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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20740794</BeginningYearBalanceAmt>
        <ContributionsAmt>1085386</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2340095</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3326150</OtherExpendituresAmt>
        <EndYearBalanceAmt>20840125</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>18696561</BeginningYearBalanceAmt>
        <ContributionsAmt>580178</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2048555</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>584500</OtherExpendituresAmt>
        <EndYearBalanceAmt>20740794</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.17796</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.45832</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.36372</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>831675</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ANNUITIES PAYABLE</Desc>
        <Amt>758421</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1590096</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>22301025</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-2761142</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-2761142</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>25062167</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>405341</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>405341</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>25467508</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15728490</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>430</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>430</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15728060</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15728060</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS WERE RESTATED AS OF THE BEGINNING OF THE YEAR. THE FOUNDATION CURRENTLY MAINTAINS THIRTEEN DONOR-RESTRICTED AND TWO BOARD-DESIGNATED ENDOWMENT FUNDS WHOSE PURPOSES ARE TO PROVIDE LONG TERM SUPPORT FOR THE PROGRAMS AND SERVICES OF VALLEY HOSPITAL AND/OR VALLEY HOME CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITE-DOWN OF PLEDGES 405,341.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITE-DOWN OF CONTRIBUTIONS 430.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>FAIRCOM</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>12 W 27TH STREET</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT MAIL CONSULTING</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>343183</GrossReceiptsAmt>
        <RetainedByContractorAmt>164692</RetainedByContractorAmt>
        <NetToOrganizationAmt>178491</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>PENTERA</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>8650 COMMERCE PARK PLACE SUITE G</AddressLine1Txt>
          <CityNm>INDIANAPOLIS</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46268</ZIPCd>
        </USAddress>
        <ActivityTxt>PLANNED GIVING CONSULTING</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>13506</RetainedByContractorAmt>
        <NetToOrganizationAmt>-13506</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>343183</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>178198</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>164985</TotalNetToOrganizationAmt>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>STEP UP FOR VALLEY</Event1Nm>
        <GrossReceiptsEvent1Amt>62943</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>56388</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>6555</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>5479</NonCashPrizesEvent1Amt>
        <Event2Nm>CAMP NICU</Event2Nm>
        <GrossReceiptsEvent2Amt>35715</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>14670</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>21045</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>16750</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>9846</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>98658</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>71058</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>27600</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>5479</NonCashPrizesTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>16750</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>9846</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>32075</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-4475</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>18988</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>575</CashPrizesOtherGamingAmt>
        <NonCashPrizesOtherGamingAmt>75</NonCashPrizesOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>313</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>1</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>1.00000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>18988</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>575</CashPrizesTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>75</NonCashPrizesTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>313</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>963</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>18025</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>NJ</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>1</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0.66670</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>0.33330</GamingOtherFacilityPct>
      <IndividualWithBooksNm>MILDRED CHIRIANI</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>4 VALLEY HEALTH PLAZA</AddressLine1Txt>
        <CityNm>PARAMUS</CityNm>
        <StateAbbreviationCd>NJ</StateAbbreviationCd>
        <ZIPCd>07652</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>LISA JOHNSON</GamingManagerPersonNm>
      <GamingManagerCompensationAmt>0</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>OVERALL MANAGEMENT AND SUPERVISION OF GAMING ACTIVITIES.</GamingManagerServicesProvTxt>
      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>1</CharitableDistributionRqrInd>
      <DistributedAmt>18025</DistributedAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PART I, LINE 2B, COLUMN (V)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AGREEMENTS WITH PENTERA AND FAIRCOM INCLUDE PAYMENTS FOR SERVICES AND REIMBURSEMENT OF EXPENSES AS APPROVED BY THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE VALLEY HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4 VALLEY HEALTH PLAZA</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
        </USAddress>
        <RecipientEIN>221487307</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11510223</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE NEW VALLEY HOSPITAL PROJECT/DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VALLEY MEDICAL GROUP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4 VALLEY HEALTH PLAZA</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
        </USAddress>
        <RecipientEIN>320041186</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>650398</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VALLEY HOME CARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4 VALLEY HEALTH PLAZA</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07652</ZIPCd>
        </USAddress>
        <RecipientEIN>223208480</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>232500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES GRANTS TO ITS RELATED ORGANIZATIONS WITHIN THE VALLEY HEALTH SYSTEM - THE VALLEY HOSPITAL, VALLEY HOME CARE, AND VALLEY MEDICAL GROUP. THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS THROUGH COMMON MANAGEMENT WITH ITS GRANTEE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AUDREY MEYERS</PersonNm>
        <TitleTxt>TRUSTEE, EX OFFICIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1414852</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1167040</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4011495</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25875</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>28594</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>6647856</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>3954895</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT W BRENNER MD</PersonNm>
        <TitleTxt>TRUSTEE, EX OFFICIO, EFF. JULY 2024</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1277532</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>443100</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>158019</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15689</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1909865</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM KLUTKOWSKI</PersonNm>
        <TitleTxt>SR. VP, FINANCE &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>830046</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>112871</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>24150</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>29084</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1305782</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EPHRAIM CASPER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>58344</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1137424</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID J BOHAN</PersonNm>
        <TitleTxt>VICE PRESIDENT &amp; CPO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>44838</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>710089</TotalCompensationRltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (DAVID BOHAN, VICE PRESIDENT &amp; CPO OF THE VALLEY HEALTH SYSTEM) IS COMPENSATED BY THE VALLEY HOSPITAL. THE VALLEY HEALTH SYSTEM HAS ESTABLISHED A POLICY FOR COMPENSATION OF OFFICERS, TOP MANAGEMENT AND KEY EMPLOYEES. THE POLICY INCLUDES A PERIODIC REVIEW BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, FREE OF ANY MEMBERS WITH CONFLICTS OF INTEREST. THE COMMITTEE DETERMINES APPROPRIATE LEVELS OF COMPENSATION USING COMPARATIVE DATA OF SIMILAR ORGANIZATIONS. COMPENSATION DECISIONS ARE ADEQUATELY AND CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS WAS LAST UNDERTAKEN IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDREY MEYERS PARTICIPATED IN A CAP-EX (SPLIT-DOLLAR LIFE INSURANCE PLAN) OF THE VALLEY HEALTH SYSTEM, INC. SHE DID NOT RECEIVE A PAYMENT DURING 2024. AUDREY MEYERS AND WILLIAM KLUTKOWSKI PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. SHE RECEIVED A PAYMENT IN 2024 IN THE AMOUNT OF $3,954,895 AS REPORTED IN PART II, COLUMN (B)(III) AND COLUMN (F).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NoncashContributionsRptF990Amt>1508349</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>AVG SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PATIENT GIFTS</Desc>
        <ContributionCnt>14</ContributionCnt>
        <NoncashContributionsRptF990Amt>9590</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN PART I, COLUMN (B).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY HEALTH SYSTEM HAS THE RIGHT TO ELECT ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING RIGHTS AND POWERS ARE RESERVED TO THE SOLE MEMBER: A) SUBJECT TO THE PROVISIONS OF SECTION 2.2 OF THE BYLAWS, TO DETERMINE THE NUMBER OF TRUSTEES ON THE BOARD; B) SUBJECT TO THE PROVISIONS OF SECTION 2.2 OF THE BYLAWS, TO NOMINATE AND ELECT THE TRUSTEES OF THE CORPORATION; C) TO REMOVE ANY OF THE CORPORATION'S TRUSTEES, WITH OR WITHOUT CAUSE, AND TO APPROVE ANY RECOMMENDATION TO REMOVE A TRUSTEE BY THE BOARD; D) TO APPROVE THE ELECTION, RE-ELECTION, APPOINTMENT, REAPPOINTMENT AND REMOVAL OF ANY OFFICERS OF THE CORPORATION; E) 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; F) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION; G) TO CHANGE THE LEGAL STRUCTURE OF THE CORPORATION; H) 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; I) TO APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY AMENDMENTS THERETO; J) 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; K) 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; L) 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; M) 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; N) 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; O) TO SELECT AND APPOINT AUDITORS OF THE CORPORATION; P) TO INITIATE AND APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION; Q) TO INITIATE AND APPROVE INVESTMENT POLICIES AND CAPITAL CAMPAIGNS OF THE CORPORATION; R) TO INITIATE AND APPROVE THE FORMATION OF SUBSIDIARIES OF THE CORPORATION; S) 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM. MANAGEMENT REVIEWS, PROVIDES ANY COMMENTS, AND UPON THEIR APPROVAL, A COPY OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS THE FORM 990 ON BEHALF OF THE FOUNDATION BOARD, PROVIDES ANY COMMENTS, AND UPON THE EXECUTIVE COMMITTEE'S APPROVAL, THE RETURN IS FINALIZED AND APPROVED FOR FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS INCLUDED IN THE CONFLICT OF INTEREST POLICY OF THE VALLEY HEALTH SYSTEM,INC. ALL OFFICERS AND TRUSTEES ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE GENERAL COUNSEL OF THE VALLEY HEALTH SYSTEM,INC. REVIEWS THE DISCLOSURES TO DETERMINE WHETHER ANY CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE PERSON WILL BE NOTIFIED, AND IS NOT ALLOWED TO VOTE ON OR BE PART OF ANY DECISIONS ABOUT THE RELATED TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (DAVID BOHAN, VICE PRESIDENT &amp; CPO OF THE VALLEY HEALTH SYSTEM) IS COMPENSATED BY THE VALLEY HOSPITAL. THE VALLEY HEALTH SYSTEM HAS ESTABLISHED A POLICY FOR COMPENSATION OF OFFICERS, TOP MANAGEMENT, AND KEY EMPLOYEES. THE POLICY INCLUDES A PERIODIC REVIEW BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, FREE OF ANY MEMBERS WITH CONFLICTS OF INTEREST. THE COMMITTEE DETERMINES APPROPRIATE LEVELS OF COMPENSATION USING COMPARATIVE DATA OF SIMILAR ORGANIZATIONS. COMPENSATION DECISIONS ARE ADEQUATELY AND CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS WAS LAST UNDERTAKEN IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON NEW YORK STATE ATTORNEY GENERAL WEBSITE, GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITE-DOWN OF CONTRIBUTIONS -405,771.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VHS INSURANCE COMPANY LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>010 MAIN STREET</AddressLine1Txt>
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</Return>