Deborah Heart and Lung Center

“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.”

“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.”

“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.”

“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.”

“Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS.”

“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.”

“In addition to her role as Secretary - EVP/General Counsel of Deborah Heart and Lung Center, Susan D. Bonfield, Esq. served as the Interim President/CEO of Deborah Heart and Lung Center for the period August 24, 2024 to September 8, 2024.”

“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, UNTIL HIS RETIREMENT IN NOVEMBER 2024, JOSEPH MANNI WORKED 45 HOURS A WEEK AS THE chief operating officer FOR THE ORGANIZATION AND WORKED 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.”

“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.”

“Our Commitment to Community Health Compassion is, and has always been, at the heart of Deborah's mission. Deborah Heart and Lung Center, supported by the fundraising of the Deborah Hospital Foundation, embraces the motto: "There is no price on life." For over 100 years, Deborah Heart and Lung Center has cared for New Jersey residents in need of comprehensive heart, lung and vascular care despite their financial status. Deborah believes that no one should have to make a medical decision based on his/her/their personal financial situation. Deborah is the only hospital in the nation that treats both adults and children and has never balance-billed a patient for care provided in the hospital, serving as a true safety net for cardiac, pulmonary and vascular services in New Jersey. Deborah is also active in the local community and service areas, providing specialty-focused community-based health and wellness programs. Our Mission To provide the highest quality heart, lung and vascular care in a collaborative and welcoming environment, while ensuring access for all. Our Vision To reimagine the delivery of advanced specialty care with a focus on healthy living for all communities. Our Core Values Deborah embraces a people-centered model of care through five (5) core values. These core values are reflective of Deborah's mission and vision in serving patients, staff and the community at-large: 1. Compassion - We cultivate a welcoming environment for our patients, their families, and our team that upholds our reputation of being "a special place." 2. Quality - We take pride in our collective skills, commitment to integrity, and dedication to providing exceptional, safe patient care. 3. Innovation - We are committed to leveraging best-in-class technology and continuously pursue better ways to serve our patients. 4. Teamwork: We collaborate and communicate across all levels of care to create successful outcomes and a lasting impact. 5. Respect: We welcome and include diverse perspectives to promote a culture of respect. Our Story The Deborah story is an extraordinary one. Deborah was first incorporated in 1922 as the Deborah Jewish Consumptive Relief Society to build a tuberculosis (TB) sanatorium. According to history, the therapeutic air of the Pine Barrens of rural Burlington County was key to patient recovery. Thousands of TB patients were medically treated and compassionately cared for by a heroic team of Deborah physicians and caregivers. When the development of antibiotic medications led to the eradication of TB, Deborah shifted its focus to other chest diseases, embracing the emerging specialty of cardiac disease prevention and treatment. The focus on cardiac diseases, combined with Deborah's established expertise in lung diseases, transformed Deborah into New Jersey's only cardiac and pulmonary specialty hospital, where New Jersey's first open-heart surgeries were performed in the 1950s. Today, Deborah offers leading-edge surgical techniques and non-surgical alternatives to diagnose and treat cardiac, pulmonary and vascular diseases in adults, and congenital and acquired heart defects in adults and children. Deborah is recognized as a leader in patient care, patient satisfaction, quality outcomes and innovative healing. New advances in cardiac, pulmonary, and vascular care are often available first at Deborah. Deborah's clinical research department - combined with our well-respected teaching program - helps to bring new treatments, technologies and innovations to the Center. This infusion of innovative ideas and professional talent shapes the medical landscape of the State, strengthening Deborah's reputation as an important medical provider. IRS Status Deborah is recognized by the IRS as a 501(c)(3) tax-exempt organization. Deborah operates within the following criteria outlined in IRS Revenue Ruling 69-545: 1. Deborah provides medically necessary healthcare services to all patients regardless of ability to pay, including Charity”

“- Carbon Health - Center for Family Services - Christian Caring Center - Cleveland Clinic Heart Vascular & Thoracic Institute - Alliance Member - Coalition of 100 Black Women - Cooper University Health Care - Deborah Cardiovascular Group, P.C., d/b/a Deborah Specialty Physicians - Defense Enhancement Coalition - DNV GL Healthcare - Garden State Bariatrics Center - Georgie's Pharmacy - Hope One of Burlington County - Humana Military - Ivy Rehab Network - Joint Base McGuire-Dix-Lakehurst - Knights of Columbus - Landmark Healthcare Facilities, LLC - The Leapfrog Group - Local 500 NJ State Fireman's Mutual Benevolent Association - Maryville Addiction Treatment Center - New Jersey Chief of Police Association - New Jersey Department of Health - New Jersey Department of Human Services - New Jersey Department of Military and Veterans Affairs - New Jersey Education Association - New Jersey Hospital Association - New Jersey Hospital Association Veteran Navigators - New Jersey State Firemen's Association - New Jersey State Firefighters Mutual Benevolent Association - New Jersey State VFW - NFL Alumni Association - Ocean County Foot and Ankle Surgical Associates - Ocean County Health Department - Ocean Health Initiatives (a Federally-Qualified Health Center) - Ocean-Monmouth Health Alliance - Pemberton Community Library - Pemberton Township - Pemberton Township High School Medical Arts Academy - Pinelands Family Success Center - Rowan College at Burlington County - Rowan University School of Osteopathic Medicine - Samaritan - Sidney Kimmel College at Jefferson University Hospital - Society of Thoracic Surgeons - Southern New Jersey Development Council - Southern NJ Perinatal Cooperative - St. Christopher's Hospital for Children - Stout's Transportation - The Eye Professionals - The Sisterhood - Temple University - Tobacco Free New Jersey - Veterans Administration - Virtua CEED (Cancer Education and Early Detection) Affiliated Partnerships for Expanded Healthcare Deborah focuses on regional collaboration with other healthcare systems and providers to remove barriers to access for care and to offer expanded services. Of particular note are: 1. HeroCare Connect, a specially-designed program for active-duty military, veterans, retirees and their dependents. Developed as a partnership with Cooper University Health Care, the program provides rapid point of access to medical services offered by both Deborah and Cooper. Working closely with Joint Base McGuire-Dix-Lakehurst's staff at the 87th Medical Group, HeroCare Connect provides a vital link in specialty care for our military, including diagnostic testing, timely appointments with specialists, and medical clearances for rapid deployment. 2. Partnership in the support of a Medical Office Building on Deborah's hospital campus, owned and operated by Landmark Healthcare, LLC of Milwaukee, Wisconsin, was designed to bring new medical providers into the community. Through this partnership, Pemberton Township residents (designated as a Federally Designated Medically Underserved Area MUA/MUP) have access to a variety of health care services including: urgent care; obstetric and gynecological services; physical therapy; a primary care practice, including pediatrics; a cardiac rehabilitation program; occupational therapy; pain management; eye care; pharmacy services; podiatry services; and a sleep center. 3. Deborah is an Alliance Member of the Cleveland Clinic Heart, Vascular & Thoracic Institute (CCHVTI), working to strengthen the processes underpinning the cardiovascular medicine and surgery performed at Deborah. The affiliation fosters sharing of best practices, enhancing opportunities to provide new treatments and therapies to patients, as well as exploring cutting-edge technologies and techniques in cardiac and vascular care to improve outcomes, safety, and quality for patient care. 4. Ivy Rehab, in partnership with Deborah Heart and Lung Center, jointly operates a full scope physical therapy pra”

“Cardiomems - An integrated team consisting of interventional, electrophysiology and heart failure physicians is able to offer the cardiomems implant. This device allows patients with advanced heart failure to return home with monitoring provided once a day through a brief computerized test with the results sent to Deborah so the team can monitor, in real-time, the patient's status and immediately address the patient's needs, avoiding an emergency re-hospitalization. Left Ventricular Assist Device (LVAD) shared services - Deborah has partnered with a transplant hospital to support its LVAD program, designed to allow patients to receive left ventricular assist devices as either a bridge to transplant or as destination therapy for qualifying patients. Extracorporeal Membrane Oxygenation (ECMO), also known as extracorporeal life support, is an extracorporeal technique of providing prolonged cardiac and respiratory support to persons whose heart and lungs are unable to provide adequate gas exchange or perfusion to sustain life for long-term support. Impella device is the world's smallest heart pump which provides the heart with active support in critical situations. The most common indications for using the Impella device are the treatment of myocardial infarction complicated by cardiogenic shock and to facilitate high risk coronary angioplasty. Other indications include the treatment of cardiomyopathy with acute decompensation, post-cardiotomy shock, and off-pump coronary bypass surgery. 3. Ambulatory Care Services Area Ambulatory care patients seen at Deborah receive quality care in the center's renovated ambulatory care service area. The ambulatory care exam area contains spacious, modern exam rooms, all with cardiac monitors and a triage room for urgent situations. Ancillary services at Deborah offer ambulatory patients the convenience of labs, radiology and other clinical services to ensure a comprehensive, all-inclusive visit. 4. Cardiothoracic Surgery Adult Congenital Heart Surgery - The cardiac surgery service at Deborah has performed hundreds of surgeries on adult patients with congenital heart anomalies. Aortic Surgery - All aspects of aortic surgery are performed at Deborah, including repair of aneurysms of the ascending, descending and abdominal aorta, correction of aortic dissection, replacement of the aortic root and replacement of the aortic arch. Beating Heart Bypass Surgery - Beating heart bypass surgery is performed while the heart is still beating. With "off-pump" technology, heart and lungs continue to function during the surgery, reducing the risk of stroke, lung and kidney dysfunction and memory loss. Coronary Artery Surgery - Coronary artery surgery is performed at Deborah using the latest techniques to perform either an arterial bypass or mixed arterial and reversed saphenous vein grafting as indicated. Deborah's cardiac surgery team uses advanced techniques of myocardial protection, surgical technique, extracorporeal perfusion, anesthetic management, blood conservation and perioperative care. Direct Coronary Artery Bypass - Cardiac surgeons perform minimally invasive direct coronary artery bypass (MIDCAB) surgery. This procedure allows coronary revascularization in select cases with a limited sternotomy incision and without the use of the heart-lung machine. Endoscopic Radial Artery/Saphenous Vein Harvesting - Deborah surgeons offer endoscopic radial artery and saphenous vein harvesting, a minimally invasive technique for removal to be used as a conduit in coronary artery bypass surgery. 5. Valve Repair or Replacement Minimally Invasive Valve Surgery - Surgeons at Deborah can repair or replace both the mitral and aortic valves by applying a minimally invasive technique. Instead of a sternotomy, a smaller incision is used to expose and access the heart. Mitra Clip - The Mitra Clip is a minimally invasive, catheter-based therapy performed by a multidisciplinary heart team using venous access and real-time ima”

“Stereotaxis Gentle Touch Magnetic System - Deborah's electrophysiology suite includes one of the region's first stereotaxis gentle touch magnetic systems, as well as new enhanced imaging equipment and a specifically-designed mapping system. The stereotaxis gentle touch magnetic system allows doctors the ability to view the inside of the heart, both anatomically and electrically. Tilt Tables - Tilt tables are used to help identify the cause of fainting spells. Watchman - Deborah is implanting the watchman left atrial appendage closure device, a proven alternative to long-term warfarin therapy for stroke risk reduction in patients with non-valvular AFIB. 10. Imaging Services Deborah provides a full complement of imaging services. The Deborah services include: Nuclear Medicine - Nuclear medicine is a specialized area of radiology that uses very small amounts of radioactive materials, or radiopharmaceuticals, to examine organ function and structure. Nuclear Studies - A cardiac (heart) nuclear study is a test that uses a small dose of radioactive solution to track blood flow to the heart muscle, and to evaluate heart function. Nuclear Stress - A nuclear exercise stress test is like an exercise stress test, in that it also involves walking on a treadmill. For this test, however, a radioactive isotope is injected into the bloodstream. A gamma camera can detect radiation and create computer images of the heart at rest and after exercise. CT Scanner - A cardiac computed tomography (CT) scan uses special x-rays to create detailed images of the heart and blood vessels. Deborah has a state of the art 256-slice CT scanner that provides superior quality images and leads to better, more precise diagnoses. Echo - An echocardiogram (or echo) is a test of the heart using ultrasound waves and is used for diagnosing disease of the heart or its valves. Trans Esophageal Echocardiography (TEE) - A special type of echo that produces moving pictures of your heart by placing a transductor in the esophagus. The esophagus is so close to the heart, images from a TEE provides very clear images of the heart and its structures. Ultrasound - A vascular ultrasound is used to study the circulation in the blood vessels of the body. This can be used to look at veins and arteries in the neck, abdomen, arms and legs. Mobile PET/CT - A mobile PET/CT scanner rotates onsite at Deborah for patients who need this diagnostic test, commonly used to identify carcinoma. 11. Institute for Sleep Medicine Deborah offers patients accurate diagnosis and effective treatment for disorders such as sleep apnea, as well as less common disorders such as narcolepsy, insomnia, sleep movement disorders and sleep deprivation syndromes. Sleep studies are conducted on-site. Home sleep studies are also offered, expanding access to this important diagnostic testing. 12. Interventional Cardiology Deborah's interventional cardiology department includes a team of specialty-trained interventionists using highly advanced technologies and devices to open blockages, offering minimally invasive techniques and an array of interventional treatment options give their patients optimal outcomes. Radial Artery Access - Cardiac catheterization through the radial artery in the wrist is less invasive, more comfortable, and safer and has fewer complications and a faster recovery than the traditional femoral method. Performing cardiac catheterization through the wrist using a long, thin tube (called a catheter) through an artery in the wrist to get to the heart is the most common method used at Deborah. Services include: - 3D Vascular Stents - Adult Congenital Procedures - Alternative Access (including popliteal pedal access for complex anatomy) - Angioplasty with Drug Eluting Stents - Cardiac Catheterization - CardioMems Implant for Heart Failure Monitoring - Carotid Procedures and Interventions - Chronic Total Occlusions (CTO): diagnostics and interventions - Deep Vein Thrombosis (DVT) - Intravascular Ultraso”

“Mark moshiyakhov, m.d. Is included within the organization's form 990, part vii. The organization was not required to file a form 4720 for any remittance of excise tax related to dr. Moshiyakhov because he is a licensed medical provider whose compensation was for clinical services and thus exempt from excise taxes as provided for under internal revenue code section 4960.”

“Other changes in fund balance include: - net assets released from restriction for property, plant and equipment - $367,391; - net assets released from restriction - ($1,331,009); - changes in fair value of beneficial interest in perpetual trust - $109,348 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 - $362,242.”

“An independent cpa firm audited the consolidated financial statements of the taxpayer and its subsidiaries, for the years ended december 31, 2024 and december 31, 2023; 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.”

“The organization engaged an independent accounting firm to prepare and issue an audit under the single audit act and omb circular a-133 audit.”

“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”