4A (Expenses $ 689209926 including grants of $ 89176604) (Revenue $ 894476641)
"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."

THE VALLEY HOSPITAL
PART V, SECTION B, LINE 6A: THE HOSPITAL'S CHNA WAS COMPLETED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: CHRISTIAN HEALTH CARE CENTER (RAMAPO RIDGE PSYCHIATRIC HOSPITAL), ENGLEWOOD HOSPITAL AND MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACKUMC AT PASCACK VALLEY AND HOLY NAME MEDICAL CENTER.

THE VALLEY HOSPITAL
PART V, SECTION B, LINE 6B: THE HOSPITAL'S CHNA WAS ALSO COMPLETED WITH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY AND THE DEPARTMENT OF HEALTH.

THE VALLEY HOSPITAL
PART V, SECTION B, LINE 11: THE VALLEY HOSPITAL CHNA IDENTIFIED EIGHTEEN (18) AREAS OF OPPORTUNITY. THESE AREAS WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. WE WILL BE ADDRESSING 16 OF THE 18 AREAS BY:- IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT.- CONTINUE TO OFFER COMMUNITY CARE CLINIC- EXPAND REACH TO UNDERSERVED AND SPECIAL POPULATIONS- EXPAND PRIMARY AND PREVENTATIVE CARE, AND ENHANCE ACCESS AND CONVENIENCE OF PROVIDER SERVICES.- CONTINUE TO OFFER PROGRAMS, SERVICES AND SUPPORT GROUPS TO PROMOTE POSITIVE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE- INCREASE ACCESS TO IMMUNIZATIONS AND REDUCE INFECTIOUS DISEASETHE TWO AREAS NOT COVERED ARE CHILDREN'S DENTAL CARE AND CHILDREN'S PHYSICAL ACTIVITY. THEY WILL NOT BE ADDRESSED BECAUSE:CHILDREN'S DENTAL CARE- HOSPITAL DOES NOT HAVE THE EXPERTISE TO EFFECTIVELY ADDRESS CHILDREN'S DENTAL CARE. ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED. NEED IS NOT AS PRESSING AS OTHER PROBLEMS.CHILDREN'S PHYSICAL ACTIVITY INITIATIVES ARE INCLUDED IN OUR EFFORTS TO IMPROVE HEALTH STATUS HOWEVER WE CHOSE TO ADDRESS ACTIVITY INITIATIVES FOR ALL AGE LEVELS, NOT SPECIFICALLY CHILDREN ONLY.

SCHEDULE H, PART V, SECTION B, LINE 5:
THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY ENGAGING INDIVIDUALS ACROSS BERGEN COUNTY TO PARTICIPATE IN THE ASSESSMENT AND PLANNING PROCESS. REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE PROVIDERS; COUNTY LEADERSHIP AND STAFF; FAITH LEADERS; COMMUNITY RESIDENTS; HOSPITAL LEADERSHIP, CLINICIANS AND STAFF; COMMUNITY AND PUBLIC HEALTH OFFICIALS; AND COMMUNITY ORGANIZERS AND ADVOCATES PARTICIPATED IN THE PROCESS. EACH REPRESENTATIVE ORGANIZATION ON THE STEERING COMMITTEE SUBMITTED A LIST OF KEY INFORMANTS THAT COULD PROVIDE A DEEP AND BROAD PERSPECTIVE ON THE HEALTH-RELATED NEEDS OF THE COUNTY AND BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH APPROXIMATELY 80 COMMUNITY STAKEHOLDERS THROUGHOUT THE COUNTY. THE INTERVIEWS CONFIRMED AND/OR REFINED THE FINDINGS FROM QUANTITATIVE DATA SOURCES AND PROVIDED VALUABLE INSIGHT ON COMMUNITY NEED, COMMUNITY HEALTH PRIORITIES, SEGMENTS OF THE POPULATION MOST AT-RISK AND COMMUNITY HEALTH ASSETS. TO FURTHER-ENGAGE COMMUNITY RESIDENTS AND STAKEHOLDERS, INCLUDING SEGMENTS THAT ARE TYPICALLY HARD TO REACH, A MAIL-BASED RANDOM HOUSEHOLD SURVEY WAS DISTRIBUTED TO MORE THAN 4,000 RANDOMLY IDENTIFIED HOUSEHOLDS IN THE COUNTY. IN ALL, 1,372 COMMUNITY RESIDENTS RESPONDED TO THE SURVEY.THE FOLLOWING INDIVIDUALS WERE CONSULTED:- SUE DEBIAK, DIVISION DIRECTOR, OFFICE OF ALCOHOL AND DRUG DEPENDENCY, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- SUSAN DEVLIN, ASSOCIATE EXECUTIVE DIRECTOR, COMPREHENSIVE BEHAVIORAL HEALTH CARE- MICHELLE HART LOUGHLIN, DIRECTOR, DIVISION OF MENTAL HEALTH SERVICES, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- CAROLYN DEBOER, DIRECTOR OF CORPORATION PLANNING, PARTNERSHIP FOR MATERNAL AND CHILD HEALTH- THOMAS DEMAIO, PRINCIPAL, PASCACK VALLEY HIGH SCHOOL- ELLEN ELIAS, SENIOR VICE PRESIDENT OF PREVENTION AND COMMUNITY SERVICES, CHILDREN'S AID AND FAMILY SERVICES- MARIAM GERGES, DIRECTOR OF SCHOOL BASED HEALTH SERVICES, DWIGHT MORROW ZONE, BERGEN FAMILY CENTER- WENDY LAMPARELLI, SCHOOL NURSE, HACKENSACK SCHOOL DISTRICT- ILLISE ZIMMERMAN, CEO, PARTNERSHIP FOR MATERNAL AND CHILD HEALTH- GARY BUCHHEISTER, DIRECTOR OF RECREATION, WESTWOOD RECREATION DEPARTMENT- DR. STEVEN CLARKE, DIRECTOR, WYCKOFF BOARD OF HEALTH- ROBERT ESPOSITO, DIRECTOR, BERGEN COUNTY DIVISION OF COMMUNITY DEVELOPMENT- KEN KATTER, HEALTH OFFICER, TOWNSHIP OF TEANECK- DANIEL KOTKIN, DIVISION OF DISABILITY SERVICES, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- DARLENE REVEILLE, PUBLIC HEALTH NURSE, CITY OF GARFIELD- KAREN WOLUJEWICZ, ASSISTANT HEALTH OFFICER, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- ANN GUILLORY, CHAIRWOMAN OF HEALTH AND HUMAN SERVICES COMMITTEE, BERGEN COUNTY LINKS- JAE CHUN, HEALTH INSURANCE AGENT/INTERPRETER- BIANCA MAYES, HEALTH AND WELLNESS COORDINATOR, GARDEN STATE EQUALITY- JEANNE MARTIN, EXECUTIVE DIRECTOR, MEALS ON WHEELS NORTH JERSEY- JACLYN PADOVANO, REGISTERED DIETICIAN, SHOPRITE OF HILLSDALE- JAMIE PEPPER, REGISTERED DIETICIAN, SHOPRITE OF NORTHVALE- KEVIN BRENDLEN, VICE PRESIDENT OF STRATEGIC PARTNERSHIPS, VAN DYK HEALTH CARE- SUSAN CRANDALL, BERGEN COUNTY CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAM COORDINATOR, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES- CAROL SILVER ELLIOTT, CEO/PRESIDENT, JEWISH HOME FAMILY- KIMBERLY GITTINES, HEALTH SYSTEM MANAGER, AMERICAN CANCER SOCIETY- AMANDA MISSEY, PRESIDENT/CEO, BERGEN VOLUNTEER MEDICAL INITIATIVE- KATHY NUGENT, DIRECTOR OF REGIONAL PROGRAMS, CANCERCARE- DR. FLORDELIZ PANEM, CHIEF MEDICAL OFFICER, NORTH HUDSON COMMUNITY ACTION- ELIZABETH DAVIS, EXECUTIVE DIRECTOR, SENIOR HOUSING SERVICES- JULIA ORLANDO, DIRECTOR, BERGEN COUNTY HOUSING AUTHORITY- SUE ULLRICH, PROGRAM DIRECTOR, RIDGECREST APARTMENTS- LT. JAY HUTCHINSON, WESTWOOD POLICE DEPARTMENT- LISA BONTEMPS, PROGRAM MANAGER, WESTWOOD FOR ALL AGES- SHEILA BROGAN, MIDLAND PARK SENIOR CENTER AND AGE-FRIENDLY RIDGEWOOD- BRIANNA GREENBERG, CASE MANAGER, BERGEN COUNTY DIVISION OF SENIOR SERVICES- JANET SHARMA, PROJECT COORDINATOR, AGE FRIENDLY ENGLEWOOD- JOAN CAMPANELLI, SENIOR SERVICES, BERGEN COUNTY DIVISION OF SENIOR SERVICES- KAARIN VARON, PROGRAM OFFICER, THE RUSSELL BERRIE FOUNDATION- REV. MACK BRANDON, METROPOLITAN CHURCH- KATE DUGGAN, EXECUTIVE DIRECTOR, FAMILY PROMISE OF RIDGEWOOD- JOAN QUIGLEY, PRESIDENT/CEO, NORTH HUDSON COMMUNITY ACTION CORPORATION- DENISE VOLLKOMMER, EXECUTIVE DIRECTOR, SOCIAL SERVICE ASSOCIATION OF RIDGEWOOD AND VICINITYBERGEN NEW BRIDGE MEDICAL CENTER- SENIOR LEADERSHIP TEAM (GROUP INTERVIEW WITH APPROXIMATELY 12 ATTENDEES)- DR. RAJASHREE KANTHA, PHYSICIAN- ADRIENNE MARIANO, DIRECTOR OF BEHAVIORAL HEALTH SERVICES- DEBORAH VISCONI, PRESIDENT/CEOENGLEWOOD HEALTH- DR. STEPHEN BRUNNQUELL, PRESIDENT, ENGLEWOOD HEALTH PHYSICIANS NETWORK- DR. HILLARY COHEN, VICE PRESIDENT OF MEDICAL AFFAIRS- KATHY KAMINSKY, SENIOR VICE PRESIDENT, CHIEF POPULATION HEALTH OFFICER, CHIEF NURSING OFFICER- RICHARD LERNER, BOARD OF TRUSTEES- DR. ANNE PARK, DIRECTOR OF COMMUNITY HEALTH- THOMAS SENTER, CHAIRMAN OF THE BOARD- RICHARD SPOSA, DIRECTOR OF EMERGENCY MEDICAL SERVICES- JOANN VENEZIA, PROGRAM DIRECTOR OF BEHAVIORAL HEALTH SERVICESHACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL CENTER- DR. ERIC AVEZZANO, GASTROENTEROLOGY- DAWN DEPALMA, MANAGER OF PATIENT EXPERIENCE- DR. EDWARD GOLD, INTERNAL MEDICINE- ANA MARIA RESTREPO, DIRECTOR OF THE EMERGENCY SERVICESHACKENSACK UNIVERSITY MEDICAL CENTER- CLINICAL AND DEPARTMENT LEADERSHIP (GROUP MEETING WITH APPROXIMATELY 20 ATTENDEES)HOLY NAME MEDICAL CENTER- KYUNG HEE CHOI, VP OF ASIAN HEALTH SERVICES- DR. CLENTON COLEMAN, INTERNAL MEDICINE- REKHA NANDWANI, PROGRAM MANAGER, INDIAN MEDICAL PROGRAM- EDWARD TORRES, ADMINISTRATIVE DIRECTOR OF LABORATORY SERVICES- ANNA WANG, MANAGER OF COMMUNITY PROGRAMS, ASIAN HEALTH SERVICESRAMAPO RIDGE PSYCHIATRIC HOSPITAL- CLINICAL AND DEPARTMENT LEADERSHIP (GROUP MEETING WITH APPROXIMATELY 10 ATTENDEES)THE VALLEY HOSPITAL- DR. GEORGE BECKER, MEDICAL DIRECTOR, EMERGENCY DEPARTMENT- LAFE BUSH, DIRECTOR OF EMERGENCY SERVICES- TONI MODAK, DIRECTOR OF POPULATION HEALTH, VALLEY HEALTH SYSTEM- DIANE TEDESCHI, DIRECTOR OF COMMUNITY CARE CLINIC

PART I, LINE 6A:
THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MAILED TO OUR SERVICE AREA. COMMUNITY BENEFIT STATISTICS ARE ALSO REPORTED AT OUR ANNUAL MEETING, WHICH IS OPEN TO THE PUBLIC. IN ADDITION, THE COMMUNITY BENEFIT REPORT IS ALSO POSTED ON THE HOSPITAL'S WEBSITE.

PART I, LINE 7:
THE COST TO CHARGE RATIO USED TO CALCULATE THE AMOUNTS IN THE TABLE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.

PART I, LINE 7G:
THERE ARE NO SUBSIDIZED HEALTH SERVICES WHICH ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC. COSTS INCLUDED REPRESENT MEDICATION AND TRANSPORTATION FOR INDIGENT PATIENTS.

PART II, COMMUNITY BUILDING ACTIVITIES:
SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

PART III, LINE 2:
THIS IS THE TOTAL BAD DEBT EXPENSE FOR THE HOSPITAL DISCOUNTED BY THE RATIO OF PATIENT CARE COST TO CHARGES.

PART III, LINE 3:
THIS IS THE TOTAL BAD DEBT EXPENSE FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE DISCOUNT BY THE RATIO OF PATIENT CARE COST TO CHARGES.

PART III, LINE 4:
NET PATIENT SERVICE REVENUES ARE RECOGNIZED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ORGANIZATION EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING COMMERCIAL AND GOVERNMENTAL PROGRAMS) AND OTHERS AND INCLUDES VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS AND INVESTIGATIONS. GENERALLY, THE ORGANIZATION BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUES ARE RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED.PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE ORGANIZATION. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL SERVICES INCURRED IN RELATION TO TOTAL EXPECTED (OR ACTUAL) PAYMENTS. THE ORGANIZATION BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE ORGANIZATION RECEIVING INPATIENT ACUTE CARE SERVICES. THE ORGANIZATION MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE FACILITY TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME ARE RECOGNIZED WHEN SERVICES ARE PROVIDED AND THE ORGANIZATION DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT.GENERALLY, BECAUSE ALL THE ORGANIZATION'S PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, THE ORGANIZATION HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ACCOUNTING STANDARD CODIFICATION (ASC) 606-10-50-14(A) AND, THEREFORE, THE ORGANIZATION IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. THE ORGANIZATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE ORGANIZATION'S POLICY AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE ORGANIZATION DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.

PART III, LINE 8:
IN ADDITION TO CHARITY CARE, BAD DEBT, AND THE TREATMENT OF FINANCIALLY NEEDY PATIENTS UNDER THE MEDICAID PROGRAM, THE HOSPITAL PROVIDES SERVICES TO ELDERLY AND DISABLED PATIENTS COVERED UNDER THE MEDICARE PROGRAM REGARDLESS OF INCOME. THE UNPAID COSTS ATTRIBUTED TO PROVIDING CARE UNDER THIS PROGRAM, AND THUS CONSIDERED A COMMUNITY BENEFIT, WERE ESTIMATED AT $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.