Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2011 and ending 12-31-2011
BCheck if applicable:
CName of organization
DEBORAH HEART AND LUNG CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
200 TRENTON ROAD
 
Room/suite
City or town, state or country, and ZIP + 4
BROWNS MILLS, NJ08015
D Employer identification number

23-1550955
E Telephone number

G Gross receipts $ 151,802,333
F Name and address of principal officer:
JOSEPH P CHIRICHELLA
200 TRENTON ROAD
BROWNS MILLS,NJ08015
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.DEBORAH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1922
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE THE NECESSARY FACILITIES AND RESOURCES REQUIRED TO DELIVER THE HIGHEST QUALITY INPATIENT/OUTPATIENT SERVICES FOR DIAGNOSIS AND TREATMENT OF HEART, LUNG AND VASCULAR DISEASE WITHIN THE SERVICE AREA.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 11
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 1,110
6 Total number of volunteers (estimate if necessary) .... 6 62
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -114,737
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 6,358,120 10,182,909
9 Program service revenue (Part VIII, line 2g) ......... 136,705,423 137,780,694
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 352,389 278,656
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 312,333 416,088
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 143,728,265 148,658,347
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 88,258 35,000
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 75,423,330 79,092,577
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 64,360,485 69,165,637
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 139,872,073 148,293,214
19 Revenue less expenses. Subtract line 18 from line 12....... 3,856,192 365,133
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 81,144,385 79,171,885
21 Total liabilities (Part X, line 26)............. 84,614,752 89,136,037
22 Net assets or fund balances. Subtract line 21 from line 20..... -3,470,367 -9,964,152
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 87,016,508 including grants of $ 0 ) (Revenue $ 95,641,964 )
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.
4b (Code:   ) (Expenses $ 23,200,519 including grants of $ 0 ) (Revenue $ 25,500,256 )
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.
4c (Code:   ) (Expenses $ 9,905,250 including grants of $ 0 ) (Revenue $ 10,887,102 )
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.
4d Other program services (Describe in Schedule O.)
(Expenses $ 13,345,118 including grants of $ 35,000 ) (Revenue $ 5,751,372 )
4e Total program service expensesMediumBullet$ 133,467,395
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see attachment
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
.........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
83
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,110
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
13
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
R GRANT LEIDY
200 TRENTON ROAD
BROWNS MILLS,NJ08015
(609) 893-1200
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) PAUL J STENDARDI
CHAIRMAN - TRUSTEE
14.0 X   X       0 0 0
(2) BURTON C TREBOUR
SECRETARY - TRUSTEE
1.0 X   X       0 0 0
(3) JOSEPH CHIRICHELLA EFF 1311
TRUSTEE - PRESIDENT/CEO
55.0 X   X       368,374 0 33,067
(4) PAUL J DEMASSI
TRUSTEE
1.0 X           0 0 0
(5) SANDI FEIN
TRUSTEE
1.0 X           0 0 0
(6) GEORGE S LOESCH
TRUSTEE
1.0 X           0 0 0
(7) CHARLES J MCAFEE
TRUSTEE
1.0 X           0 0 0
(8) LYNN MCGRATH MD
TRUSTEE - VP MEDICAL AFFAIRS
55.0 X   X       1,225,828 0 34,192
(9) ROBERT C MESSINA MD
TRUSTEE
1.0 X           0 0 0
(10) CLAIRE K MOLOTSKY
TRUSTEE
1.0 X           0 0 0
(11) RAYMOND ORSUTO
TRUSTEE
1.0 X           0 0 0
(12) JUDITH PERANTEAU
TRUSTEE
1.0 X           0 0 0
(13) DOMINICK J PUGLIESE
TRUSTEE
1.0 X           0 0 0
(14) JOHN R ERNST
PRESIDENT/CEO (RETIRED 1/3/11)
55.0     X       350,241 0 5,571
(15) R GRANT LEIDY
CFO/VP FINANCE
55.0     X       281,537 0 34,495
(16) JOSEPH R MANNI
COO
55.0     X       191,711 0 32,935
(17) SUSAN BONFIELD ESQ
VP LEGAL & REGULATORY AFFAIRS
55.0       X     277,646 0 33,707
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) VICTOR HATALA
DIRECTOR PRACTICE DEVELOPMENT
55.0       X     194,915 0 29,457
(19) RITA ZENNA
VP PATIENT CARE SERVICES
55.0       X     175,029 0 32,851
(20) JAMES CARLINO
VP HUMAN RESOURCES
55.0       X     170,645 0 32,506
(21) RICHARD C KOVACH MD
PHYSICIAN
55.0         X   616,573 0 33,310
(22) ARTHUR NG MD
PHYSICIAN
55.0         X   588,778 0 37,072
(23) RAFFAELE CORBISIERO MD
PHYSICIAN
55.0         X   553,013 0 33,276
(24) THOMAS C GALLAGHER MD
PHYSICIAN
55.0         X   494,853 0 35,236
(25) KONSTANTIN DATESHIDZE MD
PHYSICIAN
55.0         X   488,498 0 37,271










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,977,641 0 444,946
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet105
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
SILLS CUMMIS GROSS PC
ONE RIVERFRONT PLAZA
NEWARK,NJ071025400
LEGAL 881,552
INNOVATIVE CONTRACTING SOLUTIONS
1103 LAUREL OAK ROAD SUITE 160
VOORHEES,NJ08043
CONSULTING 798,264
UNIVERSITY OF MEDICINE
335 GEORGE STREET PO BOX 2685
NEW BRUNSWICK,NJ089032685
MEDICAL 416,951
PATHWAY MEDICAL TECHNOLOGIES
180 TAMARACK CIRCLE
SKILLMAN,NJ07558
MEDICAL 210,395
NIGHTHAWK RADIOLOGY SERVICES LLC
PO BOX 673398
DETROIT,MI48267
MEDICAL 210,196
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet13
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 8,837,851
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,345,058
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 10,182,909
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541,900 135,932,929 135,932,929    
b OTHER HEALTHCARE RELATED REVENUE 541,900 1,847,765 1,847,765    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 137,780,694
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 85,535     85,535
4 Income from investment of tax-exempt bond proceeds..MediumBullet 1,068     1,068
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 368,340  
b Less: rental expenses    
c Rental income or (loss) 368,340  
d Net rental income or (loss).......MediumBullet 368,340      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 3,333,739 2,300
b Less: cost or other basis and sales expenses 3,137,879 6,107
c Gain or (loss) 195,860 -3,807
d Net gain or (loss)..........MediumBullet 192,053     192,053
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a MEDICAL RECORD COPIES 900,099 47,489     47,489
b OTHER 900,099 259     259
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 47,748
12 Total revenue. See Instructions....MediumBullet 148,658,347 137,780,694   326,404
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 35,000 35,000
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 3,148,896 2,834,006 314,890  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 59,404,872 53,464,386 5,940,486  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 3,470,279 3,123,251 347,028  
9 Other employee benefits ....... 9,322,518 8,390,266 932,252  
10 Payroll taxes ........... 3,746,012 3,371,411 374,601  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,845,512 1,660,961 184,551  
c Accounting ........... 1,259,739 1,133,765 125,974  
d Lobbying ........... 243,096 218,786 24,310  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 7,208,836 6,487,952 720,884  
12 Advertising and promotion .... 310,497 279,447 31,050  
13 Office expenses ....... 1,789,658 1,610,692 178,966  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 305,574 275,017 30,557  
17 Travel ............ 150,182 135,164 15,018  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 1,531,014 1,377,913 153,101  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 7,091,782 6,382,604 709,178  
23 Insurance .............. 837,827 754,044 83,783  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a MEDICAL SUPPLIES 40,078,429 36,070,586 4,007,843 0
b REPAIRS AND MAINTENANCE 3,377,473 3,039,726 337,747 0
c UTILITIES 1,551,291 1,396,162 155,129 0
d BLOOD BANK BLOOD PRODUCTS 798,555 718,700 79,855 0
e
f All other expenses 786,172 707,556 78,616  
25 Total functional expenses. Add lines 1 through 24f 148,293,214 133,467,395 14,825,819 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 1,200 1 850
2 Savings and temporary cash investments ....... 6,377,492 2 4,449,897
3 Pledges and grants receivable, net ......... 0 3 0
4 Accounts receivable, net ......... 13,926,547 4 16,496,846
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 1,635,658 7 1,887,498
8 Inventories for sale or use .............. 3,113,877 8 3,700,581
9 Prepaid expenses and deferred charges ............ 841,246 9 630,530
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 53,665,389
b Less: accumulated depreciation. ..... 10b 21,896,799 34,065,342 10c 31,768,590
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ...... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 18,739,424 13 17,232,645
14 Intangible assets ......... 1,782,886 14 1,587,702
15 Other assets. See Part IV, line 11 ........... 660,713 15 1,416,746
16 Total assets. Add lines 1 through 15 (must equal line 34)... 81,144,385 16 79,171,885
Liabilities 17 Accounts payable and accrued expenses . 26,071,934 17 27,923,710
18 Grants payable .......... 0 18 0
19 Deferred revenue .......... 0 19 0
20 Tax-exempt bond liabilities .......... 21,593,315 20 20,431,777
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 4,749,860 23 4,789,360
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 32,199,643 25 35,991,190
26 Total liabilities. Add lines 17 through 25..... 84,614,752 26 89,136,037
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -11,307,715 27 -17,298,113
28 Temporarily restricted net assets ..... 7,837,348 28 7,333,961
29 Permanently restricted net assets ..... 0 29 0
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... -3,470,367 33 -9,964,152
34 Total liabilities and net assets/fund balances ..... 81,144,385 34 79,171,885
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
148,658,347
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
148,293,214
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
365,133
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-3,470,367
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-6,858,918
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
-9,964,152
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  

Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
243,096
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
243,096
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINES 1G DURING 2011, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS $207,799 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 $29,410. 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 $5,887.
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 7,837,348 4,383,961 0 0
b Contributions ........ 1,618,618 3,262,535 4,383,961  
c Net investment earnings, gains, and losses ... -275,143 190,852    
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........
1,846,862      
f Administrative expenses ....       0
g End of year balance ...... 7,333,961 7,837,348 4,383,961 0
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet100.000 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   312,365 312,365
b Buildings ................   36,908,904 11,014,487 25,894,417
c Leasehold improvements ............        
d Equipment ................   15,365,867 10,882,312 4,483,555
e Other .................   1,078,253   1,078,253
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 31,768,590
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) LIMITED USE 1,627,325 F
(2) CORPORATE BONDS; LIMITED USE 839,352 F
(3) EQUITY SECURITIES; LIMITED USE 4,293,135 F
(4) USE 4,343,292 F
(5) COMPANY 351,450 F
(6) TAX-EXEMPT ORGANIZATION 4,228,469 F
(7) PERPETUAL TRUST 1,549,622 F


Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 17,232,645
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
THIRD-PARTY PAYORS, NET 4,729,979
ACCRUED PENSION EXPENSE 22,879,120
LIABILITY 3,253,584
ACCRUED INTEREST PAYABLE 631,440
DEFERRED RENTAL INCOME 4,497,067




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 35,991,190
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE 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, 2011 AND 2010; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2011 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48: 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 UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
 
No
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
 
No
c
If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
 
No
b
If "Yes," did the organization make it available to the public? ...............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
and Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    17,349,626 6,741,087 10,608,539 7.150 %
b Medicaid (from Worksheet 3, column a) .....     6,088,524 3,108,566 2,979,958 2.010 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .            
dTotal Financial Assistance and
Means-Tested Government Programs .....
    23,438,150 9,849,653 13,588,497 9.160 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    125,300 0 101,393 0.070 %
f Health professions education
(from Worksheet 5) ..
    3,155,724 1,509,964 1,645,760 1.110 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)     9,376   9,376 0.010 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....            
jTotal Other Benefits ...     3,290,400 1,509,964 1,756,529 1.190 %
kTotal. Add lines 7d and 7j. ..     26,728,550 11,359,617 15,345,026 10.350 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense........
2
 
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
60,670,599
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
59,160,635
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
1,509,964
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
 
No
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

 

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 DEBORAH HEART AND LUNG CENTER
200 TRENTON ROAD
BROWNS MILLS,NJ08015
X     X          
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
DEBORAH HEART AND LUNG CENTER
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9   No
If "Yes," indicate the FPG family income limit for eligibility for free care:   %
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
ELIGIBILITY FOR DISCOUNTED CARE SCHEDULE H, PART I, LINE 3C AS PART OF ITS MISSION THE ORGANIZATION DOES NOT BILL PATIENTS FOR MEDICAL SERVICES RENDERED. THUS, THE ORGANIZATION DOES NOT UTILIZE FEDERAL POVERTY GUIDELINES CRITERIA.
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE.
SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
PERCENT OF TOTAL EXPENSE SCHEDULE H, PART II THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $0.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO
BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 THE DEBORAH HEART AND LUNG CENTER PREPARES AND ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE DEBORAH HEART AND LUNG CENTER. UNCOMPENSATED CARE AND STATE SUBSIDIES THE CENTER PROVIDES FREE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER A CHARITY CARE POLICY. THE CENTER'S PATIENT ACCEPTANCE POLICY IS BASED UPON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ADDITIONALLY, INDIVIDUAL PATIENTS AND THEIR FAMILIES ARE NOT BILLED FOR MEDICAL SERVICES PROVIDED IN EXCESS OF AMOUNTS REIMBURSABLE BY THIRD-PARTY PAYORS. BECAUSE THE CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS UNCOMPENSATED CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. 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 STATE OF NEW JERSEY PUBLIC LAW 1992 (CHAPTER 160) ESTABLISHED THE HEALTH CARE SUBSIDY FUND ("HCSF") TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE CERTAIN HOSPITALS FOR CHARITY CARE. FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, THE CENTER RECEIVED $6,741,087 AND $5,871,465, 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, 2012; HOWEVER, THERE CAN BE NO ASSURANCE OF SUCH STATE FUNDING TO A SIMILAR LEVEL IN THE FUTURE. THE CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. IN 2011 AND 2010, THE AMOUNT OF CHARGES FORGONE FOR SERVICES PROVIDED TO PATIENTS UNDER ITS CHARITY CARE POLICY, NET OF THE HCSF WAS $ 79,763,265 AND $ 76,489,673, RESPECTIVELY. BILLABLE AMOUNTS FORGONE FOR FREE CARE IN EXCESS OF THIRD-PARTY REIMBURSEMENTS (E.G., CO-PAYS AND DEDUCTIBLES) WERE $6,475,259 AND $5,060,575 IN 2011 AND 2010, RESPECTIVELY.
COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 NOT APPLICABLE
COLLECTION POLICY SCHEDULE H, PART III, SECTION B; QUESTION 9B NOT APPLICABLE.
FACILITY INFORMATION SCHEDULE H, PART V; SECTION B, QUESTIONS 9, 10, 11H A billing system is maintained for each patient, but bills are not sent to any patient. If a patient has insurance, the center bills the patient's health insurance plan for both the hospital services and for those physician services provided by Deborah's employed medical staff. By collecting insurance payments that would be due had the patient received treatment at nearly any other hospital in the country, and with the assistance of the Deborah Hospital Foundation and other donors, Deborah has been able to use its financial resources to cover treatments, co-pays, deductibles, and coinsurance that are not covered by insurance. Deborah does not currently ask a patient to pay for any medical care or services. All Deborah patients receive the same financial assistance: Deborah simply does not pursue collection efforts against any patient.
FACILITY INFORMATION SCHEDULE H, PART V; SECTION B, QUESTIONS 13G, 15E, 16E, 17E, 18D, 20 & 21 NOT APPLICABLE.
NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 AS A TERTIARY CARE HOSPITAL AND REGIONAL REFERRAL CENTER, DEBORAH HEART AND LUNG CENTER ADDRESSES THE HEALTHCARE NEEDS OF THE MANY COMMUNITIES IT SERVES THROUGH PROFESSIONAL EDUCATION PROVIDED THROUGH ITS ONGOING GRAND ROUNDS PROGRAM 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 DEBORAH HEART AND LUNG CENTER SCREENS UNINSURED PATIENTS FOR ELIGIBILITY FOR NEW JERSEY'S CHARITY CARE PROGRAM (CHAPTER 160), BUT TRUE TO ITS HISTORIC MISSION HAS NEVER BILLED ANY PATIENT FOR CARE NOT REIMBURSED BY GOVERNMENT OR OTHER THIRD PARTY INSURANCE.
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 DEBORAH HEART & LUNG 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. 12% OF IN STATE PATIENTS ARE UNINSURED, WHILE 6% OF OUT OF STATE PATIENTS LACK COVERAGE. 44% OF PATIENTS ARE OVER AGE 65.
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 DEBORAH HEART & LUNG 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. DURING 2012 DEBORAH PERFORMED HEALTH SCREENINGS FOR OVER 4,275 PEOPLE AT 32 EVENTS AS WELL AS PROVIDING 20 COMMUNITY EDUCATION EVENTS. THE COSTS FOR THE SCREENINGS WERE $46,393. INDIVIDUAL COMMUNITY OUTREACH PROGRAMS, WITH THOSE COSTS BORNE BY DEBORAH HEART & LUNG CENTER, INCLUDE: 1) DEBORAH'S HEALTHY HEARTS CLUB PROGRAM W/ QUARTERLY BREAKFAST MEETINGS AS SPONSOR OF A MOTIVATIONAL SELF-MONITORING CARDIOVASCULAR FITNESS PROGRAM IN COOPERATION WITH AN AREA MALL, MEMBERS OF THIS FREE PROGRAM ENJOY CLIMATE-CONTROLLED WALKING IN THE SAFETY OF THE MALL. THEY MAY ALSO AVAIL THEMSELVES OF QUARTERLY FREE MEMBER BREAKFASTS, AT WHICH A DEBORAH SPECIALIST PRESENTS ON A HEALTHY-LIFESTYLE TOPIC OF INTEREST TO THE GENERAL PUBLIC. MKTG & PR STAFF: DIRECTOR--4 HOURS; ASSISTANT-4 HOURS; LIAISON--4 HOURS CLINICAL STAFF: SPECIALIST-3 HOURS, WITH ADDITIONAL PREPARATION TIME EXPENSES: $10,000 -STAFF - $1,463.00 -EXPENSES - $10,000.00 -TOTAL COST -11,463.00 2) DEBORAH'S HEALTHY KIDS CLUB PROGRAM-MARKING PERIODS THROUGHOUT SCHOOL YEAR AN INCENTIVE-BASED CARDIOVASCULAR FITNESS PROGRAM FOR THE TOWN'S ELEMENTARY SCHOOLCHILDREN. EDUCATORS ARE SUPPLIED WITH A VARIETY OF ITEMS TO BE EARNED BY STUDENTS DAILY WALKING/RUNNING A MEASURED DISTANCE, WITH PARTICIPATION ENCOURAGED & THEIR NUMBER OF DAILY LAPS LOGGED. (NOTE: THIS YEAR, ONE PARTICIPATING SCHOOL'S STUDENTS WERE INSPIRED TO WALK/RUN OVER 7,000 MILES!) MKTG & PR STAFF: DIRECTOR-2 HOURS; LIAISON-6 HOURS EXPENSES: INCENTIVES, PRIZES-$1500. -STAFF - $258.00 -EXPENSES - INCENTIVES, PRIZES-$1500.00 -TOTAL COST -$1,758.00 3) DEBORAH PRESENTS--LIVE ONGOING MONTHLY 30-MINUTE RADIO INTERVIEWS EACH MONTH, A SPECIALIST PREPARES QUESTIONS AND INFORMATION ON A PUBLIC-EDUCATION HEALTH TOPIC FOR A LIVE RADIO INTERVIEW, ALSO TAKING QUESTIONS FROM LISTENERS. EXPENSES: $200 FEE FOR EACH INTERVIEW, PLUS A SPECIALIST'S TIME EACH MONTH TO PREPARE Q/AS AND THEN INTERVIEW. -STAFF - $3,966.00 -EXPENSES - $2,400.00 -TOTAL COST - $6,366.00 4) GO RED! FOR WOMEN DAY COMMUNITY EVENT IN THE center's WINDERMAN AUDITORIUM-FEB.4TH A GREAT ON-CAMPUS FREE COMMUNITY EVENT FOR WOMEN; OVER 200 ATTENDEES VISITED AN ARRAY OF HEALTH INFORMATION DISPLAYS AND RECEIVED HEALTH SCREENINGS-BLOOD PRESSURE; LIPID PROFILE & GLUCOSE LEVEL; BODY FAT ANALYSIS; AND BALANCE ASSESSMENT-AND WERE GIVEN A PACKET OF HEALTHY-LIFESTYLE LITERATURE AND PEDOMETER. " TWO STAFF CARDIOLOGISTS CONSULTED WITH EVERY ATTENDEE SCREENED, TO REVIEW RESULTS AND MAKE RECOMMENDATIONS. MKTG & PR STAFF: DIRECTOR-3 HOURS; ASSISTANT-4 HOURS; LIAISON-3 HOURS; PR COORDINATOR-15 HOURS; NINE CLINICAL SCREENING STAFF-6 HOURS; SIX NON-CLINICAL STAFF: 6 HOURS; TWO CARDIOLOGISTS: 6 HOURS. -STAFF - $7,406.00 -EXPENSES - $500.00 -TOTAL COST - $7,906.00 5) DEBORAH'S 13TH ANNUAL HEART CHALLENGE AND ART COMPETITION-FEBRUARY 21, 2011 THIS COMMUNITY-BASED EVENT INVOLVES HIGH-SCHOOL STUDENTS FROM EIGHT COUNTY SCHOOLS. IT INVOLVES MONTHS OF PREPARATION! DAY OF EVENT: A FREE CATERED PUBLIC ART EXHIBIT SHOWCASING 140+ STUDENTS' ARTISTIC TALENTS, FOLLOWED BY A TELEVISED ACADEMIC COMPETITION HELD BEFORE AN AUDIENCE OF 700+. STAFF & VOLUNTEERS: A MULTITUDE, INCLUDING THREE PHYSICIANS; 12 DEBORAH STAFF; DEBORAH SENIOR AND JUNIOR VOLUNTEERS; AND 20+ COMMUNITY MEMBERS. EXPENSES: PRIZES TOTALING $4,950; THANK YOU GIFT CARDS TOTALING $520; STUDENT T-SHIRTS, PLAQUES, EQUIPMENT RENTAL AND OTHER EXPENSES: $2097.00. -TOTAL COST - $7,567.00 6) WOMEN'S HEALTH EVENT-FEBRUARY 27TH DEBORAH SUPPORTED AN OUTREACH WOMEN'S HEALTH EVENT IN THE LOCALE. CLINICAL STAFF GAVE FREE HEALTHY LIFESTYLE LITERATURE AND HEALTH SCREENINGS-BLOOD PRESSURE, PULSE OXIMETRY, BODY FAT ANALYSIS, BALANCE ASSESSMENT-TO 255 EVENT ATTENDEES. MKTG & PR STAFF; LIAISON-3 HOURS; FIVE CLINICAL SCREENING STAFF-8 HOURS. - STAFF - $1,753.00 - EXPENSES - $1,100.00 - TOTAL COST $2,853.00 7) MEGABASE PRESENTATIONS-JAN.13, MAY 10, JUNE 14, JULY 18, SEP. 13, OCT. 11, DEC. 13 A DEBORAH SPECIALIST PREPARED A GRATIS CME TEACHING PRESENTATION TO 30-55 MEDICAL STAFF AT THE JOINT BASE MCGUIRE/FT. DIX/LAKEHURST MEDICAL CLINIC. CLINICAL STAFF: 1 SPECIALIST, 2.5 HOURS EACH PRESENTATION + PREPARATION TIME (EXCEPTION: JULY 18TH PRESENTATION REQUIRED 3 SPECIALISTS & EXTENSIVE PREP TIME) MARKETING DIRECTOR & LIAISON-3.0 HOURS EACH PRESENTATION LUNCHEON FOOD COST: $250. EACH PRESENTATION - STAFF - $9,409.00 - EXPENSES - $1,750.00 - TOTAL COST - $11,159.00 8) COMMUNITY HEALTH FAIR-MARCH 16, 2011 A COMMUNITY SERVICE-BASED EVENT HELD IN THE GYM OF ONE OF THE ELEMENTARY SCHOOLS. GAVE FREE HEALTH SCREENINGS (BP/PULSE OX; BFA) AND HEALTHY-LIVING PRINT INFORMATION WAS GIVEN OUT TO HUNDREDS OF FAMILIES. CLINICAL STAFF: RN-4 HOURS MKTG & PR STAFF: LIAISON-5 HOURS EXPENSES: PRINT MATERIALS AND GIVEAWAYS-APPROXIMATELY $300. - STAFF - $258.00 - EXPENSES - $300.00 - TOTAL COST $558.00 9) DEBORAH'S 8TH ANNUAL HEALTH FAIR-APRIL 23, 2011 HELD AT THE OCEAN COUNTY MALL, THIS DAYLONG EVENT FEATURES FREE HEALTH SCREENINGS (BLOOD PRESSURE/PULSE OXIMETRY; BODY FAT ANALYSIS; PULMONARY FUNCTION TEST, BALANCE ASSESSMENT), MEDICATION COUNSELING WITH A DEBORAH PHARMACIST, AND FREE HEALTH LITERATURE. CLINICAL STAFFING: 6 NURSES, 1 NUTRITIONIST, 1 RESP. TECH; 1 BALANCE TECH; 1 PHARMACIST--8 HOURS EACH MKTG. & PR STAFF: DIRECTOR & LIAISON-10 HOURS EACH EXPENSES: GIVEAWAY ITEMS & PRINT MATERIALS-APPROXIMATELY $900. - STAFF - $4,469.00 - EXPENSES - $900.00 - TOTAL COST $ 5,369.00 10) FUTURE NURSES OF AMERICA-MAY 6, 2011 CLINICAL STAFF PROVIDED TOURS AND INFORMATION FOR 19 TOWNSHIP HIGH SCHOOL STUDENTS INTERESTED IN THE MEDICAL FIELD, INVOLVING CLINICAL STAFF IN SURGERY AND RADIOLOGY/NUCLEAR/CT DEPARTMENTS, PUBLIC RELATIONS COORDINATOR-9 HOURS, WITH ADDITIONAL TIME OF CLINICAL STAFF - STAFF - $482.00 - TOTAL COST $ 482.00 11) COMMUNITY WATER FESTIVAL-JULY 29, 2011 A COMMUNITY EVENT HELD AT THE TOWNSHIP BEACH, WITH FREE HEALTHY-LIVING PRINT INFORMATION GIVEN OUT TO HUNDREDS OF FAMILIES. MARKETING & PR STAFF: LIAISON, 6 HOURS EXPENSES: PRINT LITERATURE & GIVEAWAYS, APPROXIMATELY $800. - STAFF - $106.00 - EXPENSES - $800.00 - TOTAL COST $906.00 12) PAD AWARENESS DAY-SEP. 17, 2011 AN ON-CAMPUS FREE COMMUNITY EVENT, OVER 125 ATTENDEES VISITED EDUCATIONAL DISPLAYS AND RECEIVED FREE SCREENINGS-PAD ULTRASOUND AND/OR AAA ULTRASOUND ASSESSMENT-AND WERE GIVEN A PACKET OF HEALTHY-LIFESTYLE LITERATURE. " FOUR STAFF INTERVENTIONALISTS/SURGEONS CONSULTED WITH EVERY ATTENDEE SCREENED, TO REVIEW RESULTS AND MAKE RECOMMENDATIONS. MKTG & PR STAFF: DIRECTOR-7 HOURS; PR COORDINATOR-3 HOURS; CLINICAL STAFF: 12 CLINICAL SCREENING STAFF-7 HOURS; FOUR INTERVENTIONALISTS/SURGEONS: 7 HOURS. NON-CLINICAL STAFF: FIVE--8 HOURS; - STAFF - $7,520.00 - EXPENSES - $15,000.00 - TOTAL COST $ 22,520.00
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 DEBORAH HEART AND LUNG 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 DEBORAH HEART AND LUNG CENTER. DEBORAH HEART AND LUNG CENTER ("DHLC") 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. DHLC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, DHLC 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, DHLC 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 ROOM, it leases an area in the center's main hospital building to an unrelated South Jersey Hospital System that operates an emergency room 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. DEBORAH HOSPITAL FOUNDATION DEBORAH HOSPITAL FOUNDATION IS AN AFFILIATE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF DEBORAH HEART AND LUNG CENTER. FOR PROFIT DEBORAH HEART AND LUNG CENTER AFFILIATES ADVANCED MEDICAL MANAGEMENT SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS DEBORAH HEART AND LUNG CENTER. THE ORGANIZATION IS LOCATED IN BROWNS MILLS, BURLINGTON COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MANAGEMENT SERVICES. DEBORAH CARDIOVASCULAR GROUP, P.C. A PROFESSIONAL SERVICES CORPORATION WHOSE NOMINEE OWNER IS MICHAEL NEARY, M.D. FOR THE BENEFIT OF DEBORAH HEART AND LUNG CENTER. THE ORGANIZATION IS LOCATED IN BROWNS MILLS, BURLINGTON COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS AND THE COMMUNITY.
Schedule H (Form 990) 2011
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number
23-1550955
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance






















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) TUITION REIMBURSEMENT 6 35,000      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
GRANT FUND MONITORING SCHEDULE I, PART I, QUESTION 2 GRANTS AND ASSISTANCE ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2011


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JOSEPH CHIRICHELLA EFF 1311 (i)
(ii)
366,766
0
0
0
1,608
0
9,274
0
23,793
0
401,441
0
0
0
(2) LYNN MCGRATH MD (i)
(ii)
1,223,452
0
0
0
2,376
0
8,614
0
25,578
0
1,260,020
0
0
0
(3) JOHN R ERNST (i)
(ii)
97,955
0
50,000
0
202,286
0
4,169
0
1,402
0
355,812
0
0
0
(4) R GRANT LEIDY (i)
(ii)
277,070
0
2,000
0
2,467
0
14,408
0
20,087
0
316,032
0
0
0
(5) JOSEPH R MANNI (i)
(ii)
190,243
0
0
0
1,468
0
8,100
0
24,835
0
224,646
0
0
0
(6) SUSAN BONFIELD ESQ (i)
(ii)
272,106
0
5,000
0
540
0
9,914
0
23,793
0
311,353
0
0
0
(7) VICTOR HATALA (i)
(ii)
153,937
0
40,000
0
978
0
6,732
0
22,725
0
224,372
0
0
0
(8) RITA ZENNA (i)
(ii)
172,183
0
2,000
0
846
0
7,499
0
25,352
0
207,880
0
0
0
(9) JAMES CARLINO (i)
(ii)
167,568
0
2,500
0
577
0
9,059
0
23,447
0
203,151
0
0
0
(10) RICHARD C KOVACH MD (i)
(ii)
595,151
0
19,874
0
1,548
0
7,512
0
25,798
0
649,883
0
0
0
(11) ARTHUR NG MD (i)
(ii)
587,950
0
0
0
828
0
11,274
0
25,798
0
625,850
0
0
0
(12) RAFFAELE CORBISIERO MD (i)
(ii)
547,185
0
5,000
0
828
0
9,704
0
23,572
0
586,289
0
0
0
(13) THOMAS C GALLAGHER MD (i)
(ii)
493,305
0
0
0
1,548
0
9,658
0
25,578
0
530,089
0
0
0
(14) KONSTANTIN DATESHIDZE MD (i)
(ii)
486,122
0
0
0
2,376
0
11,473
0
25,798
0
525,769
0
0
0


Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING 2011. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOHN R. ERNST, $200,000.
COMPENSATION INFORMATION 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 2011 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, $4,550.
COMPENSAITON INFORMATION SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
Schedule J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT 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 was 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 well, Deborah has expanded its service lines to include corollary diseases that relate to cardiac health, for example, recently opening the Joslin Diabetes Center Affiliate at Deborah and the Women's Health Center. 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 ROOM, it leases an area in the center's main hospital building to an unrelated South Jersey Hospital System that operates an emergency room 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 2011 Deborah received numerous recognitions and awards. These included Deborah's Healthy Heart Recipes named a 2011 Gold Winner in the CardioVascular Advertising Awards in the under 149-bed category and a bronze award in the 28th Annual Healthcare Advertising Awards Competition for their "Light of Day" commercial. 4 Lesser (a post-surgical unit) was ranked for an entire year in the top 1% of the nation for superior patient care by HCAHPS. As well, at the close of 2011, Thomson Reuters named Deborah as one of the nation's Top 50 Cardiovascular Hospitals for 2012. Numerous Deborah physicians were recognized as "Top Docs" by SJ and South Jersey Magazines including: Rebecca Armbruster, D.O.; Chhaya Bali, M.D.; Raffaele Corbisiero, M.D.; Konstantin Dateshidze, M.D.; Jon George, M.D.; David Hsi, M.D.; Lynn B. McGrath, M.D.; Michael Neary, M.D.; Arthur Ng, M.D.; Alexander Poulathas, D.O.; and Dr. Jenine Vecchio, M.D. Additionally, NJTopHospital.com rated Deborah as a Top Cardiac Center and Deborah was ranked 16th in the Philadelphia Metro Area by U.S. News and World Report's Best Hospitals Metro Area Rankings. Deborah was recognized both for its cardiac and pulmonary programs Deborah was also rated as one of New Jersey's Top Hospitals by Inside Jersey Magazine in March. In the under 350-bed category, Deborah was rated the #1 hospital by patients, and #4 hospital by physicians. As well, Deborah ranked #1 by patients for room & bathroom cleanliness & for registered nurses always communicating well. Patients rated Deborah #2 for doctor communication. Physician ratings ranked Deborah as #2 in the state for both coronary surgery and the treatment of heart failure. As well, Deborah was recognized by HealthStream Research with an Excellence Through Insight Award for Overall Inpatient Satisfaction for 2010 in the medium hospital category. 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
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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 and your family and friends to attend all the club functions. The clubs meets 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 an annual Go Red for Women event 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. Other community benefit programs -------------------------------- Approximately 4,275 individuals benefited from the community benefit programs offered by Deborah heart and lung during its year ended December 31, 2011. 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, 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. 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.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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. 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.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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 staff 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. Perinatal Cardiology Comprehensive assessment of the fetus and neonate with suspected cardiac disease is provided. Fetal echocardiography provides information regarding structural heart disease, and allows monitoring of cardiac performance. Early identification of the fetus with heart disease and appropriate family counseling contribute to the best possible outcome for infants with complex congenital heart disease. 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. 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. Outpatient Post Procedure 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.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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 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.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT 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.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11A 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.
DISCLOSURE INFORMATION 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.
DISCLOSURE INFORMATION 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 2011 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 HEALTH CARE 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.
DISCLOSURE INFORMATION 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 SECRETARY OF THE TREASURY.
COMPENSATION INFORMATION DISCLOSURE 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 interim 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.
RELATED HOURS DISCLOSURE 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.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 5 OTHER CHANGES IN FUND BALANCE INCLUDE: - UNREALIZED GAINS ON INVESTMENTS, ($358,641); - CONTRIBUTIONS FOR CAPITAL RENOVATIONS AND EQUIPMENT ACQUISITIONS, $1,539,515; - OTHER CHANGES IN UNRESTRICTED NET ASSETS, $807,555; - OTHER CHANGES IN RETIREMENT BENEFIT OBLIGATION, ($6,725,344); - NET ASSETS RELEASED FROM RESTRICTION, ($1,846,860); - CHANGES IN FAIR VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST, ($18,939); - CHANGE IN BENEFICIAL INTEREST IN RESTRICTED NET ASSETS OF DEBORAH HOSPITAL FOUNDATION, ($256,204).
AUDITED FINANCIAL STATEMENTS 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, 2011 AND DECEMBER 31, 2010; 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
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DEBORAH HEART AND LUNG CENTER
 
Employer identification number

23-1550955
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity



















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) DEBORAH HOSPITAL FOUNDATION

212 TRENTON ROAD

BROWNS MILLS,NJ08015
22-2049500
SUPPORT NJ 501(C)(3) 509(A)(1) NA
 
 
No












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) ADVANCED MEDICAL MANAGEMENT SERVICES
200 TRENTON ROAD
BROWNS MILLS,NJ08015
20-4912042
MGMT SVCS. NJ DHLC
 
C CORP. 321,277 180,394 100.000 %
(2) DEBORAH CARDIOVASCULAR GROUP PC
200 TRENTON ROAD
BROWNS MILLS,NJ08015
03-0494366
HEALTHCARE SVcs. NJ DHLC
 
S CORP.      










Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) ADVANCED MEDICAL MANAGEMENT SERVICES INC

K 189,725 COST
(2) ADVANCED MEDICAL MANAGEMENT SERVICES INC

D 51,540 COST
(3)

(4)

(5)

(6)

Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: