DEBORAH HEART & LUNG CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: DEBORAH HEART & LUNG CENTER (EIN 23-1550955)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202403199349312470
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T14:43:24-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 Jefferson Park Suite 400	AddressLine1Txt
City	Whippany	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	079811070	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231550955	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DEBORAH HEART AND LUNG CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% THOMAS R PERCELLO	InCareOfNm
Business Name Control	DEBO	BusinessNameControlTxt
Phone	6098936611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1Txt
City	BROWNS MILLS	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08015	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS PERCELLO	PersonNm
Person Title	EVP FINANCE/CFO	PersonTitleTxt
Phone	6097352970	PhoneNum
Signature	2024-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Scott J Mariani	PreparerPersonNm
PTIN	P00642486	PTIN
Phone	9738989494	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JIM ANDREWS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1Txt
City	BROWNS MILLS	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08015	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$258,113,892	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DEMANDDEBORAH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	to provide the highest quality heart, lung and vascular care in a collaborative and welcoming environment, while ensuring access for all.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1407	TotalEmployeeCnt
Total Volunteers	28	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,900,791	PYContributionsGrantsAmt
CY Contributions Grants	$22,160,693	CYContributionsGrantsAmt
PY Program Service Revenue	$218,125,483	PYProgramServiceRevenueAmt
CY Program Service Revenue	$234,905,849	CYProgramServiceRevenueAmt
PY Investment Income	$15,530	PYInvestmentIncomeAmt
CY Investment Income	$473,149	CYInvestmentIncomeAmt
PY Other Revenue	$620,496	PYOtherRevenueAmt
CY Other Revenue	$574,201	CYOtherRevenueAmt
PY Total Revenue	$227,662,300	PYTotalRevenueAmt
CY Total Revenue	$258,113,892	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,676,729	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$126,816,684	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$106,091,207	PYOtherExpensesAmt
CY Other Expenses	$114,023,742	CYOtherExpensesAmt
PY Total Expenses	$222,767,936	PYTotalExpensesAmt
CY Total Expenses	$240,840,426	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,894,364	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,273,466	CYRevenuesLessExpensesAmt
Total Assets BOY	$152,199,603	TotalAssetsBOYAmt
Total Assets EOY	$194,205,338	TotalAssetsEOYAmt
Total Liabilities BOY	$67,673,803	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$90,496,673	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$84,525,800	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$103,708,665	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE THE HIGHEST QUALITY HEART, LUNG AND VASCULAR CARE IN A COLLABORATIVE AND WELCOMING ENVIRONMENT, WHILE ENSURING ACCESS FOR ALL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$216,756,381	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$234,909,801	RevenueAmt
Desc	Expenses incurred in providing the highest quality heart, lung and vascular care in a collaborative and welcoming environment, while ensuring access for all individuals in a non-discriminatory manner regardless of race, gender, sexual orientation, color, religion, creed, sex, national origin, marital status, age, physical or mental handicap or ability to pay and in furtherance of charitable tax-exempt purposes. Please refer to the community benefit statement in schedule o.	Desc
Total Program Service Expenses	$216,756,381	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	241	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1407	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	THOMAS R PERCELLO	PersonNm
Phone	6098931200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1Txt
City	BROWNS MILLS	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08015	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
KULPREET S BARN MD
PHYSICIAN	55.0	0.0	Yes (X)	$1,155,919	$0	$45,350
MARK MOSHIYAKHOV MD
PHYSICIAN	55.0	0.0	Yes (X)	$1,093,710	$0	$29,749
JOSEPH CHIRICHELLA
TRUSTEE - PRESIDENT/CEO	55.0	0.0		$953,194	$0	$45,189	Yes (X)	Yes (X)
RAFFAELE CORBISIERO MD
PHYSICIAN	55.0	0.0	Yes (X)	$921,491	$0	$48,546
Pedram Kazemian MD
PHYSICIAN	55.0	0.0	Yes (X)	$824,523	$0	$49,501
STEPHEN J SZAWLEWICZ MD
CHAIR ADULT CARDIOLOGY	55.0	0.0	Yes (X)	$707,693	$0	$49,667
AARON KUGELMASS MD
EVP/CHIEF MEDICAL OFFICER	55.0	0.0		$643,722	$0	$43,525		Yes (X)
SUSAN D BONFIELD ESQ
SEC. - EVP/GENERAL COUNSEL	55.0	0.0		$442,464	$0	$77,349		Yes (X)
JOSEPH R MANNI
EVP OPERATIONS/COO	55.0	0.0		$474,650	$0	$43,999		Yes (X)
THOMAS R PERCELLO
TREASURER-EVP FINANCE/CFO	55.0	0.0		$442,739	$0	$40,901		Yes (X)
RICHARD S TEMPLE
VP/CIO	55.0	0.0		$305,190	$0	$47,867			Yes (X)
MARION STAMOPOULOS
VP HR/CHRO	55.0	0.0		$250,021	$0	$42,068			Yes (X)
RITA ZENNA
VP PATIENT CARE SERVICES	55.0	0.0		$265,543	$0	$25,836			Yes (X)
BARBARA GEORGE JOHNSON
CHAIR - TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
LEM BURNHAM PHD
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
MICHAEL CIOCE
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
ANNA PAYANZO COTTON
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
SANDI FEIN
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
DENNIS L KING
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
GEORGE S LOESCH
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
CHARLES J MCAFEE
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
GARY RUBIN
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
BARBARA CHAMBERLAIN PHD
TRUSTEE(TERMED)	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,480,859	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$589,547	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	209	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EPSTEIN BECKER GREEN PC
150 COLLEGE ROAD WEST SUITE 301	PRINCETON	NJ	08540	LEGAL	$4,106,203
MID-ATLANTIC SURGICAL ASSOCIATES
100 MADISON AVENUE	MORRISTOWN	NJ	07960	MEDICAL	$3,000,000
DOVER CARDIOLOGY CENTER
413 LAKEHURST ROAD	TOMS RIVER	NJ	08755	MEDICAL	$2,374,330
OCEAN CARDIOVASCULAR SPECIALISTS
25 MULE ROAD SUITE B2	TOMS RIVER	NJ	08755	MEDICAL	$1,351,788
Medical Information Technology
7 Blue Hill River Road	CANTON	MA	02021	software	$602,194

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Related Organizations	$11,707,980	RelatedOrganizationsAmt
All Other Contributions	$10,452,713	AllOtherContributionsAmt
Total Contributions	$22,160,693	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	541900	$227,015,732	$227,015,732
OTHER HEALTHCARE RELATED REVENUE	541900	$7,890,117	$7,890,117

Field	Value	IRS element (for citing)
Total Program Service Revenue	$234,905,849	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$169,050	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$169,050	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$570,249	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$570,249	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$570,249	TotalRevenueColumnAmt
Exclusion	$570,249	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$304,099	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$304,099	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$304,099	TotalRevenueColumnAmt
Exclusion	$304,099	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MEDICAL RECORD COPIES	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,952	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,952	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,952	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$258,113,892	TotalRevenueColumnAmt
Related Or Exempt Func Income	$234,909,801	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,043,398	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,144,257	TotalAmt
Program Services	$3,729,831	ProgramServicesAmt
Management And General	$414,426	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$101,005,416	TotalAmt
Program Services	$90,904,874	ProgramServicesAmt
Management And General	$10,100,542	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,730,116	TotalAmt
Program Services	$2,457,104	ProgramServicesAmt
Management And General	$273,012	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,553,808	TotalAmt
Program Services	$11,298,427	ProgramServicesAmt
Management And General	$1,255,381	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,383,087	TotalAmt
Program Services	$5,744,778	ProgramServicesAmt
Management And General	$638,309	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$34,000	TotalAmt
Program Services	$30,600	ProgramServicesAmt
Management And General	$3,400	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,623,623	TotalAmt
Program Services	$3,261,261	ProgramServicesAmt
Management And General	$362,362	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$360,880	TotalAmt
Program Services	$324,792	ProgramServicesAmt
Management And General	$36,088	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$153,904	TotalAmt
Program Services	$138,514	ProgramServicesAmt
Management And General	$15,390	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$25,465	TotalAmt
Program Services	$22,919	ProgramServicesAmt
Management And General	$2,546	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,015,579	TotalAmt
Program Services	$20,714,020	ProgramServicesAmt
Management And General	$2,301,559	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,232,936	TotalAmt
Program Services	$2,009,642	ProgramServicesAmt
Management And General	$223,294	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$439,791	TotalAmt
Program Services	$395,812	ProgramServicesAmt
Management And General	$43,979	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,481,918	TotalAmt
Program Services	$3,133,726	ProgramServicesAmt
Management And General	$348,192	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$150,256	TotalAmt
Program Services	$135,230	ProgramServicesAmt
Management And General	$15,026	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,244	TotalAmt
Program Services	$2,920	ProgramServicesAmt
Management And General	$324	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,964	TotalAmt
Program Services	$2,668	ProgramServicesAmt
Management And General	$296	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,983,730	TotalAmt
Program Services	$5,385,357	ProgramServicesAmt
Management And General	$598,373	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,069,324	TotalAmt
Program Services	$962,392	ProgramServicesAmt
Management And General	$106,932	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$67,497,956	$60,748,160	$6,749,796	$0
REPAIRS AND MAINTENANCE	$4,413,297	$3,971,967	$441,330	$0
ASSESSMENTS	$1,224,488	$1,102,039	$122,449	$0
DUES AND SUBSCRIPTIONS	$310,387	$279,348	$31,039	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$240,840,426	TotalAmt
Program Services	$216,756,381	ProgramServicesAmt
Management And General	$24,084,045	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,850	BOYAmt
EOY	$1,850	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,671,079	BOYAmt
EOY	$16,225,465	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,455,928	BOYAmt
EOY	$32,658,392	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,488,326	BOYAmt
EOY	$7,752,803	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,102,631	BOYAmt
EOY	$1,545,499	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$167,827,807	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$93,361,227	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$48,300,352	BOYAmt
EOY	$74,466,580	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$41,295,648	BOYAmt
EOY	$50,519,703	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,883,789	BOYAmt
EOY	$11,035,046	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$152,199,603	BOYAmt
EOY	$194,205,338	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,894,953	BOYAmt
EOY	$40,179,571	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,162,465	BOYAmt
EOY	$38,996,174	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,616,385	BOYAmt
EOY	$11,320,928	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$67,673,803	BOYAmt
EOY	$90,496,673	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$66,134,473	BOYAmt
EOY	$81,479,720	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,391,327	BOYAmt
EOY	$22,228,945	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,525,800	BOYAmt
EOY	$103,708,665	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$152,199,603	BOYAmt
EOY	$194,205,338	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,273,466	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,618,905	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$709,506	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$153,904	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$153,904	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B; LINE 1G	FormAndLineReferenceDesc
Explanation	DURING 2023, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS $108,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. In addition, the organization is a member of the new jersey business and industry association and the new jersey hospital association which engage in Lobbying efforts on behalf of their member hospitals. A portion of the Dues paid to these organizations has been allocated to lobbying activities Performed on behalf of the organization. This allocation amounted to $3,521 in 2023. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN SENIOR MANAGEMENT PERSONNEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTS TO $42,383.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,391,327	BeginningYearBalanceAmt
Contributions	$4,569,624	ContributionsAmt
Investment Earnings Or Losses	$275,875	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,007,881	OtherExpendituresAmt
End Year Balance	$22,228,945	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,402,140	BeginningYearBalanceAmt
Contributions	$50,037	ContributionsAmt
Investment Earnings Or Losses	-$1,020,546	InvestmentEarningsOrLossesAmt
Other Expenditures	$40,304	OtherExpendituresAmt
End Year Balance	$18,391,327	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,115,004	BeginningYearBalanceAmt
Contributions	$8,905,335	ContributionsAmt
Investment Earnings Or Losses	-$5,198,222	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,419,977	OtherExpendituresAmt
End Year Balance	$19,402,140	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,954,180	BeginningYearBalanceAmt
Contributions	$3,815,484	ContributionsAmt
Investment Earnings Or Losses	-$740,556	InvestmentEarningsOrLossesAmt
Other Expenditures	$914,104	OtherExpendituresAmt
End Year Balance	$18,115,004	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,687,120	BeginningYearBalanceAmt
Contributions	$1,472,317	ContributionsAmt
Investment Earnings Or Losses	$7,393,039	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,598,296	OtherExpendituresAmt
End Year Balance	$15,954,180	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$100,365	OtherCostOrOtherBasisAmt
Book Value	$100,365	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,221,407	OtherCostOrOtherBasisAmt
Depreciation	$39,956,658	DepreciationAmt
Book Value	$7,264,749	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,442,631	OtherCostOrOtherBasisAmt
Book Value	$3,442,631	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$111,131,421	OtherCostOrOtherBasisAmt
Depreciation	$53,404,569	DepreciationAmt
Book Value	$57,726,852	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,931,983	OtherCostOrOtherBasisAmt
Book Value	$5,931,983	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$74,466,580	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CASH & CASH EQUIV.; LTD USE	$11,165,927	F
CORPORATE BONDS; LIMITED USE	$911,853	F
EQUITY SECURITIES; LIMITED USE	$19,990,074	F
GOVERNMENT SEC.; LTD. USE	$2,452,472	F
INTEREST IN DHF ASSETS	$7,198,965	F
BENEFICIAL INT IN PERP TRUST	$1,604,184	F
INSURANCE FUND	$5,243,881	F
CERTIFICATES OF DEPOSIT	$555,097	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$50,519,703	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$3,993,026
OTHER ASSETS	$841,213
DEFERRED FINANCING	$369,077
RIGHT OF USE ASSETS	$4,368,536
OTHER RECEIVABLES	$1,463,194

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$11,035,046	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
EST AMTS DUE TO THIRD-PARTY PAYORS	$1,241,692
ACCRUED PENSION EXPENSE	$1,355,314
ESTIMATED MALPRACTICE CLAIMS LIAB.	$2,998,153
REFUNDABLE ADVANCE LIABILITY	$1,213,712
RIGHT OF USE ASSETS - OPERATING	$4,512,057

Field	Value	IRS element (for citing)
Total Liability	$11,320,928	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, QUESTION 4

RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DEBORAH HEART AND LUNG CENTER ("CENTER") AND ITS SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2023 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48(ASC 740): THE CENTER FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. IN ADDITION, THERE HAVE BEEN NO TAX RELATED INTEREST OR PENALTIES FOR THE PERIOD PRESENTED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. SHOULD ANY SUCH PENALTIES BE INCURRED, THE CENTER'S POLICY WOULD BE TO RECOGNIZE THEM AS OPERATING EXPENSES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,751,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$812,919	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,938,165	NetCommunityBenefitExpnsAmt
Total Expense	0.06200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,063,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,798,402	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,265,311	NetCommunityBenefitExpnsAmt
Total Expense	0.02600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,814,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,611,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,203,476	NetCommunityBenefitExpnsAmt
Total Expense	0.08800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,043,237	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,994,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,370,696	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$873,653	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,497,043	NetCommunityBenefitExpnsAmt
Total Expense	0.03110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,114,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,114,735	NetCommunityBenefitExpnsAmt
Total Expense	0.02950	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,679	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,672,347	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$922,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,750,020	NetCommunityBenefitExpnsAmt
Total Expense	0.06950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,487,144	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,533,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,953,496	NetCommunityBenefitExpnsAmt
Total Expense	0.15750	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$60,462,258	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$60,810,235	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$347,977	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	false	WrittenDebtCollectionPolicyInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DEBORAH HEART AND LUNG CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1Txt
City	BROWNS MILLS	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08015	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.DEMANDDEBORAH.ORG	WebsiteAddressTxt
State License	20301	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DEBORAH HEART AND LUNG CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.DEMANDDEBORAH.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.DEMANDDEBORAH.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.DEMANDDEBORAH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.DEMANDDEBORAH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.DEMANDDEBORAH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 5	In 2022 deborah heart and lung center ("deborahthe "center") completed a new community health needs assessment (chna) from january through june 2022 in order to shape its new community health improvement plan (chip) for 2023-2025. As well in 2022 deborah completed its previous three-year chip plan developed after its 2019 chna. To guide our community benefit and health improvement efforts, deborah's 2022 community health needs assessment (chna) included quantitative and qualitative research methods to determine health trends and disparities within the deborah service area. Community engagement was an integral part of the chna. In assessing the health needs of the community, input was solicited and received from persons who represent the broad interests of the community, including underserved, low income, and minority populations. These individuals provided wide perspectives on health trends, expertise about existing community resources available to meet those needs, and insights into service delivery gaps that contribute to health disparities. Primary chna study methods that were used to solicit input from key community stakeholders and health improvement partners included a key informant survey; a community survey with residents of burlington and ocean counties; a partner forum with health and human service organizations; and focus groups with community stakeholders. A key informant survey was conducted with community representatives within deborah's service area to solicit information about health needs among residents. A total of 30 individuals responded to the survey, including health and social service providers; community and public health experts; civic, religious, and social leaders; policy makers and elected officials; and others representing diverse populations. Approximately 67% of stakeholders served burlington county, 7% served ocean county and 20% served all of new jersey. Other geographies served by stakeholders included surrounding counties, including atlantic, camden, gloucester, and mercer counties. Nearly 57% of stakeholders served all populations. A list of community organizations represented by key informants is included below: - american heart association-southern new jersey - aspen hills healthcare center - burlington county eye physicians - burlington county health department - burlington county military affairs committee - burlington county regional chamber of commerce - burlington township health & wellness campaign-capital health - complete care burlington woods - girl scouts of central and southern nj - greater philadelphia ymca - joint base mcguire-dix-lakehurst 87th medical group - maryville, inc. - occupational training center - ocean healthcare/aspen hills healthcare center - office of senator singleton - pemberton branch of the burlington county library - pemberton township council - pemberton township high school - pemberton township mayor - pemberton township school district - pinelands family success center - rowan college of burlington county - saints memorial community church - samaritan healthcare & hospice - sisterhood inc. - virtua health, oem Nearly half of key informants indicated that they served all populations within the community (56.7%). Other populations served by key informants included the following underserved or vulnerable populations, among others: - children/youth (23.3%) - low - income/poor (20%) - active military (16.7%) - uninsured/underinsured (16.7%) - black/african american (13.3%) - seniors/elderly (13.3%) - disabled (13.3%) - religious community (13.3%) - hispanic/latinx (10.0%) - young adults (age 19-24) (10.0%) - homeless (10.0%); - other (10.0%) - american indian/alaska native (6.7%) - asian/south asian (6.7%) - pacific islander/native hawaiian (6.7%) - lgbtq+ community (6.7%) - immigrant/refugee 6.7%) A community survey was conducted with residents of burlington and ocean counties to gather insights into health status, risk behaviors, barriers to accessing health services, and the health and social needs of community members. The survey was conducted from april through june 2022 with adults aged 18 or over. The survey was widely available to the community as an electronic link using print ads, websites, email, and social media. Paper surveys were also available and shared by community organizations. A total of 1,315 community members completed the survey. The largest percentage of respondents resided in zip codes 08759, manchester township (15.6%) and, 08015, browns mills (15.3%), which is the home zip code of deborah heart and lung center. The partner forum was held on july 11, 2022 at deborah's winderman auditorium in browns mills. A total of 19 people attended in addition to deborah staff. Organizations represented included, health and social service agencies, local government, military personnel, and civic organizations. The objective of the forum was to share data from the chna and garner feedback on community health priorities, as well as opportunities for collaboration among partner agencies. Research from the chna was presented at the session with audience discussion and questions. Large and small group dialogue was facilitated to discuss research findings, existing resources and initiatives to address priority areas, and new or innovative opportunities for cross-sector collaboration. The following is a list of organizations represented by partner forum attendees: - aspen hills healthcare center (2 representatives) - burlington county community action partnership - burlington county health department - capital health - center for family services - ivy rehab - joint base mcguire-dix-lakehurst (4 representatives from different divisions) - national coalition of 100 black women, inc. - ocean county health department (2 representatives) - pemberton township - pinelands family success center - samaritan - sisterhood (2 representatives) As part of the 2022 chna, two focus groups were conducted with residents, one each in burlington and ocean counties. The objectives of the focus groups were to define barriers to accessing healthcare services; better understand drivers or motivators for accessing preventative healthcare; explore individual perceptions and experiences with healthcare delivery and recommendations for improvement; and determine challenges that impact health and disease management. A total of 27 people participated in the community conversation. Deborah's immediate service area is unique with three of the surrounding zip codes comprising joint base mcguire-dix-lakehurst (jb mdl). Jb mdl supports more than 50,000 active duty, guard, reserve, family members, retirees, veterans, and civilian personnel. Deborah's 2022 chna sought to include relevant health data for jb mdl military personnel and families and engage key stakeholders in health improvement research and planning. Deborah did not receive any written comments on its 2019 chna or implementation strategy for consideration during the 2022 chna process
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B	Deborah is new jersey's only heart, lung and vascular specialty hospital. Given Deborah's specialty medical focus and unique service area, including jb mdl, deborah sought to conduct a 2022 chna that reflected its community's distinctive needs. While deborah did not conduct a joint chna with other hospital facilities or community organizations, partner hospitals and organizations were actively engaged as part of the chna process, including the key informant survey and partner forum. Additionally, deborah conducts joint programming with partner institutions, including hero care connect, a program with cooper university health care designed to increase access to specialty medical services for active duty/retired military, activated national guardsmen, veterans, and family members of any current or former military members across southern new jersey; and the satellite emergency department on deborah's campus operated by capital health system, inc.
SCHEDULE H, PART V, SECTION B, QUESTION 7A	Due to character limitations, the website link listed in part v, section b, question 7a, is the home page for the organization. The 2022 chna can be accessed at the following url, which is included in the organization's website: https://demanddeborah.org/patients-and-visitors/community-resources/commun ity-health-needs-assessment/
SCHEDULE H, PART V, SECTION B, QUESTION 8	As a specialty hospital, deborah heart and lung center will seek to address the needs identified in the report linked above. There are certain other health needs identified in the chna survey that deborah will not address as these needs are best served through specialized healthcare providers, community resources or otherwise. These unaddressed, identified needs include: - behavioral health and chronic disease comorbidities; and - substance abuse. Deborah will make referrals for these clinical issues whenever possible.
SCHEDULE H, PART V, SECTION B, QUESTION 10	Due to character limitations, the website link listed in part v, section b, question 10, is the home page for the organization. The completed three-year implementation strategy (chip 2023-2025) can be accessed at the following url, which is included in the organization's website: https://demanddeborah.org/patients-and-visitors/community-resources/commun ity-health-needs-assessment/
SCHEDULE H, PART V, SECTION B, QUESTION 11	Deborah shared findings from the chna research, including health status indicators and socioeconomic measures, with community partners and key stakeholders during the partner forum to solicit input into community health priorities. A formal presentation of data was made to partner forum attendees, and members were asked to discuss and develop a list of community needs based on the research and their experience within the community. In determining community health priorities, partner forum attendees were asked to consider the following rationale and criteria: Scope: how many people are affected? Severity: how critical is the issue? Ability to impact: can we achieve the desired outcome? Community readiness: is the community prepared to take action? Community health needs identified by partner forum attendees included access to care, mental health and substance use disorder, and chronic conditions, with a focus on high-risk or vulnerable populations, including aging populations, lgbtq+, racial and ethnic minorities, and military personnel. Social determinants of health were recognized as cross-cutting factors across all health issues. Deborah's chna executive committee and board of trustees reviewed findings from the chna research and feedback from partner forum attendees, to determine priority health needs for its service area and to focus community health improvement efforts. The leadership team developed a community health improvement plan (chip) based on the identified priorities. The chip builds upon previous health improvement activities and takes into consideration the impact of efforts in prior chip cycles, while recognizing new health needs and the changing health care delivery environment identified in the 2022 chna. For the 2023-2025 chip cycle, deborah intends to devote resources and expertise to address the following priority areas: Priority area 1 - access to care Goal: improve access to healthcare and assist in coordination of care. Objectives: - assist in identifying gaps in access to care and recruit/retain providers in our service area - assist in addressing management of substance use disorders and mental health issues in our patient population - reduce transportation barriers that impede healthcare access to our services - foster and deepen partnerships with community organizations and other area providers to reduce inappropriate and/or avoidable emergency room usage - increase early detection and improve access to care and treatment of lung cancer - research and present a plan to be certified as a trusted lbgtq friendly specialty provider - grow and expand priority specialty appointment and comprehensive navigation services to members of the military, their dependents, veterans and retirees - expand and educate through outreach opportunities to inform first responders of the increased risk of heart lung and vascular diseases. Increase the volume of first responder assessments at deborah heart and lung center Priority area 2 - chronic disease education and management Goal: increase education and awareness to identify and reduce chronic disease risk, and improve chronic disease management to reduce healthcare reliance and improve quality of life. Objectives: - provide the community with complementary screenings for chronic disease within our specialty - improve access to care for chronic conditions, including access to our specialty providers who identify and treat chronic conditions - provide the community with education and resources to identify and manage chronic disease - work with our community partners to identify and triage to resources for social determinates of health that contribute to chronic disease and poor adherence to treatment plans - work to reduce readmissions of our patients with chronic disease Priority area 3 - issues of aging/wellbeing Goal: assist seniors in our immediate service area age successfully, maintain independence and plan for end of life that respects each patient's wishes. Objectives: - develop and/or partner with community providers to offer community education programs/education on aging related issues - support the development of a network of community providers to provide in home, person-centered care for patients with chronic illness or serious health problems - work with community partners to develop and implement geriatric assessment programs - remove transportation barriers for seniors to access needed healthcare services - explore with community partners, implementation of a memory assessment program Community stakeholders identified mental health and substance use disorder as key drivers of poor resident health outcomes. While deborah will not address these needs as priority health issues due to the specialty nature of its services and available resources, Deborah will continue to be a community partner in supporting recovery efforts. Deborah actively works in partnership with the burlington county prosecutor's office to supply narcan to first responders, provides education and access opioid alternatives to pain management, and is exploring telepsychiatry as well as community partnerships to improve access to behavioral health providers. These actions are part of a broader community-wide solution to address mental health and substance use disorder needs.
SCHEDULE H, PART V, SECTION B, QUESTIONS 13H AND 15E	A billing file is maintained for each patient, but patients are not balanced-billed. If a patient has insurance, deborah bills the patient's insurance for hospital services and the physician services provided by deborah's employed medical staff. If a patient is underinsured or uninsured, deborah provides assistance in qualifying the patient, or the financially responsible party, for any applicable federal and/or state programs. The eligibility and financial assistance provided by deborah to all of it patients is the same. Deborah accepts the amount paid though any applicable insurance and federal and/or state programs without balance-billing or pursuing collection efforts against any patient for any remaining amounts.
SCHEDULE H, PART V, SECTION B, QUESTION 16A, 16B AND 16C	Due to character limitations, the website link listed in part v, section b, questions 16a, 16b and 16c, is the home page for the organization. Deborah's financial assistance policy, financial assistance application and plain language summary can be accessed at the following url, which is included in the organization's website: https://demanddeborah.org/patients-and-visitors/patient-resources/financia l-information/#
SCH H, PART V, SECT B, Q'S 2,3J,7D,13B,16J,18E,19E,20E,21C,21D,23&24	Not applicable.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	As part of its mission, deborah heart and lung center ("deborahthe "Center") does not bill patients for the cost of hospital or professional services provided at the main hospital building, 200 trenton road, browns mills, new jersey as such services fall within the scope of the original waiver granted by the centers for medicare and medicaid services. The organization does not utilize federal poverty guidelines criteria. The center has initiated certain outpatient services on its campus outside of the main hospital building at 200 trenton road, browns mills, new jersey and deborah interprets the waiver requiring balance billing in accordance with federal law at these locations. To ensure continuity of care and avoid barriers for those deborah heart and lung center patients who cannot pay, waive all co-pay and deductibles for patients who present with a script from a deborah heart and lung center employed physician. This does not apply to patients presenting with a script from any other physician or group, including deborah specialty physicians for whom deborah will follow standard billing practices in accordance with federal law for these services provided.
SCHEDULE H, PART I; QUESTION 6A	Not applicable.
SCHEDULE H, PART I, QUESTION 7	Worksheet 2 was used for the cost to charge ratio.
SCHEDULE H, PART I, QUESTION 7B	Deborah Heart and Lung Center partnered with Burlington County and the State of New Jersey through a provider assessment mechanism to make the state of New Jersey Medicaid program healthier for all. The program increases financial resources provided to certain hospitals using the State of New Jersey's Medicaid program and certain federal matching funds in order to better serve the needs in the community. The additional funds received from the program during 2023 totaled approximately $1.5M and are included in Schedule H, Part I; Line 7b; direct offsetting Medicaid revenue. The associated county option expenses associated with the program during 2023 totaled approximately $389K and are included in Schedule H, Part I; Line 7b; medicaid total community benefit expense. If Deborah Heart and Lung Center did not receive these additional funds, the net community benefit expense reported on Schedule H, Part I; Line 7K would be $39,113,356 and the net community benefit percentage reported on Schedule H, Part I; Line K would be 16.23%.
SCHEDULE H, PART II	Community building activities undertaken by this organization improve the medical and socioeconomic well-being of the communities in deborah's care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. Please also refer to form 990, schedule o, which contains the organization's community benefit statement and summary of all entities.
SCHEDULE H, PART III, SECTION A; QUESTIONS 2 & 3	The center prepares and issues audited consolidated financial statements. The attached text was obtained from the footnotes to the audited financial statements of the center: The center provides price concessions for uncompensated care resulting from its charity care policy for services. The price concession is determined by analyzing patient and historical data and trends. These price concessions are recorded as a reduction to patient service revenue.
SCHEDULE H, PART III, SECTION A; QUESTION 4	The center prepares and issues audited consolidated financial statements. The attached text was obtained from the footnotes to the audited financial statements of the center: Uncompensated care and state subsidies The center provides price concessions for uncompensated care resulting from its charity care policy for services. The price concession is determined by analyzing patient and historical data and trends. These price concessions are recorded as a reduction to patient service revenue. The center provides charity care to patients who meet certain financial criteria established by the state of new jersey. The direct and indirect cost of services and supplies furnished to patients eligible for such charity care, using a ratio of cost to gross charges, approximated $6,022,000 and $6,101,000 for the years ended December 31, 2023 and 2022, respectively. The center maintains records to identify and monitor the level of charity care it provides. In 2023 and 2022, the amount of charges forgone for services provided to patients under its charity care policy, net of the health care subsidy fund ("HCSF"), was $32,832,875 and $32,911,443, respectively. The health care reform act of 1992 (chapter 160) established the hcsf to provide a mechanism and funding source to compensate certain hospitals for charity care. For the years ended december 31, 2023 and 2022, the center received $766,263 and $768,233, respectively, for charity care (included in net patient service revenue). This amount is subject to change from year to year based on available state amounts and allocation methodologies. A proportionate amount is in place through June 30, 2024; however, there can be no assurance of a similar level in the future. The center's patient acceptance policy is based on its mission statement and its charitable purposes. Accordingly, the center accepts all patients regardless of their ability to pay. This policy results in the assumption of higher-than-normal patient accounts receivable credit risks. To the extent the center realizes additional losses resulting from such higher credit risks for patients that are not identified or do not meet the previously described charity criteria, such additional losses are included as a deduction of net patient service revenue. Additionally, the center sponsors certain other charitable programs, which provide substantial benefit to the broader community. Such programs include services to needy and elderly populations that require special support, as well as health promotion and education for the general community welfare. Gross charges forgone for free care in excess of third-party reimbursements (e.g., co-pays and deductibles) were $10,714,089 and $14,191,564 in 2023 and 2022, respectively.
SCHEDULE H, PART III, SECTION B; QUESTION 8	NOT APPLICABLE.
SCHEDULE H, PART III, SECTION B; QUESTION 9B	NOT APPLICABLE.
SCHEDULE H, PART VI; QUESTION 2	As a tertiary care hospital and regional referral center, the center addresses the healthcare needs of the communities it serves through professional education provided through grand rounds for physicians and other providers, annual regional conferences aimed at specific provider groups, outreach offering education on cardiovascular, pulmonary and vascular diseases to the many community based groups listed in our community benefits statement, and screenings of patients at risk for cardiovascular, pulmonary and vascular diseases that are held both on and off campus.
SCHEDULE H, PART VI; QUESTION 3	The center screens uninsured patients for eligibility for new jersey's charity care program, but true to its historic mission has never balance-billed any patient for care provided within its main hospital building.
SCHEDULE H, PART VI; QUESTION 4	THE CENTER, LOCATED IN BURLINGTON COUNTY, IS A SPECIALTY HOSPITAL THAT TREATS PATIENTS FROM ALL 21 NEW JERSEY COUNTIES, AS WELL AS FROM THE MAJORITY OF THE OTHER STATES AND PUERTO RICO. 3.1% OF IN STATE PATIENTS ARE UNINSURED, WHILE 2.9% OF OUT OF STATE PATIENTS LACK COVERAGE. 59% OF PATIENTS TREATED AT DEBORAH HEART AND LUNG CENTER ARE OVER AGE 65.
SCHEDULE H, PART VI; QUESTION 5	Understanding and responding to the health needs of our communities, especially the needs of the most vulnerable among us, is central to deborah's mission. To address the community's health needs, educate professionals working in the community, and build meaningful relationships with partners to maximize regional impact of targeted programs, deborah uses a multi-pronged approach, including community health education, community-based clinical services, social and environmental improvement activities, health professions education (for physicians, fellows, residents, medical students, nurses and other health professionals), support for emergency and trauma services, community support, coalition building, community building activities, and community benefit operations (both with assigned staff and through deborah's community health improvement plan strategy team). Deborah provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, gender, sexual orientation, color, religion, creed, sex, national origin, marital status, age, physical or mental handicap or ability to pay. Deborah provides medically necessary healthcare services to all new jersey patients regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients. Deborah is the only hospital in the nation treating both adults and children that never balance-bills a patient for costs related to the care he or she receives at deborah, which helps ensure that price is not a barrier to those who come to deborah receiving the healthcare they may need. Control of deborah rests with its board of trustees, comprised of independent civic leaders and other prominent members of the community. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care programs and activities. The use and control of deborah is for the benefit of the public. No part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. As a teaching hospital, deborah maintains a rigorous, robust fellowship program. This highly-sought after post-graduate training provides the leading-edge tools needed by the next generation of cardiologists, electro-physiologists, heart failure and vascular specialists. Admission to these fellowships is exceptionally competitive. Deborah's nursing program provides on-site rotational training for nurses entering the field, mentorships and internships for college students and an interactive simulcast video forum to share surgical procedures with high school students, as well as a recently instituted high school nursing assistant externship program. Deborah also hosts a year-round schedule of grand rounds presentations, cme seminars, and outside medical presentations to joint base mcguire-dix-lakehurst, reinforcing deborah's commitment as a teaching hospital. Over 30 ground-breaking clinical research trials are underway at deborah, providing the entry point for patients to receive the most innovative treatments once successful trials receive fda approval. In tandem with this, deborah's physicians are widely published in leading medical journals, as well as having editorial appointments on a number of widely-recognized medical publications. As a specialty hospital, deborah is not licensed to operate an emergency room. To meet the community's need for emergency care, deborah leases space to an acute care hospital system that operates a satellite emergency department (sed) within deborah's main hospital building. In addition, as a regional referral center and specialty hospital, deborah routinely receives transfers from other hospitals' emergency departments as well as admissions from our own clinic and direct admissions from referring physicians without consideration of the patients' ability to pay. Deborah's community outreach includes several integrated arms within the hospital: - the medical, nursing and community outreach department staffs - the marketing department - the community health improvement plan sub-committee members - the administrative team - the professional education and training departments. Deborah's community outreach efforts are designed to meet at least one of the following community benefit objectives: - access to care - chronic disease education and management; and - issues of aging/wellbeing. Deborah prepares a chip update report every three years that provides greater detail on the specific activities deborah is involved in to promote community health in our service area. The currently available chip report is an update (2020-2022) reporting on the results of the 2019 chna and subsequent chip action plan Chip update reports can be accessed by way of deborah's website. https://demanddeborah.org/patients-and-visitors/community-resources/commun ity-health-needs-assessment/
SCHEDULE H, PART VI; QUESTION 6	Deborah heart and lung center (the "center") is committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services. The center strives to exceed patient expectations emphasizing commitment, competence, collaboration, communication, and compassion. Please also refer to schedule o. The center sets overall policy regarding billing and collections and the facility responses provided above for part i, line 3c; part i, line 6a; part i, line 7; part ii; part iii, line 4 and 8; and part iii, line 9b are reflective of that policy. Outlined below is a summary of the affiliates of the center. The center is an 89-bed tax-exempt teaching and tertiary care specialty hospital located in browns mills, burlington county, new jersey that provides comprehensive inpatient and outpatient cardiac, pulmonary and vascular services. The center is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the center provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, gender, sexual orientation, color, religion, creed, sex, national origin, marital status, age, physical or mental handicap or ability to pay. Moreover, the center operates within the following criteria outlined in irs revenue ruling 69-545. 1. The center provides medically necessary healthcare services to all patients regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Although the center does not operate an emergency department, it leases an area in the center's main hospital building to an unrelated internal revenue code 501(c)(3) state of new jersey tax-exempt hospital that operates an emergency room on the center's campus. In addition, as a regional referral center and specialty hospital, deborah routinely receives transfers from other hospitals' emergency departments as well as admissions from its own clinic and direct admissions from referring physicians without consideration of the patients' ability to pay. 3. Control over the center rests with its board of trustees, comprised of independent civic leaders and other prominent members of the community. 4. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. Deborah hospital foundation Deborah hospital foundation (the "foundation") is an affiliate organization recognized by the irs as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to irs code 509(a)(1). Through fundraising activities, the organization supports the charitable purposes, programs and services of the center. Deborah cardiovascular group, p.c. Deborah cardiovascular group, p.c. is an affiliate organization recognized by the irs as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to irc 509(a)(3). The organization promotes, supports and furthers the charitable purposes, programs and services of deborah heart and lung center. Deborah medical investments, llc A single member limited liability company whose sole member is the center, the organization is located in browns mills, burlington county, new jersey. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of the center. Deborah medical associates insurance company, llc A single member limited liability company whose sole member is the center, the organization is located in browns mills, burlington county, new jersey. The organization provides medical professional liability insurance and commercial general liability insurance to the center. Other deborah heart and lung center affiliates Advanced medical management services, inc. A for-profit entity whose sole shareholder is the center, the organization is located in browns mills, burlington county, new jersey. The organization provides management services. The surgery center at deborah, llc A limited liability company treated as a partnership for tax purposes whose majority owner is the center. The organization is currently inactive. Once active the organization will engage in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of the center.
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KULPREET S BARN MD
PHYSICIAN	$951,415	$0	$204,144	$0	$360	$0	$5,394	$0	$39,956	$0	$1,201,269	$0	$0	$0
MARK MOSHIYAKHOV MD
PHYSICIAN	$900,980	$0	$192,190	$0	$540	$0	$9,900	$0	$19,849	$0	$1,123,459	$0	$0	$0
JOSEPH CHIRICHELLA
TRUSTEE - PRESIDENT/CEO	$603,151	$0	$205,000	$0	$145,043	$0	$10,140	$0	$35,049	$0	$998,383	$0	$0	$0
RAFFAELE CORBISIERO MD
PHYSICIAN	$743,847	$0	$175,268	$0	$2,376	$0	$9,204	$0	$39,342	$0	$970,037	$0	$0	$0
Pedram Kazemian MD
PHYSICIAN	$649,321	$0	$174,374	$0	$828	$0	$9,900	$0	$39,601	$0	$874,024	$0	$0	$0
STEPHEN J SZAWLEWICZ MD
CHAIR ADULT CARDIOLOGY	$574,387	$0	$132,478	$0	$828	$0	$10,066	$0	$39,601	$0	$757,360	$0	$0	$0
AARON KUGELMASS MD
EVP/CHIEF MEDICAL OFFICER	$594,029	$0	$25,000	$0	$24,693	$0	$5,450	$0	$38,075	$0	$687,247	$0	$0	$0
SUSAN D BONFIELD ESQ
SEC. - EVP/GENERAL COUNSEL	$367,225	$0	$30,000	$0	$45,239	$0	$41,350	$0	$35,999	$0	$519,813	$0	$27,263	$0
JOSEPH R MANNI
EVP OPERATIONS/COO	$381,607	$0	$60,000	$0	$33,043	$0	$11,350	$0	$32,649	$0	$518,649	$0	$0	$0
THOMAS R PERCELLO
TREASURER-EVP FINANCE/CFO	$378,167	$0	$60,000	$0	$4,572	$0	$0	$0	$40,901	$0	$483,640	$0	$0	$0
RICHARD S TEMPLE
VP/CIO	$282,123	$0	$20,691	$0	$2,376	$0	$11,044	$0	$36,823	$0	$353,057	$0	$0	$0
MARION STAMOPOULOS
VP HR/CHRO	$228,738	$0	$18,907	$0	$2,376	$0	$9,001	$0	$33,067	$0	$292,089	$0	$0	$0
RITA ZENNA
VP PATIENT CARE SERVICES	$241,589	$0	$19,382	$0	$4,572	$0	$9,379	$0	$16,457	$0	$291,379	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOSEPH CHIRICHELLA, $106,432; SUSAN D. BONFIELD, ESQ., $27,263 and JOSEPH R. MANNI, $25,871. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HER 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: SUSAN D. BONFIELD, ESQ. $30,000.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN F	THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE AMOUNTS REPORTED ON PRIOR YEARS' FORMS 990 IN SCHEDULE J, PART II, IN COLUMN (C) AS NON-TAXABLE UNVESTED DEFERRED COMPENSATION THAT IS NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. ACCORDINGLY, IN PRIOR YEARS THE INDIVIDUAL NEVER ACTUALLY RECEIVED ANY OF THESE UNVESTED BENEFIT AMOUNTS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Our Commitment to Community Health Compassion is, and has always been, at the heart of Deborah's mission. Deborah Heart and Lung Center, supported by the fundraising of the Deborah Hospital Foundation, embraces the motto: "There is no price on life." For over 100 years, Deborah Heart and Lung Center has cared for New Jersey residents in need despite their financial status. Deborah believes that no one should make a medical decision based on his/her/their personal financial situation. Deborah is the only hospital in the nation that treats both adults and children and has never balance-billed a patient for care provided in the hospital, serving as a true safety net for cardiac, pulmonary and vascular services in New Jersey. Deborah is also active in the local community and service areas, providing specialty-focused community-based health and wellness programs. Our Mission To provide the highest quality heart, lung and vascular care in a collaborative and welcoming environment, while ensuring access for all. Our Vision To reimagine the delivery of advanced specialty care with a focus on healthy living for all communities. Our Story The Deborah story is an extraordinary one. Deborah was first incorporated in 1922 as the Deborah Jewish Consumptive Relief Society to build a tuberculosis (TB) sanatorium. According to history, the therapeutic air of the pine barrens of rural Burlington County was key to patient recovery. Thousands of TB patients were medically treated and compassionately cared for by a heroic team of Deborah physicians and caregivers. When the development of antibiotic medications led to the eradication of TB, Deborah shifted its focus to other chest diseases, embracing the emerging specialty of cardiac disease prevention and treatment. The focus on cardiac diseases, combined with Deborah's established expertise in lung diseases, transformed Deborah into New Jersey's only cardiac and pulmonary specialty hospital, where New Jersey's first open-heart surgeries were performed in the 1950s. Today, Deborah offers leading-edge surgical techniques and non-surgical alternatives to diagnose and treat cardiac, pulmonary and vascular diseases in adults, and congenital and acquired heart defects in adults and children. Deborah is recognized as a leader in patient care, patient satisfaction, quality outcomes and innovative healing. New advances in cardiac, pulmonary, and vascular care are often available first at Deborah. Deborah's clinical research department - combined with our well-respected teaching program - helps to bring new treatments, technologies and innovations to the Center. This infusion of innovative ideas and professional talent shapes the medical landscape of the State, strengthening Deborah's reputation as an important medical provider. IRS status Deborah is recognized by the IRS as a 501(c)(3) tax-exempt organization. Deborah operates within the following criteria outlined in IRS revenue ruling 69-545: 1. Deborah provides medically necessary healthcare services to all patients regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients. 2. As a specialty hospital, Deborah is not eligible to operate an emergency room. To meet the community's need for emergency care, Deborah leases space in Deborah's main hospital building to a hospital system licensed to operate a satellite emergency department. In addition, as a regional referral center and specialty hospital, Deborah receives transfers from other hospitals' emergency departments, as well as admissions from our own outpatient clinics and direct admissions from referring physicians. 3. Deborah's Board of Trustees, comprised of independent civic leaders and other prominent members of the community, provide oversight of, and guidance to, Deborah's executive team. 4. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care programs and activities in the community. The use and control of Deborah is for the benefit of the public. No part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. Charity Care Deborah provides medically necessary healthcare to patients who meet criteria under Deborah's charity care policy, as well as those who are uninsured, but do not meet charity care requirements. Deborah maintains records to identify and monitor the charity care and community service it provides. Consistent with its mission and values, Deborah does not bill patients who receive services in the hospital for amounts that remain unpaid (including copayments and deductibles) after Deborah bills federal, State and commercial insurance programs. Deborah also sponsors programs and provides other patient services that directly benefit the surrounding community. Such programs include services to needy populations, community service programs and services for school-aged children, veterans, active-duty military and dependents, first responders, and the elderly. Deborah also actively sponsors programs on health education and wellness. Recent Awards/Accreditations Among the 2023 recognitions, awards and accreditations to the Deborah team are: - DNV healthcare, accredited hospital. - Certified ventricular assist device facility, DNV healthcare. - Four top 3-Star Ratings from the Society of Thoracic Surgeons in coronary artery bypass graft surgery (CABG), coronary artery bypass graft surgery with aortic valve replacement, aortic valve replacement and repair, and mitral valve replacement and repair with CABG. - Top Teaching Hospital Award by the Leapfrog Group - "Get with the Guidelines - Heart-failure Gold Plus Quality" achievement award, American Heart Association. - U.S. News and World Report named Deborah a high-performing hospital for COPD, heart attack, heart bypass surgery, transcatheter aortic valve repair (TAVR) and heart failure. - Accredited, nuclear medicine, vascular testing, and echocardiography, Intersocietal Accreditation Commission. - Institute of Sleep Medicine accredited by the American Academy of Sleep Medicine. - Accredited, College of American Pathologists. - 4-star rating, Centers for Medicare and Medicaid services, Hospital Compare. - Healthgrades outstanding patient experience award. - Eight physicians and administrators were recognized by regional magazines or local organizations as outstanding professionals. A Commitment to Community Deborah is committed to reaching out to, and into, our surrounding communities to meet the healthcare needs of those communities. Deborah prides itself on its partnership with individuals, corporations, labor organizations, service organizations and foundations to provide community-based and community-focused care. Deborah's community programs include services for needy populations, community service and education programs for the elderly, veterans and the medically underserved, as well as services and programs for children and adolescent children. Community Health Screenings/Outreach Deborah provides opportunities for the community to monitor their health through screenings available at Deborah and throughout the communities served. Deborah partners with numerous organizations to effectively reach targeted audiences. Detailed information on Deborah's screenings and outreach programs is found in the Schedule H narrative. targeted audiences. Detailed information on Deborah's screenings and outreach programs is found in the Schedule H narrative. Community Outreach Partners Deborah's community outreach efforts focus on building and maintaining key partnership with groups throughout the region. Deborah counts among its many partners: - American Heart Association - American Lung Association - Aspen Hills Healthcare Center - Browns Woods Apartments - Burlington County Commissioners - Burlington County Health Department - Burlington County Library System - Burlington County Prosecutor's Office - Burlington County Regional Chronic Disease Coalition - Burlington County Sheriff's Office - Capital Health System, Inc. - Carbon Health - Center for Family Services - Christian Caring Center - Cleveland Clinic Heart Vascular & Thoracic Institute - Coalition of 100 Black Women - Cooper University Health Care - Deborah Cardiovascular Group, P.C., d/b/a Deborah Specialty Physicians - Defense Enhancement Coalition - DNV GL Healthcare - Garden State Bariatrics Center - Georgie's Pharmacy - Hope One of Burlington County - Humana Military - Ivy Rehab Network - Joint Base McGuire-Dix-Lakehurst - Knights of Columbus - Landmark Healthcare Facilities, LLC - The Leapfrog Group - Local 500 NJ State Fireman's Mutual Benevolent Association - Maryville Addiction Treatment Center
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- New Jersey Chief of Police Association - New Jersey Department of Health - New Jersey Department of Human Services - New Jersey Department of Military and Veterans Affairs - New Jersey Education Association - New Jersey Hospital Association - New Jersey Hospital Association Veteran Navigators - New Jersey State Firemen's Association - New Jersey State Firefighters Mutual Benevolent Association - New Jersey State VFW - NFL Alumni Association - Ocean County Foot and Ankle Surgical Associates - Ocean County Health Department - Ocean Health Initiatives (a federally-qualified health center) - Ocean-Monmouth Health Alliance - Pemberton Community Library - Pemberton Township - Pinelands Family Success Center - Rowan College at Burlington County - Rowan University School of Osteopathic Medicine - Samaritan - Sidney Kimmel College at Jefferson University Hospital - Society of Thoracic Surgeons - Southern New Jersey Development Council - Southern NJ Perinatal Cooperative - St. Christopher's Hospital for Children - Stout's Transportation - The Eye Professionals - The Sisterhood - Temple University - Tobacco Free New Jersey - Veterans Administration - Virtua CEED (cancer education and early detection) Affiliated partnerships for expanded healthcare Deborah focuses on regional collaboration with other healthcare systems and providers to remove barriers to access for care and to offer expanded services. Of particular note are: 1. HeroCare Connect, a specially-designed program for active-duty military, veterans, retirees and their dependents. Developed as a partnership with Cooper University Health Care, the program provides rapid point of access to medical services offered by both Deborah and Cooper. Working closely with Joint Base McGuire-Dix-Lakehurst's staff at the 87th Medical Group, HeroCare Connect provides a vital link in specialty care for our military, and for medical clearances for rapid deployment. 2. Partnership in the support of a Medical Office Building owned and operated by Landmark Healthcare, LLC of Milwaukee, Wisconsin, designed to bring new medical providers into the community. Through this partnership, Pemberton Township (designated as a federally designated medically underserved area MUA/MUP) has access to urgent care; obstetric and gynecological services; physical therapy; a primary care practice, including pediatrics; a cardiac rehabilitation program; occupational therapy; pain management; eye care; pharmacy services; podiatry services; and an ambulatory surgical center. 3. Cleveland Clinic Heart, Vascular & Thoracic Institute Alliance Member, working with CCHVTI to strengthen the processes underpinning the cardiovascular medicine and surgery performed at Deborah through sharing of best practices to improve outcomes, safety, and quality for patient care. 4. Ivy Rehab, in partnership with Deborah Heart and Lung Center, jointly operates a full scope physical therapy practice on Deborah's campus. Located in a separate medical office building, Deborah Physical Therapy, provided by Ivy Rehabilitation offers our community convenient access to comprehensive physical therapy and physical assessments that members of our community previously had to travel outside of the region or forego. Deborah Affiliations Deborah has relationships with various New Jersey statewide organizations. These relationships are endorsed by the executive leadership and/or governing body of each organization. - New Jersey State Fireman's Association - Veterans of Foreign Wars - Knights of Pythias - Knights of Columbus - NFL Alumni Association - New Jersey Education Association - New Jersey State Police Benevolent Association - New Jersey State Association of Chiefs of Police Education As a teaching hospital, Deborah maintains robust cardiology, interventional cardiology, electrophysiology, heart failure, and vascular surgery fellowship programs. This highly sought-after post-graduate training provides valuable experience to cardiologists and vascular specialists. Deborah's nursing program provides on-site rotational training for nurses entering the field, mentorships and internships for college students, and a new high school externship nursing assistant program. Deborah also hosts a year-round schedule of grand rounds presentations, CME seminars, sponsoring and presenting at major national professional symposia, and outside medical presentations to joint base McGuire-Dix-Lakehurst, consistent with Deborah's commitment as a teaching hospital. Clinical Research Over 30 clinical research trials are underway at Deborah, providing an opportunity for patients to receive innovative treatments at Deborah once successful trials receive FDA approval. Deborah's research physicians are widely published in leading medical journals, with editorial appointments on many medical publications. Deborah's Programs and Services Deborah seeks to enhance the healthcare services and experiences of its patients and their families. Deborah has a strong set of organizational values creating a driving force behind the Center's excellence. The Deborah team looks for continuous improvement based on patient, staff and community feedback, and clinical data. Achieving, and then maintaining, a level of excellence in healthcare services is Deborah's commitment. Deborah does this through the following services, among others: 1. Adult Cardiology Services Adult congenital heart disease - Deborah's unique adult congenital heart disease program combines the expertise of physicians trained in adult and pediatric cardiovascular medicine, with tailored management of the disease. Cardiac catheterizations - catheterizations are the most widely performed procedure at Deborah. The center has four full service cardiac catheterization and endovascular catheterization labs that are fully equipped with the latest technology to allow care teams to visualize and access vessels with unprecedented flexibility and precision. Clinical cardiology - Deborah's clinical cardiology service provides consultations for patients with acute and chronic heart diseases. The scope of care includes congenital and acquired heart diseases, coronary artery disease, rheumatic heart disease, and other forms of valvular and myocardial disease, cardiomyopathy and hypertensive heart disease, disorders of the coronary and non-coronary circulation systems, myocardial function, cardiac conduction system and cardiac valves. 2. Advanced Heart Failure Deborah provides comprehensive care to patients with all forms of heart failure, excluding heart transplant. Deborah's comprehensive team approach allows for the treatment of patients with even the most advanced forms of heart failure. Since so few patients with heart failure can be offered heart transplantation, the specialists at Deborah strive to maximize heart performance and minimize risk, using medications and specialized implanted devices. Cardiomems - an integrated team consisting of interventional, electrophysiology and heart failure physicians is able to offer the cardiomems implant. This device allows patients with advanced heart failure to return home with monitoring provided once a day through a brief computerized test with the results sent to Deborah so the team can monitor, in real-time, the patient's status and immediately address the patient's needs, avoiding an emergency re-hospitalization. Left Ventricular Assist Device (LVAD) shared services - Deborah has partnered with a transplant hospital to support its LVAD program, designed to allow patients to receive left ventricular assist devices as either a bridge to transplant or as destination therapy for qualifying patients. Extracorporeal Membrane Oxygenation (ECMO), also known as extracorporeal life support, -- is an extracorporeal technique of providing prolonged cardiac and respiratory support to persons whose heart and lungs are unable to provide adequate gas exchange or perfusion to sustain life for long-term support. Impella device is the world's smallest heart pump which provides the heart with active support in critical situations. The most common indications for using the Impella device are the treatment of myocardial infarction complicated by cardiogenic shock and to facilitate high risk coronary angioplasty. Other indications include the treatment of cardiomyopathy with acute decompensation, postcardiotomy shock, and off-pump coronary bypass surgery. 3. Ambulatory Care Services Area Ambulatory care patients seen at Deborah receive quality care in the center's renovated ambulatory care service area. The ambulatory care exam area contains spacious, modern exam rooms, all with cardiac monitors and a triage room for urgent situations.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	4. Cardiothoracic Surgery Adult Congenital Heart Surgery - the cardiac surgery service at Deborah has performed hundreds of surgeries on adult patients with congenital heart anomalies. Aortic Surgery - all aspects of aortic surgery are performed at Deborah, including repair of aneurysms of the ascending, descending and abdominal aorta, correction of aortic dissection, replacement of the aortic root and replacement of the aortic arch. Beating Heart Bypass Surgery - beating heart bypass surgery is performed while the heart is still beating. With "off-pump" technology, heart and lungs continue to function during the surgery, reducing the risk of stroke, lung and kidney dysfunction and memory loss. Coronary Artery Surgery - coronary artery surgery is performed at Deborah using the latest techniques to perform either an arterial bypass or mixed arterial and reversed saphenous vein grafting as indicated. Deborah's cardiac surgery team uses advanced techniques of myocardial protection, surgical technique, extracorporeal perfusion, anesthetic management, blood conservation and perioperative care. Direct Coronary Artery Bypass - cardiac surgeons perform minimally invasive direct coronary artery bypass (MIDCAB) surgery. This procedure allows coronary revascularization in select cases with a limited sternotomy incision and without the use of the heart-lung machine. Endoscopic Radial Artery/Saphenous Vein Harvesting - Deborah surgeons offer endoscopic radial artery and saphenous vein harvesting, a minimally invasive technique for removal to be used as a conduit in coronary artery bypass surgery. 5. Valve Repair or Replacement Minimally Invasive Valve Surgery - surgeons at Deborah can repair or replace both the mitral and aortic valves by applying a minimally invasive technique. Instead of a sternotomy, a smaller incision is used to expose and access the heart. Mitra Clip - The Mitra Clip is a minimally invasive, catheter-based therapy performed by a multidisciplinary heart team using venous access and real-time imaging (echocardiography and fluoroscopy), thereby avoiding cardiopulmonary bypass. Deborah offers the latest and safest refined surgical techniques for cardiac valve reconstruction. Many valve conditions result in valvular dysfunction, manifested by stenosis, incompetence or both. Transcatheter Aortic Valve Replacement (TAVR) - combining the skills of surgeons and cardiac interventional physicians in Deborah's state-of-the-art hybrid operating room, teams can replace aortic valves percutaneously for the highest-risk patients who are not candidates for open heart surgery Valve Replacement - Deborah has used cardiac valve substitutes since 1963, and utilizes various state-of-the-art cardiac valve prostheses, designed to suit every individual's need, disease process or patient's age. 6. Vascular Surgery Surgical procedures at Deborah include: carotid endarterectomy, abdominal aortic aneurysm resection and lower extremity revascularization. 7. Endovascular Surgery Endovascular Surgery is an innovative, less invasive procedure used to treat problems affecting the blood vessels, such as an aneurysm, which is a swelling or "ballooning" of the blood vessel. The surgery involves making a small incision near each hip to access the blood vessels. Aortic Stenting - Endovascular Stent Grafting, or Endovascular Aneurysm Repair (EVAR), is a newer form of treatment for abdominal aortic aneurysm that is less invasive than open surgery. Endovascular stent grafting uses an endovascular stent graft to reinforce the wall of the aorta and to help keep the damaged area from rupturing. 8. The Children's Heart Center at Deborah/Children of the World Program Outpatient Pediatric Cardiology - Deborah's board-certified pediatric cardiologist and advanced nurse practitioner (ANP) provide diagnostic outpatient evaluations for children suspected to have congenital or acquired heart disease. Pediatric Arrhythmia Program - diagnosis and ongoing management of arrhythmias, palpitations and syncope are provided in the ambulatory care settings. Noninvasive diagnostic studies are used to identify significant problems. Pediatric Echocardiography - provides important diagnostic information, and is regularly used as clinically indicated as an integral part of the cardiac evaluation. Perinatal Cardiology - comprehensive assessment of the fetus and neonate with suspected cardiac disease is provided. Fetal echocardiography provides information regarding structural heart disease, and allows monitoring of cardiac performance. 9. Electrophysiology and Arrhythmias services Cardioversion - a procedure in which a shock is delivered to the patient's heart through paddles or patches on their chest. The current affects the electrical impulses in the heart and can restore a normal rhythm. CRT-D and ICD device - Cardiac Resynchronization Therapy Defibrillator (CRT-D) and Implantable Cardioverter Defibrillator (ICD) is used to treat heart failure and sudden cardiac death. The system is designed to simplify and reduce the time needed for the implant procedure by combining three separate lead terminals into one integrated connector and reducing the number of connections and set screws needed in the device header. Loop Recorders - an Implantable Loop Recorder, or ILR, is a heart recording device that is implanted in the body underneath the chest skin. It has several uses. The most common ones include looking for causes of fainting, palpitations, very fast or slow heartbeats, and hidden rhythms that can cause strokes. Pacemaker/ICD - Deborah's electrophysiologists implant programmable pacemakers and defibrillators to treat a variety of rhythm disturbances. The major diagnoses are brady- and tachy- arrhythmias. Pacemakers are implanted in a patient with a slow heart rate, while an implantable cardioverter defibrillator is a treatment option for patients who suffer with ventricular tachycardia and ventricular fibrillation. Deborah also implants Bluetooth-enabled devices for remote at home device monitoring. Radiofrequency ablation - Deborah performs radiofrequency ablation, a procedure used to treat adults and children with complex cardiac arrhythmias. Included in these services are atrial and supraventricular tachycardia, Wolff-Parkinson-White syndrome, atrial fibrillation and flutter. Stereotaxis gentle touch magnetic system - Deborah's electrophysiology suite includes one of the region's first stereotaxis gentle touch magnetic systems, as well as new enhanced imaging equipment and a specifically-designed mapping system. The stereotaxis gentle touch magnetic system allows doctors the ability to view the inside of the heart, both anatomically and electrically. Tilt tables - tilt tables are used to help identify the cause of fainting spells. Watchman - Deborah is implanting the watchman left atrial appendage closure device, a proven alternative to long-term warfarin therapy for stroke risk reduction in patients with non-valvular AFIB. 10. Imaging services Deborah provides a full complement of imaging services. The Deborah services include: Nuclear medicine - nuclear medicine is a specialized area of radiology that uses very small amounts of radioactive materials, or radiopharmaceuticals, to examine organ function and structure. Nuclear studies - a cardiac (heart) nuclear study is a test that uses a small dose of radioactive solution to track blood flow to the heart muscle, and to evaluate heart function. Nuclear stress - a nuclear exercise stress test is like an exercise stress test, in that it also involves walking on a treadmill. For this test, however, a radioactive isotope is injected into the bloodstream. A gamma camera can detect radiation and create computer images of the heart at rest and after exercise. CT scanner - a cardiac computed tomography (CT) scan uses special x-rays to create detailed images of the heart and blood vessels. Deborah has a state of the art 256-slice CT scanner that provides superior quality images and leads to better, more precise diagnoses. Echo - an echocardiogram (or echo) is a test of the heart using ultrasound waves and is used for diagnosing disease of the heart or its valves. Trans Esophageal Echocardiography (TEE) - is a special type of echo that produces moving pictures of your heart by placing a transductor in the esophagus. The esophagus is so close to the heart, images from a TEE provides very clear images of the heart and its structures. Ultrasound - a vascular ultrasound is used to study the circulation in the blood vessels of the body. This can be used to look at veins and arteries in the neck, abdomen, arms and legs. Mobile Pet/CT - a mobile pet/CT scanner rotates onsite at Deborah for patients who need this diagnostic test, commonly used to identify carcinoma.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	11. Institute for Sleep Medicine Deborah offers patients accurate diagnosis and effective treatment for disorders such as sleep apnea, as well as less common disorders such as narcolepsy, insomnia, sleep movement disorders and sleep deprivation syndromes. Sleep studies are conducted on-site. Home sleep studies are also offered, expanding access to this important diagnostic testing. 12. Interventional Cardiology Deborah's interventional cardiology department includes a team of specialty-trained interventionists using highly advanced technologies and devices to open blockages, offering minimally invasive techniques and an array of interventional treatment options give their patients optimal outcomes. Radial artery access - cardiac catheterization through the radial artery in the wrist is less invasive, more comfortable, and safer and has fewer complications and a faster recovery than the traditional femoral method. Performing cardiac catheterization through the wrist using a long, thin tube (called a catheter) through an artery in the wrist to get to the heart is the most common method used at Deborah. Service include: - 3D vascular stents - Adult congenital procedures - Alternative access (including popliteal pedal access for complex anatomy) - Angioplasty with drug eluting stents - Cardiac catheterization - CardioMems implant for heart failure monitoring - Carotid procedures and interventions - Chronic total occlusions (CTO): diagnostics and interventions - Deep vein thrombosis - Intravascular ultrasound and fractional flow reserve (FFR) - Left atrial appendage closure (LACC) device: WATCHMAN FLXT - Limb salvage procedures for critical limb ischemia - Mitral valve repair (MitraClip) - Paravalvular leak closure - Percutaneous endovascular abdominal aortic aneurysm repair (PEVAR) - Pulmonary emboli - Transcatheter mitral valve repair (TMVR) - Transradial catheterization and interventions - Valvuloplasty - Varicose veins ablations - Venous disease Structural Heart Disease Procedures - Atrial septal defect (ASD) closure - Patent ductus arteriosus (PDA) closure - Patent foramen ovale (PFO) closure - Transcatheter aortic valve replacement (TAVR) - Ventricular septal defect (VSD) closure 13. The Wound Care Center The James Klinghoffer Center for Wound Healing and Hyperbaric Treatment provides advanced wound care technology and hyperbaric oxygen therapy to enhance wound healing through a multidisciplinary team approach. Services include: - Arterial and venous pumps - Bioengineered skin substitutes - Compression wraps - Growth factors - Hyperbaric oxygen therapy (HBO) - Negative pressure wound therapy - Ultrasonic debridement - Wound matrix and collagen dressings 14. Multi-disciplinary Oncology Clinic Deborah's multi-disciplinary oncology clinic program, offered through a collaborative relationship with an independent oncology practice, offers collaborative personalized outpatient appointments for case management of patients with tumors. 15. Pulmonary Medicine and Rehabilitation Services The department of pulmonary medicine provides high quality care for patients with all types of lung disease. Our goal is to provide personal care to every patient in a friendly, timely and accessible manner. Pulmonary Rehabilitation - pulmonary rehabilitation is a program of education and exercise that helps patients manage his/her/their breathing problems, increasing stamina (energy) and decreasing breathlessness. The educational part of the program teaches patients to be "in charge" of his/her/their breathing instead of his/her/their breathing overseeing them. Pulmonary Function Testing (PFTs) -- noninvasive tests that show how well the lungs are working. The tests measure lung volume, capacity, rates of flow, and gas exchange. This information can help a healthcare provider diagnose and decide the treatment of certain lung disorders. Physical Therapy (PT) -- a branch of rehabilitative health that uses specially designed exercises and equipment to help patients regain or improve their physical abilities. PT is appropriate for many types of patients, from infants born with musculoskeletal birth defects, to adults suffering from sciatica or the aftereffects of injury or surgery, to elderly post-stroke patients. Cardiac Rehabilitation -- a medically supervised program, individualized for each patient. It consists of exercise training, as well as education and counseling about heart-healthy living. Besides heart attacks, cardiac rehab is recommended by the American heart association for heart conditions like coronary artery disease, angina or heart failure, after a heart procedure or surgery, including bypass surgery, angioplasty and stenting, valve replacement, or a pacemaker or implantable cardioverter defibrillator. 16. Vein Center Spider veins on the thighs, ankles or calves is a concern for many people. At Deborah's Vein Center, there are now spider vein and varicose vein treatments that can virtually eliminate these conditions. 17. The Women's Heart Center The Women's Heart Center combines Deborah's expertise in treating heart and vascular disease with programs to help reduce stress; reduce weight; quit smoking; eat better; sleep more soundly; manage diabetes and educate women about the signs and symptoms of heart and vascular disease. This multi-pronged approach aims to reduce heart and vascular disease among women. 18. Thoracic Surgery Thoracic - or chest - surgery includes the lungs, esophagus, trachea, and chest wall. A variety of surgical techniques, including both open and minimally invasive, are performed by Deborah's surgical team, including: - Chest wall procedures - Esophageal procedures - Lung volume reduction surgery - Mediastinal procedures - Pleural procedures - Pulmonary resections (wedge, lobectomy, pneumonectomy, segmentectomy) - Tracheal procedures - Video-assisted thoracoscopic lung surgery (VATS)
CORE FORM, PART V; QUESTION 15	KULPREET S. BARN, M.D. AND MARK MOSHIYAKHOV, M.D. ARE INCLUDED WITHIN THE ORGANIZATION'S FORM 990, PART VII. THE ORGANIZATION WAS NOT REQUIRED TO FILE A FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO THESE INDIVIDUALS BECAUSE THEY ARE LICENSED MEDICAL PROVIDERS WHOSE COMPENSATION WAS FOR CLINICAL SERVICES AND THUS EXEMPT FROM EXCISE TAXES AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY THE ORGANIZATION'S AUDIT COMMITTEE. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS PRESENTED TO THE MEMBERS OF THE DEBORAH HEART AND LUNG CENTER AUDIT COMMITTEE FOR REVIEW AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S DIRECTOR OF COMPLIANCE FOR REVIEW. THEREAFTER, THE DIRECTOR OF COMPLIANCE AND GENERAL COUNSEL REVIEW THE QUESTIONNAIRES AND MAINTAIN RECORDS OF THE COMPLETED QUESTIONNAIRES.
CORE FORM, PART VI, SECTION B; QUESTION 15	The deborah heart and lung center board of trustees has a human resources committee ("committee"). The committee reviews and follows internal revenue service guidelines for rebuttable presumption of reasonableness for purposes of irs code section 4958 in its evaluation and decision-making with respect to the compensation paid to the president & ceo. The committee is provided with the recommendations of the president & ceo with respect to senior leadership compensation and data to demonstrate that his recommendation is in line with IRS guidelines. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior leadership of the organization is reasonable. The actions taken by the committee enable the center to receive the rebuttable presumption of reasonableness for purposes of irs code section 4958 with respect to the total compensation of certain members of the senior leadership team. Factors that support the center's standing with respect to its reasonableness include, but are not limited to: 1. The compensation and benefit arrangements are approved in advance by the committee, none of whom have a "conflict of interest" with respect to the compensation arrangement; 2. The committee relies upon appropriate comparable external and internal compensation data prior to making its determination. This data is updated each year by utilizing generally published surveys, data provided by healthcare associations, and information gleaned from newspaper articles and other sources and reflects comparable factors, including but not limited to geography, bed size, complexity, revenue, etc. 3. The committee documents the basis for its determinations in timely, formal meeting minutes. The compensation and benefits of the other individuals contained in this form 990, schedule j, are reviewed annually by the president & ceo with assistance from the organization's human resources department in conjunction with the individual's job performance during the year, and are based upon various objective and subjective performance factors designed to ensure that reasonable and fair market value compensation is paid by the organization. The center's financial status as well as its need to attract and retain competent leadership is also reviewed and considered in this process. Other objective factors include market survey data for comparable positions, individual goals and objectives, actual performance and other relevant performance feedback.
CORE FORM, PART VI, SECTION B; QUESTION 16B	DEBORAH HEART AND LUNG CENTER MAINTAINS A WRITTEN POLICY TO ENSURE THAT ANY JOINT VENTURE ENTERED INTO BY DEBORAH HEART AND LUNG CENTER WITH A FOR-PROFIT PARTICIPANT IS REVIEWED AND FOLLOWED SO AS TO EVALUATE ITS PARTICIPATION UNDER APPLICABLE FEDERAL TAX LAW, AND TO ENSURE THAT THE ORGANIZATION TAKES STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
CORE FORM, PART VI, SECTION C; QUESTION 18	Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. IN ADDITION, JOSEPH MANNI WORKS 45 HOURS A WEEK AS THE chief operating officer FOR THE ORGANIZATION AND WORKS 10 HOURS A WEEK AS THE CHIEF OPERATING OFFICER FOR DEBORAH HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, FOR A TOTAL OF 55 HOURS A WEEK.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS PART OF DEBORAH HEART AND LUNG CENTER; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY, PLANT AND EQUIPMENT - $22,500; - NET ASSETS RELEASED FROM RESTRICTION - ($1,007,881); - CHANGES IN FAIR VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST - $65,446 AND - CHANGE IN BENEFICIAL INTEREST IN RESTRICTED NET ASSETS OF DEBORAH HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $210,429.
CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ITS SUBSIDIARIES, FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED CONSOLIDATED FINANCIAL STATEMENT. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT.
DHLC	THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS DEBORAH HEART AND LUNG CENTER RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND DEBORAH HEART AND LUNG CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITES WAS RECEIVED BY DEBORAH HEART AND LUNG CENTER UTILIZING DIFFERENT FEDERAL IDENTIFICATION NUMBERS THAN 23-1550955. BELOW IS A LIST OUTLINING THE VARIOUS DEBORAH HEART AND LUNG CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS: PROFESSIONAL SERVICE FUND OF DHLC 23-1893623 DEBORAH MEDICAL INVESTMENTS, LLC 46-4400008 DEBORAH MEDICAL ASSOCIATES INSURANCE CO., LLC 38-3989806

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DEBORAH MEDICAL INVESTMENTS LLC
200 TRENTON ROAD	BROWNS MILLS	NJ	08015	464400008	HEALTH SVCS.	NJ	$0	$280,800	DHLC
DEBORAH MEDICAL ASSOCIATES INS CO LLC
200 TRENTON ROAD	BROWNS MILLS	NJ	08015	383989806	FIN. VEHICLE	NJ	$2,204,079	$8,174,833	DHLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
DEBORAH HOSPITAL FOUNDATION
212 TRENTON ROAD	BROWNS MILLS	NJ	08015	222049500	SUPPORT	NJ	501(C)(3)	7	NA	false
DEBORAH CARDIOVASCULAR GROUP PC
200 TRENTON ROAD	BROWNS MILLS	NJ	08015	030494366	HEALTH SVCS.	NJ	501(C)(3)	12a	DHLC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	THE SURGERY CENTER AT DEBORAH LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11221 ROE AVENUE STE 320	AddressLine1Txt
City	LEAWOOD	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	662111878	ZIPCd

Field	Value	IRS element (for citing)
EIN	853082092	EIN
Primary Activities	HEALTH SVCS.	PrimaryActivitiesTxt
Legal Domicile State	KS	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DHLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$765,000	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.58000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ADVANCED MEDICAL MANAGEMENT SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1Txt
City	BROWNS MILLS	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08015	ZIPCd

Field	Value	IRS element (for citing)
EIN	204912042	EIN
Primary Activities	MGMT SVCS.	PrimaryActivitiesTxt
Legal Domicile State	NJ	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DHLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP.	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$4,235	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THIS ORGANIZATION IS A MEMBER OF DEBORAH HEART AND LUNG CENTER; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE DEBORAH HEART AND LUNG CENTER ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.	ExplanationTxt