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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow 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 FOUNDATION INC
 
Employer identification number
22-2324554
Part I
General Information on Grants and Assistance
1
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? ........................
2
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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) THE VALLEY HOSPITAL INC
223 NORTH VAN DIEN AVENUE
RIDGEWOOD,NJ07450 		22-1487307 501(C)(3) 16,426,845 0     THE VALLEY HOSPITAL IN PARAMUS, PROJECT/CAPITAL PROJECTS/DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES
(2) VALLEY HOME CARE INC
15 ESSEX ROAD
PARAMUS,NJ07677 		22-3208480 501(C)(3) 226,187 0     DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES
(3) VALLEY MEDICAL GROUP
223 NORTH VAN DIEN AVENUE
RIDGEWOOD,NJ07450 		32-0041186 501(C)(3) 527,165 0     DONOR-DESIGNATED SPECIAL PROGRAMS AND SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
3
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

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
PART I, LINE 2: 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.
Schedule I (Form 990) 2021



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