TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) PAUL J STENDARDI........................................................................ CHAIRMAN - TRUSTEE	14.0 .......................	X	X		0	0
(2) JOSEPH CHIRICHELLA........................................................................ TRUSTEE - PRESIDENT/CEO	55.0 .......................	X	X		456,809	44,939
(3) PAUL J DEMASSI........................................................................ TRUSTEE	1.0 .......................	X			0	0
(4) SANDI FEIN........................................................................ TRUSTEE	1.0 .......................	X			0	0
(5) REVEREND ANTHONY LIPARI........................................................................ TRUSTEE	1.0 .......................	X			0	0
(6) GEORGE S LOESCH........................................................................ TRUSTEE	1.0 .......................	X			0	0
(7) CHARLES J MCAFEE........................................................................ TRUSTEE	1.0 .......................	X			0	0
(8) LYNN MCGRATH MD........................................................................ TRUSTEE - VP MEDICAL AFFAIRS	55.0 .......................	X	X		1,162,398	41,856
(9) ROBERT C MESSINA MD........................................................................ TRUSTEE	1.0 .......................	X			0	0
(10) CLAIRE K MOLOTSKY........................................................................ TRUSTEE	1.0 .......................	X			0	0
(11) JUDITH PERANTEAU........................................................................ TRUSTEE	1.0 .......................	X			0	0
(12) DOMINICK J PUGLIESE........................................................................ TRUSTEE	1.0 .......................	X			0	0
(13) BURTON C TREBOUR........................................................................ TRUSTEE	1.0 .......................	X			0	0
(14) R GRANT LEIDY........................................................................ CFO/VP FINANCE	55.0 .......................		X		295,776	52,452
(15) JOSEPH R MANNI........................................................................ COO	55.0 .......................		X		251,412	41,813
(16) SUSAN D BONFIELD ESQ........................................................................ VP LEGAL & REGULATORY AFFAIRS	55.0 .......................			X	302,824	43,725
(17) RITA ZENNA........................................................................ VP PATIENT CARE SERVICES	55.0 .......................			X	186,729	39,076

(A) Name and business address	(B) Description of services	(C) Compensation
INNOVATIVE CONTRACTING SOLUTIONS L, 1103 LAUREL OAK ROAD SUITE 160VOORHEESNJ08043	CONSULTING	747,956
MC CARTER ENGLISH LLP, FOUR GATEWAY CENTER 100 MULBERRY SNEWARKNJ071010652	LEGAL	493,348
UNIVERSITY OF MEDICINE DENTISTRY, 335 GEORGE STREET PO BOX 2685NEW BRUNSWICKNJ089032685	MEDICAL	309,160
SILLS CUMMIS GROSS PC, ONE RIVERFRONT PLAZANEWARKNJ071025400	LEGAL	270,884
QUEST DIAGNOSTICS, PO BOX 828669PHILADELPHIAPA19182	LABORATORY SERVICES	269,954
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 12

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	0
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 ....	3,336,194	3,002,575	333,619	0
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	60,279,013	54,251,112	6,027,901
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,971,939	3,574,745	397,194
9	Other employee benefits .......	9,097,879	8,188,091	909,788
10	Payroll taxes ...........	4,222,423	3,800,181	422,242
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	2,665,523	2,398,971	266,552
c	Accounting ...........	770,775	693,698	77,077
d	Lobbying ...........	173,985	156,587	17,398
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	8,561,083	7,704,974	856,109
12	Advertising and promotion ....	234,239	210,815	23,424
13	Office expenses .......	2,065,434	1,858,891	206,543
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	66,877	60,189	6,688
17	Travel ............	169,647	152,682	16,965
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	1,385,352	1,246,817	138,535
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	5,198,867	4,678,980	519,887
23	Insurance ..............	2,119,926	1,907,933	211,993
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	38,272,650	34,445,385	3,827,265	0
b	REPAIRS AND MAINTENANCE	3,612,954	3,251,659	361,295
c	UTILITIES	1,276,108	1,148,497	127,611
d	ASSESSMENTS	992,780	893,502	99,278
e	All other expenses	2,331,225	2,098,103	233,122
25	Total functional expenses. Add lines 1 through 24e	150,804,873	135,724,387	15,080,486	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	1,850	1	1,850
2	Savings and temporary cash investments .........	7,575,153	2	10,670,127
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	14,889,631	4	14,388,948
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	3,700,333	7	4,664,810
8	Inventories for sale or use ..............	3,653,501	8	3,949,858
9	Prepaid expenses and deferred charges ..........	810,537	9	704,780
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	62,332,147
b	Less: accumulated depreciation .....	10b	31,367,225	29,559,003	10c	30,964,922
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 .....	16,514,425	13	18,263,309
14	Intangible assets ...............	1,394,452	14	1,203,255
15	Other assets. See Part IV, line 11 ...........	921,444	15	876,553
16	Total assets. Add lines 1 through 15 (must equal line 34)......	79,020,329	16	85,688,412
	17	Accounts payable and accrued expenses .........	26,963,972	17	22,956,526
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	19,200,238	20	17,893,700
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other 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 ..	3,137,249	23	4,440,200
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....................	40,460,913	25	28,598,494
26	Total liabilities. Add lines 17 through 25.........	89,762,372	26	73,888,920
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	-18,521,871	27	1,853,393
28	Temporarily restricted net assets ...........	7,779,828	28	9,946,099
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	-10,742,043	33	11,799,492
34	Total liabilities and net assets/fund balances ........	79,020,329	34	85,688,412

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of 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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

DEBORAH HEART AND LUNG CENTER

Employer identification number

23-1550955

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization DEBORAH HEART AND LUNG CENTER

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, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization DEBORAH HEART AND LUNG CENTER

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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

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

(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

(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

(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

(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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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, Part V, 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable 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) 2013

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

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

173,985

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

173,985

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1G	DURING 2013, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS $130,719 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN SENIOR MANAGEMENT PERSONNEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTS TO $33,560. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $9,706.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1G

DURING 2013, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS $130,719 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN SENIOR MANAGEMENT PERSONNEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTS TO $33,560. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $9,706.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

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 XIII, the text of the footnote to its financial statements that describes these items.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	7,779,828	7,333,961	7,837,348	4,383,961	0
b	Contributions ........	5,633,910	1,116,066	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 ........	3,467,639	670,199	1,846,862
f	Administrative expenses ....
g	End of year balance ......	9,946,099	7,779,828	7,333,961	7,837,348	4,383,961

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

100.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	312,365		312,365
b	Buildings ................	38,139,826	16,832,704	21,307,122
c	Leasehold improvements ............	0
d	Equipment ................	22,463,262	14,534,521	7,928,741
e	Other .................	1,416,694		1,416,694
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				30,964,922

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) LIMITED USE	626,901	F
(2) CORPORATE BONDS; LIMITED USE	303,161	F
(3) EQUITY SECURITIES; LIMITED USE	4,347,128	F
(4) USE	4,025,498	F
(5) COMPANY	351,450	F
(6) INTEREST IN DHF ASSETS	6,784,006	F
(7) PERPETUAL TRUST	1,825,165	F


Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	18,263,309

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. 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.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
THIRD-PARTY PAYORS, NET		6,485,334
ACCRUED PENSION EXPENSE		13,659,553
LIABILITY		4,355,473
ACCRUED INTEREST PAYABLE		554,715
DEFERRED RENTAL INCOME		3,543,419




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		28,598,494
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ...........	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 XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	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 XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART V, QUESTION 4
SCHEDULE D, PART X	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DEBORAH HEART AND LUNG CENTER AND ITS WHOLLY OWNED, FOR-PROFIT SUBSIDIARY FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48(ASC 740): THE CENTER FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.

Return Reference

Explanation

SCHEDULE D, PART V, QUESTION 4

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DEBORAH HEART AND LUNG CENTER AND ITS WHOLLY OWNED, FOR-PROFIT SUBSIDIARY FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48(ASC 740): THE CENTER FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

DEBORAH HEART AND LUNG CENTER

Employer identification number

23-1550955

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining 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, as a factor in determining eligibility for free or discounted care.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

If "Yes," did the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) ..	13,749,508	6,935,665	6,813,843	4.520 %
b	Medicaid (from Worksheet 3, column a) ....	6,563,418	2,446,524	4,116,894	2.730 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	20,312,926	9,382,189	10,930,737	7.250 %
Other Benefits		242,202	26,107	216,095	0.140 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	242,202	26,107	216,095	0.140 %
f	Health professions education (from Worksheet 5) ..	2,851,923	402,945	2,448,978	1.620 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	3,094,125	429,052	2,665,073	1.760 %
k	Total. Add lines 7d and 7j .	23,407,051	9,811,241	13,595,810	9.010 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

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

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

60,290,645

Enter Medicare allowable costs of care relating to payments on line 5.....

59,917,700

Subtract line 6 from line 5. This is the surplus (or shortfall)........

372,945

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

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.......................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number				Facility reporting group
1	DEBORAH HEART AND LUNG CENTER 200 TRENTON ROAD BROWNS MILLS,NJ08015 WWW.DEBORAH.ORG	X	X	1

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	DEBOARH HEART AND LUNG CENTER
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.DEBORAH.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10		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.
11	Used FPG to determine eligibility for providing discounted care?.................	11		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.
12	Explained the basis for calculating amounts charged to patients?.................	12	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	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 website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	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?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’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 Section C)
17	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 individual’s eligibility under the facility’s FAP?..........	17		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 Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. 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) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

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

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

DEBORAH HEART AND LUNG CENTER

Employer identification number

23-1550955

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used 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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

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 (E) amounts for that individual.

(A) Name and Title		(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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable 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
(1)JOSEPH CHIRICHELLATRUSTEE - PRESIDENT/CEO	(i) (ii)	405,261 0	50,000 0	1,548 0	10,057 0	34,882 0	501,748 0	0 0
(2)LYNN MCGRATH MDTRUSTEE - VP MEDICAL AFFAIRS	(i) (ii)	1,158,299 0	1,723 0	2,376 0	10,948 0	30,908 0	1,204,254 0	0 0
(3)R GRANT LEIDYCFO/VP FINANCE	(i) (ii)	283,309 0	10,000 0	2,467 0	29,734 0	22,718 0	348,228 0	0 0
(4)JOSEPH R MANNICOO	(i) (ii)	249,745 0	0 0	1,667 0	9,781 0	32,032 0	293,225 0	0 0
(5)SUSAN D BONFIELD ESQVP LEGAL & REGULATORY AFFAIRS	(i) (ii)	291,964 0	10,000 0	860 0	10,091 0	33,634 0	346,549 0	0 0
(6)RITA ZENNAVP PATIENT CARE SERVICES	(i) (ii)	180,181 0	5,000 0	1,548 0	7,237 0	31,839 0	225,805 0	0 0
(7)JAMES F CARLINOVP HUMAN RESOURCES	(i) (ii)	174,912 0	5,000 0	805 0	7,822 0	30,759 0	219,298 0	0 0
(8)VICTOR M HATALADIRECTOR PRACTICE DEVELOPMENT	(i) (ii)	157,871 0	0 0	2,179 0	4,943 0	32,093 0	197,086 0	0 0
(9)RICHARD C KOVACH MDPHYSICIAN	(i) (ii)	597,428 0	27,340 0	1,727 0	9,790 0	32,630 0	668,915 0	0 0
(10)ARTHUR NG MDPHYSICIAN	(i) (ii)	587,181 0	2,675 0	828 0	9,559 0	31,134 0	631,377 0	0 0
(11)RAFFAELE CORBISIERO MDPHYSICIAN	(i) (ii)	547,785 0	7,047 0	828 0	9,591 0	29,765 0	595,016 0	0 0
(12)THOMAS C GALLAGHER MDPHYSICIAN	(i) (ii)	494,332 0	12,399 0	2,467 0	9,704 0	26,895 0	545,797 0	0 0
(13)DAVID H HSI MDPHYSICIAN	(i) (ii)	497,768 0	1,667 0	1,548 0	13,745 0	29,991 0	544,719 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

SCHEDULE J, PART I; QUESTION 4B

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

SCHEDULE J, PART I; QUESTION 7

CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

DEBORAH HEART AND LUNG CENTER

Employer identification number

23-1550955

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== BACKGROUND AND HISTORY DEBORAH HEART AND LUNG CENTER IS A TERTIARY CARE REFERRAL CENTER SPECIALIZING IN THE MANAGEMENT OF CARDIOVASCULAR, PULMONARY, AND VASCULAR DISEASES. LOCATED IN BROWNS MILLS IN SOUTHERN NJ, THIS 89 BED HOSPITAL IS MIDWAY BETWEEN PHILADELPHIA AND THE JERSEY SHORE. THE CENTER OFFERS, WITH THE EXCEPTION OF CARDIAC TRANSPLANT, THE FULL SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO PATIENTS WITH CARDIAC, VASCULAR, AND PULMONARY DISEASES. WE ANNUALLY PERFORM DIAGNOSTIC, INTERVENTIONAL CARDIAC AND PERIPHERAL VASCULAR PROCEDURES, NUCLEAR CARDIAC DIAGNOSTIC TESTS, ECHOCARDIOGRAPHIC PROCEDURES, AND ELECTROPHYSIOLOGY DEVICE IMPLANTATIONS. PATIENT ACCESS TO DEBORAH BY WAY OF REFERRAL FROM REGIONAL COMMUNITY HOSPITALS AND A LARGE OUT-PATIENT CLINIC SERVICE HAS RESULTED IN A PATIENT POPULATION WITH DIVERSE AND COMPLEX CARDIOVASCULAR AND PULMONARY DISEASES. DEBORAH HEART AND LUNG CENTER WAS ESTABLISHED IN 1922 AS A TUBERCULOSIS SANITARIUM AND PULMONARY CENTER. LEGEND HAS IT THAT DEBORAH'S RURAL BURLINGTON COUNTY LOCATION IS KEY TO RECOVERY BECAUSE OF THERAPEUTIC PINE BARREN AIR. IN REALITY, THOUSANDS OF TB PATIENTS WERE MEDICALLY TREATED AND SUCCESSFULLY CURED BY DEBORAH PHYSICIANS. WITH THE DEVELOPMENT OF ANTIBIOTIC MEDICATIONS, WHICH ERADICATED TB, DEBORAH BEGAN EXPANDING ITS FOCUS TO OTHER CHEST DISEASES. IN 1958, DR. CHARLES BAILEY, A PIONEER IN HEART SURGERY, PERFORMED THE FIRST OPEN HEART SURGERY AT DEBORAH. THE SPECIALTY OF CARDIAC DISEASES WAS IMMEDIATELY EMBRACED AND DEBORAH EVOLVED INTO THE ONLY CARDIAC AND PULMONARY SPECIALTY HOSPITAL IN NJ. TODAY, DEBORAH OFFERS THE LATEST SURGICAL TECHNIQUES AND NON-SURGICAL ALTERNATIVES FOR DIAGNOSING AND TREATING ALL FORMS OF CARDIAC, VASCULAR AND PULMONARY DISEASES IN ADULTS AND CONGENITAL AND ACQUIRED HEART DEFECTS IN ADULTS AND CHILDREN. AS OUTLINED HEREIN, DEBORAH HEART AND LUNG CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DEBORAH HEART AND LUNG CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE DEBORAH HEART AND LUNG CENTER DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, DEBORAH HEART AND LUNG CENTER SPONSORS CERTAIN OTHER PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS INCLUDING COMMUNITY SERVICE PROGRAMS AND SERVICES FOR SCHOOL-AGED CHILDREN AND THE ELDERLY. DEBORAH HEART AND LUNG CENTER ALSO ACTIVELY SPONSORS PROGRAMS ON HEALTH EDUCATION AND WELLNESS. DEBORAH HEART AND LUNG CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY AND COMMUNITY SERVICE POLICIES. CHARITY CARE INCLUDES SERVICES TO UNINSURED PATIENTS WHOM DEBORAH HEART AND LUNG CENTER HAS DETERMINED QUALIFY FOR CHARITY CARE UNDER DEBORAH HEART AND LUNG POLICIES. PATIENT RESPONSIBILITY RELATED TO SERVICES REIMBURSED BY FEDERAL, STATE AND COMMERCIAL INSURANCE PROGRAMS ARE NOT PURSUED WITH DEBORAH HEART AND LUNG CENTER FORGOING THE REVENUE FOR THESE UNPAID BALANCES. ADDITIONALLY, DEBORAH HEART AND LUNG CENTER SPONSORS MANY PROGRAMS AND PROVIDES OTHER PATIENT SERVICES WHICH DIRECTLY BENEFIT THE SURROUNDING COMMUNITY. DEBORAH HEART AND LUNG CENTER ============================= DEBORAH HEART AND LUNG CENTER IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, DEBORAH HEART AND LUNG CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, DEBORAH HEART AND LUNG CENTER OPERATES WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. DEBORAH HEART AND LUNG CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. ALTHOUGH DEBORAH HEART AND LUNG CENTER DOES NOT OPERATE AN ACTIVE EMERGENCY DEPARTMENT, IT LEASES AN AREA IN THE CENTER'S MAIN HOSPITAL BUILDING TO AN UNRELATED SOUTH JERSEY HOSPITAL SYSTEM THAT OPERATES AN EMERGENCY DEPARTMENT ON THE DEBORAH CAMPUS. IN ADDITION, AS A REGIONAL REFERRAL CENTER AND SPECIALTY HOSPITAL WE ROUTINELY RECEIVE TRANSFERS FROM OTHER HOSPITALS' EMERGENCY DEPARTMENTS AS WELL AS ADMISSIONS FROM OUR OWN CLINIC AND DIRECT ADMISSIONS FROM REFERRING PHYSICIANS WITHOUT CONSIDERATION OF THE PATIENTS' ABILITY TO PAY. 3. CONTROL OF DEBORAH HEART AND LUNG CENTER RESTS WITH ITS BOARD OF TRUSTEES WHOSE BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 4. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. THE OPERATIONS OF DEBORAH HEART AND LUNG CENTER, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF DEBORAH HEART AND LUNG CENTER IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. AWARDS ====== IN 2013 DEBORAH RECEIVED NUMEROUS RECOGNITIONS AND AWARDS. THESE INCLUDED BEING RATED AS ONE OF THE TOP HOSPITALS IN NEW JERSEY BY INSIDE JERSEY MAGAZINE IN THEIR APRIL EDITION FOR HOSPITALS WITH 350 BEDS OR FEWER. DEBORAH WAS RANKED AS #1 HOSPITAL FOR BYPASS SURGERY, #1 HOSPITAL FOR PATIENTS HIGHLY SATISFIED, #1 HOSPITAL FOR DOCTORS ALWAYS COMMUNICATING WELL, #1 HOSPITAL FOR RNS ALWAYS COMMUNICATING WELL, AND #2 TOP HOSPITAL FOR THE TREATMENT OF CONGESTIVE HEART FAILURE. SJ MAGAZINE NAMED 3 DEBORAH PHYSICIANS TO THEIR TOP DOCS LIST. THESE INCLUDE DR. FRANK FISH, DR. JON GEORGE, AND DR. JOHN COOPER. SOUTH JERSEY MAGAZINE'S 2013 BEST PHYSICIANS IN SOUTH JERSEY INCLUDED DR. RAFFAELE CORBISIERO, DR. FRANK FISH, DR. JON GEORGE, DR. DAVID HSI, DR. DAVID MALETZKY, DR. ANDREW MARTIN, DR. LYNN MCGRATH, DR. ARTHUR NG, DR. MATTHEW SAMRA, DR. BETSY SCHLOO, DR. DANA SUPE, AND DR. JENINE VECCHIO. SOUTH JERSEY BIZ MAGAZINE NAMED DR. JENINE VECCHIO TO THEIR "WHO'S WHO IN HEALTH CARE" LIST. DEBORAH WAS RECOGNIZED WITH EXCELLENCE THROUGH INSIGHT AWARDS FROM HEALTHSTREAM, INC., DISTINGUISHED IN OVERALL INPATIENT (HCAHPS) SATISFACTION, AS WELL AS FOR INPATIENT CARDIOLOGY AND OUTPATIENT CARDIOLOGY. DEBORAH IS A 2013 RECIPIENT OF A NATIONAL RATING ORGANIZATION'S OUTSTANDING PATIENT EXPERIENCE AWARD. THE PHILADELPHIA INQUIRER REPORTED DEBORAH'S 76% SCORE IN THE FEDERAL GOVERNMENT'S HOSPITAL COMPARE WEB SITE. IN THE INQUIRER'S LISTING REPORT, DEBORAH WAS THE THIRD HIGHEST REGIONAL SCORING HOSPITAL AND THE TOP RANKED NEW JERSEY HOSPITAL. BECKER'S HOSPITAL REVIEW HAS NAMED DEBORAH AS A 2013 HOSPITAL WITH A GREAT HEART PROGRAM. AS WELL, DR. EDMUND KARAM WAS RECOGNIZED FOR BEING NAMED TO THE STEREOTAXIS "CENTURY CLUB" WHICH RECOGNIZES THE TOP ROBOTIC ABLATION EXPERTS IN THE NATION. SOUTH JERSEY MAGAZINE RECOGNIZED THE JOSLIN DIABETES CENTER AFFILIATE AT DEBORAH IN ITS "BEST OF FAMILY 2013" ROUND-UP ISSUE IN OCTOBER DEBORAH'S MEDICAL STAFF HOSTED A COMPREHENSIVE CARDIOLOGY SYMPOSIUM AT THE REVEL RESORTS IN ATLANTIC CITY AND PROVIDED 27 COMPELLING PRESENTATIONS ON A SERIES OF ADVANCED THERAPIES FOR PATIENTS WITH CARDIAC, VASCULAR AND METABOLIC DISEASE TO OVER 200 CONFERENCE ATTENDEES. DEBORAH HOSTED A PAD/AAA SCREENING FAIR IN SEPTEMBER AND HAD A RECORD-BREAKING CROWD WITH NUMEROUS IDENTIFIED DISEASES: PERIPHERAL ARTERIAL DISEASE, ABDOMINAL AORTIC ANEURYSMS, CAROTID STENOSIS, SUBCLAVIAN STENOSIS, HYPERTENSION, CORONARY ARTERY DISEASE, VENOUS INSUFFICIENCY, SLEEP RELATED NIGHT CRAMPING, AND SYMPTOMATIC VARICOSE VEIN DISEASE. ADDITIONALLY, A NATIONAL RATING ORGANIZATION RELEASED ITS AMERICA'S TOP QUALITY HOSPITALS RATINGS. THE HIGHLIGHTS OF THAT RANKING ARE AS FOLLOWS: - DEBORAH RANKED OVERALL #3 IN THE STATE FOR CARDIAC CARE. OUR 95.3% RATING IS BASED ON COMPILED DATA ON OVERALL MORTALITY, COMPLICATIONS, INPATIENT QUALITY, PATIENT SAFETY AND CORE PROCESSES. THIS HIGH RANKING IN THE STATE ALSO UNDERSCORES OUR REGIONAL LEADERSHIP. - DEBORAH IS RATED WITHIN THE TOP 100 IN THE NATION FOR CARDIAC CARE IN THE PATIENT SAFETY AWARD SUMMARY. AS WELL IN PATIENT SAFETY, DEBORAH IS RANKED IN THE TOP 10% IN THE NATION FOR OVERALL HOSPITAL CARE; OVERALL SURGICAL CARE; CARDIAC CARE AND INTERVENTIONAL CORONARY CARE; AS WELL THE HOSPITAL'S PATIENT SAFETY RANKING PLACES IT IN THE TOP 10% IN THE STATE FOR CARDIAC CARE AND INTERVENTIONAL CORONARY CARE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- DEBORAH'S PATIENT SATISFACTION AWARD SUMMARY RANKS THE HOSPITAL IN THE TOP 10% IN THE NATION AND IN THE STATE FOR OVERALL HOSPITAL, MEDICAL, AND SURGICAL CARE, AS WELL AS BEING #1 IN THE STATE FOR ALL THREE CATEGORIES. - DEBORAH'S MEDICAL EXCELLENCE AWARD SUMMARY RANKS THE HOSPITAL IN THE TOP 10% IN THE NATION FOR CARDIAC CARE AND VASCULAR SURGERY AND TOP 10% IN THE STATE FOR CARDIAC CARE, INTERVENTIONAL CAROTID CARE, AND VASCULAR SURGERY. AFFILIATIONS DEBORAH HEART AND LUNG CENTER HAS ESTABLISHED RELATIONSHIPS WITH VARIOUS NJ STATEWIDE ORGANIZATIONS. THESE PARTNERSHIPS ARE ENDORSED BY THE EXECUTIVE LEADERSHIP AND/OR GOVERNING BODY OF EACH ORGANIZATION. THE ENDORSEMENT SIGNIFIES THAT THE ORGANIZATION RECOGNIZES DEBORAH'S PREMIER STATUS AS A SPECIALTY HOSPITAL AND ENCOURAGES ITS MEMBERS TO UTILIZE ALL DEBORAH SERVICES. MEMBERS ARE GIVEN A CONTACT PERSON/DEPARTMENT AT THE HOSPITAL TO ASSIST WITH THE APPOINTMENTS, ANSWER QUESTIONS, AND TROUBLESHOOT ANY CONCERNS OR ISSUES. THERE IS NO FINANCIAL CONNECTION WITH THE RELATIONSHIP. MEMBERS' INSURANCE ARE ACCESSED BUT NO MEMBER RECEIVES A BILL FOR ANY CO-PAY, DEDUCTIBLE OR CO-INSURANCE PAYMENTS. - NEW JERSEY STATE FIREMEN'S MUTUAL BENEVOLENT ASSOCIATION - NEW JERSEY STATE FIREMAN'S ASSOCIATION - VETERANS OF FOREIGN WARS - NEW JERSEY STATE FIRST AID COUNCIL - KNIGHTS OF PYTHIAS - KNIGHTS OF COLUMBUS - PAINTERS AND ALLIED TRADES DISTRICT COUNCIL - MAJOR LEAGUE BASEBALL PLAYERS ALUMNI - NEW JERSEY EDUCATION ASSOCIATION - NEW JERSEY STATE POLICE BENEVOLENT ASSOCIATION - NEW JERSEY STATE ASSOCIATION OF CHIEFS OF POLICE COMMUNITY BENEFIT ================= DEBORAH HEART AND LUNG CENTER IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION, OFFERING NUMEROUS HEALTHCARE RELATED PROGRAMS AND ACTIVITIES. OUTLINED BELOW ARE A NUMBER OF DEBORAH HEART AND LUNG CENTER COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW DEBORAH HEART AND LUNG BENEFITS THE SURROUNDING COMMUNITY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SUPPORT GROUPS -------------- DEBORAH HEART AND LUNG CENTER WANTS TO LET YOU KNOW THAT THERE ARE PEOPLE WHO KNOW HOW DIFFICULT, ANXIOUS AND FRIGHTENING IT CAN BE TO FIND OUT YOU HAVE CARDIAC OR PULMONARY DISEASE. THERE ARE PEOPLE OUT THERE WHO HAVE SUCCESSFULLY GONE DOWN THE SAME ROAD AS YOU, AND ARE ENJOYING LIFE TO THE FULLEST! THE ZAPPER CLUB, THE ZIPPER CLUB AND THE BETTER BREATHERS CLUB ARE GROUPS OF PEOPLE WHO HAVE GONE THROUGH THE SAME THINGS YOU HAVE. THEY WANT THE SAME THINGS FROM LIFE THAT YOU DO. THE CLUBS HAVE BEEN FORMED FOR YOU, TO SUPPORT YOU, AND INTRODUCE YOU TO OTHERS WHO WANT TO SHARE THEIR STORIES AND EXPERIENCES. DEBORAH ENCOURAGES YOU, YOUR FAMILY, AND FRIENDS TO ATTEND ALL THE CLUB FUNCTIONS. THE CLUBS MEET AT DEBORAH HEART AND LUNG CENTER. THERE ARE NO DUES OR FEES REQUIRED TO JOIN THE CLUB. COME JOIN US! ZAPPER CLUB IS FOR PEOPLE WITH IMPLANTABLE DEFIBRILLATORS (ICDS). ZIPPER CLUB IS FOR PEOPLE OF ALL AGES WITH HEART PROBLEMS. THEY ALSO HAVE AN IN-HOSPITAL VISITATION PROGRAM WITH COUNSELORS WHO HAVE HAD OPEN HEART SURGERY. BETTER BREATHERS' CLUB IS FOR PEOPLE WITH CHRONIC LUNG DISEASE. HEALTH EDUCATION ---------------- DEBORAH HAS A VARIETY OF ON-SITE WELLNESS PROGRAMS INCLUDING YOGA CLASSES AND SMOKING CESSATION TO HELP PROMOTE GENERAL HEALTH AND WELL-BEING. FELLOWSHIP PROGRAM AND THREE YEAR FELLOWSHIP PROGRAM THE FELLOWSHIP FOR GENERAL TRAINING IN CARDIOVASCULAR DISEASES IS OFFERED TO GRADUATES OF AOA APPROVED INTERNAL MEDICINE RESIDENCY PROGRAMS. THE CARDIOLOGY FELLOWSHIP PROGRAM IS SPONSORED THROUGH THE PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE OPTI NETWORK (PCOM MED-NET) AND IS AN AOA APPROVED FELLOWSHIP PROGRAM. TWO FELLOWSHIP TRACKS ARE AVAILABLE AND THE TRAINEES CHOICE IS MADE TOWARD THE END OF THEIR FIRST YEAR OF TRAINING: 1) THE INVASIVE TRACK INCLUDES FOCUSED LAB BASED TRAINING IN DIAGNOSTIC CARDIAC CATHETERIZATION AND ECHOCARDIOGRAPHY, 2) THE NON-INVASIVE TRACK INCLUDES FOCUSED LAB BASED TRAINING IN ECHOCARDIOGRAPHY AND NUCLEAR CARDIOLOGY (INCLUDING DIDACTIC TRAINING TO QUALIFY FOR A LICENSE FROM THE NUCLEAR REGULATORY COMMISSION). ALL FELLOWS, REGARDLESS OF THEIR CHOSEN CAREER TRACK, RECEIVE TRAINING IN ALL FACETS OF CLINICAL CARDIOLOGY. IN ADDITION TO THE THREE YEAR PROGRAM, DEBORAH OFFERS ADVANCED TRAINING PROGRAMS IN INTERVENTIONAL CARDIOLOGY AND ELECTROPHYSIOLOGY FOR FELLOWS WHO HAVE COMPLETED AN AOA APPROVED THREE YEAR FELLOWSHIP. THERE IS ALSO A ONE YEAR ECHOCARDIOGRAPHY-NUCLEAR TRAINING PROGRAM FOR QUALIFIED FELLOWS WHO WISH TO PURSUE ADVANCED ECHO TRAINING THAT WOULD MEET ACC GUIDELINES FOR ECHO LABORATORY DIRECTORS AND PROVIDE TRAINING IN NUCLEAR CARDIOLOGY TO QUALIFY FOR A LICENSE FROM THE NUCLEAR REGULATORY COMMISSION. ONE MONTH ELECTIVE ROTATIONS IN THE MICU OR ON A CLINICAL CARDIOLOGY IN-PATIENT SERVICE ARE OFFERED TO INTERNAL MEDICINE RESIDENTS AT THEIR REQUEST. THIS IS NOT ONLY A WORTHWHILE LEARNING EXPERIENCE, BUT AFFORDS PROSPECTIVE APPLICANTS A CHANCE TO EXPERIENCE THE CARDIOLOGY TRAINING PROGRAM AT DEBORAH. THIS IS NOT, HOWEVER, A REQUIREMENT FOR APPLICATION OR ADMISSION TO THE FELLOWSHIP PROGRAM. HOUSING IS AVAILABLE ON THE HOSPITAL CAMPUS. HEALTH SCREENINGS ----------------- DEBORAH HEART AND LUNG CENTER PROVIDES OPPORTUNITIES FOR THE COMMUNITY TO MONITOR THEIR HEALTH THROUGH SCREENINGS AVAILABLE AT DEBORAH HEART AND LUNG CENTER AND THROUGHOUT THE COMMUNITIES THEY SERVE. AMONG THE ON-SITE SCREENINGS ARE OUR LUNG SCREENING PROGRAM AND A BALANCE BLITZ. AS WELL, AN ACTIVE COMMUNITY OUTREACH PROGRAM AT FAIRS, FESTIVALS, SENIOR CENTERS, AND AT OTHER OUTREACH EVENTS BRINGS THOUSANDS OF PEOPLE SCREENING OPPORTUNITIES EACH YEAR. CAPTAIN BUSCIO PROGRAM ALL CURRENT AND RETIRED FIREFIGHTERS, POLICE AND EMERGENCY RESPONDERS, AND THEIR OFFICERS ARE INVITED TO PARTICIPATE IN THIS SCREENING PROGRAM. THEY RECEIVE CONFIDENTIAL COMPREHENSIVE CARDIOVASCULAR AND PULMONARY MEDICAL EVALUATIONS. THESE ANNUAL EXAMINATIONS ARE PROVIDED BY DEBORAH HEART AND LUNG CENTER, AND A NORTHERN NEW JERSEY LOCATION, WHERE PROVIDERS ARE BOARD-CERTIFIED CARDIOLOGISTS AND PULMONOLOGISTS WHO HAVE GENEROUSLY OFFERED FIREFIGHTERS, POLICE, AND EMERGENCY RESPONDERS MEDICAL CARE THAT IS SPECIFIC TO THEIR PROFESSION. OTHER COMMUNITY BENEFIT PROGRAMS -------------------------------- APPROXIMATELY 4,648 INDIVIDUALS BENEFITED FROM THE COMMUNITY BENEFIT PROGRAMS OFFERED BY DEBORAH HEART AND LUNG DURING ITS YEAR ENDED DECEMBER 31, 2013. CARDIOLOGY SERVICES CONSULTATION SERVICES IN AMBULATORY CARE DEBORAH'S CLINICAL CARDIOLOGY SERVICES PROVIDE CONSULTATIONS FOR ALL PATIENTS WITH ACUTE AND CHRONIC HEART DISEASES. THE SCOPE OF CARE INCLUDES CONGENITAL AND ACQUIRED HEART DISEASES, CORONARY ARTERY DISEASE, RHEUMATIC HEART DISEASE, AND OTHER FORMS OF VALVULAR AND MYOCARDIAL DISEASE, CARDIOMYOPATHY AND HYPERTENSIVE HEART DISEASE, DISORDERS OF THE CORONARY AND NON-CORONARY CIRCULATION SYSTEMS, MYOCARDIAL FUNCTION, CARDIAC CONDUCTION SYSTEM AND CARDIAC VALVES. DEBORAH PHYSICIANS ALSO FOCUS ON ISSUES RELATING TO WOMEN AND HEART DISEASE AND RISK FACTOR EVALUATION AND MODIFICATION. AFTER ASSESSMENT, THE CARDIOLOGIST THEN CONSULTS WITH THE REFERRING PHYSICIAN TO DETERMINE THE MOST APPROPRIATE THERAPY FOR THE PATIENT. DEBORAH'S PHYSICIANS ARE SPECIALISTS IN BOTH MANAGING CARDIAC DISEASES AND DETERMINING THE APPROPRIATE TIME FOR SURGICAL INTERVENTION. ADULT CONGENITAL HEART DISEASE DEBORAH'S UNIQUE ADULT CONGENITAL HEART DISEASE PROGRAM COMBINES THE EXPERTISE OF PHYSICIANS TRAINED IN ADULT AND PEDIATRIC CARDIOVASCULAR MEDICINE AND SURGERY, WITH TAILORED MANAGEMENT OF THE DISEASE. USING A MULTIDISCIPLINARY APPROACH, DEBORAH'S PHYSICIANS EVALUATE BOTH THE PHYSICAL LIMITATIONS OF THE DISEASE AND PSYCHOSOCIAL ISSUES AS WELL AS REPRODUCTIVE AND GENETIC ISSUES. THROUGH THE AMBULATORY CARE CLINIC, EACH PATIENT UNDERGOES A DETAILED DIAGNOSTIC WORK-UP. CARDIAC CATHS AND EP EVALUATIONS ARE ALSO AVAILABLE. FOLLOW UP VISITS VARY FROM MONTHLY TO YEARLY AS REQUIRED BY THE CONSULTING PHYSICIAN. CARDIAC CATHETERIZATIONS ELECTIVE AND EMERGENT CARDIAC CATHETERIZATIONS ARE PERFORMED AT DEBORAH. THE MAJORITY OF ELECTIVE DIAGNOSTIC CATHETERIZATIONS ARE OUTPATIENT PROCEDURES IN WHICH THE PATIENT ARRIVES EARLY IN THE MORNING, HAS THE PROCEDURE, AND IS MONITORED UNTIL DISCHARGE (USUALLY 4-5 HOURS). FAST TRACK CATHETERIZATION THIS PROGRAM ENABLES REFERRING PHYSICIANS TO SEND PATIENTS FOR CARDIAC CATHETERIZATION WITHOUT A PRELIMINARY EVALUATION AT DEBORAH. PATIENTS ARE ADMITTED FOR CATHETERIZATION AT 7AM, AND BARRING COMPLICATIONS, ARE DISCHARGED BY 5:30PM. PATIENTS WHO DO NOT QUALIFY FOR FAST TRACK CATHETERIZATION TYPICALLY INCLUDE THOSE WITH SIGNIFICANT KIDNEY DYSFUNCTION, OR COMPLEX CARDIOVASCULAR PROBLEMS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	INTERVENTIONAL CARDIOLOGY AT DEBORAH, PATIENTS WITH CORONARY ARTERY DISEASE HAVE AN ARRAY OF INTERVENTIONAL TREATMENT OPTIONS WHICH CAN BE GENERALIZED TO ANGIOPLASTY VERSUS SURGERY. PATIENTS MAY HAVE HAD A DIAGNOSTIC CATHETERIZATION ELSEWHERE AND ARE REFERRED SPECIFICALLY FOR NON-SURGICAL INTERVENTION. MANY PATIENTS WHO HAVE UNDERGONE PREVIOUS SURGERIES CAN AVOID SECOND OPERATIONS THROUGH ANGIOPLASTY. DEBORAH PERFORMS THE FOLLOWING INTERVENTIONAL PROCEDURES: BALLOON ANGIOPLASTY, ROTATIONAL ATHERECTOMY, DIRECTIONAL CORONARY ATHERECTOMY (DCA), STENT DEPLOYMENT, ANGIOJET THROMBECTOMY, BALLOON VALVULOPLASTY, AND EXCIMER LASER ANGIOPLASTY (ELCA). ADDITIONAL PROCEDURES PERFORMED ARE TRANSCUTANEOUS PERICARDIOCENTESIS, RIGHT VENTRICULAR BIOPSY, AND INTRA-VASCULAR ULTRASOUND. ELECTROPHYSIOLOGY ================= ARRHYTHMIA EVALUATION AND TREATMENT DEBORAH'S ELECTROPHYSIOLOGISTS PERFORM A COMPREHENSIVE DIAGNOSTIC EVALUATION USING EKG, ELECTROPHYSIOLOGY STUDIES, TILT TESTING, AND HOLTER MONITORING. THESE TOOLS ASSIST THE PHYSICIAN IN IDENTIFYING THE ARRHYTHMIA AND APPROPRIATE TREATMENT FOR ANY SIMPLE OR COMPLEX ARRHYTHMIA PROBLEM. THE TREATMENT MAY BE AS SIMPLE AS MEDICATION OR MORE COMPLEX SUCH AS PACEMAKER/ICD THERAPY. THIS EVALUATION IS DONE ON AN INPATIENT AS WELL AS OUTPATIENT BASIS. RADIOFREQUENCY ABLATION THIS PROCEDURE IS USED TO TREAT ADULTS AND CHILDREN WITH SUPRAVENTRICULAR TACHYCARDIA, VENTRICULAR TACHYCARDIA, AND OTHER ATRIAL DYSRHYTHMIAS INCLUDING ATRIAL FLUTTER. WHEN SUCCESSFUL, IT CURES THE DYSRHYTHMIA. RADIOFREQUENCY ABLATION IS PERFORMED AT DEBORAH. PACEMAKER/ICD DEBORAH'S ELECTROPHYSIOLOGY PHYSICIANS IMPLANT A PACEMAKER IN A PATIENT WITH A SLOW HEART RATE, WHILE AN IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) IS A TREATMENT OPTION FOR PATIENTS WHO SUFFER WITH VENTRICULAR TACHYCARDIA AND VENTRICULAR FIBRILLATION. HOLTER MONITORING THE HOLTER MONITOR SECTION PERFORMS 24-HOUR HOLTERS, AMBULATORY EVENT MONITORING, AND SIGNAL AVERAGE ECG TESTING. THE CARDIOLOGISTS AND/OR ELECTROPHYSIOLOGISTS READ AND INTERPRET THE TAPES, AND REPORT THE FINDINGS TO THE REFERRING PHYSICIAN. TILT TABLE TESTING THIS TEST IS USED TO EVALUATE AND DIAGNOSE UNEXPLAINED FAINTING (VASOVAGAL SYNCOPE) WHICH IS CHARACTERIZED BY SLOW HEART RATE AND LOW BLOOD PRESSURE. THE TILT TABLE TEST ASSISTS THE PHYSICIAN IN DETERMINING THE BEST TREATMENT FOR THE PATIENT GENERAL NUCLEAR MEDICINE NUCLEAR MEDICINE PERFORMS ALL DIAGNOSTIC FUNCTIONAL AND PERFUSION IMAGING OF NON-CARDIAC STRUCTURES. THE MOST COMMON AMBULATORY CARE STUDIES INCLUDE: WHOLE BODY BONE IMAGING; VENTILATION-PERFUSION PULMONARY IMAGING WITH OR WITHOUT QUANTITATION; RENAL SCINTIGRAPHY (WITH OR WITHOUT CAPTOPRIL); INFECTION- INFLAMMATION WHOLE BODY IMAGING WITH GALLIUM-67 CITRATE OR INDIUM-111 LABELED WHITE CELLS; HEPATOBILIARY IMAGING; THYROID SCANNING AND UPTAKE STUDIES AND THERAPY. BREAST SCINTIGRAPHY IS ALSO AVAILABLE. OTHER SPECIAL STUDIES CAN BE ARRANGED. CARDIAC IMAGING THE DUAL SOURCE SOMATOM SCANNER SPEED, DETAIL, AND NON-INVASIVE NATURE MAKE THIS ONE OF THE MOST EXCITING NEW TECHNOLOGIES AVAILABLE TODAY. THE SOMATOM DEFINITION CT USES TWO X-RAY SOURCES SIMULTANEOUSLY WHICH MAKES IT THE FASTEST CT AVAILABLE. THE ABILITY OF THIS TECHNOLOGY TO 'FREEZE' THE MOTION OF A CONSTANTLY BEATING AND MOVING HEART IS CRITICAL TO CAPTURING HIGH QUALITY IMAGES. THE BENEFITS INCLUDE: TWICE THE SPEED OF OTHER CT SCANNERS, TWICE THE RESOLUTION, HIGH QUALITY 3-D IMAGES, RELIABLE IMAGING OF ALL HEART RATES WITHOUT MEDICATION, 50% LESS RADIATION COMPARED WITH TODAY'S SINGLE-SOURCE CT SCANNERS, SHORTEST BREATH-HOLD. THE DUAL SOURCE SOMATOM DEFINITION CT PROVIDES ANATOMICAL DETAIL NOT PREVIOUSLY AVAILABLE, GIVING DEBORAH SPECIALISTS MORE INFORMATION TO MAKE DIAGNOSES AND TREATMENT WITHOUT INVASIVE PROCEDURES. INPATIENT SERVICES ================== MEDICAL INTENSIVE CARE UNIT DEBORAH'S MEDICAL INTENSIVE CARE UNIT (MICU) IS A STATE-OF-THE-ART CRITICAL CARE FACILITY DESIGNED FOR OPTIMAL PATIENT CARE AND COMFORT. THIS SPACIOUS 24 SINGLE-BED UNIT IS EQUIPPED WITH THE INDUSTRY'S MOST TECHNOLOGICALLY-ENHANCED MEDICAL DEVICES AND SUPPLIES. THE LEVEL OF CARE IN THE MICU MAKES THIS UNIT UNIQUE. NURSING-PATIENT RATIOS FOR THE UNIT ARE ONE-TO-ONE OR ONE-TO-TWO. THE UNIT IS COVERED 24-HOURS A DAY, SEVEN DAYS A WEEK BY DEBORAH CARDIOLOGISTS, WHO WORK EXCLUSIVELY IN THE MICU. THE UNIT SERVES AS A COMBINED ICU/CCU MANAGING PATIENTS WITH ACUTE CORONARY SYNDROMES, AS WELL AS CRITICALLY ILL POST-SURGICAL PATIENTS WITH MULTIORGAN FAILURE. CARDIOTHORACIC SURGERY SERVICES =============================== CORONARY ARTERY SURGERY CORONARY ARTERY SURGERY IS PERFORMED AT DEBORAH UTILIZING THE LATEST TECHNIQUES TO PERFORM EITHER AN ARTERIAL BYPASS OR MIXED ARTERIAL AND REVERSED SAPHENOUS VEIN GRAFTING AS INDICATED. DEBORAH'S CARDIAC SURGERY TEAM USES THE MOST ADVANCED TECHNIQUES OF MYOCARDIAL PROTECTION, SURGICAL TECHNIQUE, EXTRACORPOREAL PERFUSION, ANESTHETIC MANAGEMENT, BLOOD CONSERVATION, AND PERIOPERATIVE CARE. DEBORAH SURGEONS ALSO OFFER VIDEOSCOPIC SAPHENOUS VEIN HARVESTING, A MINIMALLY INVASIVE TECHNIQUE TO REMOVE THE SAPHENOUS VEIN FOR BYPASS SURGERY. THE CARDIAC SURGERY SERVICE HAS SUCCESSFULLY TREATED NUMEROUS PATIENTS WHO ARE JEHOVAH'S WITNESSES AND CANNOT RECEIVE BLOOD PRODUCTS. VALVE REPAIR OR REPLACEMENT DEBORAH OFFERS THE LATEST AND SAFEST REFINED SURGICAL TECHNIQUES FOR CARDIAC VALVE RECONSTRUCTION. MANY VALVE CONDITIONS RESULT IN VALVULAR DYSFUNCTION, MANIFESTED BY STENOSIS, INCOMPETENCE OR BOTH. GENERALLY, VALVE RECONSTRUCTION SURGERY IS MORE SUITED (OR APPLICABLE) FOR CORRECTION OF MITRAL AND/OR TRICUSPID VALVE DYSFUNCTION. IN A SMALLER PATIENT POPULATION OF SELECTED CASES, THE AORTIC VALVE MAY BE AMENABLE TO VALVE REPAIR. VALVE REPLACEMENT DEBORAH HAS USED CARDIAC VALVE SUBSTITUTES SINCE 1963, AND UTILIZES VARIOUS STATE-OF-THE-ART CARDIAC VALVE PROSTHESES, DESIGNED TO SUIT EVERY INDIVIDUAL'S NEED, DISEASE PROCESS OR PATIENT'S AGE. THESE CARDIAC VALVE SUBSTITUTES COME SINGLY, FOR ISOLATED VALVE REPLACEMENT, OR ATTACHED TO A GRAFT CONDUIT FOR TREATMENT OF AORTIC DISEASE ASSOCIATED WITH ASCENDING AORTIC ANEURYSM. CARDIOMYOPLASTY CARDIOMYOPLASTY IS A SURGICAL PROCEDURE PERFORMED AT DEBORAH FOR PATIENTS WITH MODERATELY ADVANCED CONGESTIVE HEART FAILURE. CARDIOMYOPLASTY INVOLVES WRAPPING SKELETAL MUSCLE FROM THE BACK AROUND THE HEART, AND STIMULATING THE MUSCLE TO CONTRACT SIMULTANEOUSLY WITH THE HEART. TO PREPARE THE SKELETAL MUSCLE TO ACT LIKE HEART MUSCLE, THE SKELETAL MUSCLE IS ELECTRICALLY STIMULATED TO CONTRACT CONTINUOUSLY VIA A PULSE GENERATOR WHICH IS IMPLANTED NEAR THE ABDOMEN. THE SKELETAL MUSCLE BECOMES RESISTANT TO FATIGUE. MINIMALLY INVASIVE PROCEDURES ============================= DIRECT CORONARY ARTERY BYPASS (MIDCAB) DEBORAH CARDIAC SURGEONS PERFORM MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS (MIDCAB) SURGERY. THIS EXCITING NEW PROCEDURE ALLOWS CORONARY REVASCULARIZATION TO BE PERFORMED IN SELECT CASES WITH A LIMITED STERNOTOMY INCISION AND WITHOUT THE USE OF THE HEART-LUNG MACHINE. THIS ELIMINATES MOST MORBIDITY ASSOCIATED WITH TRADITIONAL CORONARY ARTERY SURGERY, WHILE MAINTAINING THE IMPRESSIVE DURABILITY SEEN WHEN THE INTERNAL MAMMARY ARTERY IS USED AS A BYPASS CONDUIT. MINIMALLY INVASIVE VALVE SURGERY SURGEONS AT DEBORAH CAN REPAIR OR REPLACE BOTH THE MITRAL AND AORTIC VALVES BY APPLYING A MINIMALLY INVASIVE TECHNIQUE. INSTEAD OF A STERNOTOMY, A SMALLER INCISION IS USED TO EXPOSE AND ACCESS THE HEART. ONCE THE HEART IS EXPOSED, THE SURGEON PERFORMS A VALVE REPLACEMENT OR REPAIR, USING THE STANDARD METHOD FOR REPAIRING OR REPLACING A DYSFUNCTIONAL VALVE. IDEOSCOPIC VEIN HARVESTING DEBORAH SURGEONS ALSO OFFER VIDEOSCOPIC SAPHENOUS VEIN HARVESTING, A MINIMALLY INVASIVE TECHNIQUE TO REMOVE THE SAPHENOUS VEIN FOR BYPASS SURGERY. PULMONARY SURGERY ALTHOUGH THE DEMOGRAPHICS OF PULMONARY DISEASE HAVE CHANGED DRAMATICALLY OVER THE YEARS FROM TUBERCULOSIS TO NEOPLASTIC AND DEGENERATIVE DISEASES OF THE LUNG, DIAGNOSIS OF PULMONARY DISEASE BY CLINICAL EVALUATION AND SOPHISTICATED TESTING IS OFFERED AND PERFORMED ON A DAILY BASIS. ANESTHETIC TECHNIQUES, THE USE OF A VARIETY OF STAPLER DEVICES AND THORACOSCOPIC LUNG SURGERY (TO NAME A FEW) HAVE ALLOWED DEBORAH SURGEONS TO PERFORM LUNG WEDGE RESECTIONS, LOBECTOMIES, PNEUMONECTOMIES, EVEN LUNG RESECTIONS WITH CHEST WALL EXCISION IN CASES OF TUMOR EXTENDING TO THE CHEST WALL, WITH AN OPERATIVE MORTALITY AMONG THE LOWEST IN THE COUNTRY. THE EXCELLENT LONG-TERM RESULTS FOR LUNG CANCER PATIENTS ARE COMPARABLE TO OTHER WELL RECOGNIZED CENTERS. LUNG VOLUME REDUCTION SURGERY IS ALSO PERFORMED AT DEBORAH FOR TREATMENT OF DIFFUSE EMPHYSEMA. VASCULAR SURGERY VASCULAR SURGERY IS PERFORMED AT DEBORAH. AFTER EVALUATION IN THE VASCULAR CLINIC IN DEBORAH'S AMBULATORY CARE SERVICES, A PATIENT MAY BE REFERRED FOR SURGERY. ELECTIVE SURGICAL PROCEDURES AT DEBORAH INCLUDE: CAROTID ENDARTERECTOMY, ABDOMINAL AORTIC ANEURYSM RESECTION, AND LOWER EXTREMITY REVASCULARIZATION.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMPREHENSIVE VASCULAR PROGRAM THIS DEPARTMENT OFFERS PATIENTS A FULL SPECTRUM OF PREVENTIVE, DIAGNOSTIC, INTERVENTIONAL AND SURGICAL TREATMENT OPTIONS. THIS IS ACCOMPLISHED WITHIN A MULTIDISCIPLINARY FRAMEWORK OF CARDIOLOGISTS, RADIOLOGISTS, INTERVENTIONALISTS AND SURGEONS WORKING TOGETHER TO DETERMINE THE BEST OPTIONS FOR EACH PATIENT. THE PROGRAM WAS EXPANDED TO ACCOMMODATE THE GROWING NUMBER OF VASCULAR PATIENTS COMING TO DEBORAH, AND TO RAISE AWARENESS OF THE SIGNIFICANT RELATIONSHIP BETWEEN HEART DISEASE AND VASCULAR DISEASE. BENEFITS OF OUR COMPREHENSIVE VASCULAR PROGRAM PROMPT, COMPLETE VASCULAR DIAGNOSIS STATE OF THE ART INTERVENTIONS NEEDS ASSESSMENT FOR THE PATIENT. EARLY DETECTION AND APPROPRIATE TREATMENT OF CO-MORBID CONDITIONS SUCH AS HEART DISEASE. RISK FACTOR MODIFICATION (TREATMENT OF BLOOD PRESSURE AND CHOLESTEROL) LONG TERM MEDICAL GUIDANCE AND CARE. A SEAMLESS APPROACH TO THE TREATMENT OF VASCULAR DISEASE, WITH THE PARTICIPATION OF RADIOLOGISTS, CARDIOLOGISTS AND VASCULAR SURGEONS, FORMS THE BASIS FOR A COHESIVE DECISION-MAKING PROCESS THAT ALLOWS FOR THE INTEGRATED DELIVERY OF VASCULAR AND CARDIAC CARE. OUR PROCESS OF CARE PATIENTS REFERRED FOR A VASCULAR CONDITION WILL BE EVALUATED BY PHYSICIANS SPECIALIZING IN VASCULAR CARE. THE PATIENT'S RISK FACTORS WILL BE ASSESSED AND/OR THE STAGE OF DISEASE PROGRESSION WILL BE DETERMINED. MANY PATIENTS CAN MANAGE THEIR DISEASE WITH MEDICATION OR DIET AND EXERCISE PROGRAMS. SOME CAN BE TREATED WITH INTERVENTIONAL CATHETERIZATION PROCEDURES. NUMEROUS SURGICAL OPTIONS ARE AVAILABLE FOR PATIENTS WHO ARE NOT CANDIDATES FOR MEDICAL OR INTERVENTIONAL TREATMENTS. AT TIMES COMBINED OPEN/ENDOVASCULAR PROCEDURES CAN BE OFFERED TO PATIENTS TO MINIMIZE RECOVERY TIME FOLLOWING THE PROCEDURE. DEBORAH'S COMPREHENSIVE VASCULAR PROGRAM OFFERS THE CONFIDENCE THAT A TEAM OF THE REGION'S BEST SPECIALISTS ARE WORKING TOGETHER TO DETERMINE THE MOST APPROPRIATE OPTIONS FOR ALL PATIENTS. NEW ERA OF TOTAL VASCULAR CARE BY COMBINING THE EXPERTISE OF CARDIOLOGISTS, RADIOLOGISTS AND VASCULAR SURGEONS, THE QUALITY OF VASCULAR CARE PROVIDED TO DEBORAH PATIENTS AND THE ABILITY TO IDENTIFY PATIENTS AT HIGH CARDIAC RISK WILL IMPROVE. PREVENTION OF ATHEROSCLEROSIS, LIPID MANAGEMENT, HYPERTENSION CONTROL, AND MODIFICATION OF BEHAVIORAL RISK FACTORS, SUCH AS SMOKING, CAN BE EFFECTIVELY MANAGED SIMULTANEOUSLY WITH DIAGNOSIS AND TREATMENT OF THE PRESENTING PROBLEM. THIS CONCEPT OF CARE WILL RESULT IN BETTER CLINICAL OUTCOMES NOT ONLY FOR PATIENTS WITH VASCULAR DISEASE, BUT ALSO FOR PATIENTS WITH HEART DISEASE. THIS NEW ERA OF TOTAL VASCULAR CARE WILL POSITIVELY IMPACT BOTH LIFESTYLE AND HEALTH. PERIPHERAL VASCULAR DISEASE PERIPHERAL VASCULAR DISEASE (PVD) HAS BEEN RECEIVING INCREASING ATTENTION IN THE NEWS IN RECENT YEARS, WITH THE GROWING KNOWLEDGE IN THE MEDICAL COMMUNITY THAT THIS DISEASE HAS BEEN IN THE PAST SERIOUSLY UNDER-DIAGNOSED AND UNDER-TREATED. PATIENTS SEEM TO HAVE A HIGHER AWARENESS OF THEIR VASCULAR CONDITION THAN THEIR PHYSICIANS DO. PVD IS ASSOCIATED WITH SIGNIFICANT CARDIOVASCULAR MORBIDITY AND MORTALITY, WITH A HIGH RATE OF FATAL AND NON-FATAL CARDIOVASCULAR EVENTS SUCH AS MI, STROKE, AND PROGRESSIVE ISCHEMIC END-ORGAN DYSFUNCTION. SINCE ATHEROSCLEROSIS IS THE MOST COMMON CAUSE OF PVD, PATIENTS WITH PVD HAVE A RATE OF CARDIOVASCULAR MORTALITY THAT IS 3 TO 5 TIMES HIGHER THAN AGE-MATCHED CONTROLS. THE CARDIAC MORTALITY IN SYMPTOMATIC PVD IS ESTIMATED TO BE 50% AT 10 YEARS. THE REDUCTION IN QUALITY OF LIFE FROM GLOBAL VASCULOPATHY IN MANY PATIENTS CAN THUS BE SIGNIFICANT. ELECTROMECHANICAL THERAPY INSTITUTE DEBORAH OFFERS A FULL SPECTRUM OF ELECTROPHYSIOLOGIC SERVICES TO ITS PATIENT POPULATION. DEBORAH'S ELECTROPHYSIOLOGY SERVICES ARE DEVOTED TO THE EVALUATION, CONSULTATION AND TREATMENT OF COMPLEX CARDIAC ARRHYTHMIAS INCLUDING ATRIAL FIBRILLATION AND FLUTTER, SUPRAVENTRICULAR TACHYCARDIA INCLUDING WOLFF-PARKINSON-WHITE-SYNDROME AND VENTRICULAR TACHYCARDIA. ELECTROPHYSIOLOGY STUDIES ASSIST DEBORAH'S DOCTORS IN DETERMINING WHERE RHYTHM DISTURBANCES ORIGINATE AND TO IDENTIFY THE SPECIFIC TYPE OF ARRHYTHMIAS INVOLVED. COMPREHENSIVE DEVICE THERAPY IS ALSO INCLUDED IN THE EPS SERVICE. PACEMAKER AND DEFIBRILLATOR IMPLANTS AS WELL AS LEAD EXTRACTIONS ARE OFFERED FOR STANDARD INDICATIONS. BIVENTRICULAR DEVICES ARE AVAILABLE FOR EMERGING INDICATIONS INCLUDING CONGESTIVE HEART FAILURE. DEBORAH HAS AN OUTPATIENT SERVICE DEDICATED TO BOTH PACEMAKER AND DEFIBRILLATOR EVALUATION AND COMPLEX PROGRAMMING. THE SECTION OFFERS A COMPLETE WORK-UP FOR NEUROGENIC SYNCOPE INCLUDING TILT TABLE TESTING. ANOTHER SERVICE PROVIDED BY THE ELECTROPHYSIOLOGISTS IS THE READING AND INTERPRETATION OF HOLTER MONITORS AND THE REPORTING OF THESE FINDINGS TO REFERRING PHYSICIANS. THE INSTITUTE FOR SLEEP MEDICINE THE TRAINED STAFFS OF THE INSTITUTE FOR SLEEP MEDICINE AT DEBORAH HEART AND LUNG CENTER ARE EXPERTS AT DIAGNOSING AND TREATING A VARIETY OF SLEEP DISORDERS. WE OFFER PATIENTS ACCURATE DIAGNOSIS AND EFFECTIVE TREATMENT FOR COMMON SLEEP DISORDERS SUCH AS SLEEP APNEA, AS WELL AS LESS COMMON DISORDERS SUCH AS NARCOLEPSY, INSOMNIA, SLEEP MOVEMENT DISORDERS, AND SLEEP DEPRIVATION SYNDROMES. PATIENTS UNDERGO OVERNIGHT SLEEP STUDIES IN COMFORTABLE SUITES WITH NONINVASIVE, STATE-OF-THE-ART EQUIPMENT RECORDING BRAIN ACTIVITY, BLOOD OXYGEN LEVELS, BREATHING, BODY POSITION, MOVEMENTS AND HEART RATE. EACH ROOM HAS A PRIVATE BATH, AND PATIENTS RECEIVE COMPLIMENTARY MORNING BREAKFAST. ONE OF THE INSTITUTE'S STRONGEST - AND MOST UNIQUE - FEATURES IS ITS COMPREHENSIVE NATURE, WITH SLEEP MEDICINE SPECIALISTS WORKING IN TANDEM WITH OTHER SPECIALISTS TO TREAT ALL ASPECTS OF THE SLEEP DISORDER. FOR EXAMPLE, THE INSTITUTE BOASTS ON-STAFF EAR, NOSE AND THROAT AND PERIODONTAL SPECIALISTS TO EVALUATE AND CORRECT OBSTRUCTIVE OR ANATOMICAL CAUSES OF SLEEP DISORDERS. WITH RECENT EVIDENCE ESTABLISHING CONNECTIONS BETWEEN SLEEP DISORDERS AND CARDIAC CONDITIONS, DEBORAH'S SLEEP SPECIALISTS AND CARDIOLOGISTS COLLABORATE TO ENSURE THAT THESE CONDITIONS ARE NOT TREATED PIECEMEAL, AND THAT PATIENTS RECEIVE APPROPRIATE SCREENINGS FOR POTENTIAL COEXISTING CONDITIONS. PEDIATRIC CARDIOLOGY DEBORAH HEART AND LUNG CENTER HAS SPECIALIZED IN THE DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR DISEASES IN CHILDREN FOR OVER 50 YEARS. DEBORAH'S PEDIATRIC CARDIOLOGIST STAFF IS POSITIONED TO PROVIDE CONSULTATION SERVICES TO VARIOUS HOSPITALS AND NURSERIES IN BURLINGTON, OCEAN AND MERCER COUNTIES. OUTPATIENT PEDIATRIC CARDIOLOGY A BOARD-CERTIFIED PEDIATRIC CARDIOLOGIST AND AN EXPERIENCED PEDIATRIC NURSE PRACTITIONER PROVIDE DIAGNOSTIC OUTPATIENT EVALUATIONS FOR CHILDREN SUSPECTED TO HAVE CONGENITAL OR ACQUIRED HEART DISEASE. SUCH PATIENTS CAN INCLUDE THOSE WITH HEART MURMURS, CYANOSIS, ARRHYTHMIAS, CHEST PAIN, AND SYNCOPE, AS WELL AS SPORTS-RELATED CONCERNS. COMPREHENSIVE FOLLOW-UP CARE IS PROVIDED FOR CHILDREN DIAGNOSED WITH ANY FORM OF HEART DISEASE. PEDIATRIC ECHOCARDIOGRAPHY PROVIDES IMPORTANT DIAGNOSTIC INFORMATION, AND IS REGULARLY USED AS CLINICALLY INDICATED AS AN INTEGRAL PART OF THE CARDIAC EVALUATION. THE MAJORITY OF OUR ECHO STUDIES ARE PERFORMED ON AN OUTPATIENT BASIS. TRANSESOPHAGEAL ECHOCARDIOGRAPHY IS SOMETIMES USED AS AN ADJUNCT TO TRANSTHORACIC ECHOCARDIOGRAPHY FOR COMPLEX LESIONS IN OLDER PATIENTS AND MAY BE PERFORMED WITH CONSCIOUS SEDATION IN AN AMBULATORY CARE SETTING. ROUTINE INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY IS USED TO GUIDE SURGICAL REPAIRS AND MONITOR VENTRICULAR PERFORMANCE. FETAL ECHOCARDIOGRAPHY PROVIDES THE ABILITY TO MANAGE CONGENITAL DEFECTS THROUGHOUT THE PRENATAL PERIOD, ALLOWS FOR COUNSELING AND INFORMED DECISION MAKING, AND IMPROVES CARE AND OUTCOMES FOR THE FAMILY. PEDIATRIC ARRHYTHMIA PROGRAM DIAGNOSIS AND ONGOING MANAGEMENT OF ARRHYTHMIAS, PALPITATIONS AND SYNCOPE ARE PROVIDED IN THE AMBULATORY CARE AND INPATIENT SETTINGS. INVASIVE AND NON-INVASIVE DIAGNOSTIC STUDIES ARE USED TO IDENTIFY SIGNIFICANT PROBLEMS. RADIO-FREQUENCY ABLATION IS AVAILABLE THROUGH DEBORAH'S CARDIAC ELECTROPHYSIOLOGY DIVISION AS A CURATIVE ALTERNATIVE TO CHRONIC MEDICAL THERAPY FOR SELECTED INDIVIDUALS WITH VARIOUS TYPES OF TACHYCARDIA. OTHER SERVICES INCLUDE EXERCISE TESTING, TILT TESTING FOR SYNCOPE, INTRACARDIAC ELECTROPHYSIOLOGY, TRANSESOPHAGEAL PACING STUDIES, PACEMAKER IMPLANTATION AND MONITORING, AMBULATORY RHYTHM (HOLTER MONITOR) STUDIES, CONTINUOUS (LOOP) AND TRANSTELEPHONIC RHYTHM MONITORING. AMBULATORY CARE SERVICES AREA AMBULATORY CARE PATIENTS SEEN AT DEBORAH RECEIVE THE HIGHEST LEVEL OF QUALITY CARE IN THE CENTER'S RENOVATED AMBULATORY CARE SERVICE AREA. THE AMBULATORY CARE EXAM AREA CONTAINS SPACIOUS, MODERN EXAM ROOMS, MANY WITH CARDIAC MONITORS AND A TRIAGE ROOM FOR EMERGENCY SITUATIONS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	THE AMBULATORY CARE PATIENT RECEPTION AND WAITING AREA IS EASILY ACCESSIBLE FROM THE MAIN LOBBY AND PARKING, AND INCLUDES A SEPARATE AMBULATORY CARE ENTRANCE. NON-INVASIVE CARDIOLOGY, THE OUTPATIENT POST-PROCEDURE UNIT AND THE PATIENT/FAMILY EDUCATION DEPARTMENT ARE ADJACENT TO THE AMBULATORY CARE WAITING AREA. CHILDREN SEEN IN THE AMBULATORY CARE SETTING HAVE THEIR OWN WAITING AND PLAY ROOM ATTACHED TO AMBULATORY CARE'S RECEPTION AREA. CHILD-SIZE CHAIRS AND TABLES, READING MATERIAL AND VIDEO GAMES ARE AVAILABLE TO HELP MAKE THE ENVIRONMENT RELAXING FOR THE CHILD, WHILE THE REGISTRATION PROCESS IS MADE MORE CONVENIENT FOR THE PARENT. INTAKE AND RECOVERY UNIT THE MULTI-BED OUTPATIENT POST-PROCEDURE UNIT PROVIDES PRE-ASSESSMENT AND PREPARATION, AS WELL AS POST-PROCEDURE CARE, FOR PATIENTS UNDERGOING A VARIETY OF OUTPATIENT PROCEDURES. PROCEDURES APPROVED FOR ADMISSION TO THIS UNIT INCLUDE OUTPATIENT CARDIAC CATHETERIZATION, ARTERIOGRAPHY, BRONCHOSCOPY- LARYNGOSCOPY, TRACHEOSTOMY CHANGES, THORACENTESIS, TRANSTHORACIC NEEDLE BIOPSY AND ELECTRICAL CARDIOVERSION. DEPARTMENT OF ANESTHESIOLOGY THE DEPARTMENT OF ANESTHESIOLOGY PROVIDES EVALUATION AND CONSULTATION FOR ALL PATIENTS REQUIRING OPERATIVE INTERVENTION. A FULL RANGE OF ANESTHESIA SERVICES IS PROVIDED BY A GROUP OF HIGHLY QUALIFIED; BOARD CERTIFIED ANESTHESIOLOGISTS AND CRNA'S. ANESTHESIA CONSULTATIVE SERVICES PROVIDE INPUT INTO PAIN RELIEF AND SEDATION FOR PERFORMANCE OF A VARIETY OF MEDICAL PROCEDURES. POSTOPERATIVE CARE IN THE CRITICAL CARE UNITS IS INCLUDED IN THESE ACTIVITIES. STATE OF THE ART EQUIPMENT AND MEDICATION ARE USED AND ACTIVE CLINICAL RESEARCH IS PERFORMED TO CONSTANTLY IMPROVE THE ANESTHETIC CARE PROVIDED. PATHOLOGY PATHOLOGY IS A FULL SERVICE LABORATORY PROVIDING RAPID AND ACCURATE TEST RESULTS TO CLINICIANS AROUND THE CLOCK. THE LABORATORY OFFERS TESTING SERVICES IN THE FOLLOWING DISCIPLINES: CHEMISTRY, THERAPEUTIC DRUG MONITORING URINALYSIS COAGULATION, HEMATOLOGY MICROBIOLOGY BLOOD BANK CYTOLOGY/HISTOLOGY (WITH ACCOMPANYING NECROPSY SERVICE). PHLEBOTOMY SERVICES ARE PROVIDED THROUGH THE DEPARTMENT OF PATHOLOGY. ALL AREAS ARE EQUIPPED WITH STATE-OF-THE-ART INSTRUMENTATION. ALL TESTING PERFORMED IN THE HOSPITAL IS UNDER THE DIRECT SUPERVISION OF A DEBORAH PATHOLOGIST. THE LABORATORY IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS AND THE AMERICAN ASSOCIATION OF BLOOD BANKS. RADIOLOGY SINCE DEBORAH IS A SPECIALTY HOSPITAL, OUR AREA OF PARTICULAR EXPERTISE IS CHEST RADIOLOGY. DIGITAL CHEST RADIOGRAPHY IS PERFORMED USING X-RAY EQUIPMENT IN THE DEPARTMENT, AS WELL AS OUR PORTABLE EQUIPMENT. ALL IMAGES ARE SENT TO A PACS SYSTEM, AND ARE AVAILABLE THROUGHOUT THE HOSPITAL AT WORKSTATIONS AND PC'S. CT ANGIOGRAPHY IS PERFORMED BY RAPIDLY SCANNING EXTREMELY THIN SLICES THROUGH THE AREA OF INTEREST WHILE X-RAY DYE CIRCULATES THROUGH THE BODY. RADIOLOGISTS THEN USE THE COMPUTER TO RECONSTRUCT THE IMAGES AT ANY ANGLE, EVEN IN 3D, PROVIDING HIGH-RESOLUTION ANGIOGRAPHIC IMAGES OF BLOOD VESSELS TO ASSIST WITH DIAGNOSIS. WE EXPECT THAT NEW TECHNOLOGY WILL LARGELY REPLACE DIAGNOSTIC NONCARDIAC ANGIOGRAPHY WITH OUTPATIENT CT SCANNING, ALLOWING MANY PATIENTS TO EXPERIENCE DIAGNOSTIC TESTING WITHOUT THE TRAUMA OF AN INVASIVE PROCEDURE. APPLICATIONS INCLUDE THE ABILITY TO NON-INVASIVELY IDENTIFY VASCULAR ANATOMY AND OCCLUSIONS, CEREBRAL ANEURYSMS, FIND NARROWING OF THE CAROTID ARTERIES, EXAMINE THE AORTA FOR ANEURYSMS, DISSECTIONS AND NARROWING, EVALUATE RENAL ARTERIES AND CHECK PELVIC AND LEG VESSELS FOR ANEURYSMS AND NARROWING. THE DUAL SOURCE SOMATOM DEFINITION CT SCANNER CAN ALSO BE USED TO ACCURATELY EVALUATE CERTAIN CARDIAC CONDITIONS. THE RADIOLOGY STAFF HAS EXPERIENCE WITH ANGIOPLASTY AND STENT PLACEMENT FOR PERIPHERAL VASCULAR DISEASE, THROMBOLYSIS OF ACUTE VASCULAR OCCLUSION, AND INFERIOR VENA CAVA FILTER PLACEMENT FOR DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLISM. THORACIC, CEREBRAL, AND PULMONARY ANGIOGRAPHY ARE PERFORMED ROUTINELY. AS PART OF THE COMPREHENSIVE VASCULAR PROGRAM, THE LATEST ENDOVASCULAR TECHNIQUES ARE UTILIZED IN THE DEPARTMENT, INCLUDING SPECTRAMEDICS LASER AND ROTABLATOR ATHERECTOMY, THE LATEST STENT TECHNOLOGY, AND ANGIOJET THROMBOLYSIS. A FULL RANGE OF VASCULAR ULTRASOUND IS OFFERED. OUR LABORATORY IS CERTIFIED BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES FOR EXTRACRANIAL VASCULAR STUDIES, PERIPHERAL ARTERIAL STUDIES BY BOTH COLOR DOPPLER AND CONTINUOUS WAVE DOPPLER STUDIES, AND PERIPHERAL VENOUS STUDIES. MOST ROUTINE RADIOGRAPHIC STUDIES ARE OFFERED. DOUBLE CONTRAST BARIUM STUDIES OF THE GASTROINTESTINAL TRACT ARE ROUTINELY PERFORMED. VIDEO RECORDED FLUOROSCOPY IS UTILIZED FOR SWALLOWING STUDIES OF THE ESOPHAGUS. OUR ULTRASOUND SECTION OFFERS ABDOMINAL, CHEST, AND PERIPHERAL STUDIES. OUR RADIOLOGISTS ROUTINELY EVALUATE CT STUDIES OF THE HEAD, NECK, CHEST, ABDOMEN, PELVIS AND LUMBAR SPINE. CT GUIDED NEEDLE BIOPSY AND ACCESS DRAINAGE ARE AVAILABLE. JOSLIN DIABETES CENTER AFFILIATE AT DEBORAH JOSLIN'S DIABETES TEAM PROVIDES STATE-OF-THE-ART DIABETES TREATMENT AND EDUCATION. THE TEAM INCLUDES SPECIALLY TRAINED PHYSICIANS, NURSES, DIETITIANS AND OTHERS WHO WORK DIRECTLY WITH THE PERSON WITH DIABETES AND THEIR FAMILY TO ACHIEVE THE BEST OUTCOMES. EACH JOSLIN PATIENT RECEIVES INDIVIDUALIZED CARE, STARTING WITH AN INITIAL ASSESSMENT AND TREATMENT PLAN. BALANCE CENTER THE BALANCE CENTER AT DEBORAH IS DESIGNED TO DIAGNOSE AND TREAT DIZZINESS AND BALANCE ISSUES. THESE TWO SYMPTOMS ALONE, ESPECIALLY IN THE ELDERLY POPULATION ARE THE MOST COMMON CAUSES OF INJURIES AND HOSPITALIZATION. THE RESULT OF BEING DIZZY AND FALLING CAUSES NUMEROUS BROKEN BONES, BRAIN INJURIES, AND ACCIDENTAL DEATHS EACH YEAR. MULTI-DISCIPLINARY ONCOLOGY CLINIC PROGRAM THE DEBORAH'S MULTI-DISCIPLINARY ONCOLOGY CLINIC PROGRAM, IN COLLABORATION WITH THE RUTGERS CANCER INSTITUTE OF NEW JERSEY, OFFERS MULTI-DISCIPLINARY, DEDICATED OUTPATIENT APPOINTMENTS FOR INDIVIDUALIZED CASE MANAGEMENT OF PATIENTS WITH TUMORS. WOMEN'S HEART CENTER THE WOMEN'S HEART CENTER AT DEBORAH IS A DEDICATED OUTPATIENT CLINIC WITH HIGHLY-SKILLED CARDIOLOGISTS COMMITTED TO HELPING WOMEN COMBAT HEART DISEASE-THE NUMBER ONE KILLER AMONG AMERICAN WOMEN. OUTPATIENT PULMONARY REHABILITATION PULMONARY REHABILITATION IS A PROGRAM OF EXERCISE, EDUCATION, AND PSYCHOSOCIAL SUPPORT FOR PERSONS WITH CHRONIC LUNG DISEASE. DEBORAH'S OUTPATIENT PULMONARY REHABILITATION PROGRAM RELIES ON A TEAM OF RESPIRATORY, PHYSICAL, AND OCCUPATIONAL THERAPISTS. EACH PATIENT RECEIVES A SPECIALLY-DESIGNED PERSONAL PLAN THAT INCLUDES A COMBINATION OF EDUCATION, TRAINING, AND EXERCISES WHICH THE PATIENT PERFORMS-WITH OR WITHOUT OXYGEN-UNDER THE SUPERVISION OF A PERSONAL TRAINING TEAM, TWO TO THREE TIMES A WEEK FOR TWO TO THREE MONTHS.
CORE FORM, PART III; QUESTION 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL PATIENTS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY THE ORGANIZATION'S AUDIT COMMITTEE. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW. AFTER THIS REVIEW THE FORM 990 WAS PRESENTED TO THE MEMBERS OF THE DEBORAH HEART AND LUNG CENTER AUDIT COMMITTEE FOR REVIEW AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S DIRECTOR OF COMPLIANCE AND AUDITING FOR REVIEW. THEREAFTER, THE DIRECTOR OF COMPLIANCE AND AUDITING AND IN-HOUSE COUNSEL REVIEW THE QUESTIONNAIRES AND MAINTAIN RECORDS OF THE COMPLETED QUESTIONNAIRES.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE DEBORAH HEART AND LUNG CENTER EXECUTIVE BOARD HAS A HUMAN RESOURCES COMMITTEE ("COMMITTEE"). THE COMMITTEE REVIEWS AND FOLLOWS INTERNAL REVENUE SERVICE GUIDELINES FOR REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF IRS CODE SECTION 4958 IN ITS EVALUATION AND DECISION-MAKING WITH RESPECT TO THE COMPENSATION PAID TO ITS SENIOR ADMINISTRATIVE STAFF, SPECIFICALLY ITS "PRESIDENT & CEO" AND "VICE PRESIDENT FOR MEDICAL AFFAIRS/CHAIR - DEPARTMENT OF SURGERY". THIS PROCESS OCCURS ANNUALLY. IN 2013 THIS REVIEW INCLUDED NOT ONLY THE AFOREMENTIONED INDIVIDUALS, BUT THE FOLLOWING VICE PRESIDENTS: OPERATIONS, COO; FINANCE, CFO; PATIENT CARE SERVICES, CNE; LEGAL AND REGULATORY AFFAIRS; HUMAN RESOURCES, CHRO. THIS PROCESS ENTAILS REVIEW OF NOT ONLY BASE COMPENSATION, BUT ALSO OTHER DIRECT, AND INDIRECT COMPENSATION PROVIDED (INCLUDING EMPLOYEE BENEFITS). THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE CENTER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF IRS CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THOSE NOTED ABOVE. FACTORS THAT SUPPORT THE CENTER'S STANDING WITH RESPECT TO ITS REASONABLENESS INCLUDE, BUT ARE NOT LIMITED TO: 1. THE COMPENSATION AND BENEFIT ARRANGEMENTS ARE APPROVED IN ADVANCE BY THE COMMITTEE, NONE OF WHOM HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE COMMITTEE RELIES UPON APPROPRIATE COMPARABLE EXTERNAL AND INTERNAL COMPENSATION DATA PRIOR TO MAKING ITS DETERMINATION. THIS DATA IS UPDATED EACH YEAR BY UTILIZING GENERALLY PUBLISHED SURVEYS, DATA PROVIDED BY HEALTHCARE ASSOCIATIONS, AND INFORMATION GLEANED FROM NEWSPAPER ARTICLES AND OTHER SOURCES AND IS FURTHER SUPPLEMENTED BY PROFESSIONAL ORGANIZATIONS RETAINED FOR THIS PURPOSE NO LESS THEN EVERY THREE YEARS, AND REFLECTS COMPARABLE FACTORS, INCLUDING BUT NOT LIMITED TO GEOGRAPHY, BED SIZE, COMPLEXITY, REVENUE, ETC. 3. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS IN TIMELY, FORMAL MEETING MINUTES. THE COMPENSATION AND BENEFITS OF THE OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, SCHEDULE J, ARE REVIEWED ANNUALLY BY THE PRESIDENT & CEO WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, AND ARE BASED UPON VARIOUS OBJECTIVE AND SUBJECTIVE PERFORMANCE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. THE CENTER'S FINANCIAL STATUS AS WELL AS ITS NEED TO ATTRACT AND RETAIN COMPETENT LEADERSHIP IS ALSO REVIEWED AND CONSIDERED IN THIS PROCESS. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, ACTUAL PERFORMANCE AND OTHER RELEVANT PERFORMANCE FEEDBACK.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. IN ADDITION, JOSEPH MANNI WORKS 45 HOURS A WEEK AS THE chief operating officer FOR THE ORGANIZATION AND WORKS 10 HOURS A WEEK AS THE CHIEF OPERATING OFFICER FOR DEBORAH HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, FOR A TOTAL OF 55 HOURS A WEEK.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS PART OF DEBORAH HEART AND LUNG CENTER; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF DEBORAH HEART AND LUNG CENTER; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - CONTRIBUTIONS FOR CAPITAL RENOVATIONS AND EQUIPMENT ACQUISITIONS, $567,989; - OTHER CHANGES IN RETIREMENT BENEFIT OBLIGATION, $9,367,767; - NET ASSETS RELEASED FROM RESTRICTION, ($3,467,639); - CHANGES IN FAIR VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST, $178,121; - CHANGE IN BENEFICIAL INTEREST IN RESTRICTED NET ASSETS OF DEBORAH HOSPITAL FOUNDATION, $2,113,651.
CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ITS WHOLLY OWNED, FOR-PROFIT SUBSIDIARY, FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
DHLC	THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS DEBORAH HEART AND LUNG CENTER RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND DEBORAH HEART AND LUNG CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITES WAS RECEIVED BY DEBORAH HEART AND LUNG CENTER UTILIZING DIFFERENT FEDERAL IDENTIFICATION NUMBERS THAN 23-1550955. BELOW IS A LIST OUTLINING THE VARIOUS DEBORAH HEART AND LUNG CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS: PROFESSIONAL SERVICE FUND OF DHLC 23-1893623 PROFESSIONAL SERVICE FUND - ANESTHESIA DHLC 22-2659999 ADMINISTRATIVE - DHLC 22-3099327

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 (if applicable) 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
(1) DEBORAH MEDICAL INVESTMENTS LLC 200 TRENTON ROAD BROWNS MILLS,NJ08015 46-4400008	HEALTHCARE	NJ	0	0	DHLC

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 entity?
(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	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) ADVANCED MEDICAL MANAGEMENT SERVICES 200 TRENTON ROAD BROWNS MILLS,NJ08015 20-4912042	MGMT SVCS.	NJ	DHLC	C CORP.	173,061	58,187	100.000 %	Yes
(2) DEBORAH CARDIOVASCULAR GROUP PC 200 TRENTON ROAD BROWNS MILLS,NJ08015 03-0494366	HEALTHCARE SVCS.	NJ	DHLC	S CORP.	1,588,083	178,415	100.000 %	Yes

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ADVANCED MEDICAL MANAGEMENT SERVICES INC	K	102,140	COST
(2) ADVANCED MEDICAL MANAGEMENT SERVICES INC	E	246,274	COST

Schedule R (Form 990) 2013

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
SCHEDULE R, PART V	DEBORAH HEART AND LUNG CENTER ROUTINELY PAYS EXPENSES FOR ITS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE THE NECESSARY FACILITIES AND RESOURCES REQUIRED TO DELIVER THE HIGHEST QUALITY HEALTHCARE SERVICES.
2	Check this box
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 2013 (Part V, line 2a) ......	5	1,123
6	Total number of volunteers (estimate if necessary) .............	6	60
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-658,410
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-875,511

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,542,124	11,678,271
9	Program service revenue (Part VIII, line 2g) .........	143,006,308	151,665,891
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	203,052	419,789
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	396,143	404,426
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	150,147,627	164,168,377
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	80,782,413	80,907,448
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	66,476,845	69,897,425
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	147,259,258	150,804,873
19	Revenue less expenses. Subtract line 18 from line 12.......	2,888,369	13,363,504
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	79,020,329	85,688,412
21	Total liabilities (Part X, line 26).............	89,762,372	73,888,920
22	Net assets or fund balances. Subtract line 21 from line 20.....	-10,742,043	11,799,492

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 60,777,713 including grants of $ 0 ) (Revenue $ 57,094,387 )
	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 $ 16,914,844 including grants of $ 0 ) (Revenue $ 15,889,750 )
	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 $ 7,409,145 including grants of $ 0 ) (Revenue $ 6,960,126 )
	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 $ 50,622,685 including grants of $ 0 ) (Revenue $ 71,721,628 )
4e	Total program service expenses135,724,387

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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
(A) Name and Title
(18) JAMES F CARLINO........................................................................ VP HUMAN RESOURCES	55.0 .......................	X		180,717	0	38,581
(19) VICTOR M HATALA........................................................................ DIRECTOR PRACTICE DEVELOPMENT	55.0 .......................	X		160,050	0	37,036
(20) RICHARD C KOVACH MD........................................................................ PHYSICIAN	55.0 .......................		X	626,495	0	42,420
(21) ARTHUR NG MD........................................................................ PHYSICIAN	55.0 .......................		X	590,684	0	40,693
(22) RAFFAELE CORBISIERO MD........................................................................ PHYSICIAN	55.0 .......................		X	555,660	0	39,356
(23) THOMAS C GALLAGHER MD........................................................................ PHYSICIAN	55.0 .......................		X	509,198	0	36,599
(24) DAVID H HSI MD........................................................................ PHYSICIAN	55.0 .......................		X	500,983	0	43,736

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,779,735	0	542,282

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		11,617,474
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		60,797

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			11,678,271
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	139,123,618	139,123,618
b	OTHER HEALTHCARE RELATED REVENUE		541900	12,542,273	13,200,683	-658,410
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			151,665,891
3	Investment income (including dividends, interest, and other similar amounts).......			60,233			60,233
4	Income from investment of tax-exempt bond proceeds..			1,652			1,652
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	361,304
b	Less: rental expenses
c	Rental income or (loss)	361,304	0
d	Net rental income or (loss).......			361,304			361,304
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	1,636,534	198,985
b	Less: cost or other basis and sales expenses	1,472,456	5,159
c	Gain or (loss)	164,078	193,826
d	Net gain or (loss)..........			357,904			357,904
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..			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...			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..			0
Miscellaneous Revenue			Business Code
11a	MEDICAL RECORD COPIES		900099	43,122			43,122
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			43,122
12	Total revenue. See Instructions......			164,168,377	152,324,301	-658,410	824,215


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			1,850	1	1,850
2	Savings and temporary cash investments .........			7,575,153	2	10,670,127
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			14,889,631	4	14,388,948
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			3,700,333	7	4,664,810
8	Inventories for sale or use ..............			3,653,501	8	3,949,858
9	Prepaid expenses and deferred charges ..........			810,537	9	704,780
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	62,332,147
b	Less: accumulated depreciation .....	10b	31,367,225	29,559,003	10c	30,964,922
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 .....			16,514,425	13	18,263,309
14	Intangible assets ...............			1,394,452	14	1,203,255
15	Other assets. See Part IV, line 11 ...........			921,444	15	876,553
16	Total assets. Add lines 1 through 15 (must equal line 34)......			79,020,329	16	85,688,412
17	Accounts payable and accrued expenses .........			26,963,972	17	22,956,526
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			19,200,238	20	17,893,700
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other 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 ..			3,137,249	23	4,440,200
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....................			40,460,913	25	28,598,494
26	Total liabilities. Add lines 17 through 25.........			89,762,372	26	73,888,920
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			-18,521,871	27	1,853,393
28	Temporarily restricted net assets ...........			7,779,828	28	9,946,099
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			-10,742,043	33	11,799,492
34	Total liabilities and net assets/fund balances ........			79,020,329	34	85,688,412