 61,884 PEOPLE WERE TREATED IN THE EMERGENCY DEPARTMENT, AND 3,875 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.THE VALLEY HOSPITAL EMERGENCY DEPARTMENT IS A RECIPIENT OF THE LANTERN AWARD FROM THE EMERGENCY NURSES ASSOCIATION. VALLEY IS ONE OF ONLY 28 HOSPITALS NATIONWIDE TO EARN THIS AWARD FOR 2019-2022 AND IS THE FIRST AND ONLY HOSPITAL IN BERGEN COUNTY TO RECEIVE THIS RECOGNITION SINCE THE PROGRAM'S INCEPTION IN 2011.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% OF BERGEN COUNTY RESIDENTS COMPARED TO NEW JERSEY OVERALL AT 16%. VALLEY HEALTH PRIMETIME WAS CREATED TO HELP OLDER ADULTS STAY HEALTHY BY TEACHING THEM GOOD HEALTH AND PROVIDING OPPORTUNITIES TO REMAIN SOCIALLY ACTIVE. IN 2021, VALLEY HEALTH PRIMETIME TRANSITIONED TO VIRTUAL PROGRAMS AND OFFERED 34 FREE, VIRTUAL PROGRAMS TO OVER 1,358 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 4,805 VISITS IN 2021. 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. IN 2020, THE VALLEY HOSPITAL WAS AWARDED THE "LGBTQ HEALTHCARE EQUALITY LEADER" DESIGNATION BY THE HUMAN RIGHTS CAMPAIGN (HRC) FOUNDATION FOR EARNING A TOP SCORE FOR ITS LGBTQ-INCLUSIVE POLICIES AND PRACTICES. VALLEY RECEIVED THE TOP SCORE OF 100 FOR THE THIRD TIME FOR ITS LGBTQ-INCLUSIVE POLICIES AND PRACTICES IN FOUR AREAS: NON-DISCRIMINATION AND STAFF TRAINING, LGBTQ PATIENT SERVICES AND SUPPORT, EMPLOYEE BENEFITS AND POLICIES, AND LGBTQ PATIENT AND COMMUNITY ENGAGEMENT. THE HEI SURVEY IS REVIEWED EVERY TWO YEARS. VALLEY SUPPORTS BUDDIES OF NEW JERSEY, GARDEN STATE EQUALITY, AND FRIENDS OF MAHWAH PRIDE TO EXPAND RESOURCES TO THE LGBTQ COMMUNITY.VALLEY'S SOCIAL EQUALITY COUNCIL IS DEVELOPING INITIATIVES AND PROGRAMS THAT ENCOURAGE SAFETY AND EQUAL ACCESS TO ALL OPPORTUNITIES, SO THAT EVERYONE CAN LEAD A HEALTHY AND FULFILLED LIFE, REGARDLESS OF AN INDIVIDUAL'S BACKGROUND, ETHNICITY, OR RACE.BY COLLABORATING WITH AREA ORGANIZATIONS, VALLEY IS ABLE TO WORK WITH UNDERSERVED POPULATIONS TO HELP MEET ACCESS TO CARE NEEDS OF THEIR MEMBERS AND CONNECT INDIVIDUALS TO RESOURCES.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 16,157 PEOPLE PARTICIPATED IN FREE EDUCATION PROGRAMS IN PERSON AND VIRTUALLY IN 2021.LIFESTYLES, OUR WORLD-CLASS HEALTH AND FITNESS CENTER, FEATURES THREE POOLS AND THE LATEST STRENGTH AND CARDIO EQUIPMENT. THE TEAM OF HIGHLY EXPERIENCED AND DEGREED HEALTH PROFESSIONALS DESIGN PROGRAMMING TO MEET THE WELLNESS NEEDS FOR PEOPLE OF ALL AGES. TO ENCOURAGE THE COMMUNITY TO STAY HEALTHY DURING THE PANDEMIC, LIFESTYLES LAUNCHED A FREE "LIFESTYLES AT HOME" VIDEO SERIES FOR THE COMMUNITY, FEATURING 95 INSTRUCTIONAL VIDEOS COVERING FLEXIBILITY, CARDIO/FITNESS, CARDIO/STRENGTH TRAINING, STRENGTH TRAINING, AND MIND/BODY.PARTICIPANTS IN VALLEY'S FREE WALKING PROGRAMS WALKED 10,200 MILES IN 2021. PARTICIPANTS IN WEIGHT LOSS CHALLENGES OFFERED BY VALLEY IN PARTNERSHIP WITH THE RIDGEWOOD AND PARAMUS BOARDS OF HEALTH LOST A TOTAL OF 417 LBS. FIFTY PERCENT OF THOSE PARTICIPANTS ALSO LOWERED THEIR A1C AND CHOLESTEROL. ALSO, 1,500 PEOPLE ATTENDED NUTRITION PROGRAMS ON TOPICS SUCH AS HEALTHY SUMMER EATING, THE MEDITERRANEAN DIET, WEIGHT LOSS STRATEGIES, AND THE TRUTH BEHIND DIET TRENDS.OVER 350 PEOPLE PARTICIPATED IN BLOOD PRESSURE SCREENING CLINICS, AND 835 PEOPLE PARTICIPATED IN PROGRAMS ON CARDIAC AND STROKE. SOME PROGRAM TOPICS INCLUDE MANAGING BLOOD PRESSURE, METABOLIC SYNDROME, WOMEN'S CARDIAC HEALTH, STROKE, AND ATRIAL FIBRILLATION. VALLEY ALSO HOSTS A STROKE SUPPORT GROUP WITH APPROXIMATELY 10 PARTICIPANTS EACH MONTH.THE VALLEY HOSPITAL WAS AWARDED THE ADVANCED COMPREHENSIVE STROKE CENTER CERTIFICATION THE HIGHEST-LEVEL RECOGNITION THAT A STROKE CENTER CAN RECEIVE FROM THE JOINT COMMISSION. THIS PRESTIGIOUS CERTIFICATION SIGNIFIES THAT VALLEY HAS MET RIGOROUS PERFORMANCE STANDARDS AND DEMONSTRATED THE ABILITY TO TREAT EVEN THE MOST COMPLEX STROKE CASES.VALLEY IS PROUD TO AFFILIATE WITH HIGH-QUALITY ORGANIZATIONS TO OFFER OUR PATIENTS THE BEST CARE AND SERVICE. WE HAVE ESTABLISHED AN ACADEMIC AFFILIATION WITH MOUNT SINAI HEALTH SYSTEM TO PROVIDE STATE-OF-THE-ART, COMPREHENSIVE CANCER CARE AND SPECIALTY CHILDREN'S SERVICES TO OUR PATIENTS AND THEIR FAMILIES. WE HAVE ALSO ESTABLISHED A CARDIAC AFFILIATION WITH CLEVELAND CLINIC THE NO. 1 HEART HOSPITAL IN THE COUNTRY TO SHARE BEST PRACTICES, COORDINATE CARE, AND DEVELOP PROGRAMS TO IMPROVE QUALITY AND PATIENT SAFETY.THE VALLEY HOSPITAL ONCE AGAIN RECEIVED THE GET WITH THE GUIDELINES-STROKE GOLDPLUS ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC, RESEARCH-BASED QUALITY IMPROVEMENT MEASURES FOR THE TREATMENT OF STROKE PATIENTS. HOSPITALS THAT EARN THIS RECOGNITION HAVE REACHED AN AGGRESSIVE GOAL OF TREATING STROKE PATIENTS WITH 85% OR HIGHER COMPLIANCE TO CORE STANDARD LEVELS OF CARE, AS OUTLINED BY THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION, FOR TWO CONSECUTIVE YEARS. VALLEY ALSO EARNED THE TARGET: STROKE HONOR ROLL RECOGNITION FOR MEETING QUALITY MEASURES DEVELOPED TO REDUCE THE TIME BETWEEN THE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH CLOT-DISSOLVING MEDICATION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses689,209,926

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,745,494	7,221,079	432,799

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	45,960,616
e	Government grants (contributions)		1e	2,688,804

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		48,649,420

		Business Code
2a	PATIENT SERVICE REVENUE	621990	884,433,022	884,433,022
b	PHARMACY REVENUE	621990	8,010,884	7,320,693	690,191
c	HEALTH AND WELLNESS CENTER	713940	2,173,543	2,173,543
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		894,617,449

3 Investment income (including dividends, interest, and othersimilar amounts) ......			20,838,353			20,838,353
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		9,101,434	6a
b	Less: rental expenses		6,971,363	6b
c	Rental income or (loss)		2,130,071	6c
d	Net rental income or (loss).......			2,130,071			2,130,071
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	574,526	561,280,371	7a
b	Less: cost or other basis and sales expenses	483,059	551,471,430	7b
c	Gain or (loss)	91,467	9,808,941	7c
d	Net gain or (loss).........			9,900,408			9,900,408
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	PHARMACY - EMPLOYEES		621990	14,853,178			14,853,178
b	PURCHASE DISCOUNTS AND REBATES		900099	4,717,892			4,717,892
c	PENSION SETTLEMENT REFUND		900099	1,941,533			1,941,533
d	All other revenue ....			2,880,799	549,383		2,331,416
e	Total. Add lines 11a–11d ......			24,393,402
12	Total revenue. See instructions.....			1,000,529,103	894,476,641	690,191	56,712,851

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	89,176,604	89,176,604
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,775,601	1,473,749	301,852
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	286,696,839	236,118,784	50,578,055
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	9,944,995	8,190,245	1,754,750
9	Other employee benefits .......	27,323,065	22,502,924	4,820,141
10	Payroll taxes ...........	18,989,169	15,639,480	3,349,689
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	137,004		137,004
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	53,763,801	47,668,715	6,095,086
12	Advertising and promotion ....	821,333	540,205	281,128
13	Office expenses .......	4,248,268	2,460,995	1,787,273
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	20,956,096	8,169,067	12,787,029
17	Travel ............	351,421	312,953	38,468
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,524,067	2,439,657	84,410
20	Interest ...........	3,454,073	3,454,073
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	56,711,249	56,711,249
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	128,454,749	46,830,701	81,624,048
b	DRUGS	93,573,236	93,573,236
c	PROVISION FOR BAD DEBT	30,312,650	30,312,650
d	EQUIPMENT RENTAL	21,308,929	18,297,858	3,011,071
e	All other expenses	5,336,781	5,336,781
25	Total functional expenses. Add lines 1 through 24e	855,859,930	689,209,926	166,650,004	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			374,451,825	2	7,610,097
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			82,284,585	4	88,830,870
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				21,941,068	5	22,592,263
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			20,973,725	9	6,595,119
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,531,817,012
b	Less: accumulated depreciation	10b	856,740,999	482,705,687	10c	675,076,013
11	Investments—publicly traded securities .			955,814,648	11	1,253,327,843
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			156,534,837	15	160,054,745
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,094,706,375	16	2,214,086,950

17	Accounts payable and accrued expenses .....	229,434,263	17	215,615,034
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	384,730,219	20	369,518,483
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	58,953,806	24	58,410,905
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	106,164,985	25	118,406,627
26	Total liabilities. Add lines 17 through 25..	779,283,273	26	761,951,049

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,308,757,553	27	1,445,449,460
28	Net assets with donor restrictions ...........	6,665,549	28	6,686,441
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,315,423,102	32	1,452,135,901
33	Total liabilities and net assets/fund balances ........	2,094,706,375	33	2,214,086,950