TY 2020 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) RAFFAELE CORBISIERO MD...................................................................... PHYSICIAN	55.0 ................. 0.0				X		938,423	48,511
(2) JOSEPH CHIRICHELLA...................................................................... TRUSTEE - PRESIDENT/CEO	55.0 ................. 0.0	X	X				679,841	166,786
(3) PEDRAM KAZEMIAN MD...................................................................... PHYSICIAN	55.0 ................. 0.0				X		789,610	47,674
(4) MARK MOSHIYAKHOV MD...................................................................... PHYSICIAN	55.0 ................. 0.0				X		707,630	28,026
(5) VINCENT POMPILI MD...................................................................... CHAIR ADULT CARDIOLOGY	55.0 ................. 0.0				X		663,203	40,257
(6) MUHAMMAD MUNTAZAR MD...................................................................... PHYSICIAN	55.0 ................. 0.0				X		592,830	48,738
(7) SUSAN D BONFIELD ESQ...................................................................... SEC. - EVP/GENERAL COUNSEL	55.0 ................. 0.0		X				406,341	80,521
(8) JOSEPH R MANNI...................................................................... EVP OPERATIONS/COO	55.0 ................. 0.0		X				399,670	74,436
(9) LYNN B MCGRATH MD...................................................................... FORMER KEY EMPLOYEE	55.0 ................. 0.0					X	408,763	39,919
(10) R GRANT LEIDY...................................................................... TREASURER - EVP FINANCE/CFO	55.0 ................. 0.0		X				374,561	62,172
(11) BETSY SCHLOO MD...................................................................... INTERIM VP MEDICAL AFFAIRS	55.0 ................. 0.0			X			395,429	29,975
(12) RICHARD S TEMPLE...................................................................... VP/CIO	55.0 ................. 0.0		X				300,376	36,933
(13) RITA ZENNA...................................................................... VP PATIENT CARE SERVICES	55.0 ................. 0.0			X			249,261	35,979
(14) MARION STAMOPOULOS...................................................................... VP HR/CHRO	55.0 ................. 0.0			X			244,206	40,108
(15) GEORGE S LOESCH...................................................................... CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X				0	0
(16) ROBERT M BIRNBAUM...................................................................... TRUSTEE	1.0 ................. 0.0	X					0	0
(17) BARBARA CHAMBERLAIN PHD...................................................................... TRUSTEE	1.0 ................. 0.0	X					0	0

(A) Name and business address	(B) Description of services	(C) Compensation
SIEMENS FINANCIAL SERVICES INC, PO BOX 2083 CAROL STREAM,IL60132	FINANCING	2,778,757
MID-ATLANTIC SURGICAL ASSOCIATES, 100 MADISON AVENUE MORRISTOWN,NJ07962	MEDICAL	2,750,001
THE MCR GROUP, 800 SOUTH GAY STREET SUITE 700 KNOXVILLE,TN37929	CONSULTING	2,325,303
OCEAN CARDIOVASCULAR SPECIALISTS, 25 MULE ROAD SUITE B2 TOMS RIVER,NJ08755	MEDICAL	1,595,601
EWING COLE, 100 NORTH 6TH STREET PHILADELPHIA,PA19106	ARCHITECT	1,474,402
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 48

- 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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 VI.)..
11	Total support. Add lines 7 through 10

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

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. 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 VI 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) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2020

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization DEBORAH HEART AND LUNG CENTER

Part I Contributors	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	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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization DEBORAH HEART AND LUNG CENTER		Employer identification number 23-1550955

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization DEBORAH HEART AND LUNG CENTER			Employer identification number 23-1550955
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2020)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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

126,991

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

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

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

126,991

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINE 1G	DURING 2020, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS $86,000 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 $39,675. 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 $1,316.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINE 1G

DURING 2020, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS $86,000 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 $39,675. 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 $1,316.

Schedule C (Form 990 or 990EZ) 2020

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," on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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)

Revenue included on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2020

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	15,954,180	8,687,120	8,461,169	8,341,882	8,255,549
b	Contributions ...	3,815,484	1,472,317	1,153,782	1,489,483	1,271,034
c	Net investment earnings, gains, and losses	-740,556	7,393,039	194,202	134,002	107,636
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	914,104	1,598,296	1,122,033	1,504,198	1,292,337
f	Administrative expenses ....
g	End of year balance ......	18,115,004	15,954,180	8,687,120	8,461,169	8,341,882

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

Term endowment SchDMd Bullet

100.000 %

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	100,365		100,365
b	Buildings ....	45,327,697	34,888,671	10,439,026
c	Leasehold improvements	3,222,930		3,222,930
d	Equipment ....	55,847,691	38,676,403	17,171,288
e	Other .....	2,292,111		2,292,111
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				33,225,720

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on 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)CASH & CASH EQUIV.; LTD USE	2,867,455	F
(2)CORPORATE BONDS; LIMITED USE	1,221,485	F
(3)EQUITY SECURITIES; LIMITED USE	21,108,210	F
(4)GOVERNMENT SEC.; LTD. USE	1,515,173	F
(5)INTEREST IN DHF ASSETS	12,878,450	F
(6)BENEFICIAL INT IN PERP TRUST	1,867,592	F
(7)PROGRAM RELATED INVESTMENTS	1,397,250	F
(8)INSURANCE FUND	4,744,893	F
(9)CERTIFICATES OF DEPOSIT	548,981	F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	48,149,489

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)OTHER RECEIVABLES				2,659,961
(2)DUE FROM AFFILIATE				4,283,448
(3)OTHER ASSETS				3,292,778
(4)DEFERRED FINANCING				173,247
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				10,409,434

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	47,924,946
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) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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 (losses) 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' on 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

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

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DEBORAH HEART AND LUNG CENTER ("CENTER") AND ITS SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2020 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48(ASC 740): THE CENTER FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. IN ADDITION, THERE HAVE BEEN NO TAX RELATED INTEREST OR PENALTIES FOR THE PERIOD PRESENTED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. SHOULD ANY SUCH PENALTIES BE INCURRED, THE CENTER'S POLICY WOULD BE TO RECOGNIZE THEM AS OPERATING EXPENSES.

Schedule D (Form 990) 2020

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

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 criteria used 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) . . .	15,603,667	526,458	15,077,209	7.450 %
b	Medicaid (from Worksheet 3, column a) . . . . .	15,581,453	11,951,658	3,629,795	1.790 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	31,185,120	12,478,116	18,707,004	9.240 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,154,081	37,175	1,116,906	0.550 %
f	Health professions education (from Worksheet 5) . . .	7,121,105	456,775	6,664,330	3.300 %
g	Subsidized health services (from Worksheet 6) . . . .	3,075,307	0	3,075,307	1.520 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	43,331		43,331	0.020 %
j	Total. Other Benefits . .	11,393,824	493,950	10,899,874	5.390 %
k	Total. Add lines 7d and 7j .	42,578,944	12,972,066	29,606,878	14.630 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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 Healthcare 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).....

46,924,700

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

46,470,150

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

454,550

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) 2020

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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Facility reporting group
1	DEBORAH HEART AND LUNG CENTER 200 TRENTON ROAD BROWNS MILLS,NJ08015 WWW.DEMANDDEBORAH.ORG 20301	X	X	1

Schedule H (Form 990) 2020

Page 4

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)

	DEBORAH HEART AND LUNG CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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.DEMANDDEBORAH.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.DEMANDDEBORAH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	DEBORAH HEART AND LUNG CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of %
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.DEMANDDEBORAH.ORG

The FAP application form was widely available on a website (list url):

WWW.DEMANDDEBORAH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.DEMANDDEBORAH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	DEBORAH HEART AND LUNG CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

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

	DEBORAH HEART AND LUNG CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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 Section C.

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 Section C.

Schedule H (Form 990) 2020

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, QUESTION 5	To guide our community benefit and health improvement efforts, deborah's 2019 community health needs assessment (chna) was conducted from january to june 2019 and included quantitative and qualitative research methods to determine health trends and disparities within the deborah service area. Community engagement was an integral part of the chna. In assessing the health needs of the community, input was solicited and received from persons who represent the broad interests of the community, including underserved, low income, and minority populations. These individuals provided wide perspectives on health trends, expertise about existing community resources available to meet those needs, and insights into service delivery gaps that contribute to health disparities. Primary chna study methods that were used to solicit input from key community stakeholders and health improvement partners included a key informant survey; a community survey with residents of burlington and ocean counties; a partner forum with health and human service organizations; and focus groups with community stakeholders. A key informant survey was conducted with community representatives within deborah's service area to solicit information about health needs among residents. A total of 30 individuals responded to the survey, including health and social service providers; community and public health experts; civic, religious, and social leaders; policy makers and elected officials; and others representing diverse populations. A list of community organizations represented by key informants is included below: - alzheimer's association; - american heart association; - argosy management group, llc; - browns mills improvement association; - burlington county; - burlington county health department; - burlington county human services; - burlington county military affairs committee; - burlington county regional chamber of commerce; - burlington county veterans services; - cooper university healthcare; - deborah cardiovascular group; - edward j post company, inc.; - investors bank; - long beach island health department; - new life christian center; - o.c.e.a.n., inc.; - ocean county health department; - ocean monmouth health alliance; - pemberton township schools; - prevention plus; - rowan college; - rowan college of burlington county; - samaritan; - strive physical therapy; - the pines; and - yoga mandala. Nearly half of key informants indicated that they served all populations within the community. Other populations served by key informants included the following underserved or vulnerable populations, among others: - seniors/elderly (43%); - children/youth (40%); - disabled (30%); - families (30%); - low-income/poor (30%); - latinx (23%); - black/african american (20%); - uninsured/underinsured (20%); - homeless (13%); - lgbtq+ community (10%); - american indian/alaska native (7%); - asian/pacific islander (7%); - immigrant/refugee (3%); and - migrant workers (3%). A community survey was conducted with residents of burlington and ocean counties to gather insights into health status, risk behaviors, barriers to accessing health services, and the health and social needs of community members. The survey was conducted from march through july 2019 with adults aged 18 or over. The survey was widely available to the community as an electronic link using print ads, websites, email, and social media. Paper surveys were also available and shared by community organizations. A total of 789 community members completed the survey. The largest percentage of respondents resided in zip code 08015, browns mills (25%), which is the home zip code of deborah heart and lung center. The partner forum was held on tuesday, june 25, 2019 at deborah's winderman auditorium in browns mills. A total of 21 people attended representing deborah, health and social service agencies, local government, military personnel, and civic organizations. The objective of the forum was to share data from the chna and garner feedback on community health priorities, as well as opportunities for collaboration among partner agencies. Research from the chna was presented at the session with audience discussion and questions. Large and small group dialogue was facilitated to discuss research findings, existing resources and initiatives to address priority areas, and new or innovative opportunities for cross-sector collaboration. The following is a list of organizations represented by partner forum attendees: - american heart association; - american lung association; - aspen hills healthcare center; - browns woods apartments; - burlington county health department; - capital health; - center for family services; - food bank of south jersey; - joint base mcguire-dix-lakehurst; - maryville addiction treatment center; - new jersey hospital association; - ocean county health department; - pemberton community library; - pemberton township; - pemberton township schools; and - pinelands family success center. As part of the 2019 chna, two focus groups were conducted with residents, one each in burlington and ocean counties. The objectives of the focus groups were to define barriers to accessing healthcare services; better understand drivers or motivators for accessing preventative healthcare; explore individual perceptions and experiences with healthcare delivery and recommendations for improvement; and determine challenges that impact health and disease management. A total of 36 people participated in the discussion groups. Following is a breakdown of the locations and participants per group. - three b's bar and bistro, lakehurst: 14 attendees; and - john f. Kennedy center, willingboro: 22 attendees. Deborah's immediate service area is unique with three of the surrounding zip codes comprising joint base mcguire-dix-lakehurst (jb mdl). Jb mdl supports more than 50,000 active duty, guard, reserve, family members, retirees, veterans, and civilian personnel. Deborah's 2019 chna sought to include relevant health data for jb mdl military personnel and families and engage key stakeholders in health improvement research and planning. Deborah did not receive any written comments on its 2016 chna or implementation strategy for consideration during the 2019 chna process.
SCHEDULE H, PART V, SECTION B, QUESTIONs 6a & 6b	Deborah is new jersey's only heart, lung and vascular specialty hospital. Given the hospital's specialty medical focus and unique service area, including jb mdl, deborah sought to conduct a 2019 chna that reflected its community's distinctive needs. While deborah did not conduct a joint chna with other hospital facilities or community organizations, partner hospitals and organizations were actively engaged as part of the chna process, including the key informant survey and partner forum. Additionally, deborah conducts joint programming with partner institutions, including herocare connect, a program with cooper university health care designed to increase access to specialty medical services for active duty/retired military, activated national guardsmen, veterans, and family members of any current or former military members across southern new jersey.
SCHEDULE H, PART V, SECTION B, QUESTION 7A	Due to character limitations, the website link listed in part v, section b, question 7a, is the home page for the organization. The chna can be accessed at the following url, which is included in the organization's website: https://demanddeborah.org/app/uploads/sites/2/2020/07/deborah-heart-and-lu ng-center-2019-chna-final-report-for-approval-2019-12.pdf
SCHEDULE H, PART V, SECTION B, QUESTION 8	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: - behavioral health and chronic disease comorbidities; and - substance abuse. Deborah will make referrals for these clinical issues whenever possible.
SCHEDULE H, PART V, SECTION B, QUESTION 10	Due to character limitations, the website link listed in part v, section b, question 10, is the home page for the organization. The implementation strategy (chip 2020-22) can be accessed at the following url, which is included in the organization's website: https://deborahadmin.com/app/uploads/sites/2/2021/10/CHIP-report-online-ve rsion.pdf
SCHEDULE H, PART V, SECTION B, QUESTION 11	Deborah shared findings from the chna research, including health status indicators and socioeconomic measures, with community partners and key stakeholders during the partner forum to solicit input into community health priorities. A formal presentation of data was made to partner forum attendees, and members were asked to discuss and develop a list of community needs based on the research and their experience within the community. In determining community health priorities, partner forum attendees were asked to consider the following rationale and criteria: Scope: how many people are affected? Severity: how critical is the issue? Ability to impact: can we achieve the desired outcome? Community readiness: is the community prepared to take action? Community health needs identified by partner forum attendees included access to care, mental health and substance use disorder, and chronic conditions, with a focus on high-risk or vulnerable populations, including aging populations, lgbtq+, racial and ethnic minorities, and military personnel. Social determinants of health were recognized as cross-cutting factors across all health issues. Deborah's chna executive committee and board of trustees reviewed findings from the chna research and feedback from partner forum attendees, to determine priority health needs for its service area and to focus community health improvement efforts. The leadership team developed a community health improvement plan (chip) based on the identified priorities. The chip builds upon previous health improvement activities and takes into consideration the impact of efforts in prior chip cycles, while recognizing new health needs and the changing health care delivery environment identified in the 2019 chna. For the 2020-2022 chip cycle, deborah intends to devote resources and expertise to address the following priority areas: Priority area 1: linkages to care Chna goal: improve access to healthcare and assist in coordination of care. Chip objectives: - assist in identifying gaps in access to care and recruit/retain providers in our service area; - assist in addressing management of substance use disorders and mental health issues in our patient population; - reduce transportation barriers that impede healthcare access to our services; - foster and deepen partnerships with community organizations and other area providers to reduce inappropriate and/or avoidable emergency room usage; - increase early detection and improve access to care and treatment of lung cancer; - participate in a healthcare environment that supports the health needs of the lgbtq community; and - grow and expand priority specialty appointment and comprehensive navigation services to members of the military, their dependents, veterans and retirees. Priority area 2: chronic disease management Chna goal: increase education and awareness to identify and reduce chronic disease risk, and improve chronic disease management to reduce healthcare reliance and improve quality of life. Chip objectives: - provide the community with complementary screenings for chronic disease within our specialty; - improve access to care for chronic conditions, including access to our specialty providers who identify and treat chronic conditions; - provide the community with education and resources to identify and manage chronic disease; - work with our community partners to identify and triage to resources for social determinates of health that contribute to chronic disease and poor adherence to treatment plans; and - work to reduce readmissions of our patients with chronic disease. Priority area 3: issues of aging Chna goal: assist seniors in our immediate service area age successfully, maintain independence and plan for end of life that respects each patient's wishes. Chip objectives: - develop and/or partner with community providers to offer community education programs/education on aging related issues; - support the development of a network of community providers to provide in-home, person-centered care for patients with chronic illness or serious health problems; - work with community partners to develop and implement geriatric assessment programs; - remove transportation barriers for seniors to access needed healthcare services; and - explore with community partners implementation of a memory assessment program. Community stakeholders identified mental health and substance use disorder as key drivers of poor resident health outcomes. While deborah will not address these needs as priority health issues due to the specialty nature of its services and available resources, the hospital will continue to be a community partner in supporting recovery efforts. Deborah actively works in partnership with the burlington county prosecutor's office to supply narcan to first responders, provides education and access opioid alternatives to pain management, and is exploring telepsychiatry as well as community partnerships to improve access to behavioral health providers. These actions are part of a broader community-wide solution to address mental health and substance use disorder needs.
SCHEDULE H, PART V, SECTION B, QUESTIONS 13H AND 15E	A billing file is maintained for each patient, but patients are not balanced-billed. If a patient has insurance, deborah bills the patient's insurance for hospital services and the physician services provided by deborah's employed medical staff. If a patient is underinsured or uninsured, deborah provides assistance in qualifying the patient, or the financially responsible party, for any applicable federal and/or State programs. The eligibility and financial assistance provided by deborah to all of it patients is the same. Deborah accepts the amount paid though any applicable insurance and federal and/or State programs without balance-billing or pursuing collection efforts against any patient for any remaining amounts.
SCHEDULE H, PART V, SECTION B, QUESTION 16A, 16B AND 16C	Due to character limitations, the website link listed in part v, section b, questions 16a, 16b and 16c, is the home page for the organization. Deborah's financial assistance policy, financial assistance application and plain language summary can be accessed at the following url, which is included in the organization's website: https://demanddeborah.org/patients-and-visitors/patient-resources/financia l-information/
SCH H, PART V, SECT B, Q'S 2,3J,7D,13B,16J,18E,19E,20E,21C,21D,23&24	NOT APPLICABLE.

Schedule H (Form 990) 2020

Page 9

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) 2020

Page 10

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 I, LINE 3C	As part of its mission, deborah heart and lung center does not bill patients for the cost of hospital or professional services provided by employed physicians at the main hospital building, 200 Trenton Road, Browns Mills, New Jersey as such services fall within the scope of the original waiver granted by the centers for medicare and medicare services. The organization does not utilize federal poverty guidelines criteria. The hospital has initiated certain outpatient services on its campus outside of the main hospital building and Deborah interprets the waiver requiring balance billing in accordance with federal law at these locations. As deborah heart and lung center expands to meet the needs of the community, it will follow standard billing practices in accordance with federal law for services provided in any locations other than 200 trenton road, browns mills, new jersey.
SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SCHEDULE H, PART I, QUESTION 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART II	Community building activities undertaken by this organization improve the medical and socioeconomic well-being of the communities in Deborah's care. This is accomplished through service on State and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. Please also refer to form 990, schedule o, which contains the organization's community benefit statement and summary of all entities.
SCHEDULE H, PART III, SECTION A; QUESTIONS 2 & 3	THE CENTER PREPARES AND ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE CENTER: THE CENTER PROVIDES PRICE CONCESSIONS FOR UNCOMPENSATED CARE RESULTING FROM ITS CHARITY CARE POLICY FOR SERVICES. THE PRICE CONCESSION IS DETERMINED BY ANALYZING PATIENT AND HISTORICAL DATA AND TRENDS. THESE PRICE CONCESSIONS ARE RECORDED AS A REDUCTION TO PATIENT SERVICE REVENUE.
SCHEDULE H, PART III, SECTION A; QUESTION 4	THE CENTER PREPARES AND ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE CENTER: UNCOMPENSATED CARE AND STATE SUBSIDIES THE CENTER PROVIDES PRICE CONCESSIONS FOR UNCOMPENSATED CARE RESULTING FROM ITS CHARITY CARE POLICY FOR SERVICES. THE PRICE CONCESSION IS DETERMINED BY ANALYZING PATIENT AND HISTORICAL DATA AND TRENDS. THESE PRICE CONCESSIONS ARE RECORDED AS A REDUCTION TO PATIENT SERVICE REVENUE. THE CENTER PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA ESTABLISHED BY THE STATE OF NEW JERSEY. THE DIRECT AND INDIRECT COST OF SERVICES AND SUPPLIES FURNISHED TO PATIENTS ELIGIBLE FOR SUCH CHARITY CARE, USING A RATIO OF COST TO GROSS CHARGES, APPROXIMATED $6,932,000 AND $7,629,000 FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, RESPECTIVELY. THE CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. IN 2020 AND 2019, THE AMOUNT OF CHARGES FORGONE FOR SERVICES PROVIDED TO PATIENTS UNDER ITS CHARITY CARE POLICY, NET OF THE HEALTH CARE SUBSIDY FUND (HCSF), WAS $33,666,726 AND $38,301,862, RESPECTIVELY. THE HEALTH CARE REFORM ACT OF 1992 (CHAPTER 160) ESTABLISHED THE HCSF TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE CERTAIN HOSPITALS FOR CHARITY CARE. FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, THE CENTER RECEIVED $436,241 AND $411,703, RESPECTIVELY, FOR CHARITY CARE (INCLUDED IN NET PATIENT SERVICE REVENUE). THIS AMOUNT IS SUBJECT TO CHANGE FROM YEAR TO YEAR BASED ON AVAILABLE STATE AMOUNTS AND ALLOCATION METHODOLOGIES. A PROPORTIONATE AMOUNT IS IN PLACE THROUGH JUNE 30, 2021; HOWEVER, THERE CAN BE NO ASSURANCE OF A SIMILAR LEVEL IN THE FUTURE. THE CENTER'S PATIENT ACCEPTANCE POLICY IS BASED ON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS POLICY RESULTS IN THE ASSUMPTION OF HIGHER-THAN-NORMAL PATIENT ACCOUNTS RECEIVABLE CREDIT RISKS. TO THE EXTENT THE CENTER REALIZES ADDITIONAL LOSSES RESULTING FROM SUCH HIGHER CREDIT RISKS FOR PATIENTS THAT ARE NOT IDENTIFIED OR DO NOT MEET THE PREVIOUSLY DESCRIBED CHARITY CRITERIA, SUCH ADDITIONAL LOSSES ARE INCLUDED AS A REDUCTION OF NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE CENTER SPONSORS CERTAIN OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY AND ELDERLY POPULATIONS THAT REQUIRE SPECIAL SUPPORT, AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. GROSS CHARGES FORGONE FOR FREE CARE IN EXCESS OF THIRD-PARTY REIMBURSEMENTS (E.G., CO-PAYS AND DEDUCTIBLES) WERE $11,034,868 AND $17,263,808 IN 2020 AND 2019, RESPECTIVELY.
SCHEDULE H, PART III, SECTION B; QUESTION 8	NOT APPLICABLE.
SCHEDULE H, PART III, SECTION B; QUESTION 9B	NOT APPLICABLE.
SCHEDULE H, PART VI; QUESTION 2	AS A TERTIARY CARE HOSPITAL AND REGIONAL REFERRAL CENTER, THE CENTER ADDRESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH PROFESSIONAL EDUCATION PROVIDED THROUGH GRAND ROUNDS FOR PHYSICIANS AND OTHER PROVIDERS, ANNUAL REGIONAL CONFERENCES AIMED AT SPECIFIC PROVIDER GROUPS, OUTREACH OFFERING EDUCATION ON CARDIOVASCULAR, PULMONARY AND VASCULAR DISEASES TO THE MANY COMMUNITY BASED GROUPS LISTED IN OUR COMMUNITY BENEFITS STATEMENT, AND SCREENINGS OF PATIENTS AT RISK FOR CARDIOVASCULAR, PULMONARY AND VASCULAR DISEASES THAT ARE HELD BOTH ON AND OFF CAMPUS.
SCHEDULE H, PART VI; QUESTION 3	THE CENTER SCREENS UNINSURED PATIENTS FOR ELIGIBILITY FOR NEW JERSEY'S CHARITY CARE PROGRAM, BUT TRUE TO ITS HISTORIC MISSION HAS NEVER BALANCE-BILLED ANY PATIENT FOR CARE PROVIDED WITHIN ITS MAIN HOSPITAL BUILDING.
SCHEDULE H, PART VI; QUESTION 4	THE CENTER, LOCATED IN BURLINGTON COUNTY, IS A SPECIALTY HOSPITAL THAT TREATS PATIENTS FROM ALL 21 NEW JERSEY COUNTIES, AS WELL AS FROM THE MAJORITY OF THE OTHER STATES AND PUERTO RICO. 3.5% OF IN STATE PATIENTS ARE UNINSURED, WHILE 3.1% OF OUT OF STATE PATIENTS LACK COVERAGE. 44% OF PATIENTS ARE OVER AGE 65.
SCHEDULE H, PART VI; QUESTION 5	UNDERSTANDING AND RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITIES, ESPECIALLY THE NEEDS OF THE MOST VULNERABLE AMONG US, IS CENTRAL TO DEBORAH'S MISSION. TO ADDRESS THE COMMUNITY'S HEALTH NEEDS, EDUCATE PROFESSIONALS WORKING IN THE COMMUNITY, AND BUILD MEANINGFUL RELATIONSHIPS WITH PARTNERS TO MAXIMIZE REGIONAL IMPACT OF TARGETED PROGRAMS, DEBORAH USES A MULTI-PRONGED APPROACH, INCLUDING COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES, HEALTH PROFESSIONS EDUCATION (FOR PHYSICIANS, FELLOWS, RESIDENTS, MEDICAL STUDENTS, NURSES AND OTHER HEALTH PROFESSIONALS), SUPPORT FOR EMERGENCY AND TRAUMA SERVICES, COMMUNITY SUPPORT, COALITION BUILDING, COMMUNITY BUILDING ACTIVITIES, AND COMMUNITY BENEFIT OPERATIONS (BOTH WITH ASSIGNED STAFF AND THROUGH DEBORAH'S COMMUNITY HEALTH IMPROVEMENT PLAN STRATEGY TEAM). DEBORAH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, GENDER, SEXUAL ORIENTATION, COLOR, RELIGION, AGE, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY. DEBORAH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL NEW JERSEY PATIENTS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS. DEBORAH IS THE ONLY HOSPITAL IN THE NATION TREATING BOTH ADULTS AND CHILDREN THAT NEVER BALANCE-BILLS A PATIENT FOR COSTS RELATED TO THE CARE HE OR SHE RECEIVES AT DEBORAH, WHICH HELPS ENSURE THAT PRICE IS NOT A BARRIER TO THOSE WHO COME TO DEBORAH RECEIVING THE HEALTHCARE THEY MAY NEED. CONTROL OF DEBORAH RESTS WITH ITS BOARD OF TRUSTEES, COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. THE USE AND CONTROL OF DEBORAH IS FOR THE BENEFIT OF THE PUBLIC. NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. AS A TEACHING HOSPITAL, DEBORAH MAINTAINS A RIGOROUS, ROBUST FELLOWSHIP PROGRAM. THIS HIGHLY-SOUGHT AFTER POST-GRADUATE TRAINING PROVIDES THE LEADING-EDGE TOOLS NEEDED BY THE NEXT GENERATION OF CARDIOLOGISTS, ELECTRO-PHYSIOLOGISTS, HEART FAILURE AND VASCULAR SPECIALISTS. ADMISSION TO THESE FELLOWSHIPS IS EXCEPTIONALLY COMPETITIVE. DEBORAH'S NURSING PROGRAM PROVIDES ON-SITE ROTATIONAL TRAINING FOR NURSES ENTERING THE FIELD, MENTORSHIPS AND INTERNSHIPS FOR COLLEGE STUDENTS AND AN INTERACTIVE SIMULCAST VIDEO FORUM TO SHARE SURGICAL PROCEDURES WITH HIGH SCHOOL STUDENTS, AS WELL AS A RECENTLY INSTITUTED HIGH SCHOOL NURSING ASSISTANT EXTERNSHIP PROGRAM. DEBORAH ALSO HOSTS A YEAR-ROUND SCHEDULE OF GRAND ROUNDS PRESENTATIONS, CME SEMINARS, AND OUTSIDE MEDICAL PRESENTATIONS TO JOINT BASE MCGUIRE-DIX-LAKEHURST, REINFORCING DEBORAH'S COMMITMENT AS A TEACHING HOSPITAL. OVER 30 GROUND-BREAKING CLINICAL RESEARCH TRIALS ARE UNDERWAY AT DEBORAH, PROVIDING THE ENTRY POINT FOR PATIENTS TO RECEIVE THE MOST INNOVATIVE TREATMENTS ONCE SUCCESSFUL TRIALS RECEIVE FDA APPROVAL. IN TANDEM WITH THIS, DEBORAH'S PHYSICIANS ARE WIDELY PUBLISHED IN LEADING MEDICAL JOURNALS, AS WELL AS HAVING EDITORIAL APPOINTMENTS ON A NUMBER OF WIDELY-RECOGNIZED MEDICAL PUBLICATIONS. AS A SPECIALTY HOSPITAL, DEBORAH IS NOT LICENSED TO OPERATE AN EMERGENCY ROOM. TO MEET THE COMMUNITY'S NEED FOR EMERGENCY CARE, DEBORAH LEASES SPACE TO ANOTHER HOSPITAL SYSTEM THAT OPERATES A SATELLITE EMERGENCY DEPARTMENT (SED) WITHIN DEBORAH'S MAIN HOSPITAL BUILDING. IN ADDITION, AS A REGIONAL REFERRAL CENTER AND SPECIALTY HOSPITAL, DEBORAH ROUTINELY RECEIVES TRANSFERS FROM OTHER HOSPITALS' EMERGENCY DEPARTMENTS AS WELL AS ADMISSIONS FROM OUR OWN CLINIC AND DIRECT ADMISSIONS FROM REFERRING PHYSICIANS WITHOUT CONSIDERATION OF THE PATIENTS' ABILITY TO PAY. DEBORAH'S COMMUNITY OUTREACH INCLUDES SEVERAL INTEGRATED ARMS WITHIN THE HOSPITAL: - THE MEDICAL, NURSING AND COMMUNITY OUTREACH DEPARTMENT STAFFS - THE MARKETING DEPARTMENT - THE COMMUNITY HEALTH IMPROVEMENT PLAN SUB-COMMITTEE MEMBERS - THE ADMINISTRATIVE TEAM - THE PROFESSIONAL EDUCATION AND TRAINING DEPARTMENTS. DEBORAH'S COMMUNITY OUTREACH EFFORTS ARE DESIGNED TO MEET AT LEAST ONE OF THE FOLLOWING COMMUNITY BENEFIT OBJECTIVES: - IMPROVE ACCESS TO HEALTHCARE SERVICES; - CHRONIC DISEASE MANAGEMENT; AND - ISSUES OF AGING. DEBORAH PREPARES A CHIP UPDATE THAT PROVIDES GREATER DETAIL ON THE SPECIFIC ACTIVITIES DEBORAH IS INVOLVED IN TO PROMOTE COMMUNITY HEALTH IN OUR SERVICE AREA. CHIP UPDATE REPORTS CAN BE ACCESSED BY WAY OF DEBORAH'S WEBSITE.
SCHEDULE H, PART VI; QUESTION 6	DEBORAH HEART AND LUNG CENTER (THE "CENTER") IS COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE CENTER STRIVES TO EXCEED PATIENT EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. PLEASE ALSO REFER TO SCHEDULE O. THE CENTER SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED ABOVE FOR PART I, LINE 3C; PART I, LINE 6A; PART I, LINE 7; PART II; PART III, LINE 4 AND 8; AND PART III, LINE 9B ARE REFLECTIVE OF THAT POLICY. OUTLINED BELOW IS A SUMMARY OF THE AFFILIATES OF THE CENTER. THE CENTER IS AN 89-BED TAX-EXEMPT TEACHING AND TERTIARY CARE SPECIALTY HOSPITAL LOCATED IN BROWNS MILLS, BURLINGTON COUNTY, NEW JERSEY THAT PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT CARDIAC, PULMONARY AND VASCULAR SERVICES. THE CENTER IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, THE CENTER OPERATES WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1. THE CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. ALTHOUGH THE CENTER DOES NOT OPERATE AN EMERGENCY DEPARTMENT, IT LEASES AN AREA IN THE CENTER'S MAIN HOSPITAL BUILDING TO AN UNRELATED INTERNAL REVENUE CODE 501(C)(3) STATE OF NEW JERSEY TAX-EXEMPT HOSPITAL THAT OPERATES AN EMERGENCY ROOM ON THE CENTER'S CAMPUS. IN ADDITION, AS A REGIONAL REFERRAL CENTER AND SPECIALTY HOSPITAL, DEBORAH ROUTINELY RECEIVES TRANSFERS FROM OTHER HOSPITALS' EMERGENCY DEPARTMENTS AS WELL AS ADMISSIONS FROM ITS OWN CLINIC AND DIRECT ADMISSIONS FROM REFERRING PHYSICIANS WITHOUT CONSIDERATION OF THE PATIENTS' ABILITY TO PAY. 3. CONTROL OVER THE CENTER RESTS WITH ITS BOARD OF TRUSTEES, COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 4. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. DEBORAH HOSPITAL FOUNDATION DEBORAH HOSPITAL FOUNDATION (THE "FOUNDATION") IS AN AFFILIATE ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO IRS CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE CENTER. DEBORAH CARDIOVASCULAR GROUP, P.C. DEBORAH CARDIOVASCULAR GROUP, P.C. IS AN AFFILIATE ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO IRC 509(A)(3). THE ORGANIZATION PROMOTES, SUPPORTS AND FURTHERS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF DEBORAH HEART AND LUNG CENTER. DEBORAH MEDICAL INVESTMENTS, LLC A SINGLE MEMBER LIMITED LIABILITY COMPANY WHOSE SOLE MEMBER IS THE CENTER, THE ORGANIZATION IS LOCATED IN BROWNS MILLS, BURLINGTON COUNTY, NEW JERSEY. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE CENTER. DEBORAH MEDICAL ASSOCIATES INSURANCE COMPANY, LLC A SINGLE MEMBER LIMITED LIABILITY COMPANY WHOSE SOLE MEMBER IS THE CENTER, THE ORGANIZATION IS LOCATED IN BROWNS MILLS, BURLINGTON COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL PROFESSIONAL LIABILITY INSURANCE AND COMMERCIAL GENERAL LIABILITY INSURANCE TO THE CENTER. OTHER DEBORAH HEART AND LUNG CENTER AFFILIATE ADVANCED MEDICAL MANAGEMENT SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS THE CENTER, THE ORGANIZATION IS LOCATED IN BROWNS MILLS, BURLINGTON COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MANAGEMENT SERVICES. THE SURGERY CENTER AT DEBORAH, LLC A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE MAJORITY OWNER IS THE CENTER. THE ORGANIZATION IS CURRENTLY INACTIVE. ONCE ACTIVE THE ORGANIZATION WILL ENGAGE IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE CENTER.
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY.

Schedule H (Form 990) 2020

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
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 on 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 on 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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on 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" on 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) 2020

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 on 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 in column (B) reported as deferred on 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)
1RAFFAELE CORBISIERO MD PHYSICIAN	(i) (ii)	816,814 ------------- 0	120,061 ------------- 0	1,548 ------------- 0	10,863 ------------- 0	37,648 ------------- 0	986,934 ------------- 0	0 ------------- 0
2JOSEPH CHIRICHELLA TRUSTEE - PRESIDENT/CEO	(i) (ii)	583,769 ------------- 0	60,000 ------------- 0	36,072 ------------- 0	133,308 ------------- 0	33,478 ------------- 0	846,627 ------------- 0	0 ------------- 0
3PEDRAM KAZEMIAN MD PHYSICIAN	(i) (ii)	711,612 ------------- 0	77,458 ------------- 0	540 ------------- 0	9,752 ------------- 0	37,922 ------------- 0	837,284 ------------- 0	0 ------------- 0
4MARK MOSHIYAKHOV MD PHYSICIAN	(i) (ii)	560,508 ------------- 0	146,582 ------------- 0	540 ------------- 0	10,919 ------------- 0	17,107 ------------- 0	735,656 ------------- 0	0 ------------- 0
5VINCENT POMPILI MD CHAIR ADULT CARDIOLOGY	(i) (ii)	642,572 ------------- 0	0 ------------- 0	20,631 ------------- 0	9,000 ------------- 0	31,257 ------------- 0	703,460 ------------- 0	0 ------------- 0
6MUHAMMAD MUNTAZAR MD PHYSICIAN	(i) (ii)	541,782 ------------- 0	30,000 ------------- 0	21,048 ------------- 0	8,816 ------------- 0	39,922 ------------- 0	641,568 ------------- 0	0 ------------- 0
7SUSAN D BONFIELD ESQ SEC. - EVP/GENERAL COUNSEL	(i) (ii)	363,266 ------------- 0	30,000 ------------- 0	13,075 ------------- 0	40,123 ------------- 0	40,398 ------------- 0	486,862 ------------- 0	0 ------------- 0
8JOSEPH R MANNI EVP OPERATIONS/COO	(i) (ii)	364,594 ------------- 0	30,000 ------------- 0	5,076 ------------- 0	39,985 ------------- 0	34,451 ------------- 0	474,106 ------------- 0	0 ------------- 0
9LYNN B MCGRATH MD FORMER KEY EMPLOYEE	(i) (ii)	379,191 ------------- 0	25,000 ------------- 0	4,572 ------------- 0	5,599 ------------- 0	34,320 ------------- 0	448,682 ------------- 0	0 ------------- 0
10R GRANT LEIDY TREASURER - EVP FINANCE/CFO	(i) (ii)	321,106 ------------- 0	30,000 ------------- 0	23,455 ------------- 0	29,639 ------------- 0	32,533 ------------- 0	436,733 ------------- 0	0 ------------- 0
11BETSY SCHLOO MD INTERIM VP MEDICAL AFFAIRS	(i) (ii)	390,857 ------------- 0	0 ------------- 0	4,572 ------------- 0	5,158 ------------- 0	24,817 ------------- 0	425,404 ------------- 0	0 ------------- 0
12RICHARD S TEMPLE VP/CIO	(i) (ii)	278,000 ------------- 0	20,000 ------------- 0	2,376 ------------- 0	3,808 ------------- 0	33,125 ------------- 0	337,309 ------------- 0	0 ------------- 0
13RITA ZENNA VP PATIENT CARE SERVICES	(i) (ii)	236,885 ------------- 0	10,000 ------------- 0	2,376 ------------- 0	3,254 ------------- 0	32,725 ------------- 0	285,240 ------------- 0	0 ------------- 0
14MARION STAMOPOULOS VP HR/CHRO	(i) (ii)	227,658 ------------- 0	15,000 ------------- 0	1,548 ------------- 0	3,116 ------------- 0	36,992 ------------- 0	284,314 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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 INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, AS TAXABLE MEDICARE WAGES: JOSEPH CHIRICHELLA, $125,000; SUSAN D. BONFIELD, ESQ., $35,000; JOSEPH R. MANNI, $35,000 AND R. GRANT LEIDY, $25,000.

SCHEDULE J, PART I; QUESTION 7

CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2020 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) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
DEBORAH HEART AND LUNG CENTER

Employer identification number
23-1550955

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084		05-13-2014	16,148,000	REFUND 1993 REVENUE BONDS		X	X			X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	15,892,660
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	16,148,000
4 Gross proceeds in reserve funds .............	0
5 Capitalized interest from proceeds .............	0
6 Proceeds in refunding escrows ...............	198,144
7 Issuance costs from proceeds ...............	336,362
8 Credit enhancement from proceeds .............	0
9 Working capital expenditures from proceeds .............	0
10 Capital expenditures from proceeds .............	0
11 Other spent proceeds .............	0
12 Other unspent proceeds .............	0
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........	0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........	0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2020

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

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	Our Commitment to Community Health Compassion is, and has always been, the heart of the "Deborah" mission. Deborah Heart and Lung Center, supported by the work of the Deborah Hospital Foundation, embraces the Foundation's motto: "There is no price on life." For close to 100 years, Deborah Heart and Lung Center has cared for New Jersey residents in need despite their financial status. Deborah believes that no one should make a medical decision based on his/her/their personal financial situation. Deborah is the only hospital in the nation that treats both adults and children, and has never balance-billed a patient for care, serving as a true safety net for cardiac, vascular and pulmonary services in New Jersey. Deborah is also active in the local community and service areas, providing specialty-focused community-based health and wellness programs. Our Mission To provide the necessary facilities, equipment, medical staff and financial resources required to deliver the highest quality inpatient and outpatient services for the diagnosis and treatment of heart, lung and vascular disease within Deborah Heart and Lung Center's service area. The Center is committed to patient safety and privacy, and embraces and advocates for initiatives that enable the Center to attain those goals. The Center provides treatment to patients without distinction as to race, creed, color, national origin, ancestry, marital status, civil union status, domestic partnership status, pregnancy or breastfeeding, sex, gender identity or expression, affectional or sexual orientation, disability, liability for service in the Armed Forces of the United States or nationality of such person. Inpatient and outpatient services are provided on a timely basis and consistent with cost-effectiveness and financial responsibility. Our Vision Deborah Heart and Lung Center will lead the region as the premier provider of high quality innovative, compassionate and patient-focused heart, lung and vascular care, as a respected educator of the next generation of specialists, and as a thought leader in advanced clinical research. Our Story The Deborah story is an extraordinary one. Deborah was first incorporated in 1923 as the Deborah Jewish Consumptive Relief Society to build a tuberculosis (TB) sanatorium. According to history, the therapeutic air of the pine barrens of rural Burlington County was key to patient recovery. Thousands of TB patients were medically treated and compassionately cared for by a heroic team of Deborah physicians and caregivers. When the development of antibiotic medications led to the eradication of TB, Deborah shifted its focus to other chest diseases, embracing the emerging specialty of cardiac disease prevention and treatment. The focus on cardiac diseases, combined with Deborah's established expertise in lung diseases, transformed Deborah into New Jersey's only cardiac and pulmonary specialty hospital, where New Jersey's first open-heart surgeries were performed in the 1950s. Today, Deborah offers leading-edge surgical techniques and non-surgical alternatives to diagnose and treat cardiac, vascular and pulmonary diseases in adults, and congenital and acquired heart defects in adults and children. Deborah is recognized as a leader in patient care, patient satisfaction, quality outcomes and innovative healing. New advances in cardiac, pulmonary, and vascular care are often available first at Deborah. Deborah's clinical research department - combined with our well-respected teaching program - helps to bring new treatments, technologies and innovations to the Center. This infusion of innovative ideas and professional talent shapes the medical landscape of the State, strengthening Deborah's reputation as an important medical provider. IRS status Deborah is recognized by the IRS as a 501(c)(3) tax-exempt organization. Deborah operates within the following criteria outlined in IRS revenue ruling 69-545: 1. Deborah provides medically necessary healthcare services to all patients regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients. 2. As a specialty hospital, Deborah is not eligible to operate an emergency room. To meet the community's need for emergency care, Deborah leases space in Deborah's main hospital building to a hospital system licensed to operate a satellite emergency department. In addition, as a regional referral center and specialty hospital, Deborah receives transfers from other hospitals' emergency departments, as well as admissions from our own outpatient clinics and direct admissions from referring physicians. 3. Deborah's Board of Trustees, comprised of independent civic leaders and other prominent members of the community, provide oversight of, and leadership to, Deborah's executive team. 4. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care programs and activities in the community. The use and control of Deborah is for the benefit of the public. No part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. Charity Care Deborah provides medically necessary healthcare to patients who meet criteria under Deborah's charity care policy, as well as those who are uninsured, but do not meet charity care requirements. Deborah maintains records to identify and monitor the charity care and community service it provides. Consistent with its mission and values, Deborah does not bill patients for amounts that remain unpaid (including copayments and deductibles) after Deborah bills federal, State and commercial insurance programs. Deborah also sponsors programs and provides other patient services that directly benefit the surrounding community. Such programs include services to needy populations, community service programs and services for school-aged children, veterans, active duty military and dependents, first responders, and the elderly. Deborah also actively sponsors programs on health education and wellness. Recent Awards/Accreditations Among the 2020 recognitions, awards and accreditations to the Deborah team are: - DNV healthcare, accredited hospital. - Certified ventricular assist device facility, DNV healthcare. - Top 3-star rating, AVR surgery, CAGB surgery, and combined AVR and CABG surgery from the Society of Thoracic Surgeons. - "Get with the Guidelines - Heart-failure Gold Plus Honor Roll" achievement award, American Heart Association, and target: heart failure honor role. - Accredited, nuclear medicine, vascular testing, and echocardiography, Intersocietal Accreditation Commission. - Accredited, College of American Pathologists. - Infection control team silver award New Jersey Department of Health for antimicrobial stewardship recognition program. - 4-star rating, Centers for Medicare and Medicaid services, Hospital Compare. - Healthgrades specialty clinical awards: - Coronary Intervention Excellence Award - Vascular Surgery Excellence Award - Ten physicians and administrators were recognized by regional magazines as outstanding professionals. A Commitment to Community Deborah is committed to reaching out to, and into, our surrounding communities to meet the healthcare needs of those communities. Deborah prides itself on its partnership with individuals, corporations, labor organizations, service organizations and foundations to provide community-based and community-focused care. Deborah's community programs include services for needy populations, community service and education programs for the elderly, veterans and the medically underserved, as well as services and programs for children and adolescent children.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Community Health Screenings/outreach Deborah provides opportunities for the community to monitor their health through screenings available at Deborah and throughout the communities served. Deborah partners with numerous organizations to effectively reach targeted audiences. Detailed information on Deborah's screenings and outreach programs is found in the Schedule H narrative. Community Outreach Partners Deborah's community outreach efforts focus on building and maintaining key partnership with groups throughout the region. Deborah counts among its many partners: - american heart association; - american lung association; - browns woods apartments; - burlington county community action partnership; - burlington county health department; - burlington county library system; - burlington county prosecutor's office - Burlington county sheriff's office - Capital Health System, Inc. - center for family services; - cooper university health care; - hampton hospital; - joint base mcguire-dix-lakehurst; - knights of columbus; - local 500 nj state fireman's mutual benevolent association; - new jersey chief of police association; - new jersey education association; - new jersey hospital association; - new jersey state firemen's association; - new jersey state firefighters mutual benevolent association; - new jersey state vfw; - ocean county health department; - ocean health initiatives (a federally-qualified health center); - pemberton township; - pinelands family success center; - rowan college at burlington county; - rowan university school of osteopathic medicine; - sidney kimmel college at Jefferson university hospital - southern nj perinatal cooperative; - st. Christopher's hospital for children; - temple university; - tobacco free new jersey; and - virtua ceed (cancer education and early detection). Affiliated partnerships for expanded healthcare Deborah focuses on regional collaboration with other healthcare systems and providers to remove barriers to access for care and to offer expanded services. Of particular note are: 1. HeroCare Connect, a specially-designed program for active duty military, veterans, retirees and their dependents. Developed as a partnership with cooper university health care, the program provides rapid point of access to medical services offered by both Deborah and Cooper. Working closely with joint base mcguire-dix-lakehurst's staff at the 87th medical group, HeroCare Connect provides a vital link in specialty care for our military, and for medical clearances for rapid deployment. 2. Partnership in the support of a Medical Office Building owned and operated by landmark healthcare, llc of milwaukee, Wisconsin, designed to bring new medical providers into the community. Through this partnership, pemberton township (designated as a federally designated medically underserved area MUA/MUP) has access to urgent care; obstetric and gynecological services; physical therapy; a primary care practice, including pediatrics; a cardiac rehabilitation program; occupational therapy; pain management and podiatry services. 3. Cleveland Clinic Heart, Vascular & Thoracic Institute Alliance Member, working with CCHVTI to strengthen the processes underpinning the cardiovascular medicine and surgery performed at Deborah through sharing of best practices to improve outcomes, safety, and quality for patient care. Deborah Affiliations Deborah has relationships with various New Jersey statewide organizations. These relationships are endorsed by the executive leadership and/or governing body of each organization. - new jersey state fireman's association; - veterans of foreign wars; - knights of pythias; - knights of columbus; - nfl alumni association; - new jersey education association; - new jersey state police benevolent association; and - new jersey state association of chiefs of police. Education As a teaching hospital, Deborah maintains robust cardiology, interventional cardiology, electrophysiology, heart failure, and vascular surgery fellowship programs. This highly sought-after post-graduate training provides valuable experience to new cardiologists and vascular specialists. Deborah's nursing program provides on-site rotational training for nurses entering the field, mentorships and internships for college students, an interactive simulcast video forum to share surgical procedures with high school students, and a new high school externship nursing assistant program. Deborah also hosts a year-round schedule of grand rounds presentations, cme seminars, sponsoring and presenting at major national professional symposia, and outside medical presentations to joint base mcguire-dix-lakehurst, consistent with Deborah's commitment as a teaching hospital. Clinical Research Over 30 clinical research trials are underway at Deborah, providing an opportunity for patients to receive innovative treatments at Deborah once successful trials receive fda approval. Deborah's research physicians are widely published in leading medical journals, with editorial appointments on many medical publications. Deborah's Programs and Services Deborah seeks to enhance the healthcare services and experiences of its patients and their families. Deborah has a strong set of organizational values creating a driving force behind the Center's excellence. The Deborah team looks for continuous improvement based on patient, staff and community feedback, and clinical data. Achieving, and then maintaining, a level of excellence in healthcare services is Deborah's commitment. Deborah does this through the following services, among others: 1. Adult cardiology services Adult congenital heart disease - Deborah's unique adult congenital heart disease program combines the expertise of physicians trained in adult and pediatric cardiovascular medicine, with tailored management of the disease. Cardiac catheterizations - catheterizations are the most widely performed procedure at deborah. The center has four full service cardiac catherization and endovascular catherization labs that are fully equipped with the latest technology to allow care teams to visualize and access vessels with unprecedented flexibility and precision. Clinical cardiology - deborah's clinical cardiology service provides consultations for patients with acute and chronic heart diseases. The scope of care includes congenital and acquired heart diseases, coronary artery disease, rheumatic heart disease, other forms of valvular and myocardial disease, cardiomyopathy and hypertensive heart disease, disorders of the coronary and non-coronary circulation systems, myocardial function, cardiac conduction system and cardiac valves. 2. Advanced heart failure Deborah provides comprehensive care to patients with all forms of heart failure, excluding heart transplant. Deborah's comprehensive team approach allows for the treatment of patients with even the most advanced forms of heart failure. Since so few patients with heart failure can be offered heart transplantation, the specialists at deborah strive to maximize heart performance and minimize risk, using medications and specialized implanted devices. Cardiomems - an integrated team consisting of interventional, electrophysiology and heart failure physicians is able to offer the cardiomems implant. This device allows patients with advanced heart failure to return home with monitoring provided once a day through a brief computerized test with the results sent to deborah so the team can monitor, in real-time, the patient's status and immediately address the patient's needs, avoiding an emergency re-hospitalization. Left ventricular assist device (lvad) shared services - deborah has partnered with a transplant hospital to support its lvad program, designed to allow patients to receive left ventricular assist devices as either a bridge to transplant or as destination therapy for qualifying patients. Extracorporeal membrane oxygenation (ecmo), also known as extracorporeal life support, -- is an extracorporeal technique of providing prolonged cardiac and respiratory support to persons whose heart and lungs are unable to provide adequate gas exchange or perfusion to sustain life for long-term support. 3. Ambulatory care services area Ambulatory care patients seen at deborah receive quality care in the center's renovated ambulatory care service area. The ambulatory care exam area contains spacious, modern exam rooms, all with cardiac monitors and a triage room for urgent situations. 4. The balance center at deborah 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	5. The bariatric program The bariatric program at deborah offers an option for those struggling with weight-associated health problems. In partnership with bariatric surgeons from garden state bariatric center, deborah offers an on-site comprehensive weight-management program including gastric bypass, gastric sleeve and/or gastric banding surgical procedures, as part of an overall program focusing on nutrition, healthy living and exercise. 6. Cardiothoracic surgery Adult congenital heart surgery - the cardiac surgery service at deborah has performed hundreds of surgeries on adult patients with congenital heart anomalies. Aortic surgery - all aspects of aortic surgery are performed at Deborah, including repair of aneurysms of the ascending, descending and abdominal aorta, correction of aortic dissection, replacement of the aortic root and replacement of the aortic arch. Beating heart bypass surgery - beating heart bypass surgery is performed while the heart is still beating. With "off-pump" technology, heart and lungs continue to function during the surgery, reducing the risk of stroke, lung and kidney dysfunction and memory loss. Coronary artery surgery - coronary artery surgery is performed at deborah using the latest techniques to perform either an arterial bypass or mixed arterial and reversed saphenous vein grafting as indicated. Deborah's cardiac surgery team uses advanced techniques of myocardial protection, surgical technique, extracorporeal perfusion, anesthetic management, blood conservation and perioperative care. Direct coronary artery bypass - cardiac surgeons perform minimally invasive direct coronary artery bypass (midcab) surgery. This procedure allows coronary revascularization in select cases with a limited sternotomy incision and without the use of the heart-lung machine. Endoscopic radial artery/saphenous vein harvesting - deborah surgeons offer endoscopic radial artery and saphenous vein harvesting, a minimally invasive technique for removal to be used as a conduit in coronary artery bypass surgery. 7. Valve repair or replacement Minimally invasive valve surgery - surgeons at deborah can repair or replace both the mitral and aortic valves by applying a minimally invasive technique. Instead of a sternotomy, a smaller incision is used to expose and access the heart. Deborah offers the latest and safest refined surgical techniques for cardiac valve reconstruction. Many valve conditions result in valvular dysfunction, manifested by stenosis, incompetence or both. Transcatheter aortic valve replacement (tavr) - combining the skills of surgeons and interventionalists in deborah's state-of-the-art hybrid operating room, teams can replace aortic valves percutaneously for the highest-risk patients who are not candidates for open heart surgery Valve replacement - deborah has used cardiac valve substitutes since 1963, and utilizes various state-of-the-art cardiac valve prostheses, designed to suit every individual's need, disease process or patient's age. Vascular surgery - elective surgical procedures at deborah include: carotid endarterectomy, abdominal aortic aneurysm resection and lower extremity revascularization. 8. Endovascular surgery Endovascular surgery is an innovative, less invasive procedure used to treat problems affecting the blood vessels, such as an aneurysm, which is a swelling or "ballooning" of the blood vessel. The surgery involves making a small incision near each hip to access the blood vessels. Aortic stenting - endovascular stent grafting, or endovascular aneurysm repair (evar), is a newer form of treatment for abdominal aortic aneurysm that is less invasive than open surgery. Endovascular stent grafting uses an endovascular stent graft to reinforce the wall of the aorta and to help keep the damaged area from rupturing. 9. The children's heart center at deborah/children of the world program Outpatient pediatric cardiology - deborah's board-certified pediatric cardiologist and advanced nurse practitioner (anp) provide diagnostic outpatient evaluations for children suspected to have congenital or acquired heart disease. Pediatric arrhythmia program - diagnosis and ongoing management of arrhythmias, palpitations and syncope are provided in the ambulatory care settings. Non-invasive diagnostic studies are used to identify significant problems. Pediatric echocardiography - provides important diagnostic information, and is regularly used as clinically indicated as an integral part of the cardiac evaluation. Perinatal cardiology - comprehensive assessment of the fetus and neonate with suspected cardiac disease is provided. Fetal echocardiography provides information regarding structural heart disease, and allows monitoring of cardiac performance. 10. Electrophysiology and arrhythmias services Cardioversion - a procedure in which a shock is delivered to the patient's heart through paddles or patches on their chest. The current affects the electrical impulses in the heart and can restore a normal rhythm. Crt-d and icd device - cardiac resynchronization therapy defibrillator (crt-d) and implantable cardioverter defibrillator (icd) is used to treat heart failure and sudden cardiac death. The system is designed to simplify and reduce the time needed for the implant procedure by combining three separate lead terminals into one integrated connector and reducing the number of connections and set screws needed in the device header. Loop recorders - an implantable loop recorder, or ilr, is a heart recording device that is implanted in the body underneath the chest skin. It has several uses. The most common ones include looking for causes of fainting, palpitations, very fast or slow heartbeats, and hidden rhythms that can cause strokes. Pacemaker/icd - deborah's electrophysiologists implant programmable pacemakers and defibrillators to treat a variety of rhythm disturbances. The major diagnoses are brady- and tachy- arrhythmias. Pacemakers are implanted in a patient with a slow heart rate, while an implantable cardioverter defibrillator is a treatment option for patients who suffer with ventricular tachycardia and ventricular fibrillation. Deborah also implants Bluetooth-enabled devices for remote at home device monitoring. Radiofrequency ablation - deborah performs radiofrequency ablation, a procedure used to treat adults and children with complex cardiac arrhythmias. Included in these services are atrial and supraventricular tachycardia, wolff-parkinson-white syndrome, atrial fibrillation and flutter. Stereotaxis gentle touch magnetic system - deborah's electrophysiology suite includes one of the region's first stereotaxis gentletouch magnetic systems, as well as new enhanced imaging equipment and a specifically-designed mapping system. The stereotaxis gentletouch magnetic system allows doctors the ability to view the inside of the heart, both anatomically and electrically. Tilt tables - tilt tables are used to help identify the cause of fainting spells. Watchman - deborah is implanting the watchman left atrial appendage closure device, a proven alternative to long-term warfarin therapy for stroke risk reduction in patients with non-valvular afib. 11. Imaging services Deborah provides a full complement of imaging services. The Deborah services include: Nuclear medicine - nuclear medicine is a specialized area of radiology that uses very small amounts of radioactive materials, or radiopharmaceuticals, to examine organ function and structure. Nuclear studies - a cardiac (heart) nuclear study is a test that uses a small dose of radioactive solution to track blood flow to the heart muscle, and to evaluate heart function. Nuclear stress - a nuclear exercise stress test is like an exercise stress test, in that it also involves walking on a treadmill. For this test, however, a radioactive isotope is injected into the bloodstream. A gamma camera can detect radiation and create computer images of the heart at rest and after exercise. Ct scanner - a cardiac computed tomography (ct) scan uses special x-rays to create detailed images of the heart and blood vessels. Deborah has a state of the art 256-slice CT scanner that provides superior quality images and leads to better, more precise diagnoses. Echo - an echocardiogram (or echo) is a test of the heart using ultrasound waves and is used for diagnosing disease of the heart or its valves. Transesophageal echocardiography (tee) - is a special type of echo that produces moving pictures of your heart by placing a transductor in the esophagus. The esophagus is so close to the heart, images from a TEE provides very clear images of the heart and its structures.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Ultrasound - a vascular ultrasound is used to study the circulation in the blood vessels of the body. This can be used to look at veins and arteries in the neck, abdomen, arms and legs. Mobile pet/ct - a mobile pet/ct scanner rotates onsite at Deborah for patients who need this diagnostic test, commonly used to identify carcinoma. 12. Institute for sleep medicine Deborah offers patients accurate diagnosis and effective treatment for disorders such as sleep apnea, as well as less common disorders such as narcolepsy, insomnia, sleep movement disorders and sleep deprivation syndromes. Sleep studies are conducted on-site. Home sleep studies are also offered, expanding access to this important diagnostic testing. 13. Interventional cardiology Deborah's interventional cardiology department includes a team of specialty-trained interventionalists using highly advanced technologies and devices to open blockages, offering minimally invasive techniques and an array of interventional treatment options give their patients optimal outcomes. Radial artery access - cardiac catheterization through the radial artery in the wrist is less invasive, more comfortable, safer and has fewer complications and a faster recovery than the traditional femoral method. Performing cardiac catheterization through the wrist using a long, thin tube (called a catheter) through an artery in the wrist to get to the heart is the most common method used at deborah. 14. The wound care center The james klinghoffer center for wound healing and hyperbaric treatment provides advanced wound care technology and hyperbaric oxygen therapy to enhance wound healing through a multidisciplinary team approach. 15. Multi-disciplinary oncology clinic Deborah's multi-disciplinary oncology clinic program, offered through a collaborative relationship with an independent oncology practice, offers collaborative personalized outpatient appointments for case management of patients with tumors. 16. Pulmonary medicine and rehabilitation services The department of pulmonary medicine provides high quality care for patients with all types of lung disease. Our goal is to provide personal care to every patient in a friendly, timely and accessible manner. Pulmonary rehabilitation - pulmonary rehabilitation is a program of education and exercise that helps patients manage his/her/their breathing problems, increasing stamina (energy) and decreasing breathlessness. The educational part of the program teaches patients to be "in charge" of his/her/their breathing instead of his/her/their breathing overseeing them. Pulmonary function testing (pfts) -- noninvasive tests that show how well the lungs are working. The tests measure lung volume, capacity, rates of flow, and gas exchange. This information can help a healthcare provider diagnose and decide the treatment of certain lung disorders. Physical therapy (pt) -- a branch of rehabilitative health that uses specially designed exercises and equipment to help patients regain or improve their physical abilities. Pt is appropriate for many types of patients, from infants born with musculoskeletal birth defects, to adults suffering from sciatica or the after effects of injury or surgery, to elderly post-stroke patients. Cardiac rehabilitation -- a medically supervised program, individualized for each patient. It consists of exercise training, as well as education and counseling about heart-healthy living. Besides heart attacks, cardiac rehab is recommended by the american heart association for heart conditions like coronary artery disease, angina or heart failure, after a heart procedure or surgery, including bypass surgery, angioplasty and stenting, valve replacement, or a pacemaker or implantable cardioverter defibrillator. Post-COVID Recovery Program -- launched to assist the many patients who have continuing symptoms even after they no longer test positive for covid-19. 17. Vein center Spider veins on the thighs, ankles or calves is a concern for many people. At deborah's vein center, there are now spider vein and varicose vein treatments that can virtually eliminate these conditions. 18. The women's heart center The women's heart center combines deborah's expertise in treating heart and vascular disease with programs to help reduce stress; reduce weight; quit smoking; eat better; sleep more soundly; manage diabetes and educate women about the signs and symptoms of heart and vascular disease. This multi-pronged approach aims to reduce heart and vascular disease among women. 19. Thoracic surgery Thoracic - or chest - surgery includes the lungs, esophagus, trachea, and chest wall. A variety of surgical techniques, including both open and minimally-invasive, are performed by deborah's surgical team.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY THE ORGANIZATION'S AUDIT COMMITTEE. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS PRESENTED TO THE MEMBERS OF THE DEBORAH HEART AND LUNG CENTER AUDIT COMMITTEE FOR REVIEW AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S DIRECTOR OF COMPLIANCE FOR REVIEW. THEREAFTER, THE DIRECTOR OF COMPLIANCE AND GENERAL COUNSEL REVIEW THE QUESTIONNAIRES AND MAINTAIN RECORDS OF THE COMPLETED QUESTIONNAIRES.
CORE FORM, PART VI, SECTION B; QUESTION 15	The deborah heart and lung center board of trustees has a human resources committee ("committee"). The committee reviews and follows internal revenue service guidelines for rebuttable presumption of reasonableness for purposes of irs code section 4958 in its evaluation and decision-making with respect to the compensation paid to the president & ceo. The committee is provided with the recommendations of the president & ceo with respect to senior leadership compensation and data to demonstrate that his recommendation is in line with IRS guidelines. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior leadership of the organization is reasonable. The actions taken by the committee enable the center to receive the rebuttable presumption of reasonableness for purposes of irs code section 4958 with respect to the total compensation of certain members of the senior leadership team. Factors that support the center's standing with respect to its reasonableness include, but are not limited to: 1. The compensation and benefit arrangements are approved in advance by the committee, none of whom have a "conflict of interest" with respect to the compensation arrangement; 2. The committee relies upon appropriate comparable external and internal compensation data prior to making its determination. This data is updated each year by utilizing generally published surveys, data provided by healthcare associations, and information gleaned from newspaper articles and other sources and reflects comparable factors, including but not limited to geography, bed size, complexity, revenue, etc. 3. The committee documents the basis for its determinations in timely, formal meeting minutes. The compensation and benefits of the other individuals contained in this form 990, schedule j, are reviewed annually by the president & ceo with assistance from the organization's human resources department in conjunction with the individual's job performance during the year, and are based upon various objective and subjective performance factors designed to ensure that reasonable and fair market value compensation is paid by the organization. The center's financial status as well as its need to attract and retain competent leadership is also reviewed and considered in this process. Other objective factors include market survey data for comparable positions, individual goals and objectives, actual performance and other relevant performance feedback.
CORE FORM, PART VI, SECTION B; QUESTION 16B	DEBORAH HEART AND LUNG CENTER MAINTAINS A WRITTEN POLICY TO ENSURE THAT ANY JOINT VENTURE ENTERED INTO BY DEBORAH HEART AND LUNG CENTER WITH A FOR-PROFIT PARTICIPANT IS REVIEWED AND FOLLOWED SO AS TO EVALUATE ITS PARTICIPATION UNDER APPLICABLE FEDERAL TAX LAW, AND TO ENSURE THAT THE ORGANIZATION TAKES STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
CORE FORM, PART VI, SECTION C; QUESTION 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	CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. IN ADDITION, JOSEPH MANNI WORKS 45 HOURS A WEEK AS THE chief operating officer FOR THE ORGANIZATION AND WORKS 10 HOURS A WEEK AS THE CHIEF OPERATING OFFICER FOR DEBORAH HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, FOR A TOTAL OF 55 HOURS A WEEK. LYNN B. MCGRATH, M.D., FORMER VP MEDICAL AFFIARS OF DEBORAH HEART AND LUNG CENTER, IS STILL EMPLOYED AS THE EXECUTIVE DIRECTOR MEDICAL AFFAIRS OF DEBORAH CARDIOVASCULAR GROUP, P.C.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS PART OF DEBORAH HEART AND LUNG CENTER; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY, PLANT AND EQUIPMENT - $510,447; - OTHER COMPONENTS OF NET PERIODIC PENSION COSTS - ($2,427,093); - PENSION-RELATED CHANGES OTHER THAN NET PERIODIC COSTS - $2,839,427; - NET ASSETS RELEASED FROM RESTRICTION - ($914,094); - CHANGES IN FAIR VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST - $96,226; AND - CHANGE IN BENEFICIAL INTEREST IN RESTRICTED NET ASSETS OF DEBORAH HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($836,792).
CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ITS SUBSIDIARIES, FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED CONSOLIDATED FINANCIAL STATEMENT. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
DHLC	THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS DEBORAH HEART AND LUNG CENTER RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND DEBORAH HEART AND LUNG CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITES WAS RECEIVED BY DEBORAH HEART AND LUNG CENTER UTILIZING DIFFERENT FEDERAL IDENTIFICATION NUMBERS THAN 23-1550955. BELOW IS A LIST OUTLINING THE VARIOUS DEBORAH HEART AND LUNG CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS: PROFESSIONAL SERVICE FUND OF DHLC 23-1893623 DEBORAH MEDICAL INVESTMENTS, LLC 46-4400008 DEBORAH MEDICAL ASSOCIATES INSURANCE CO., LLC 38-3989806

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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	HEALTH SVCS.	NJ	0	280,800	DHLC
(2) DEBORAH MEDICAL ASSOCIATES INS CO LLC 200 TRENTON ROAD BROWNS MILLS,NJ08015 38-3989806	FIN. VEHICLE	NJ	1,566,471	6,626,313	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
(2)DEBORAH CARDIOVASCULAR GROUP PC 200 TRENTON ROAD BROWNS MILLS,NJ08015 03-0494366	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	DHLC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) THE SURGERY CENTER AT DEBORAH LLC 11221 ROE AVENUE STE 320 LEAWOOD,KS662111878 85-3082092	HEALTH SVCS.	KS	DHLC	RELATED	0	731,688		No	0		No	59.649 %

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	(h) Percentage ownership	Yes	No
(1) ADVANCED MEDICAL MANAGEMENT SERVICES 200 TRENTON ROAD BROWNS MILLS,NJ08015 20-4912042	MGMT SVCS.	NJ	DHLC	C CORP.	143,916	250,471	100.000 %	Yes

Schedule R (Form 990) 2020

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	140,628	COST
(2) DEBORAH CARDIOVASCULAR GROUP PC	E	123,789	COST

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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

THIS ORGANIZATION IS A MEMBER OF DEBORAH HEART AND LUNG CENTER; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE DEBORAH HEART AND LUNG CENTER ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.

Schedule R (Form 990) 2020

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	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	1,360
6	Total number of volunteers (estimate if necessary) .............	6	70
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,223,188	21,165,665
9	Program service revenue (Part VIII, line 2g) .........	202,489,006	185,776,465
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	838,468	891,547
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	833,100	553,684
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	212,383,762	208,387,361
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)	104,635,738	103,921,105
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)....	102,755,239	98,356,715
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	207,390,977	202,277,820
19	Revenue less expenses. Subtract line 18 from line 12.......	4,992,785	6,109,541
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	133,457,746	164,434,154
21	Total liabilities (Part X, line 26).............	70,351,490	93,090,922
22	Net assets or fund balances. Subtract line 21 from line 20.....	63,106,256	71,343,232

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 182,050,037 including grants of $ 0 ) (Revenue $ 185,776,465 )
	EXPENSES INCURRED IN PROVIDING INPATIENT AND OUTPATIENT SERVICES FOR THE DIAGNOSIS AND TREATMENT OF HEART, LUNG AND VASCULAR DISEASE TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES. PLEASE REFER TO THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses182,050,037

(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)	(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) SANDI FEIN........................................................................ TRUSTEE	1.0 .......................0.0	X	0	0	0
(19) RICHARD S HAYDINGER........................................................................ TRUSTEE	1.0 .......................0.0	X	0	0	0
(20) BARBARA GEORGE JOHNSON........................................................................ TRUSTEE	1.0 .......................0.0	X	0	0	0
(21) DENNIS L KING........................................................................ TRUSTEE	1.0 .......................0.0	X	0	0	0
(22) CHARLES J MCAFEE........................................................................ TRUSTEE	1.0 .......................0.0	X	0	0	0
(23) REVEREND ANTHONY LIPARI........................................................................ TRUSTEE (TERMED)	1.0 .......................0.0	X	0	0	0
(24) BURTON C TREBOUR........................................................................ TRUSTEE (TERMED)	1.0 .......................0.0	X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,150,144	0	780,035

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	8,647,197
e	Government grants (contributions)		1e	12,021,784

f	All other contributions, gifts, grants, and similar amounts not included above		1f	496,684

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		21,165,665

		Business Code
2a	NET PATIENT SERVICE REVENUE	541900	180,439,838	180,439,838
b	OTHER HEALTHCARE RELATED REVENUE	541900	5,336,627	5,336,627
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		185,776,465

3 Investment income (including dividends, interest, and othersimilar amounts) ......			144,099			144,099
4 Income from investment of tax-exempt bond proceeds			5,758			5,758
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		548,472	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	548,472	6c
d	Net rental income or (loss).......			548,472			548,472
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	236,793	504,897	7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)	236,793	504,897	7c
d	Net gain or (loss).........			741,690			741,690
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	MEDICAL RECORD COPIES		900099	5,212			5,212
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			5,212
12	Total revenue. See instructions.....			208,387,361	185,776,465		1,445,231

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ...........	3,576,595	3,218,935	357,660
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........	83,447,186	75,102,467	8,344,719
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,394,160	1,254,744	139,416
9	Other employee benefits .......	9,951,224	8,956,102	995,122
10	Payroll taxes ...........	5,551,940	4,996,746	555,194
11	Fees for services (non-employees):
a	Management ......	30,000	27,000	3,000
b	Legal .........	1,430,505	1,287,455	143,050
c	Accounting ...........	20,810	18,729	2,081
d	Lobbying ...........	126,991	114,292	12,699
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	31,355	28,220	3,135
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	19,787,339	17,808,605	1,978,734	0
12	Advertising and promotion ....	1,229,819	1,106,837	122,982
13	Office expenses .......	2,824,577	2,542,119	282,458
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	2,805,967	2,525,370	280,597
17	Travel ............	104,287	93,858	10,429
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	2,536	2,282	254
20	Interest ...........	629,990	566,991	62,999
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	6,824,160	6,141,744	682,416
23	Insurance ...	651,988	586,789	65,199
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	53,228,026	47,905,223	5,322,803	0
b	REPAIRS AND MAINTENANCE	3,495,823	3,146,241	349,582	0
c	ASSESSMENTS	1,058,282	952,454	105,828	0
d	DUES AND SUBSCRIPTIONS	180,038	162,034	18,004	0
e	All other expenses	3,894,222	3,504,800	389,422
25	Total functional expenses. Add lines 1 through 24e	202,277,820	182,050,037	20,227,783	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).

1	Cash–non-interest-bearing ........			1,850	1	1,850
2	Savings and temporary cash investments .........			15,037,303	2	42,738,023
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			25,917,854	4	23,020,772
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			5,254,302	8	5,672,596
9	Prepaid expenses and deferred charges ......			830,279	9	1,216,270
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	106,790,794
b	Less: accumulated depreciation	10b	73,565,074	35,896,357	10c	33,225,720
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 ..			41,258,791	13	48,149,489
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			9,261,010	15	10,409,434
16	Total assets. Add lines 1 through 15 (must equal line 33)...			133,457,746	16	164,434,154

17	Accounts payable and accrued expenses .....	39,124,226	17	31,704,559
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	7,010,351	20	4,418,576
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	12,035,578	23	9,042,841
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	12,181,335	25	47,924,946
26	Total liabilities. Add lines 17 through 25..	70,351,490	26	93,090,922

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	47,152,076	27	53,228,228
28	Net assets with donor restrictions ...........	15,954,180	28	18,115,004
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	63,106,256	32	71,343,232
33	Total liabilities and net assets/fund balances ........	133,457,746	33	164,434,154