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Deborah Heart And Lung Center

Deborah Heart And Lung Center
200 Trenton Road
Browns Mills, NJ 08015
Bed count161Medicare provider number310031Member of the Council of Teaching HospitalsYESChildren's hospitalNO
EIN: 231550955
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
15.46%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 218,265,454
      Total amount spent on community benefits
      as % of operating expenses
      $ 33,743,325
      15.46 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 17,600,077
        8.06 %
        Medicaid
        as % of operating expenses
        $ 5,850,533
        2.68 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 6,372,110
        2.92 %
        Subsidized health services
        as % of operating expenses
        $ 2,582,713
        1.18 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 1,241,295
        0.57 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 96,597
        0.04 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 0
        0 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?NO (Some hospitals use other acceptable methods for calculating when to provide discounted or free care.)
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 196438911 including grants of $ 0) (Revenue $ 211072291)
      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.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      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 SCHOOL - PREVENTION PLUS - ROWAN COLLEGE - ROWAN COLLEGE OF BURLINGTON COUNTY - SAMARITAN - STRIVE PHYSICAL THERAPY - THE PINES - 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%) - 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 - 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 CONNECTT, 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/2/2022/08/CHIP-report-print-yea r-end-2021.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 - 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 - 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 - 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.
      Supplemental Information
      Schedule H (Form 990) Part VI
      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 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 MEDICAID 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 $7,103,000 AND $6,932,000 FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, RESPECTIVELY. THE CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. IN 2021 AND 2020, THE AMOUNT OF CHARGES FORGONE FOR SERVICES PROVIDED TO PATIENTS UNDER ITS CHARITY CARE POLICY, NET OF THE HEALTH CARE SUBSIDY FUND (HCSF), WAS $37,058,562 AND $33,666,726, RESPECTIVELY. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, THE CENTER RECEIVED $624,909 AND $436,241 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, 2022; 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 DEDUCTION 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 $14,178,412 AND $11,034,868 IN 2021 AND 2020, 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 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, 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 AN ACUTE CARE 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 REPORT 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. HTTPS://DEBORAHADMIN.COM/APP/UPLOADS/SITES/2/2022/08/CHIP-REPORT-PRINT-YEA R-END-2021.PDF
      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 AFFILIATES ADVANCED MEDICAL MANAGEMENT SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS THE CENTER, THE ORGANIZATION IS LOCATED IN BROWNS MILLS, BURLINGTON COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MANAGEMENT SERVICES. 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."