DEBORAH HEART & LUNG CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: DEBORAH HEART & LUNG CENTER (EIN 23-1550955)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201403219349303760
Schema version: 2013v3.1
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	2014-11-17T10:22:40-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	465 South St Ste 200	AddressLine1
City	Morristown	City
State	NJ	State
ZIP Code	079606497	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1
Address Line2	Suite	AddressLine2
City	BROWNS MILLS	City
State	NJ	State
ZIP Code	08015	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	R GRANT LEIDY	PersonNm
Person Title	CFO/VP FINANCE	PersonTitleTxt
Phone	9738989494	PhoneNum
Signature	2014-11-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH P CHIRICHELLA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1
City	BROWNS MILLS	City
State	NJ	State
ZIP Code	08015	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$165,645,992	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DEBORAH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE NECESSARY FACILITIES AND RESOURCES REQUIRED TO DELIVER THE HIGHEST QUALITY HEALTHCARE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1123	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	-$658,410	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$875,511	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,542,124	PYContributionsGrantsAmt
CY Contributions Grants	$11,678,271	CYContributionsGrantsAmt
PY Program Service Revenue	$143,006,308	PYProgramServiceRevenueAmt
CY Program Service Revenue	$151,665,891	CYProgramServiceRevenueAmt
PY Investment Income	$203,052	PYInvestmentIncomeAmt
CY Investment Income	$419,789	CYInvestmentIncomeAmt
PY Other Revenue	$396,143	PYOtherRevenueAmt
CY Other Revenue	$404,426	CYOtherRevenueAmt
PY Total Revenue	$150,147,627	PYTotalRevenueAmt
CY Total Revenue	$164,168,377	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	$80,782,413	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$80,907,448	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$66,476,845	PYOtherExpensesAmt
CY Other Expenses	$69,897,425	CYOtherExpensesAmt
PY Total Expenses	$147,259,258	PYTotalExpensesAmt
CY Total Expenses	$150,804,873	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,888,369	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,363,504	CYRevenuesLessExpensesAmt
Total Assets BOY	$79,020,329	TotalAssetsBOYAmt
Total Assets EOY	$85,688,412	TotalAssetsEOYAmt
Total Liabilities BOY	$89,762,372	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$73,888,920	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$10,742,043	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$11,799,492	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE THE NECESSARY FACILITIES, EQUIPMENT, MEDICAL STAFF AND FINANCIAL RESOURCES REQUIRED TO DELIVER THE HIGHEST QUALITY INPATIENT AND OUTPATIENT SERVICES FOR THE DIAGNOSIS AND TREATMENT OF HEART, LUNG AND VASCULAR DISEASE WITHIN THE CENTER'S SERVICE AREA. THE CENTER REALIZES ITS OBLIGATION TO PROVIDE THE HIGHEST DEGREE OF PATIENT SAFETY AND PRIVACY AND TO THAT END WILL EMBRACE AND ADVOCATE ALL INITIATIVES THAT ENABLE US TO ATTAIN THESE GOALS. THE CENTER WILL PROVIDE THESE MEDICAL AND SURGICAL TREATMENTS TO PATIENTS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. INPATIENT AND OUTPATIENT SERVICES ARE TO BE PROVIDED ON A TIMELY BASIS AND CONSISTENT WITH COST-EFFECTIVENESS AND FINANCIAL RESPONSIBILITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$60,777,713	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$57,094,387	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY CARDIOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$16,914,844	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$15,889,750	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$7,409,145	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,960,126	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PULMONARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$50,622,685	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$71,721,628	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$135,724,387	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	89	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1123	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	R GRANT LEIDY	PersonNm
Phone	6098931200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1
City	BROWNS MILLS	City
State	NJ	State
ZIP Code	08015	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL J STENDARDI
CHAIRMAN - TRUSTEE	14.0	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH CHIRICHELLA
TRUSTEE - PRESIDENT/CEO	55.0	Yes (X)	Yes (X)	$456,809	$0	$44,939
PAUL J DEMASSI
TRUSTEE	1.0	Yes (X)		$0	$0	$0
SANDI FEIN
TRUSTEE	1.0	Yes (X)		$0	$0	$0
REVEREND ANTHONY LIPARI
TRUSTEE	1.0	Yes (X)		$0	$0	$0
GEORGE S LOESCH
TRUSTEE	1.0	Yes (X)		$0	$0	$0
CHARLES J MCAFEE
TRUSTEE	1.0	Yes (X)		$0	$0	$0
LYNN MCGRATH MD
TRUSTEE - VP MEDICAL AFFAIRS	55.0	Yes (X)	Yes (X)	$1,162,398	$0	$41,856
ROBERT C MESSINA MD
TRUSTEE	1.0	Yes (X)		$0	$0	$0
CLAIRE K MOLOTSKY
TRUSTEE	1.0	Yes (X)		$0	$0	$0
JUDITH PERANTEAU
TRUSTEE	1.0	Yes (X)		$0	$0	$0
DOMINICK J PUGLIESE
TRUSTEE	1.0	Yes (X)		$0	$0	$0
BURTON C TREBOUR
TRUSTEE	1.0	Yes (X)		$0	$0	$0
R GRANT LEIDY
CFO/VP FINANCE	55.0		Yes (X)	$295,776	$0	$52,452
JOSEPH R MANNI
COO	55.0		Yes (X)	$251,412	$0	$41,813
SUSAN D BONFIELD ESQ
VP LEGAL & REGULATORY AFFAIRS	55.0			$302,824	$0	$43,725	Yes (X)
RITA ZENNA
VP PATIENT CARE SERVICES	55.0			$186,729	$0	$39,076	Yes (X)
JAMES F CARLINO
VP HUMAN RESOURCES	55.0			$180,717	$0	$38,581	Yes (X)
VICTOR M HATALA
DIRECTOR PRACTICE DEVELOPMENT	55.0			$160,050	$0	$37,036	Yes (X)
RICHARD C KOVACH MD
PHYSICIAN	55.0			$626,495	$0	$42,420		Yes (X)
ARTHUR NG MD
PHYSICIAN	55.0			$590,684	$0	$40,693		Yes (X)
RAFFAELE CORBISIERO MD
PHYSICIAN	55.0			$555,660	$0	$39,356		Yes (X)
THOMAS C GALLAGHER MD
PHYSICIAN	55.0			$509,198	$0	$36,599		Yes (X)
DAVID H HSI MD
PHYSICIAN	55.0			$500,983	$0	$43,736		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,779,735	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$542,282	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	106	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
INNOVATIVE CONTRACTING SOLUTIONS L
1103 LAUREL OAK ROAD SUITE 160	VOORHEES	NJ	08043	CONSULTING	$747,956
MC CARTER ENGLISH LLP
FOUR GATEWAY CENTER 100 MULBERRY S	NEWARK	NJ	071010652	LEGAL	$493,348
UNIVERSITY OF MEDICINE DENTISTRY
335 GEORGE STREET PO BOX 2685	NEW BRUNSWICK	NJ	089032685	MEDICAL	$309,160
SILLS CUMMIS GROSS PC
ONE RIVERFRONT PLAZA	NEWARK	NJ	071025400	LEGAL	$270,884
QUEST DIAGNOSTICS
PO BOX 828669	PHILADELPHIA	PA	19182	LABORATORY SERVICES	$269,954

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$11,617,474	RelatedOrganizationsAmt
All Other Contributions	$60,797	AllOtherContributionsAmt
Total Contributions	$11,678,271	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	541900	$139,123,618	$139,123,618
OTHER HEALTHCARE RELATED REVENUE	541900	$12,542,273	$13,200,683	-$658,410

Field	Value	IRS element (for citing)
Total Program Service Revenue	$151,665,891	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,233	TotalRevenueColumnAmt
Exclusion	$60,233	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,652	TotalRevenueColumnAmt
Exclusion	$1,652	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$361,304	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$361,304	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$361,304	TotalRevenueColumnAmt
Exclusion	$361,304	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,636,534	SecuritiesAmt
Other	$198,985	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,472,456	SecuritiesAmt
Other	$5,159	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$164,078	SecuritiesAmt
Other	$193,826	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$357,904	TotalRevenueColumnAmt
Exclusion	$357,904	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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	$43,122	TotalRevenueColumnAmt
Exclusion	$43,122	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$43,122	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$164,168,377	TotalRevenueColumnAmt
Related Or Exempt Func Income	$152,324,301	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$658,410	UnrelatedBusinessRevenueAmt
Exclusion	$824,215	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	$3,336,194	TotalAmt
Program Services	$3,002,575	ProgramServicesAmt
Management And General	$333,619	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$60,279,013	TotalAmt
Program Services	$54,251,112	ProgramServicesAmt
Management And General	$6,027,901	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,971,939	TotalAmt
Program Services	$3,574,745	ProgramServicesAmt
Management And General	$397,194	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,097,879	TotalAmt
Program Services	$8,188,091	ProgramServicesAmt
Management And General	$909,788	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,222,423	TotalAmt
Program Services	$3,800,181	ProgramServicesAmt
Management And General	$422,242	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,665,523	TotalAmt
Program Services	$2,398,971	ProgramServicesAmt
Management And General	$266,552	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$770,775	TotalAmt
Program Services	$693,698	ProgramServicesAmt
Management And General	$77,077	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$173,985	TotalAmt
Program Services	$156,587	ProgramServicesAmt
Management And General	$17,398	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	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,561,083	TotalAmt
Program Services	$7,704,974	ProgramServicesAmt
Management And General	$856,109	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$234,239	TotalAmt
Program Services	$210,815	ProgramServicesAmt
Management And General	$23,424	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,065,434	TotalAmt
Program Services	$1,858,891	ProgramServicesAmt
Management And General	$206,543	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	$66,877	TotalAmt
Program Services	$60,189	ProgramServicesAmt
Management And General	$6,688	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$169,647	TotalAmt
Program Services	$152,682	ProgramServicesAmt
Management And General	$16,965	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	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,385,352	TotalAmt
Program Services	$1,246,817	ProgramServicesAmt
Management And General	$138,535	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,198,867	TotalAmt
Program Services	$4,678,980	ProgramServicesAmt
Management And General	$519,887	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,119,926	TotalAmt
Program Services	$1,907,933	ProgramServicesAmt
Management And General	$211,993	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$38,272,650	$34,445,385	$3,827,265	$0
REPAIRS AND MAINTENANCE	$3,612,954	$3,251,659	$361,295
UTILITIES	$1,276,108	$1,148,497	$127,611
ASSESSMENTS	$992,780	$893,502	$99,278

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,331,225	TotalAmt
Program Services	$2,098,103	ProgramServicesAmt
Management And General	$233,122	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$150,804,873	TotalAmt
Program Services	$135,724,387	ProgramServicesAmt
Management And General	$15,080,486	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

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	$7,575,153	BOYAmt
EOY	$10,670,127	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	$14,889,631	BOYAmt
EOY	$14,388,948	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	$3,700,333	BOYAmt
EOY	$4,664,810	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,653,501	BOYAmt
EOY	$3,949,858	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$810,537	BOYAmt
EOY	$704,780	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$62,332,147	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,367,225	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,559,003	BOYAmt
EOY	$30,964,922	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	$16,514,425	BOYAmt
EOY	$18,263,309	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,394,452	BOYAmt
EOY	$1,203,255	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$921,444	BOYAmt
EOY	$876,553	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$79,020,329	BOYAmt
EOY	$85,688,412	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,963,972	BOYAmt
EOY	$22,956,526	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	$19,200,238	BOYAmt
EOY	$17,893,700	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	$3,137,249	BOYAmt
EOY	$4,440,200	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	$40,460,913	BOYAmt
EOY	$28,598,494	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,762,372	BOYAmt
EOY	$73,888,920	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$18,521,871	BOYAmt
EOY	$1,853,393	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,779,828	BOYAmt
EOY	$9,946,099	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$10,742,043	BOYAmt
EOY	$11,799,492	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$79,020,329	BOYAmt
EOY	$85,688,412	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,363,504	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$418,142	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,759,889	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	false	FederalGrantAuditRequiredInd

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	$173,985	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$173,985	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; LINES 1G	FormAndLineReferenceDesc
Explanation	DURING 2013, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS $130,719 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. 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 $33,560. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $9,706.	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	$7,779,828	BeginningYearBalanceAmt
Contributions	$5,633,910	ContributionsAmt
Other Expenditures	$3,467,639	OtherExpendituresAmt
End Year Balance	$9,946,099	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,333,961	BeginningYearBalanceAmt
Contributions	$1,116,066	ContributionsAmt
Other Expenditures	$670,199	OtherExpendituresAmt
End Year Balance	$7,779,828	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,837,348	BeginningYearBalanceAmt
Contributions	$1,618,618	ContributionsAmt
Investment Earnings Or Losses	-$275,143	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,846,862	OtherExpendituresAmt
End Year Balance	$7,333,961	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,383,961	BeginningYearBalanceAmt
Contributions	$3,262,535	ContributionsAmt
Investment Earnings Or Losses	$190,852	InvestmentEarningsOrLossesAmt
End Year Balance	$7,837,348	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$4,383,961	ContributionsAmt
End Year Balance	$4,383,961	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)
Other Cost Or Other Basis	$312,365	OtherCostOrOtherBasisAmt
Book Value	$312,365	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,139,826	OtherCostOrOtherBasisAmt
Depreciation	$16,832,704	DepreciationAmt
Book Value	$21,307,122	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,463,262	OtherCostOrOtherBasisAmt
Depreciation	$14,534,521	DepreciationAmt
Book Value	$7,928,741	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,416,694	OtherCostOrOtherBasisAmt
Book Value	$1,416,694	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$30,964,922	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LIMITED USE	$626,901	F
CORPORATE BONDS; LIMITED USE	$303,161	F
EQUITY SECURITIES; LIMITED USE	$4,347,128	F
USE	$4,025,498	F
COMPANY	$351,450	F
INTEREST IN DHF ASSETS	$6,784,006	F
PERPETUAL TRUST	$1,825,165	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$18,263,309	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
THIRD-PARTY PAYORS, NET	$6,485,334
ACCRUED PENSION EXPENSE	$13,659,553
LIABILITY	$4,355,473
ACCRUED INTEREST PAYABLE	$554,715
DEFERRED RENTAL INCOME	$3,543,419

Field	Value	IRS element (for citing)
Total Liability	$28,598,494	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, QUESTION 4

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DEBORAH HEART AND LUNG CENTER AND ITS WHOLLY OWNED, FOR-PROFIT SUBSIDIARY FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2013 AUDITED 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.

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	$13,749,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,935,665	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,813,843	NetCommunityBenefitExpnsAmt
Total Expense	0.04520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,563,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,446,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,116,894	NetCommunityBenefitExpnsAmt
Total Expense	0.02730	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,312,926	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,382,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,930,737	NetCommunityBenefitExpnsAmt
Total Expense	0.07250	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$242,202	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$216,095	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,851,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$402,945	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,448,978	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,094,125	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$429,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,665,073	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,407,051	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,811,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,595,810	NetCommunityBenefitExpnsAmt
Total Expense	0.09010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$60,290,645	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$59,917,700	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$372,945	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1
City	BROWNS MILLS	City
State	NJ	State
ZIP Code	08015	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.DEBORAH.ORG	WebsiteAddressTxt
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	DEBOARH HEART AND LUNG CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
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
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.DEBORAH.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	false	FPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt Care	false	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 4, 5C & 6I	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 3	Because of the nature of Deborah's specialty line of services and wide-ranging geographic patient reach, Deborah's Survey was targeted to four specific categories: - residents/groups in Browns Mills and Pemberton Township, where the hospital is physically located "immediate service area" - residents/groups in Ocean and Burlington Counties, the hospital's "primary service areas" - residents/groups in sections of Mercer, Monmouth, Middlesex, and Camden Counties, the hospital's "secondary service areas" - zip code list selection determined based on patient volume - outreach to a wide geographic distribution in New Jersey, Pennsylvania and elsewhere, the hospital's "ongoing tertiary service areas" Surveys and/or survey links were distributed to the following groups. Where numbers reached are available, they are so noted: - Ocean County Mall Walkers membership list (approximately 350) - Facebook (approximately 2000) - Deborah's web site - Burlington County Women's EXPO list (approximately 200) - Ocean County Women's EXPO list (approximately 60) - Pemberton Township Senior Citizen Center - Burlington County College - Ocean County College - Burlington County Local Information Network Communications System, for resharing with their partners - pulse! Magazine (approximately 160,000) - Inside Deborah Magazine (approximately 80,000) - Pemberton Township School District - Burlington and Ocean County Rotary Clubs - Partners school districts: Moorestown Friends, Maple Shade, Lenape District - Ocean County Health Department - Senior services/rec departments in towns indicated in the primary and secondary service area zip code lists: Berkeley Township, Barnegat, Brick, Burlington, Burlington City, Cherry Hill, Cinnaminson, Eastampton, Evesham, Ewing, Freehold, Hamilton, Jackson, Lacey Township, Lawrence Township, Lumberton, Manalapan, Manchester Township, Medford, Monroe Township, Millstone, Moorestown, Pemberton, Ocean Township, Robbinsville, Rossmor Community Association, South Brunswick, Stafford, Toms River, Trenton, Wall Township, and Willingboro - e-heart subscriber list (approximately 6,000) - Outpatient Clinic at Deborah
SCHEDULE H, PART V, QUESTION 7	As a specialty hospital, Deborah Heart and Lung Center will seek to address the needs identified 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: - Mental Health Issues - Adult Substance Abuse - Youth Substance Abuse Deborah will make referrals for these clinical issues whenever possible.
SCHEDULE H, PART V, SECTION B, QUESTIONS 10 & 11	A billing file is maintained for each patient, but patients are not balance-billed. If a patient has insurance, the Center bills the patient's insurance for hospital services and the physician services provided by the Center's employed medical staff. The cost of the patient care is covered by the collected insurance payments, grants from Deborah Hospital Foundation and the Center's assets. All Deborah patients receive the same financial assistance: Deborah simply does not pursue collection efforts against any patient.
SCHEDULE H, PART V, QUESTIONS 12I, 14G, 16E, 17E, 18E, 19D, 20D, 21 & 22	Not applicable.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	As part of our mission, Deborah Heart and Lung Center does not bill patients for the cost of hospital or professional services provided by employed physicians. Thus, the organization does not utilize federal poverty guidelines criteria.
SCHEDULE H, PART I; QUESTION 6A	Not applicable.
SCHEDULE H, PART I; QUESTION 7G	No costs relating to subsidized healthcare services are attributable to any physician clinics.
SCHEDULE H, PART I, QUESTION 7	Worksheet 2 was used for the cost to charge ratio.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR 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 has agreements with third-party payors, including commercial insurance carriers and health maintenance organizations, which provide for payments at amounts different from established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, per diem and case rate payments. Net patient accounts receivable and net patient service revenue are reported at the estimated net realizable amounts from third-party payors, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods, as final settlements are determined. All revenue recognized by the Center is derived from third-party payors.
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 an allowance for uncompensated care resulting from its charity care policy for services. The allowance is determined by analyzing patient and historical data and trends. Patient accounts receivable are charged off against the allowance for uncompensated care when management determines that collection is unlikely and the Center ceases collection efforts. Allowances have been consistent with management's expectations. 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 $13,008,342 and $12,646,722 for the years ended December 31, 2013 and 2012, respectively. The Center maintains records to identify and monitor the level of charity care it provides. In 2013 and 2012, the amount of charges forgone for services provided to patients under its charity care policy, net of the Health Care Subsidy Fund (HCSF), was $59,572,193 and $57,116,089, 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, 2013 and 2012, the Center received $6,906,532 and $6,860,603, 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, 2014; 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 risk for patients that are not identified or do not meet the previously described charity definition, such additional losses are included as a reduction to 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 $9,522,595 and $11,972,754 in 2013 and 2012, 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 and pulmonary diseases to the many community based groups listed in our community benefits statement, and screenings of patients at risk for cardiovascular and pulmonary 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.
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. 9% of in state patients are uninsured, while 4.1% of out of state patients lack coverage. 44% of patients are over age 65.
SCHEDULE H, PART VI; QUESTION 5	Deborah Heart and Lung Center has a vested commitment to community health and well-being and has a vigorous community outreach program. The hospital's outreach program is operated under two umbrella departments: 1. Community Outreach Program 2. Marketing Department Both departments work closely together to bring a variety of health and well-being programs to Deborah's service area. During 2013, Deborah underwent its assessment phase of its first Community Health Needs Assessment (CHNA) Report, with 2014 as the first implementation year of its CHNA. The CHNA findings report laid the groundwork for an expanded and more focused outreach program in 2014. In 2013, 37 screening events were held, reaching 3,870 people and costing $78,768. These were wide-range screenings targeting populations throughout Deborah's service area in easily-accessible settings such as local drug stores, township municipal buildings, churches, chambers of commerce, and local department stores. These screenings typically include blood pressure, pulse oximetry, body fat analysis, pulmonary function tests, and periodically lipid panel/glucose and balance testing. Screenings occurred at: Burlington County College Women's EXPO, The Enterprise Center WJRZ Women's Health EXPO CBS ABC, Convention Ocean County Mall Expo W.L. Gore VFW Ocean County Health Fair Toms River Community Day PHH Community Fair Teacher Expo Cherry Hill Chamber of Commerce Firefighters Convention Hamilton Women's Expo Toms River High School Peebles Long Beach Island, Toms River, Ocean County Mall, Union Beach, RESP screenings Genesis Health Fair Jackson Senior Expo NJEA Screening data is available from two programs: Women's EXPO - of 393 people screened for blood pressure/pulse oximetry, pulmonary function, body fat analysis, lipid panel/glucose, and balance. Follow-ups were recommended for 11 patients for peripheral arterial disease, 3 patients to cardiology, 4 patients to pulmonology, 10 for sleep studies, and 23 for balance issues. RESP (Respiratory Evaluations for Sandy Program) - 900 people were screened through this specific program. Approximately 20% of those screened have been referred for follow-up care. Of those, 70 returned to Deborah for evaluation. Working in conjunction with the Community Outreach Program, the Marketing Department also sponsors community outreach, which combines screenings with education, including literature, speakers, and interaction with Deborah's specialty medical staff. 35 of these events were held in 2013 at a cost of $163,434 Marketing's events which were combined with Community Outreach include: Women's EXPO WJRZ Women's Health EXPO Ocean County Mall EXPO Knights of Columbus Convention NJEA Convention Firefighter's Convention VFW Convention In addition, the Marketing Department conducted additional community outreach, as follows: Sponsoring a Healthy Hearts Club Program for 1,500 members at Ocean County Mall to promote cardio-vascular health, combined with quarterly educational meetings Deborah's Health Kids Club Program reaching over 600 school children to promote cardiovascular health Seven Joint Base McGuire-Dix-Lakehurst professional education sessions presented to approximately 55 base medical staff presented by Deborah specialty physicians Annual Heart Challenge and Art Competition for seven area high schools to foster education in cardio-pulmonary health and educational opportunities Future Nurses of America sponsored 80 students on-site at the hospital to foster education in cardio-pulmonary health and nursing careers Community Water Carnival providing health information to area residents Deborah's Adolescent Medicine Program with several components: --School Nurses Forum In-Service Day, for professionals from 5 high schools offered credits from lectures by Deborah specialty staff --Interactive School Video Forum, simulcast to nine high schools to educate students on complex medical topics "Deborah Presents" a monthly educational radio forum on public-health education topics Additional Community Outreach efforts focused on key partnership groups throughout the region. In addition to attending and holding screenings at each of the following organization's annual conventions, the following additional outreach was conducted: NJEA - presentations were made at 14 member benefits and wellness fairs. Each event reaches between 50-300 attendees NJ Chief of Police Association. Over 140 attendees received cardiovascular and pulmonary screening information *Local 500 NJ State Fireman's Mutual Benevolent Association. Over 60 attendees received cardiovascular and pulmonary screening information.
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 the patients' 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, vascular and pulmonary 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, color, creed, sex, national origin 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 hospital that operates an emergency room on the Center's campus. In addition, as a regional referral center and specialty hospital, we routinely receive 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. 3. Control over the Center rests with our 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. For-profit 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. Deborah Medical Investments, LLC A for-profit entity whose sole shareholder is the Center, the organization is located in Browns Mills, Burlington County, New Jersey. The organization holds ownership interests in medical investments. Not-for-profit Deborah Cardiovascular Group, P.C. Not-for-profit Deborah Cardiovascular Group, P.C. is an organization which is in the process of converting from taxable to tax-exempt by filing for IRS tax-exempt status pursuant to IRC 501(c)(3) and as a non-private foundation pursuant to IRC 509(A)(3). The organization expects to file its application for tax-exemption with the IRS prior to December 31, 2014. The organization promotes, supports and furthers the charitable purposes, programs and services of Deborah Heart and Lung 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
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
JOSEPH CHIRICHELLA
TRUSTEE - PRESIDENT/CEO	$405,261	$0	$50,000	$0	$1,548	$0	$10,057	$0	$34,882	$0	$501,748	$0	$0	$0
LYNN MCGRATH MD
TRUSTEE - VP MEDICAL AFFAIRS	$1,158,299	$0	$1,723	$0	$2,376	$0	$10,948	$0	$30,908	$0	$1,204,254	$0	$0	$0
R GRANT LEIDY
CFO/VP FINANCE	$283,309	$0	$10,000	$0	$2,467	$0	$29,734	$0	$22,718	$0	$348,228	$0	$0	$0
JOSEPH R MANNI
COO	$249,745	$0	$0	$0	$1,667	$0	$9,781	$0	$32,032	$0	$293,225	$0	$0	$0
SUSAN D BONFIELD ESQ
VP LEGAL & REGULATORY AFFAIRS	$291,964	$0	$10,000	$0	$860	$0	$10,091	$0	$33,634	$0	$346,549	$0	$0	$0
RITA ZENNA
VP PATIENT CARE SERVICES	$180,181	$0	$5,000	$0	$1,548	$0	$7,237	$0	$31,839	$0	$225,805	$0	$0	$0
JAMES F CARLINO
VP HUMAN RESOURCES	$174,912	$0	$5,000	$0	$805	$0	$7,822	$0	$30,759	$0	$219,298	$0	$0	$0
VICTOR M HATALA
DIRECTOR PRACTICE DEVELOPMENT	$157,871	$0	$0	$0	$2,179	$0	$4,943	$0	$32,093	$0	$197,086	$0	$0	$0
RICHARD C KOVACH MD
PHYSICIAN	$597,428	$0	$27,340	$0	$1,727	$0	$9,790	$0	$32,630	$0	$668,915	$0	$0	$0
ARTHUR NG MD
PHYSICIAN	$587,181	$0	$2,675	$0	$828	$0	$9,559	$0	$31,134	$0	$631,377	$0	$0	$0
RAFFAELE CORBISIERO MD
PHYSICIAN	$547,785	$0	$7,047	$0	$828	$0	$9,591	$0	$29,765	$0	$595,016	$0	$0	$0
THOMAS C GALLAGHER MD
PHYSICIAN	$494,332	$0	$12,399	$0	$2,467	$0	$9,704	$0	$26,895	$0	$545,797	$0	$0	$0
DAVID H HSI MD
PHYSICIAN	$497,768	$0	$1,667	$0	$1,548	$0	$13,745	$0	$29,991	$0	$544,719	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I; QUESTION 4B

THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 409(A) PLAN (NON-QUALIFIED SEVERANCE SAVINGS PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THEIR RESPECTIVE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES; HOWEVER, THIS AMOUNT HAS BEEN SHOWN ON THIS FORM 990 UNDER COLUMN C, DEFERRED COMPENSATION DUE TO THE SUBSTANTIAL RISK OF FORFEITURE REGARDING THE ACTUAL VESTING AND RECEIPT OF THE FUNDS BY THE RESPECTIVE INDIVIDUAL: R. GRANT LEIDY, $10,400.

SCHEDULE J, PART I; QUESTION 7

CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== BACKGROUND AND HISTORY DEBORAH HEART AND LUNG CENTER IS A TERTIARY CARE REFERRAL CENTER SPECIALIZING IN THE MANAGEMENT OF CARDIOVASCULAR, PULMONARY, AND VASCULAR DISEASES. LOCATED IN BROWNS MILLS IN SOUTHERN NJ, THIS 89 BED HOSPITAL IS MIDWAY BETWEEN PHILADELPHIA AND THE JERSEY SHORE. THE CENTER OFFERS, WITH THE EXCEPTION OF CARDIAC TRANSPLANT, THE FULL SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO PATIENTS WITH CARDIAC, VASCULAR, AND PULMONARY DISEASES. WE ANNUALLY PERFORM DIAGNOSTIC, INTERVENTIONAL CARDIAC AND PERIPHERAL VASCULAR PROCEDURES, NUCLEAR CARDIAC DIAGNOSTIC TESTS, ECHOCARDIOGRAPHIC PROCEDURES, AND ELECTROPHYSIOLOGY DEVICE IMPLANTATIONS. PATIENT ACCESS TO DEBORAH BY WAY OF REFERRAL FROM REGIONAL COMMUNITY HOSPITALS AND A LARGE OUT-PATIENT CLINIC SERVICE HAS RESULTED IN A PATIENT POPULATION WITH DIVERSE AND COMPLEX CARDIOVASCULAR AND PULMONARY DISEASES. DEBORAH HEART AND LUNG CENTER WAS ESTABLISHED IN 1922 AS A TUBERCULOSIS SANITARIUM AND PULMONARY CENTER. LEGEND HAS IT THAT DEBORAH'S RURAL BURLINGTON COUNTY LOCATION IS KEY TO RECOVERY BECAUSE OF THERAPEUTIC PINE BARREN AIR. IN REALITY, THOUSANDS OF TB PATIENTS WERE MEDICALLY TREATED AND SUCCESSFULLY CURED BY DEBORAH PHYSICIANS. WITH THE DEVELOPMENT OF ANTIBIOTIC MEDICATIONS, WHICH ERADICATED TB, DEBORAH BEGAN EXPANDING ITS FOCUS TO OTHER CHEST DISEASES. IN 1958, DR. CHARLES BAILEY, A PIONEER IN HEART SURGERY, PERFORMED THE FIRST OPEN HEART SURGERY AT DEBORAH. THE SPECIALTY OF CARDIAC DISEASES WAS IMMEDIATELY EMBRACED AND DEBORAH EVOLVED INTO THE ONLY CARDIAC AND PULMONARY SPECIALTY HOSPITAL IN NJ. TODAY, DEBORAH OFFERS THE LATEST SURGICAL TECHNIQUES AND NON-SURGICAL ALTERNATIVES FOR DIAGNOSING AND TREATING ALL FORMS OF CARDIAC, VASCULAR AND PULMONARY DISEASES IN ADULTS AND CONGENITAL AND ACQUIRED HEART DEFECTS IN ADULTS AND CHILDREN. AS OUTLINED HEREIN, DEBORAH HEART AND LUNG CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DEBORAH HEART AND LUNG CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE DEBORAH HEART AND LUNG CENTER DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, DEBORAH HEART AND LUNG CENTER SPONSORS CERTAIN OTHER PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS INCLUDING COMMUNITY SERVICE PROGRAMS AND SERVICES FOR SCHOOL-AGED CHILDREN AND THE ELDERLY. DEBORAH HEART AND LUNG CENTER ALSO ACTIVELY SPONSORS PROGRAMS ON HEALTH EDUCATION AND WELLNESS. DEBORAH HEART AND LUNG CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY AND COMMUNITY SERVICE POLICIES. CHARITY CARE INCLUDES SERVICES TO UNINSURED PATIENTS WHOM DEBORAH HEART AND LUNG CENTER HAS DETERMINED QUALIFY FOR CHARITY CARE UNDER DEBORAH HEART AND LUNG POLICIES. PATIENT RESPONSIBILITY RELATED TO SERVICES REIMBURSED BY FEDERAL, STATE AND COMMERCIAL INSURANCE PROGRAMS ARE NOT PURSUED WITH DEBORAH HEART AND LUNG CENTER FORGOING THE REVENUE FOR THESE UNPAID BALANCES. ADDITIONALLY, DEBORAH HEART AND LUNG CENTER SPONSORS MANY PROGRAMS AND PROVIDES OTHER PATIENT SERVICES WHICH DIRECTLY BENEFIT THE SURROUNDING COMMUNITY. DEBORAH HEART AND LUNG CENTER ============================= DEBORAH HEART AND LUNG CENTER IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, DEBORAH HEART AND LUNG CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, DEBORAH HEART AND LUNG CENTER OPERATES WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. DEBORAH HEART AND LUNG 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 DEBORAH HEART AND LUNG CENTER DOES NOT OPERATE AN ACTIVE EMERGENCY DEPARTMENT, IT LEASES AN AREA IN THE CENTER'S MAIN HOSPITAL BUILDING TO AN UNRELATED SOUTH JERSEY HOSPITAL SYSTEM THAT OPERATES AN EMERGENCY DEPARTMENT ON THE DEBORAH CAMPUS. IN ADDITION, AS A REGIONAL REFERRAL CENTER AND SPECIALTY HOSPITAL WE ROUTINELY RECEIVE 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. 3. CONTROL OF DEBORAH HEART AND LUNG CENTER RESTS WITH ITS BOARD OF TRUSTEES WHOSE BOARD IS 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. THE OPERATIONS OF DEBORAH HEART AND LUNG CENTER, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF DEBORAH HEART AND LUNG CENTER IS FOR THE BENEFIT OF THE PUBLIC AND THAT 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. AWARDS ====== IN 2013 DEBORAH RECEIVED NUMEROUS RECOGNITIONS AND AWARDS. THESE INCLUDED BEING RATED AS ONE OF THE TOP HOSPITALS IN NEW JERSEY BY INSIDE JERSEY MAGAZINE IN THEIR APRIL EDITION FOR HOSPITALS WITH 350 BEDS OR FEWER. DEBORAH WAS RANKED AS #1 HOSPITAL FOR BYPASS SURGERY, #1 HOSPITAL FOR PATIENTS HIGHLY SATISFIED, #1 HOSPITAL FOR DOCTORS ALWAYS COMMUNICATING WELL, #1 HOSPITAL FOR RNS ALWAYS COMMUNICATING WELL, AND #2 TOP HOSPITAL FOR THE TREATMENT OF CONGESTIVE HEART FAILURE. SJ MAGAZINE NAMED 3 DEBORAH PHYSICIANS TO THEIR TOP DOCS LIST. THESE INCLUDE DR. FRANK FISH, DR. JON GEORGE, AND DR. JOHN COOPER. SOUTH JERSEY MAGAZINE'S 2013 BEST PHYSICIANS IN SOUTH JERSEY INCLUDED DR. RAFFAELE CORBISIERO, DR. FRANK FISH, DR. JON GEORGE, DR. DAVID HSI, DR. DAVID MALETZKY, DR. ANDREW MARTIN, DR. LYNN MCGRATH, DR. ARTHUR NG, DR. MATTHEW SAMRA, DR. BETSY SCHLOO, DR. DANA SUPE, AND DR. JENINE VECCHIO. SOUTH JERSEY BIZ MAGAZINE NAMED DR. JENINE VECCHIO TO THEIR "WHO'S WHO IN HEALTH CARE" LIST. DEBORAH WAS RECOGNIZED WITH EXCELLENCE THROUGH INSIGHT AWARDS FROM HEALTHSTREAM, INC., DISTINGUISHED IN OVERALL INPATIENT (HCAHPS) SATISFACTION, AS WELL AS FOR INPATIENT CARDIOLOGY AND OUTPATIENT CARDIOLOGY. DEBORAH IS A 2013 RECIPIENT OF A NATIONAL RATING ORGANIZATION'S OUTSTANDING PATIENT EXPERIENCE AWARD. THE PHILADELPHIA INQUIRER REPORTED DEBORAH'S 76% SCORE IN THE FEDERAL GOVERNMENT'S HOSPITAL COMPARE WEB SITE. IN THE INQUIRER'S LISTING REPORT, DEBORAH WAS THE THIRD HIGHEST REGIONAL SCORING HOSPITAL AND THE TOP RANKED NEW JERSEY HOSPITAL. BECKER'S HOSPITAL REVIEW HAS NAMED DEBORAH AS A 2013 HOSPITAL WITH A GREAT HEART PROGRAM. AS WELL, DR. EDMUND KARAM WAS RECOGNIZED FOR BEING NAMED TO THE STEREOTAXIS "CENTURY CLUB" WHICH RECOGNIZES THE TOP ROBOTIC ABLATION EXPERTS IN THE NATION. SOUTH JERSEY MAGAZINE RECOGNIZED THE JOSLIN DIABETES CENTER AFFILIATE AT DEBORAH IN ITS "BEST OF FAMILY 2013" ROUND-UP ISSUE IN OCTOBER DEBORAH'S MEDICAL STAFF HOSTED A COMPREHENSIVE CARDIOLOGY SYMPOSIUM AT THE REVEL RESORTS IN ATLANTIC CITY AND PROVIDED 27 COMPELLING PRESENTATIONS ON A SERIES OF ADVANCED THERAPIES FOR PATIENTS WITH CARDIAC, VASCULAR AND METABOLIC DISEASE TO OVER 200 CONFERENCE ATTENDEES. DEBORAH HOSTED A PAD/AAA SCREENING FAIR IN SEPTEMBER AND HAD A RECORD-BREAKING CROWD WITH NUMEROUS IDENTIFIED DISEASES: PERIPHERAL ARTERIAL DISEASE, ABDOMINAL AORTIC ANEURYSMS, CAROTID STENOSIS, SUBCLAVIAN STENOSIS, HYPERTENSION, CORONARY ARTERY DISEASE, VENOUS INSUFFICIENCY, SLEEP RELATED NIGHT CRAMPING, AND SYMPTOMATIC VARICOSE VEIN DISEASE. ADDITIONALLY, A NATIONAL RATING ORGANIZATION RELEASED ITS AMERICA'S TOP QUALITY HOSPITALS RATINGS. THE HIGHLIGHTS OF THAT RANKING ARE AS FOLLOWS: - DEBORAH RANKED OVERALL #3 IN THE STATE FOR CARDIAC CARE. OUR 95.3% RATING IS BASED ON COMPILED DATA ON OVERALL MORTALITY, COMPLICATIONS, INPATIENT QUALITY, PATIENT SAFETY AND CORE PROCESSES. THIS HIGH RANKING IN THE STATE ALSO UNDERSCORES OUR REGIONAL LEADERSHIP. - DEBORAH IS RATED WITHIN THE TOP 100 IN THE NATION FOR CARDIAC CARE IN THE PATIENT SAFETY AWARD SUMMARY. AS WELL IN PATIENT SAFETY, DEBORAH IS RANKED IN THE TOP 10% IN THE NATION FOR OVERALL HOSPITAL CARE; OVERALL SURGICAL CARE; CARDIAC CARE AND INTERVENTIONAL CORONARY CARE; AS WELL THE HOSPITAL'S PATIENT SAFETY RANKING PLACES IT IN THE TOP 10% IN THE STATE FOR CARDIAC CARE AND INTERVENTIONAL CORONARY CARE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- DEBORAH'S PATIENT SATISFACTION AWARD SUMMARY RANKS THE HOSPITAL IN THE TOP 10% IN THE NATION AND IN THE STATE FOR OVERALL HOSPITAL, MEDICAL, AND SURGICAL CARE, AS WELL AS BEING #1 IN THE STATE FOR ALL THREE CATEGORIES. - DEBORAH'S MEDICAL EXCELLENCE AWARD SUMMARY RANKS THE HOSPITAL IN THE TOP 10% IN THE NATION FOR CARDIAC CARE AND VASCULAR SURGERY AND TOP 10% IN THE STATE FOR CARDIAC CARE, INTERVENTIONAL CAROTID CARE, AND VASCULAR SURGERY. AFFILIATIONS DEBORAH HEART AND LUNG CENTER HAS ESTABLISHED RELATIONSHIPS WITH VARIOUS NJ STATEWIDE ORGANIZATIONS. THESE PARTNERSHIPS ARE ENDORSED BY THE EXECUTIVE LEADERSHIP AND/OR GOVERNING BODY OF EACH ORGANIZATION. THE ENDORSEMENT SIGNIFIES THAT THE ORGANIZATION RECOGNIZES DEBORAH'S PREMIER STATUS AS A SPECIALTY HOSPITAL AND ENCOURAGES ITS MEMBERS TO UTILIZE ALL DEBORAH SERVICES. MEMBERS ARE GIVEN A CONTACT PERSON/DEPARTMENT AT THE HOSPITAL TO ASSIST WITH THE APPOINTMENTS, ANSWER QUESTIONS, AND TROUBLESHOOT ANY CONCERNS OR ISSUES. THERE IS NO FINANCIAL CONNECTION WITH THE RELATIONSHIP. MEMBERS' INSURANCE ARE ACCESSED BUT NO MEMBER RECEIVES A BILL FOR ANY CO-PAY, DEDUCTIBLE OR CO-INSURANCE PAYMENTS. - NEW JERSEY STATE FIREMEN'S MUTUAL BENEVOLENT ASSOCIATION - NEW JERSEY STATE FIREMAN'S ASSOCIATION - VETERANS OF FOREIGN WARS - NEW JERSEY STATE FIRST AID COUNCIL - KNIGHTS OF PYTHIAS - KNIGHTS OF COLUMBUS - PAINTERS AND ALLIED TRADES DISTRICT COUNCIL - MAJOR LEAGUE BASEBALL PLAYERS ALUMNI - NEW JERSEY EDUCATION ASSOCIATION - NEW JERSEY STATE POLICE BENEVOLENT ASSOCIATION - NEW JERSEY STATE ASSOCIATION OF CHIEFS OF POLICE COMMUNITY BENEFIT ================= DEBORAH HEART AND LUNG CENTER IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION, OFFERING NUMEROUS HEALTHCARE RELATED PROGRAMS AND ACTIVITIES. OUTLINED BELOW ARE A NUMBER OF DEBORAH HEART AND LUNG CENTER COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW DEBORAH HEART AND LUNG BENEFITS THE SURROUNDING COMMUNITY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SUPPORT GROUPS -------------- DEBORAH HEART AND LUNG CENTER WANTS TO LET YOU KNOW THAT THERE ARE PEOPLE WHO KNOW HOW DIFFICULT, ANXIOUS AND FRIGHTENING IT CAN BE TO FIND OUT YOU HAVE CARDIAC OR PULMONARY DISEASE. THERE ARE PEOPLE OUT THERE WHO HAVE SUCCESSFULLY GONE DOWN THE SAME ROAD AS YOU, AND ARE ENJOYING LIFE TO THE FULLEST! THE ZAPPER CLUB, THE ZIPPER CLUB AND THE BETTER BREATHERS CLUB ARE GROUPS OF PEOPLE WHO HAVE GONE THROUGH THE SAME THINGS YOU HAVE. THEY WANT THE SAME THINGS FROM LIFE THAT YOU DO. THE CLUBS HAVE BEEN FORMED FOR YOU, TO SUPPORT YOU, AND INTRODUCE YOU TO OTHERS WHO WANT TO SHARE THEIR STORIES AND EXPERIENCES. DEBORAH ENCOURAGES YOU, YOUR FAMILY, AND FRIENDS TO ATTEND ALL THE CLUB FUNCTIONS. THE CLUBS MEET AT DEBORAH HEART AND LUNG CENTER. THERE ARE NO DUES OR FEES REQUIRED TO JOIN THE CLUB. COME JOIN US! ZAPPER CLUB IS FOR PEOPLE WITH IMPLANTABLE DEFIBRILLATORS (ICDS). ZIPPER CLUB IS FOR PEOPLE OF ALL AGES WITH HEART PROBLEMS. THEY ALSO HAVE AN IN-HOSPITAL VISITATION PROGRAM WITH COUNSELORS WHO HAVE HAD OPEN HEART SURGERY. BETTER BREATHERS' CLUB IS FOR PEOPLE WITH CHRONIC LUNG DISEASE. HEALTH EDUCATION ---------------- DEBORAH HAS A VARIETY OF ON-SITE WELLNESS PROGRAMS INCLUDING YOGA CLASSES AND SMOKING CESSATION TO HELP PROMOTE GENERAL HEALTH AND WELL-BEING. FELLOWSHIP PROGRAM AND THREE YEAR FELLOWSHIP PROGRAM THE FELLOWSHIP FOR GENERAL TRAINING IN CARDIOVASCULAR DISEASES IS OFFERED TO GRADUATES OF AOA APPROVED INTERNAL MEDICINE RESIDENCY PROGRAMS. THE CARDIOLOGY FELLOWSHIP PROGRAM IS SPONSORED THROUGH THE PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE OPTI NETWORK (PCOM MED-NET) AND IS AN AOA APPROVED FELLOWSHIP PROGRAM. TWO FELLOWSHIP TRACKS ARE AVAILABLE AND THE TRAINEES CHOICE IS MADE TOWARD THE END OF THEIR FIRST YEAR OF TRAINING: 1) THE INVASIVE TRACK INCLUDES FOCUSED LAB BASED TRAINING IN DIAGNOSTIC CARDIAC CATHETERIZATION AND ECHOCARDIOGRAPHY, 2) THE NON-INVASIVE TRACK INCLUDES FOCUSED LAB BASED TRAINING IN ECHOCARDIOGRAPHY AND NUCLEAR CARDIOLOGY (INCLUDING DIDACTIC TRAINING TO QUALIFY FOR A LICENSE FROM THE NUCLEAR REGULATORY COMMISSION). ALL FELLOWS, REGARDLESS OF THEIR CHOSEN CAREER TRACK, RECEIVE TRAINING IN ALL FACETS OF CLINICAL CARDIOLOGY. IN ADDITION TO THE THREE YEAR PROGRAM, DEBORAH OFFERS ADVANCED TRAINING PROGRAMS IN INTERVENTIONAL CARDIOLOGY AND ELECTROPHYSIOLOGY FOR FELLOWS WHO HAVE COMPLETED AN AOA APPROVED THREE YEAR FELLOWSHIP. THERE IS ALSO A ONE YEAR ECHOCARDIOGRAPHY-NUCLEAR TRAINING PROGRAM FOR QUALIFIED FELLOWS WHO WISH TO PURSUE ADVANCED ECHO TRAINING THAT WOULD MEET ACC GUIDELINES FOR ECHO LABORATORY DIRECTORS AND PROVIDE TRAINING IN NUCLEAR CARDIOLOGY TO QUALIFY FOR A LICENSE FROM THE NUCLEAR REGULATORY COMMISSION. ONE MONTH ELECTIVE ROTATIONS IN THE MICU OR ON A CLINICAL CARDIOLOGY IN-PATIENT SERVICE ARE OFFERED TO INTERNAL MEDICINE RESIDENTS AT THEIR REQUEST. THIS IS NOT ONLY A WORTHWHILE LEARNING EXPERIENCE, BUT AFFORDS PROSPECTIVE APPLICANTS A CHANCE TO EXPERIENCE THE CARDIOLOGY TRAINING PROGRAM AT DEBORAH. THIS IS NOT, HOWEVER, A REQUIREMENT FOR APPLICATION OR ADMISSION TO THE FELLOWSHIP PROGRAM. HOUSING IS AVAILABLE ON THE HOSPITAL CAMPUS. HEALTH SCREENINGS ----------------- DEBORAH HEART AND LUNG CENTER PROVIDES OPPORTUNITIES FOR THE COMMUNITY TO MONITOR THEIR HEALTH THROUGH SCREENINGS AVAILABLE AT DEBORAH HEART AND LUNG CENTER AND THROUGHOUT THE COMMUNITIES THEY SERVE. AMONG THE ON-SITE SCREENINGS ARE OUR LUNG SCREENING PROGRAM AND A BALANCE BLITZ. AS WELL, AN ACTIVE COMMUNITY OUTREACH PROGRAM AT FAIRS, FESTIVALS, SENIOR CENTERS, AND AT OTHER OUTREACH EVENTS BRINGS THOUSANDS OF PEOPLE SCREENING OPPORTUNITIES EACH YEAR. CAPTAIN BUSCIO PROGRAM ALL CURRENT AND RETIRED FIREFIGHTERS, POLICE AND EMERGENCY RESPONDERS, AND THEIR OFFICERS ARE INVITED TO PARTICIPATE IN THIS SCREENING PROGRAM. THEY RECEIVE CONFIDENTIAL COMPREHENSIVE CARDIOVASCULAR AND PULMONARY MEDICAL EVALUATIONS. THESE ANNUAL EXAMINATIONS ARE PROVIDED BY DEBORAH HEART AND LUNG CENTER, AND A NORTHERN NEW JERSEY LOCATION, WHERE PROVIDERS ARE BOARD-CERTIFIED CARDIOLOGISTS AND PULMONOLOGISTS WHO HAVE GENEROUSLY OFFERED FIREFIGHTERS, POLICE, AND EMERGENCY RESPONDERS MEDICAL CARE THAT IS SPECIFIC TO THEIR PROFESSION. OTHER COMMUNITY BENEFIT PROGRAMS -------------------------------- APPROXIMATELY 4,648 INDIVIDUALS BENEFITED FROM THE COMMUNITY BENEFIT PROGRAMS OFFERED BY DEBORAH HEART AND LUNG DURING ITS YEAR ENDED DECEMBER 31, 2013. CARDIOLOGY SERVICES CONSULTATION SERVICES IN AMBULATORY CARE DEBORAH'S CLINICAL CARDIOLOGY SERVICES PROVIDE CONSULTATIONS FOR ALL 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. DEBORAH PHYSICIANS ALSO FOCUS ON ISSUES RELATING TO WOMEN AND HEART DISEASE AND RISK FACTOR EVALUATION AND MODIFICATION. AFTER ASSESSMENT, THE CARDIOLOGIST THEN CONSULTS WITH THE REFERRING PHYSICIAN TO DETERMINE THE MOST APPROPRIATE THERAPY FOR THE PATIENT. DEBORAH'S PHYSICIANS ARE SPECIALISTS IN BOTH MANAGING CARDIAC DISEASES AND DETERMINING THE APPROPRIATE TIME FOR SURGICAL INTERVENTION. ADULT CONGENITAL HEART DISEASE DEBORAH'S UNIQUE ADULT CONGENITAL HEART DISEASE PROGRAM COMBINES THE EXPERTISE OF PHYSICIANS TRAINED IN ADULT AND PEDIATRIC CARDIOVASCULAR MEDICINE AND SURGERY, WITH TAILORED MANAGEMENT OF THE DISEASE. USING A MULTIDISCIPLINARY APPROACH, DEBORAH'S PHYSICIANS EVALUATE BOTH THE PHYSICAL LIMITATIONS OF THE DISEASE AND PSYCHOSOCIAL ISSUES AS WELL AS REPRODUCTIVE AND GENETIC ISSUES. THROUGH THE AMBULATORY CARE CLINIC, EACH PATIENT UNDERGOES A DETAILED DIAGNOSTIC WORK-UP. CARDIAC CATHS AND EP EVALUATIONS ARE ALSO AVAILABLE. FOLLOW UP VISITS VARY FROM MONTHLY TO YEARLY AS REQUIRED BY THE CONSULTING PHYSICIAN. CARDIAC CATHETERIZATIONS ELECTIVE AND EMERGENT CARDIAC CATHETERIZATIONS ARE PERFORMED AT DEBORAH. THE MAJORITY OF ELECTIVE DIAGNOSTIC CATHETERIZATIONS ARE OUTPATIENT PROCEDURES IN WHICH THE PATIENT ARRIVES EARLY IN THE MORNING, HAS THE PROCEDURE, AND IS MONITORED UNTIL DISCHARGE (USUALLY 4-5 HOURS). FAST TRACK CATHETERIZATION THIS PROGRAM ENABLES REFERRING PHYSICIANS TO SEND PATIENTS FOR CARDIAC CATHETERIZATION WITHOUT A PRELIMINARY EVALUATION AT DEBORAH. PATIENTS ARE ADMITTED FOR CATHETERIZATION AT 7AM, AND BARRING COMPLICATIONS, ARE DISCHARGED BY 5:30PM. PATIENTS WHO DO NOT QUALIFY FOR FAST TRACK CATHETERIZATION TYPICALLY INCLUDE THOSE WITH SIGNIFICANT KIDNEY DYSFUNCTION, OR COMPLEX CARDIOVASCULAR PROBLEMS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	INTERVENTIONAL CARDIOLOGY AT DEBORAH, PATIENTS WITH CORONARY ARTERY DISEASE HAVE AN ARRAY OF INTERVENTIONAL TREATMENT OPTIONS WHICH CAN BE GENERALIZED TO ANGIOPLASTY VERSUS SURGERY. PATIENTS MAY HAVE HAD A DIAGNOSTIC CATHETERIZATION ELSEWHERE AND ARE REFERRED SPECIFICALLY FOR NON-SURGICAL INTERVENTION. MANY PATIENTS WHO HAVE UNDERGONE PREVIOUS SURGERIES CAN AVOID SECOND OPERATIONS THROUGH ANGIOPLASTY. DEBORAH PERFORMS THE FOLLOWING INTERVENTIONAL PROCEDURES: BALLOON ANGIOPLASTY, ROTATIONAL ATHERECTOMY, DIRECTIONAL CORONARY ATHERECTOMY (DCA), STENT DEPLOYMENT, ANGIOJET THROMBECTOMY, BALLOON VALVULOPLASTY, AND EXCIMER LASER ANGIOPLASTY (ELCA). ADDITIONAL PROCEDURES PERFORMED ARE TRANSCUTANEOUS PERICARDIOCENTESIS, RIGHT VENTRICULAR BIOPSY, AND INTRA-VASCULAR ULTRASOUND. ELECTROPHYSIOLOGY ================= ARRHYTHMIA EVALUATION AND TREATMENT DEBORAH'S ELECTROPHYSIOLOGISTS PERFORM A COMPREHENSIVE DIAGNOSTIC EVALUATION USING EKG, ELECTROPHYSIOLOGY STUDIES, TILT TESTING, AND HOLTER MONITORING. THESE TOOLS ASSIST THE PHYSICIAN IN IDENTIFYING THE ARRHYTHMIA AND APPROPRIATE TREATMENT FOR ANY SIMPLE OR COMPLEX ARRHYTHMIA PROBLEM. THE TREATMENT MAY BE AS SIMPLE AS MEDICATION OR MORE COMPLEX SUCH AS PACEMAKER/ICD THERAPY. THIS EVALUATION IS DONE ON AN INPATIENT AS WELL AS OUTPATIENT BASIS. RADIOFREQUENCY ABLATION THIS PROCEDURE IS USED TO TREAT ADULTS AND CHILDREN WITH SUPRAVENTRICULAR TACHYCARDIA, VENTRICULAR TACHYCARDIA, AND OTHER ATRIAL DYSRHYTHMIAS INCLUDING ATRIAL FLUTTER. WHEN SUCCESSFUL, IT CURES THE DYSRHYTHMIA. RADIOFREQUENCY ABLATION IS PERFORMED AT DEBORAH. PACEMAKER/ICD DEBORAH'S ELECTROPHYSIOLOGY PHYSICIANS IMPLANT A PACEMAKER IN A PATIENT WITH A SLOW HEART RATE, WHILE AN IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) IS A TREATMENT OPTION FOR PATIENTS WHO SUFFER WITH VENTRICULAR TACHYCARDIA AND VENTRICULAR FIBRILLATION. HOLTER MONITORING THE HOLTER MONITOR SECTION PERFORMS 24-HOUR HOLTERS, AMBULATORY EVENT MONITORING, AND SIGNAL AVERAGE ECG TESTING. THE CARDIOLOGISTS AND/OR ELECTROPHYSIOLOGISTS READ AND INTERPRET THE TAPES, AND REPORT THE FINDINGS TO THE REFERRING PHYSICIAN. TILT TABLE TESTING THIS TEST IS USED TO EVALUATE AND DIAGNOSE UNEXPLAINED FAINTING (VASOVAGAL SYNCOPE) WHICH IS CHARACTERIZED BY SLOW HEART RATE AND LOW BLOOD PRESSURE. THE TILT TABLE TEST ASSISTS THE PHYSICIAN IN DETERMINING THE BEST TREATMENT FOR THE PATIENT GENERAL NUCLEAR MEDICINE NUCLEAR MEDICINE PERFORMS ALL DIAGNOSTIC FUNCTIONAL AND PERFUSION IMAGING OF NON-CARDIAC STRUCTURES. THE MOST COMMON AMBULATORY CARE STUDIES INCLUDE: WHOLE BODY BONE IMAGING; VENTILATION-PERFUSION PULMONARY IMAGING WITH OR WITHOUT QUANTITATION; RENAL SCINTIGRAPHY (WITH OR WITHOUT CAPTOPRIL); INFECTION- INFLAMMATION WHOLE BODY IMAGING WITH GALLIUM-67 CITRATE OR INDIUM-111 LABELED WHITE CELLS; HEPATOBILIARY IMAGING; THYROID SCANNING AND UPTAKE STUDIES AND THERAPY. BREAST SCINTIGRAPHY IS ALSO AVAILABLE. OTHER SPECIAL STUDIES CAN BE ARRANGED. CARDIAC IMAGING THE DUAL SOURCE SOMATOM SCANNER SPEED, DETAIL, AND NON-INVASIVE NATURE MAKE THIS ONE OF THE MOST EXCITING NEW TECHNOLOGIES AVAILABLE TODAY. THE SOMATOM DEFINITION CT USES TWO X-RAY SOURCES SIMULTANEOUSLY WHICH MAKES IT THE FASTEST CT AVAILABLE. THE ABILITY OF THIS TECHNOLOGY TO 'FREEZE' THE MOTION OF A CONSTANTLY BEATING AND MOVING HEART IS CRITICAL TO CAPTURING HIGH QUALITY IMAGES. THE BENEFITS INCLUDE: TWICE THE SPEED OF OTHER CT SCANNERS, TWICE THE RESOLUTION, HIGH QUALITY 3-D IMAGES, RELIABLE IMAGING OF ALL HEART RATES WITHOUT MEDICATION, 50% LESS RADIATION COMPARED WITH TODAY'S SINGLE-SOURCE CT SCANNERS, SHORTEST BREATH-HOLD. THE DUAL SOURCE SOMATOM DEFINITION CT PROVIDES ANATOMICAL DETAIL NOT PREVIOUSLY AVAILABLE, GIVING DEBORAH SPECIALISTS MORE INFORMATION TO MAKE DIAGNOSES AND TREATMENT WITHOUT INVASIVE PROCEDURES. INPATIENT SERVICES ================== MEDICAL INTENSIVE CARE UNIT DEBORAH'S MEDICAL INTENSIVE CARE UNIT (MICU) IS A STATE-OF-THE-ART CRITICAL CARE FACILITY DESIGNED FOR OPTIMAL PATIENT CARE AND COMFORT. THIS SPACIOUS 24 SINGLE-BED UNIT IS EQUIPPED WITH THE INDUSTRY'S MOST TECHNOLOGICALLY-ENHANCED MEDICAL DEVICES AND SUPPLIES. THE LEVEL OF CARE IN THE MICU MAKES THIS UNIT UNIQUE. NURSING-PATIENT RATIOS FOR THE UNIT ARE ONE-TO-ONE OR ONE-TO-TWO. THE UNIT IS COVERED 24-HOURS A DAY, SEVEN DAYS A WEEK BY DEBORAH CARDIOLOGISTS, WHO WORK EXCLUSIVELY IN THE MICU. THE UNIT SERVES AS A COMBINED ICU/CCU MANAGING PATIENTS WITH ACUTE CORONARY SYNDROMES, AS WELL AS CRITICALLY ILL POST-SURGICAL PATIENTS WITH MULTIORGAN FAILURE. CARDIOTHORACIC SURGERY SERVICES =============================== CORONARY ARTERY SURGERY CORONARY ARTERY SURGERY IS PERFORMED AT DEBORAH UTILIZING 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 THE MOST ADVANCED TECHNIQUES OF MYOCARDIAL PROTECTION, SURGICAL TECHNIQUE, EXTRACORPOREAL PERFUSION, ANESTHETIC MANAGEMENT, BLOOD CONSERVATION, AND PERIOPERATIVE CARE. DEBORAH SURGEONS ALSO OFFER VIDEOSCOPIC SAPHENOUS VEIN HARVESTING, A MINIMALLY INVASIVE TECHNIQUE TO REMOVE THE SAPHENOUS VEIN FOR BYPASS SURGERY. THE CARDIAC SURGERY SERVICE HAS SUCCESSFULLY TREATED NUMEROUS PATIENTS WHO ARE JEHOVAH'S WITNESSES AND CANNOT RECEIVE BLOOD PRODUCTS. VALVE REPAIR OR REPLACEMENT 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. GENERALLY, VALVE RECONSTRUCTION SURGERY IS MORE SUITED (OR APPLICABLE) FOR CORRECTION OF MITRAL AND/OR TRICUSPID VALVE DYSFUNCTION. IN A SMALLER PATIENT POPULATION OF SELECTED CASES, THE AORTIC VALVE MAY BE AMENABLE TO VALVE REPAIR. 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. THESE CARDIAC VALVE SUBSTITUTES COME SINGLY, FOR ISOLATED VALVE REPLACEMENT, OR ATTACHED TO A GRAFT CONDUIT FOR TREATMENT OF AORTIC DISEASE ASSOCIATED WITH ASCENDING AORTIC ANEURYSM. CARDIOMYOPLASTY CARDIOMYOPLASTY IS A SURGICAL PROCEDURE PERFORMED AT DEBORAH FOR PATIENTS WITH MODERATELY ADVANCED CONGESTIVE HEART FAILURE. CARDIOMYOPLASTY INVOLVES WRAPPING SKELETAL MUSCLE FROM THE BACK AROUND THE HEART, AND STIMULATING THE MUSCLE TO CONTRACT SIMULTANEOUSLY WITH THE HEART. TO PREPARE THE SKELETAL MUSCLE TO ACT LIKE HEART MUSCLE, THE SKELETAL MUSCLE IS ELECTRICALLY STIMULATED TO CONTRACT CONTINUOUSLY VIA A PULSE GENERATOR WHICH IS IMPLANTED NEAR THE ABDOMEN. THE SKELETAL MUSCLE BECOMES RESISTANT TO FATIGUE. MINIMALLY INVASIVE PROCEDURES ============================= DIRECT CORONARY ARTERY BYPASS (MIDCAB) DEBORAH CARDIAC SURGEONS PERFORM MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS (MIDCAB) SURGERY. THIS EXCITING NEW PROCEDURE ALLOWS CORONARY REVASCULARIZATION TO BE PERFORMED IN SELECT CASES WITH A LIMITED STERNOTOMY INCISION AND WITHOUT THE USE OF THE HEART-LUNG MACHINE. THIS ELIMINATES MOST MORBIDITY ASSOCIATED WITH TRADITIONAL CORONARY ARTERY SURGERY, WHILE MAINTAINING THE IMPRESSIVE DURABILITY SEEN WHEN THE INTERNAL MAMMARY ARTERY IS USED AS A BYPASS CONDUIT. 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. ONCE THE HEART IS EXPOSED, THE SURGEON PERFORMS A VALVE REPLACEMENT OR REPAIR, USING THE STANDARD METHOD FOR REPAIRING OR REPLACING A DYSFUNCTIONAL VALVE. IDEOSCOPIC VEIN HARVESTING DEBORAH SURGEONS ALSO OFFER VIDEOSCOPIC SAPHENOUS VEIN HARVESTING, A MINIMALLY INVASIVE TECHNIQUE TO REMOVE THE SAPHENOUS VEIN FOR BYPASS SURGERY. PULMONARY SURGERY ALTHOUGH THE DEMOGRAPHICS OF PULMONARY DISEASE HAVE CHANGED DRAMATICALLY OVER THE YEARS FROM TUBERCULOSIS TO NEOPLASTIC AND DEGENERATIVE DISEASES OF THE LUNG, DIAGNOSIS OF PULMONARY DISEASE BY CLINICAL EVALUATION AND SOPHISTICATED TESTING IS OFFERED AND PERFORMED ON A DAILY BASIS. ANESTHETIC TECHNIQUES, THE USE OF A VARIETY OF STAPLER DEVICES AND THORACOSCOPIC LUNG SURGERY (TO NAME A FEW) HAVE ALLOWED DEBORAH SURGEONS TO PERFORM LUNG WEDGE RESECTIONS, LOBECTOMIES, PNEUMONECTOMIES, EVEN LUNG RESECTIONS WITH CHEST WALL EXCISION IN CASES OF TUMOR EXTENDING TO THE CHEST WALL, WITH AN OPERATIVE MORTALITY AMONG THE LOWEST IN THE COUNTRY. THE EXCELLENT LONG-TERM RESULTS FOR LUNG CANCER PATIENTS ARE COMPARABLE TO OTHER WELL RECOGNIZED CENTERS. LUNG VOLUME REDUCTION SURGERY IS ALSO PERFORMED AT DEBORAH FOR TREATMENT OF DIFFUSE EMPHYSEMA. VASCULAR SURGERY VASCULAR SURGERY IS PERFORMED AT DEBORAH. AFTER EVALUATION IN THE VASCULAR CLINIC IN DEBORAH'S AMBULATORY CARE SERVICES, A PATIENT MAY BE REFERRED FOR SURGERY. ELECTIVE SURGICAL PROCEDURES AT DEBORAH INCLUDE: CAROTID ENDARTERECTOMY, ABDOMINAL AORTIC ANEURYSM RESECTION, AND LOWER EXTREMITY REVASCULARIZATION.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMPREHENSIVE VASCULAR PROGRAM THIS DEPARTMENT OFFERS PATIENTS A FULL SPECTRUM OF PREVENTIVE, DIAGNOSTIC, INTERVENTIONAL AND SURGICAL TREATMENT OPTIONS. THIS IS ACCOMPLISHED WITHIN A MULTIDISCIPLINARY FRAMEWORK OF CARDIOLOGISTS, RADIOLOGISTS, INTERVENTIONALISTS AND SURGEONS WORKING TOGETHER TO DETERMINE THE BEST OPTIONS FOR EACH PATIENT. THE PROGRAM WAS EXPANDED TO ACCOMMODATE THE GROWING NUMBER OF VASCULAR PATIENTS COMING TO DEBORAH, AND TO RAISE AWARENESS OF THE SIGNIFICANT RELATIONSHIP BETWEEN HEART DISEASE AND VASCULAR DISEASE. BENEFITS OF OUR COMPREHENSIVE VASCULAR PROGRAM PROMPT, COMPLETE VASCULAR DIAGNOSIS STATE OF THE ART INTERVENTIONS NEEDS ASSESSMENT FOR THE PATIENT. EARLY DETECTION AND APPROPRIATE TREATMENT OF CO-MORBID CONDITIONS SUCH AS HEART DISEASE. RISK FACTOR MODIFICATION (TREATMENT OF BLOOD PRESSURE AND CHOLESTEROL) LONG TERM MEDICAL GUIDANCE AND CARE. A SEAMLESS APPROACH TO THE TREATMENT OF VASCULAR DISEASE, WITH THE PARTICIPATION OF RADIOLOGISTS, CARDIOLOGISTS AND VASCULAR SURGEONS, FORMS THE BASIS FOR A COHESIVE DECISION-MAKING PROCESS THAT ALLOWS FOR THE INTEGRATED DELIVERY OF VASCULAR AND CARDIAC CARE. OUR PROCESS OF CARE PATIENTS REFERRED FOR A VASCULAR CONDITION WILL BE EVALUATED BY PHYSICIANS SPECIALIZING IN VASCULAR CARE. THE PATIENT'S RISK FACTORS WILL BE ASSESSED AND/OR THE STAGE OF DISEASE PROGRESSION WILL BE DETERMINED. MANY PATIENTS CAN MANAGE THEIR DISEASE WITH MEDICATION OR DIET AND EXERCISE PROGRAMS. SOME CAN BE TREATED WITH INTERVENTIONAL CATHETERIZATION PROCEDURES. NUMEROUS SURGICAL OPTIONS ARE AVAILABLE FOR PATIENTS WHO ARE NOT CANDIDATES FOR MEDICAL OR INTERVENTIONAL TREATMENTS. AT TIMES COMBINED OPEN/ENDOVASCULAR PROCEDURES CAN BE OFFERED TO PATIENTS TO MINIMIZE RECOVERY TIME FOLLOWING THE PROCEDURE. DEBORAH'S COMPREHENSIVE VASCULAR PROGRAM OFFERS THE CONFIDENCE THAT A TEAM OF THE REGION'S BEST SPECIALISTS ARE WORKING TOGETHER TO DETERMINE THE MOST APPROPRIATE OPTIONS FOR ALL PATIENTS. NEW ERA OF TOTAL VASCULAR CARE BY COMBINING THE EXPERTISE OF CARDIOLOGISTS, RADIOLOGISTS AND VASCULAR SURGEONS, THE QUALITY OF VASCULAR CARE PROVIDED TO DEBORAH PATIENTS AND THE ABILITY TO IDENTIFY PATIENTS AT HIGH CARDIAC RISK WILL IMPROVE. PREVENTION OF ATHEROSCLEROSIS, LIPID MANAGEMENT, HYPERTENSION CONTROL, AND MODIFICATION OF BEHAVIORAL RISK FACTORS, SUCH AS SMOKING, CAN BE EFFECTIVELY MANAGED SIMULTANEOUSLY WITH DIAGNOSIS AND TREATMENT OF THE PRESENTING PROBLEM. THIS CONCEPT OF CARE WILL RESULT IN BETTER CLINICAL OUTCOMES NOT ONLY FOR PATIENTS WITH VASCULAR DISEASE, BUT ALSO FOR PATIENTS WITH HEART DISEASE. THIS NEW ERA OF TOTAL VASCULAR CARE WILL POSITIVELY IMPACT BOTH LIFESTYLE AND HEALTH. PERIPHERAL VASCULAR DISEASE PERIPHERAL VASCULAR DISEASE (PVD) HAS BEEN RECEIVING INCREASING ATTENTION IN THE NEWS IN RECENT YEARS, WITH THE GROWING KNOWLEDGE IN THE MEDICAL COMMUNITY THAT THIS DISEASE HAS BEEN IN THE PAST SERIOUSLY UNDER-DIAGNOSED AND UNDER-TREATED. PATIENTS SEEM TO HAVE A HIGHER AWARENESS OF THEIR VASCULAR CONDITION THAN THEIR PHYSICIANS DO. PVD IS ASSOCIATED WITH SIGNIFICANT CARDIOVASCULAR MORBIDITY AND MORTALITY, WITH A HIGH RATE OF FATAL AND NON-FATAL CARDIOVASCULAR EVENTS SUCH AS MI, STROKE, AND PROGRESSIVE ISCHEMIC END-ORGAN DYSFUNCTION. SINCE ATHEROSCLEROSIS IS THE MOST COMMON CAUSE OF PVD, PATIENTS WITH PVD HAVE A RATE OF CARDIOVASCULAR MORTALITY THAT IS 3 TO 5 TIMES HIGHER THAN AGE-MATCHED CONTROLS. THE CARDIAC MORTALITY IN SYMPTOMATIC PVD IS ESTIMATED TO BE 50% AT 10 YEARS. THE REDUCTION IN QUALITY OF LIFE FROM GLOBAL VASCULOPATHY IN MANY PATIENTS CAN THUS BE SIGNIFICANT. ELECTROMECHANICAL THERAPY INSTITUTE DEBORAH OFFERS A FULL SPECTRUM OF ELECTROPHYSIOLOGIC SERVICES TO ITS PATIENT POPULATION. DEBORAH'S ELECTROPHYSIOLOGY SERVICES ARE DEVOTED TO THE EVALUATION, CONSULTATION AND TREATMENT OF COMPLEX CARDIAC ARRHYTHMIAS INCLUDING ATRIAL FIBRILLATION AND FLUTTER, SUPRAVENTRICULAR TACHYCARDIA INCLUDING WOLFF-PARKINSON-WHITE-SYNDROME AND VENTRICULAR TACHYCARDIA. ELECTROPHYSIOLOGY STUDIES ASSIST DEBORAH'S DOCTORS IN DETERMINING WHERE RHYTHM DISTURBANCES ORIGINATE AND TO IDENTIFY THE SPECIFIC TYPE OF ARRHYTHMIAS INVOLVED. COMPREHENSIVE DEVICE THERAPY IS ALSO INCLUDED IN THE EPS SERVICE. PACEMAKER AND DEFIBRILLATOR IMPLANTS AS WELL AS LEAD EXTRACTIONS ARE OFFERED FOR STANDARD INDICATIONS. BIVENTRICULAR DEVICES ARE AVAILABLE FOR EMERGING INDICATIONS INCLUDING CONGESTIVE HEART FAILURE. DEBORAH HAS AN OUTPATIENT SERVICE DEDICATED TO BOTH PACEMAKER AND DEFIBRILLATOR EVALUATION AND COMPLEX PROGRAMMING. THE SECTION OFFERS A COMPLETE WORK-UP FOR NEUROGENIC SYNCOPE INCLUDING TILT TABLE TESTING. ANOTHER SERVICE PROVIDED BY THE ELECTROPHYSIOLOGISTS IS THE READING AND INTERPRETATION OF HOLTER MONITORS AND THE REPORTING OF THESE FINDINGS TO REFERRING PHYSICIANS. THE INSTITUTE FOR SLEEP MEDICINE THE TRAINED STAFFS OF THE INSTITUTE FOR SLEEP MEDICINE AT DEBORAH HEART AND LUNG CENTER ARE EXPERTS AT DIAGNOSING AND TREATING A VARIETY OF SLEEP DISORDERS. WE OFFER PATIENTS ACCURATE DIAGNOSIS AND EFFECTIVE TREATMENT FOR COMMON SLEEP DISORDERS SUCH AS SLEEP APNEA, AS WELL AS LESS COMMON DISORDERS SUCH AS NARCOLEPSY, INSOMNIA, SLEEP MOVEMENT DISORDERS, AND SLEEP DEPRIVATION SYNDROMES. PATIENTS UNDERGO OVERNIGHT SLEEP STUDIES IN COMFORTABLE SUITES WITH NONINVASIVE, STATE-OF-THE-ART EQUIPMENT RECORDING BRAIN ACTIVITY, BLOOD OXYGEN LEVELS, BREATHING, BODY POSITION, MOVEMENTS AND HEART RATE. EACH ROOM HAS A PRIVATE BATH, AND PATIENTS RECEIVE COMPLIMENTARY MORNING BREAKFAST. ONE OF THE INSTITUTE'S STRONGEST - AND MOST UNIQUE - FEATURES IS ITS COMPREHENSIVE NATURE, WITH SLEEP MEDICINE SPECIALISTS WORKING IN TANDEM WITH OTHER SPECIALISTS TO TREAT ALL ASPECTS OF THE SLEEP DISORDER. FOR EXAMPLE, THE INSTITUTE BOASTS ON-STAFF EAR, NOSE AND THROAT AND PERIODONTAL SPECIALISTS TO EVALUATE AND CORRECT OBSTRUCTIVE OR ANATOMICAL CAUSES OF SLEEP DISORDERS. WITH RECENT EVIDENCE ESTABLISHING CONNECTIONS BETWEEN SLEEP DISORDERS AND CARDIAC CONDITIONS, DEBORAH'S SLEEP SPECIALISTS AND CARDIOLOGISTS COLLABORATE TO ENSURE THAT THESE CONDITIONS ARE NOT TREATED PIECEMEAL, AND THAT PATIENTS RECEIVE APPROPRIATE SCREENINGS FOR POTENTIAL COEXISTING CONDITIONS. PEDIATRIC CARDIOLOGY DEBORAH HEART AND LUNG CENTER HAS SPECIALIZED IN THE DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR DISEASES IN CHILDREN FOR OVER 50 YEARS. DEBORAH'S PEDIATRIC CARDIOLOGIST STAFF IS POSITIONED TO PROVIDE CONSULTATION SERVICES TO VARIOUS HOSPITALS AND NURSERIES IN BURLINGTON, OCEAN AND MERCER COUNTIES. OUTPATIENT PEDIATRIC CARDIOLOGY A BOARD-CERTIFIED PEDIATRIC CARDIOLOGIST AND AN EXPERIENCED PEDIATRIC NURSE PRACTITIONER PROVIDE DIAGNOSTIC OUTPATIENT EVALUATIONS FOR CHILDREN SUSPECTED TO HAVE CONGENITAL OR ACQUIRED HEART DISEASE. SUCH PATIENTS CAN INCLUDE THOSE WITH HEART MURMURS, CYANOSIS, ARRHYTHMIAS, CHEST PAIN, AND SYNCOPE, AS WELL AS SPORTS-RELATED CONCERNS. COMPREHENSIVE FOLLOW-UP CARE IS PROVIDED FOR CHILDREN DIAGNOSED WITH ANY FORM OF HEART DISEASE. PEDIATRIC ECHOCARDIOGRAPHY PROVIDES IMPORTANT DIAGNOSTIC INFORMATION, AND IS REGULARLY USED AS CLINICALLY INDICATED AS AN INTEGRAL PART OF THE CARDIAC EVALUATION. THE MAJORITY OF OUR ECHO STUDIES ARE PERFORMED ON AN OUTPATIENT BASIS. TRANSESOPHAGEAL ECHOCARDIOGRAPHY IS SOMETIMES USED AS AN ADJUNCT TO TRANSTHORACIC ECHOCARDIOGRAPHY FOR COMPLEX LESIONS IN OLDER PATIENTS AND MAY BE PERFORMED WITH CONSCIOUS SEDATION IN AN AMBULATORY CARE SETTING. ROUTINE INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY IS USED TO GUIDE SURGICAL REPAIRS AND MONITOR VENTRICULAR PERFORMANCE. FETAL ECHOCARDIOGRAPHY PROVIDES THE ABILITY TO MANAGE CONGENITAL DEFECTS THROUGHOUT THE PRENATAL PERIOD, ALLOWS FOR COUNSELING AND INFORMED DECISION MAKING, AND IMPROVES CARE AND OUTCOMES FOR THE FAMILY. PEDIATRIC ARRHYTHMIA PROGRAM DIAGNOSIS AND ONGOING MANAGEMENT OF ARRHYTHMIAS, PALPITATIONS AND SYNCOPE ARE PROVIDED IN THE AMBULATORY CARE AND INPATIENT SETTINGS. INVASIVE AND NON-INVASIVE DIAGNOSTIC STUDIES ARE USED TO IDENTIFY SIGNIFICANT PROBLEMS. RADIO-FREQUENCY ABLATION IS AVAILABLE THROUGH DEBORAH'S CARDIAC ELECTROPHYSIOLOGY DIVISION AS A CURATIVE ALTERNATIVE TO CHRONIC MEDICAL THERAPY FOR SELECTED INDIVIDUALS WITH VARIOUS TYPES OF TACHYCARDIA. OTHER SERVICES INCLUDE EXERCISE TESTING, TILT TESTING FOR SYNCOPE, INTRACARDIAC ELECTROPHYSIOLOGY, TRANSESOPHAGEAL PACING STUDIES, PACEMAKER IMPLANTATION AND MONITORING, AMBULATORY RHYTHM (HOLTER MONITOR) STUDIES, CONTINUOUS (LOOP) AND TRANSTELEPHONIC RHYTHM MONITORING. AMBULATORY CARE SERVICES AREA AMBULATORY CARE PATIENTS SEEN AT DEBORAH RECEIVE THE HIGHEST LEVEL OF QUALITY CARE IN THE CENTER'S RENOVATED AMBULATORY CARE SERVICE AREA. THE AMBULATORY CARE EXAM AREA CONTAINS SPACIOUS, MODERN EXAM ROOMS, MANY WITH CARDIAC MONITORS AND A TRIAGE ROOM FOR EMERGENCY SITUATIONS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	THE AMBULATORY CARE PATIENT RECEPTION AND WAITING AREA IS EASILY ACCESSIBLE FROM THE MAIN LOBBY AND PARKING, AND INCLUDES A SEPARATE AMBULATORY CARE ENTRANCE. NON-INVASIVE CARDIOLOGY, THE OUTPATIENT POST-PROCEDURE UNIT AND THE PATIENT/FAMILY EDUCATION DEPARTMENT ARE ADJACENT TO THE AMBULATORY CARE WAITING AREA. CHILDREN SEEN IN THE AMBULATORY CARE SETTING HAVE THEIR OWN WAITING AND PLAY ROOM ATTACHED TO AMBULATORY CARE'S RECEPTION AREA. CHILD-SIZE CHAIRS AND TABLES, READING MATERIAL AND VIDEO GAMES ARE AVAILABLE TO HELP MAKE THE ENVIRONMENT RELAXING FOR THE CHILD, WHILE THE REGISTRATION PROCESS IS MADE MORE CONVENIENT FOR THE PARENT. INTAKE AND RECOVERY UNIT THE MULTI-BED OUTPATIENT POST-PROCEDURE UNIT PROVIDES PRE-ASSESSMENT AND PREPARATION, AS WELL AS POST-PROCEDURE CARE, FOR PATIENTS UNDERGOING A VARIETY OF OUTPATIENT PROCEDURES. PROCEDURES APPROVED FOR ADMISSION TO THIS UNIT INCLUDE OUTPATIENT CARDIAC CATHETERIZATION, ARTERIOGRAPHY, BRONCHOSCOPY- LARYNGOSCOPY, TRACHEOSTOMY CHANGES, THORACENTESIS, TRANSTHORACIC NEEDLE BIOPSY AND ELECTRICAL CARDIOVERSION. DEPARTMENT OF ANESTHESIOLOGY THE DEPARTMENT OF ANESTHESIOLOGY PROVIDES EVALUATION AND CONSULTATION FOR ALL PATIENTS REQUIRING OPERATIVE INTERVENTION. A FULL RANGE OF ANESTHESIA SERVICES IS PROVIDED BY A GROUP OF HIGHLY QUALIFIED; BOARD CERTIFIED ANESTHESIOLOGISTS AND CRNA'S. ANESTHESIA CONSULTATIVE SERVICES PROVIDE INPUT INTO PAIN RELIEF AND SEDATION FOR PERFORMANCE OF A VARIETY OF MEDICAL PROCEDURES. POSTOPERATIVE CARE IN THE CRITICAL CARE UNITS IS INCLUDED IN THESE ACTIVITIES. STATE OF THE ART EQUIPMENT AND MEDICATION ARE USED AND ACTIVE CLINICAL RESEARCH IS PERFORMED TO CONSTANTLY IMPROVE THE ANESTHETIC CARE PROVIDED. PATHOLOGY PATHOLOGY IS A FULL SERVICE LABORATORY PROVIDING RAPID AND ACCURATE TEST RESULTS TO CLINICIANS AROUND THE CLOCK. THE LABORATORY OFFERS TESTING SERVICES IN THE FOLLOWING DISCIPLINES: CHEMISTRY, THERAPEUTIC DRUG MONITORING URINALYSIS COAGULATION, HEMATOLOGY MICROBIOLOGY BLOOD BANK CYTOLOGY/HISTOLOGY (WITH ACCOMPANYING NECROPSY SERVICE). PHLEBOTOMY SERVICES ARE PROVIDED THROUGH THE DEPARTMENT OF PATHOLOGY. ALL AREAS ARE EQUIPPED WITH STATE-OF-THE-ART INSTRUMENTATION. ALL TESTING PERFORMED IN THE HOSPITAL IS UNDER THE DIRECT SUPERVISION OF A DEBORAH PATHOLOGIST. THE LABORATORY IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS AND THE AMERICAN ASSOCIATION OF BLOOD BANKS. RADIOLOGY SINCE DEBORAH IS A SPECIALTY HOSPITAL, OUR AREA OF PARTICULAR EXPERTISE IS CHEST RADIOLOGY. DIGITAL CHEST RADIOGRAPHY IS PERFORMED USING X-RAY EQUIPMENT IN THE DEPARTMENT, AS WELL AS OUR PORTABLE EQUIPMENT. ALL IMAGES ARE SENT TO A PACS SYSTEM, AND ARE AVAILABLE THROUGHOUT THE HOSPITAL AT WORKSTATIONS AND PC'S. CT ANGIOGRAPHY IS PERFORMED BY RAPIDLY SCANNING EXTREMELY THIN SLICES THROUGH THE AREA OF INTEREST WHILE X-RAY DYE CIRCULATES THROUGH THE BODY. RADIOLOGISTS THEN USE THE COMPUTER TO RECONSTRUCT THE IMAGES AT ANY ANGLE, EVEN IN 3D, PROVIDING HIGH-RESOLUTION ANGIOGRAPHIC IMAGES OF BLOOD VESSELS TO ASSIST WITH DIAGNOSIS. WE EXPECT THAT NEW TECHNOLOGY WILL LARGELY REPLACE DIAGNOSTIC NONCARDIAC ANGIOGRAPHY WITH OUTPATIENT CT SCANNING, ALLOWING MANY PATIENTS TO EXPERIENCE DIAGNOSTIC TESTING WITHOUT THE TRAUMA OF AN INVASIVE PROCEDURE. APPLICATIONS INCLUDE THE ABILITY TO NON-INVASIVELY IDENTIFY VASCULAR ANATOMY AND OCCLUSIONS, CEREBRAL ANEURYSMS, FIND NARROWING OF THE CAROTID ARTERIES, EXAMINE THE AORTA FOR ANEURYSMS, DISSECTIONS AND NARROWING, EVALUATE RENAL ARTERIES AND CHECK PELVIC AND LEG VESSELS FOR ANEURYSMS AND NARROWING. THE DUAL SOURCE SOMATOM DEFINITION CT SCANNER CAN ALSO BE USED TO ACCURATELY EVALUATE CERTAIN CARDIAC CONDITIONS. THE RADIOLOGY STAFF HAS EXPERIENCE WITH ANGIOPLASTY AND STENT PLACEMENT FOR PERIPHERAL VASCULAR DISEASE, THROMBOLYSIS OF ACUTE VASCULAR OCCLUSION, AND INFERIOR VENA CAVA FILTER PLACEMENT FOR DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLISM. THORACIC, CEREBRAL, AND PULMONARY ANGIOGRAPHY ARE PERFORMED ROUTINELY. AS PART OF THE COMPREHENSIVE VASCULAR PROGRAM, THE LATEST ENDOVASCULAR TECHNIQUES ARE UTILIZED IN THE DEPARTMENT, INCLUDING SPECTRAMEDICS LASER AND ROTABLATOR ATHERECTOMY, THE LATEST STENT TECHNOLOGY, AND ANGIOJET THROMBOLYSIS. A FULL RANGE OF VASCULAR ULTRASOUND IS OFFERED. OUR LABORATORY IS CERTIFIED BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES FOR EXTRACRANIAL VASCULAR STUDIES, PERIPHERAL ARTERIAL STUDIES BY BOTH COLOR DOPPLER AND CONTINUOUS WAVE DOPPLER STUDIES, AND PERIPHERAL VENOUS STUDIES. MOST ROUTINE RADIOGRAPHIC STUDIES ARE OFFERED. DOUBLE CONTRAST BARIUM STUDIES OF THE GASTROINTESTINAL TRACT ARE ROUTINELY PERFORMED. VIDEO RECORDED FLUOROSCOPY IS UTILIZED FOR SWALLOWING STUDIES OF THE ESOPHAGUS. OUR ULTRASOUND SECTION OFFERS ABDOMINAL, CHEST, AND PERIPHERAL STUDIES. OUR RADIOLOGISTS ROUTINELY EVALUATE CT STUDIES OF THE HEAD, NECK, CHEST, ABDOMEN, PELVIS AND LUMBAR SPINE. CT GUIDED NEEDLE BIOPSY AND ACCESS DRAINAGE ARE AVAILABLE. JOSLIN DIABETES CENTER AFFILIATE AT DEBORAH JOSLIN'S DIABETES TEAM PROVIDES STATE-OF-THE-ART DIABETES TREATMENT AND EDUCATION. THE TEAM INCLUDES SPECIALLY TRAINED PHYSICIANS, NURSES, DIETITIANS AND OTHERS WHO WORK DIRECTLY WITH THE PERSON WITH DIABETES AND THEIR FAMILY TO ACHIEVE THE BEST OUTCOMES. EACH JOSLIN PATIENT RECEIVES INDIVIDUALIZED CARE, STARTING WITH AN INITIAL ASSESSMENT AND TREATMENT PLAN. BALANCE CENTER THE BALANCE CENTER AT DEBORAH IS DESIGNED TO DIAGNOSE AND TREAT DIZZINESS AND BALANCE ISSUES. THESE TWO SYMPTOMS ALONE, ESPECIALLY IN THE ELDERLY POPULATION ARE THE MOST COMMON CAUSES OF INJURIES AND HOSPITALIZATION. THE RESULT OF BEING DIZZY AND FALLING CAUSES NUMEROUS BROKEN BONES, BRAIN INJURIES, AND ACCIDENTAL DEATHS EACH YEAR. MULTI-DISCIPLINARY ONCOLOGY CLINIC PROGRAM THE DEBORAH'S MULTI-DISCIPLINARY ONCOLOGY CLINIC PROGRAM, IN COLLABORATION WITH THE RUTGERS CANCER INSTITUTE OF NEW JERSEY, OFFERS MULTI-DISCIPLINARY, DEDICATED OUTPATIENT APPOINTMENTS FOR INDIVIDUALIZED CASE MANAGEMENT OF PATIENTS WITH TUMORS. WOMEN'S HEART CENTER THE WOMEN'S HEART CENTER AT DEBORAH IS A DEDICATED OUTPATIENT CLINIC WITH HIGHLY-SKILLED CARDIOLOGISTS COMMITTED TO HELPING WOMEN COMBAT HEART DISEASE-THE NUMBER ONE KILLER AMONG AMERICAN WOMEN. OUTPATIENT PULMONARY REHABILITATION PULMONARY REHABILITATION IS A PROGRAM OF EXERCISE, EDUCATION, AND PSYCHOSOCIAL SUPPORT FOR PERSONS WITH CHRONIC LUNG DISEASE. DEBORAH'S OUTPATIENT PULMONARY REHABILITATION PROGRAM RELIES ON A TEAM OF RESPIRATORY, PHYSICAL, AND OCCUPATIONAL THERAPISTS. EACH PATIENT RECEIVES A SPECIALLY-DESIGNED PERSONAL PLAN THAT INCLUDES A COMBINATION OF EDUCATION, TRAINING, AND EXERCISES WHICH THE PATIENT PERFORMS-WITH OR WITHOUT OXYGEN-UNDER THE SUPERVISION OF A PERSONAL TRAINING TEAM, TWO TO THREE TIMES A WEEK FOR TWO TO THREE MONTHS.
CORE FORM, PART III; QUESTION 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL PATIENTS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY THE ORGANIZATION'S AUDIT COMMITTEE. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL 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 VARIOUS OTHER INDIVIDUALS 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 OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS 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 VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW. AFTER THIS REVIEW THE 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 AND AUDITING FOR REVIEW. THEREAFTER, THE DIRECTOR OF COMPLIANCE AND AUDITING AND IN-HOUSE 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 EXECUTIVE BOARD 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 ITS SENIOR ADMINISTRATIVE STAFF, SPECIFICALLY ITS "PRESIDENT & CEO" AND "VICE PRESIDENT FOR MEDICAL AFFAIRS/CHAIR - DEPARTMENT OF SURGERY". THIS PROCESS OCCURS ANNUALLY. IN 2013 THIS REVIEW INCLUDED NOT ONLY THE AFOREMENTIONED INDIVIDUALS, BUT THE FOLLOWING VICE PRESIDENTS: OPERATIONS, COO; FINANCE, CFO; PATIENT CARE SERVICES, CNE; LEGAL AND REGULATORY AFFAIRS; HUMAN RESOURCES, CHRO. THIS PROCESS ENTAILS REVIEW OF NOT ONLY BASE COMPENSATION, BUT ALSO OTHER DIRECT, AND INDIRECT COMPENSATION PROVIDED (INCLUDING EMPLOYEE BENEFITS). 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 MANAGEMENT TEAM, INCLUDING THOSE NOTED ABOVE. 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 IS FURTHER SUPPLEMENTED BY PROFESSIONAL ORGANIZATIONS RETAINED FOR THIS PURPOSE NO LESS THEN EVERY THREE YEARS, 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 C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. 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	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, REPRESENTS 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 ONE HOUR. THE HOURS REFLECTED ON 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 DEBORAH HEART AND LUNG CENTER; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - CONTRIBUTIONS FOR CAPITAL RENOVATIONS AND EQUIPMENT ACQUISITIONS, $567,989; - OTHER CHANGES IN RETIREMENT BENEFIT OBLIGATION, $9,367,767; - NET ASSETS RELEASED FROM RESTRICTION, ($3,467,639); - CHANGES IN FAIR VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST, $178,121; - CHANGE IN BENEFICIAL INTEREST IN RESTRICTED NET ASSETS OF DEBORAH HOSPITAL FOUNDATION, $2,113,651.
CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ITS WHOLLY OWNED, FOR-PROFIT SUBSIDIARY, FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
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 PROFESSIONAL SERVICE FUND - ANESTHESIA DHLC 22-2659999 ADMINISTRATIVE - DHLC 22-3099327

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DEBORAH MEDICAL INVESTMENTS LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 TRENTON ROAD	AddressLine1
City	BROWNS MILLS	City
State	NJ	State
ZIP Code	08015	ZIPCode

Field	Value	IRS element (for citing)
EIN	464400008	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	NJ	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DEBORAH HOSPITAL FOUNDATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	212 TRENTON ROAD	AddressLine1
City	BROWNS MILLS	City
State	NJ	State
ZIP Code	08015	ZIPCode

Field	Value	IRS element (for citing)
EIN	222049500	EIN
Primary Activities	SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	NJ	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	509(A)(1)	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
ADVANCED MEDICAL MANAGEMENT SERVICES
200 TRENTON ROAD	BROWNS MILLS	NJ	08015	204912042	MGMT SVCS.	NJ	DHLC	C CORP.	$173,061	$58,187	1.00000	Yes (true)
DEBORAH CARDIOVASCULAR GROUP PC
200 TRENTON ROAD	BROWNS MILLS	NJ	08015	030494366	HEALTHCARE SVCS.	NJ	DHLC	S CORP.	$1,588,083	$178,415	1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVANCED MEDICAL MANAGEMENT SERVICES INC
K	$102,140	COST
ADVANCED MEDICAL MANAGEMENT SERVICES INC
E	$246,274	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	DEBORAH HEART AND LUNG CENTER ROUTINELY PAYS EXPENSES FOR ITS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	ExplanationTxt