Civic Intelligence

The Cooper Health System - a New Jersey

990 • Fiscal year 2017 • EIN 82-2771391

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 14, 2018

1 Federal Street Suite NW2-400Camden, NJ 08103

(856) 342-2000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

66th percentile

0.48x

Higher debt load relative to assets than 66% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Liabilities / Revenue

30th percentile

0.47x

Higher debt load relative to revenue than 30% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Net Margin

23rd percentile

1.6%

Higher net margin than 23% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Top Officer Pay

50th percentile

$1,777,616

Higher top officer pay than 50% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Asset Growth

21st percentile

2.7%

Faster asset growth than 21% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Revenue Growth

28th percentile

3.6%

Faster revenue growth than 28% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Assets

$1,285,840,329

No earlier filing loaded for comparison.

Net Assets

$665,224,212

No earlier filing loaded for comparison.

Liabilities

$620,616,117

No earlier filing loaded for comparison.

Revenue

$1,311,428,934

No earlier filing loaded for comparison.

Expenses

$1,290,067,122

No earlier filing loaded for comparison.

Net Income

$21,361,812

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5B$1.0B$500M$0Assets 2017: $1,285,840,329Liabilities 2017: $620,616,117Net Assets 2017: $665,224,2122017Assets 2018: $109,542,168Liabilities 2018: $68,545,749Net Assets 2018: $40,996,4192018Assets 2019: $92,307,118Liabilities 2019: $45,398,473Net Assets 2019: $46,908,6452019Assets 2020: $90,622,045Liabilities 2020: $39,756,112Net Assets 2020: $50,865,9332020Assets 2021: $99,186,980Liabilities 2021: $44,833,421Net Assets 2021: $54,353,5592021Assets 2022: $114,250,762Liabilities 2022: $38,327,323Net Assets 2022: $75,923,4392022Assets 2023: $115,071,425Liabilities 2023: $37,227,539Net Assets 2023: $77,843,8862023Assets 2024: $120,737,982Liabilities 2024: $38,796,396Net Assets 2024: $81,941,5862024

Highlighted filing

2017

Assets$1,285,840,329
Liabilities$620,616,117
Net Assets$665,224,212

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5B$1.0B$500M$0-$500MRevenue 2017: $1,311,428,934Expenses 2017: $1,290,067,122Net Income 2017: $21,361,8122017Revenue 2018: $314,950,074Expenses 2018: $456,728,224Net Income 2018: -$141,778,1502018Revenue 2019: $329,902,109Expenses 2019: $496,752,725Net Income 2019: -$166,850,6162019Revenue 2020: $318,600,681Expenses 2020: $495,091,954Net Income 2020: -$176,491,2732020Revenue 2021: $12,310,432Expenses 2021: $8,804,704Net Income 2021: $3,505,7282021Revenue 2022: $31,306,827Expenses 2022: $9,667,489Net Income 2022: $21,639,3382022Revenue 2023: $10,894,061Expenses 2023: $9,010,014Net Income 2023: $1,884,0472023Revenue 2024: $12,500,224Expenses 2024: $8,389,771Net Income 2024: $4,110,4532024

Highlighted filing

2017

Revenue$1,311,428,934
Expenses$1,290,067,122
Net Income$21,361,812
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 14, 2018
Return Version
2017v2.3
Gross Receipts
$1,405,674,077
Mission and Program Overview

Mission

Cooper health system is an integrated health care delivery system serving the southern new jersey region. Cooper health system's mission is to serve, to heal, and to educate. Cooper accomplishes its mission through innovative and effective systems to care and by bringing people and resources together, creating value for our patients and the community. Cooper's vision is to be the premier health care provider in the region, driven by its exceptional people delivering a world class patient experience, one patient at a time, and through its commitment to educating the providers of the future.

To serve, to heal, and to educate. Cooper accomplishes its mission through innovative and effective systems of care and by bringing people and resources together, creating value.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$503,995,936$502,764,478▼ $1,231,458
Investments in Publicly Traded Securities$275,332,324$303,187,200▲ $27,854,876
Accounts Receivable$173,484,030$158,145,285▼ $15,338,745
Cash and Non-Interest-Bearing Accounts$96,525,765$126,721,242▲ $30,195,477
Savings and Temporary Cash Investments$100,382,006$99,393,682▼ $988,324
Inventories for Sale or Use$21,414,644$20,998,565▼ $416,079
Other Notes and Loans Receivable, Net$15,781,400$15,781,400→ $0
Prepaid Expenses and Deferred Charges$8,754,437$7,577,666▼ $1,176,771
Pledges and Grants Receivable$4,371,338$4,444,355▲ $73,017
Intangible Assets$320,174$272,840▼ $47,334
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,251,638,004$1,285,840,329▲ $34,202,325
Other Assets Total$51,275,950$46,553,616▼ $4,722,334
Liabilities
Tax Exempt Bond Liabilities$255,407,974$291,929,939▲ $36,521,965
Accounts Payable and Accrued Expenses$139,785,954$148,171,603▲ $8,385,649
Other Liabilities$126,316,660$135,815,377▲ $9,498,717
Mortgage Notes Payable Secured by Investment Property$79,062,858$31,879,372▼ $47,183,486
Deferred Revenue$11,247,946$12,819,826▲ $1,571,880
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$611,821,392$620,616,117▲ $8,794,725
Net Assets / Fund Balance
Unrestricted Net Assets$639,377,612$664,785,212▲ $25,407,600
Permanently Rstr Net Assets$439,000$439,000→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$639,816,612$665,224,212▲ $25,407,600
Total Liabilities and Net Assets / Fund Balance$1,251,638,004$1,285,840,329▲ $34,202,325

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$172,349,570$379,084,217$551,433,786
Leasehold Improvements$125,522,308$114,432,176$239,954,484
Buildings$198,865,803$79,283,357$237,149,161
Land$5,241,253-$5,241,253
Other Land Buildings$785,544$485,400$1,270,944

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$439,000---$439,000
2016$439,000---$439,000
2015$439,000---$439,000
2014$439,000---$439,000
2013$439,000---$439,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Adrienne Kirby PhdPres&CEO-cooper Univ Hlth/tteeFT$983,156$794,460$1,777,616
Michael Rosenbloom MDHead, Div of Cardiothoracic SgFT$1,574,686$144,715$1,719,401
Frank W Bowen III MDSurgeonFT$1,285,546$140,197$1,425,743
Kevin O'DowdSr EVP-chief admin offFT$594,632$809,553$1,404,185
Jeffrey P Carpenter MDChief of SurgeryFT$1,017,855$280,815$1,298,670
Gary LesneskiSr EVP/General CounselFT$669,501$606,563$1,276,064
Richard Y Highbloom MDSurgeonFT$1,123,624$136,382$1,260,006
Anthony Mazzarelli MDJDMBAChief Medical Officer, SVP OPSFT$614,610$595,806$1,210,416
Stephanie ConnersSr EVP, COO, CNOFT$630,419$564,423$1,194,842
Gregory KubicekPhysicianFT$981,917$156,332$1,138,249
Lawrence S Miller MDChief, Orthopedic SurgeryFT$861,653$271,429$1,133,082
Adam Elfant MDAssc Division Head-Dept of MedFT$723,091$409,987$1,133,078
Douglas ShirleyCFO (end 10/13/17)FT$479,375$439,246$918,621
Generosa Grana MDTrustee/Director Cooper Cancer InsFT$702,163$109,016$811,179
Roland Schwarting MDTrustee/Chief, PathologyFT$624,509$98,006$722,515
Robin L Perry MDChief, Dept of Ob GynFT$568,565$84,594$653,159
Michael E Chansky MdTrustee/chief, Emergency MedFT$496,981$90,082$587,063
Steven E Ross MDTrustee/Dept of SurgeryFT$391,362$39,925$431,287
William G Smith MBAVP Chief Accounting OfficerFT$296,790$115,508$412,298
Elizabeth GreenVP Human ResourceFT$289,002$101,676$390,678
Brian Reillyconsultant April 2017Interim CFO (began 10/14/17)FT$293,272$184$293,456
Brian Reillyconsultant April 201Interim CFO (began 10/14/17)-$292,788$668$293,456
Jane M TubbsBoard SecretaryFT$85,798$2,997$88,795

Highest Paid Contractors

ContractorServicesLocationCompensation
Torcon IncConstruction328 Newman Springs Rd, Red Bank, NJ 07701$10,262,709
Trimedx LLCEngineering Svcs5451 Lakeview Pkwy S Dr, Indianapolis, IN 46268$6,935,574
ATOS MedicalIT ServicesDept CH 17589, Palatine, IL 60055-7589$5,231,041
Nthrive IncBilling ServicesPO BOX 733492, Dallas, TX 75373$3,877,998
Varian Medical SystemsIt Services3100 HANSEN WAY, Palo Alto, CA 94304$3,356,055
Revenue and Support

Revenue Composition

Contributions and Grants
$36,616,142
Program Service Revenue
$1,229,877,019
Investment Income
$12,537,421
Other Revenue
$32,398,352
Change in Net Assets
$21,361,812

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,311,428,934
Revenue Not Reported on Form 990
$-81,108,532
Total Revenue per Audited Statements
$1,230,320,402
Total Revenue per Form 990
$1,311,428,934
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$713,946,596
Other Expenses$576,018,026
Grants and Similar Amounts Paid$102,500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$532,026,322$61,040,827-$593,067,149
Office Expenses$222,921,782$1,101,787-$224,023,569
Fees for Services Other$42,692,075$23,178,954-$65,871,029
Other Employee Benefits$45,953,209$5,059,266-$51,012,475
Depreciation Depletion$45,355,772$3,162,057-$48,517,829
Other Expenses$35,740,945$9,861,480-$45,602,425
Payroll Taxes$35,786,918$3,666,339-$39,453,257
Occupancy$28,085,181$8,313,802-$36,398,983
Insurance$18,049,344$1,680,550-$19,729,894
Information Technology$2,571,918$15,602,178-$18,174,096
Pension Plan Contributions$14,882,419$1,416,553-$16,298,972
Interest$1,393,968$12,723,716-$14,117,684
Current Officers, Directors, Trustees, and Key Employees$6,821,601$7,293,142-$14,114,743
Fees for Services Management$1,678,210$6,877,135-$8,555,345
Advertising$370,486$5,122,863-$5,493,349
Conferences and Meetings$1,093,817$127,580-$1,221,397
Fees for Services Legal$121,162$532,590-$653,752
Fees for Services Accounting-$533,739-$533,739
Fees for Service Investment Mgmnt Fees-$460,051-$460,051
Travel$235,861$108,215-$344,076
Grants to Domestic Orgs$102,500--$102,500
Total Functional Expenses$1,122,199,868$167,867,254$0$1,290,067,122

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,290,067,122
Expenses per Audited Statements$1,204,912,518
Total Expenses per Audited Statements$1,204,912,518
Expenses Not Reported on Financial Statements$85,154,604
Other Expense Adjustments$84,694,553
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Jewish Federation of Southern JerseyCherry Hill, NJ501(c)(3)Sponsorship$30,000
Susan G Komen Breast Cancer FoundationPhiladelphia, PA501(c)(3)Sponsorship$17,500
Praise is the Cure (Iheart Media)Jenkintown, PA501(c)(3)Sponsorship$15,000
CROHN'S & COLITIS FOUNDATIONBala Cynwyd, PA501(c)(3)Sponsorship$10,000
Living Beyond Breast CancerBala Cynwyd, PA501(c)(3)Sponsorship$10,000
Head of Schuylkill RegattaPhiladelphia, PA501(c)(3)Sponsorship$8,000
Camden County Parks DeptCherry Hill, NJGovernmentSponsorship$6,000
Summit Medical Group FoundationBerkeley Heights, NJ501(c)(3)Sponsorship$6,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Joanne MazzarelliFamily Member-mazzarelliEmployeeNo$436,769
Bonnie J ManninoFamily Member-perryEmployeeNo$123,541

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Self-insured Reserves, Non-cur$55,078,749
Long Term Intercompany Payable$31,422,166
Self-insured Reserves, Current$19,833,635
Accrued Retirement Benefits$19,644,926
Lt Settlement- Medicare$8,013,390
Miscellaneous$1,338,462
Settlements-3rd Party Payors$484,049

Bond Issues

BondIssuerIssuedIssue PricePurpose
DCamden County Improvement Authority2014-11-18$159,117,690Refund Issued 12/25/05, 6/26/04
ACamden County Improvement Authority2013-08-01$53,048,439various capital projects
CCamden County Improvement Authority2008-11-04$50,000,000Construction-Bldg, Various Cost
BNew Jersey Economic Dev Auth2009-11-09$10,000,000Construction/Refd issue 2/27/97

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$159,117,690$156,959,181$8,775,000$1,966,144
A$53,062,203$0$0$1,050,969
C$50,000,000$0$0$986,526
B$10,000,000$4,038,924$6,663,000$190,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI Disclosures

Form 990, Part VI, Section A, Line 1a/1b The number of voting members of the governing body reflected will not correspond to the actual number of voting members listed in Part VII. The reason is that certain voting members of the governing body are voting members for more than one of the organizations included in this group filing. In these instances, the individual is counted in accordance with the number of organizations they are voting members of but will be listed only once in Part VII. Form 990, Part VI, Section A, Line 2 A family relationship exists between George E. Norcross, III and Philip A. Norcross, ESQ. Form 990, Part VI, Section A, Line 6, 7a, 7b Cooper Health System is the sole member of the following entities included as subordinates in this group filing: Cooper Medical Services Cooper Cancer Center Cooper Health System Worker's Compensation Trust Cooper Health System has the right to elect the members of these organization's board of trustees and has certain reserved powers as defined in these organization's bylaws. Form 990, Part VI, Section B, Line 11b As part of the tax return preparation process, the organization hired a professional CPA firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the Federal Form 990. The CPA firm's tax professionals worked closely with the organization's finance personnel and other senior management members of the organization and the system to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft Federal Form 990 and furnished it to the organization's finance personnel and other senior management members for their review. The organization's finance personnel and other senior management members 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 other senior management members for further review and approval. The Form 990 is then presented to and reviewed by the members of the Cooper Health System Audit/Ethics & Compliance Committee of the Board of Trustees. The Bylaws of the Board of Trustees provide that this Committee of the Board review the annual Federal Tax Return prior to its filing. Once that Committee's review and approval process has concluded, the completed Form 990 is shared with the entire Board prior to its filing with the IRS. FORM 990, SECTION B, PART VI, LINE 12C THE FILING ORGANIZATION IS THE PARENT ENTITY IN THE COOPER HEALTH SYSTEM. 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 CHIEF COMPLIANCE OFFICER AND REVIEWED WITH INTERNAL AUDIT, THE FINANCE DEPARTMENT, AND GENERAL COUNSEL. BOTH DATA AND A SUMMARY ARE PRESENTED TO THE COOPER HEALTH SYSTEM'S AUDIT/ETHICS & COMPLIANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION. THE ORGANIZATION'S COMPLIANCE AND LEGAL DEPARTMENTS HAVE DEVELOPED PROCESSES TO REVIEW AND PRESENT POTENTIAL CONFLICTS TO THE AUDIT/ETHICS & COMPLIANCE COMMITTEE. Form 990, Part VI, Section B, Lines 15A & 15b The organization follows a process for determining the compensation of senior executives which is compliant with the requirements of Internal Revenue Code Section 4958 to enable the organization to receive the rebuttable presumption of reasonableness: 1. The organization's Bylaws charge the Audit/Ethics & Compliance Committee with the role of approving the selection of an executive compensation consulting firm and the services, including the methodology that will be employed by that firm, confirms the independence of the executive compensation survey and t

Form 990, Part VII

The Cooper Health System also has one Trustee Emeritus, non-voting member: Peter E. Driscoll, Esq. Part VII reflects certain board trustees or board officers receiving compensation and benefits from the organization including: Adrienne Kirby, PhD (Trustee & Officer) Michael E. Chansky, MD, PhD (Trustee) Generosa Grana, MD (Trustee) Roland Schwarting, MD (Trustee) Steven E. Ross, MD (Trustee) Douglas Shirley (Officer) Gary Lesneski (Officer) Jane M. Tubbs (Officer) Anthony Mazzarelli, MD, JD, MBA (Officer) Stephanie Conners (Officer) Kevin O'Dowd (Officer) Brian Reilly (Officer) Please note that remuneration was for services rendered as full-time employees of the organization, not for services rendered as a voting trustee or officer of the organization's board of trustees.

Filing and Contact Details

Filer

Filer Name
The Cooper Health System - A New Jersey
EIN
82-2771391
In Care Of
% CHIEF FINANCIAL OFFICER
Phone
8563422000
Address
1 Federal Street Suite NW2-400, Camden, NJ 08103

Signing Officer

Name
Brian M Reilly
Title
CFO
Phone
8563422443
Signed
2018-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Adrienne Kirby PHD
Voting Board Members
24
Independent Board Members
19
Employees
8,448
Volunteers
654

Preparer

Firm
Grant Thornton Llp
Address
2001 MARKET STREET SUITE 700, PHILADELPHIA, PA 19103
Preparer
Frank Giardini
Phone
2155614200
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Reconciliation of Net Assets: change in interest rate swap $ 446,352 Change in Pension Benefit Obligation (1,476,394) Miscellaneous adjustment (284) ------------ Total $(1,030,326)

Commnity benefit statement index:

References lower right-hand corner page number. 1. Background, Page 94 2. Charitable purposes, charity care and community activites, Page 97 3. Vision and Mission of the Cooper Health System, Page 98 4. Signature Programs, Page 99 5. Other Medical Specialties, Page 108 6. Cooper Community Benefit Programs, Page 109 (A) Community Hlth, Educ, Clinical Svcs, Fundraising, grantwriting, Page 109 (B) Health Professional Education, Page 112 (C) Subsidized Health Services, Page 114 (D) Research-clinical and Community Health, Page 119 (E) Cash-in-kind Contributions to Community Groups, Page 120 (F) Community Building, Page 120

Community benefit statement

1) Background Cooper University Health Cares hospital (Cooper University Hospital) is the clinical campus of Cooper Medical School of Rowan University, and a leading provider of health services to southern New Jersey. Cooper has been a vital institution in Camden since 1887. In the past decade, Cooper has greatly expanded its facilities and services in Camden and throughout South Jersey. Annually, there are more than 1.9 million patient visits to Cooper University Health Care facilities. Cooper's main hospital campus is located on the Health Sciences Campus in Camden, New Jersey. Cooper has a long history of outreach and service to its local community, including health and wellness programs for the neighborhood, development of three neighborhood parks, outreach programs in local schools, and partnering with local organizations to rehabilitate nearby residential properties. Cooper has also expanded its footprint in the city with the construction of a state-of-the-art medical, 10 story patient pavilion, the MD Anderson Cancer Center at Cooper, and Cooper Medical School of Rowan University. MD Anderson Cooper opened in 2013 at the corner of Haddon Avenue and Martin Luther King Boulevard. This freestanding 103,000 square foot facility provides integrated diagnosis, treatment and cancer care. Cooper partnered with MD Anderson, the nations leading cancer center, to offer the most advanced cancer care to patients in South Jersey and the Delaware Valley. Today, thousands of New Jersey residents choose to stay in the Garden State for first-rate cancer care. Cooper Medical School of Rowan University continues to educate the next generation of physicians. The inaugural class graduated in 2016, with the expectation that they will care for the citizens of New Jersey and the United States. Cooper also offers training programs for medical students, residents, fellows, and nurses in a variety of specialties. Cooper University Health Care has over 7,300 employees and a medical staff of more than 800 physicians in more than 75 specialties. Cooper offers a network of comprehensive ambulatory as well as hospital services, which includes prevention and wellness, primary and specialty physician services, hospital care, ambulatory diagnostic and treatment services, and education and support services within southern New Jersey and the entire Delaware Valley. Cooper physicians are also involved in ongoing research and development as they keep abreast of changing modalities of medical care. As an academic medical center, Cooper continuously attempts to improve patient's quality of life through the research efforts of its medical staff. Cooper University Health Care takes pride in its ability to offer a comprehensive array of diagnostic and treatment services. The hospital serves as southern New Jersey's major tertiary-care referral hospital for specialized services. These signature programs include: Level I Southern New Jersey Regional Trauma Center; MD Anderson Cancer Center at Cooper, the Cooper Heart Institute, the Cooper Bone & Joint Institute, and the Cooper Neurological Institute and Critical Care. Cooper is also home to The Children's Regional Hospital, the only state-designated children's hospital in South Jersey. 2) Charitable Purposes, Charity Care and Community Activities Cooper is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Moreover, Cooper operates consistently with the following criteria outlined in IRS revenue ruling 69-545: a. Cooper provides medically necessary health care services to all individuals regardless of ability to pay - including charity care, self-pay, Medicare and Medicaid patients. b. Cooper operates an active emergency room for all persons, which is open 24 hours a day, 7 days a week, 365 days per year. c. Cooper maintains an open medical staff, with privileges in most services available to all qualified physicians. d. Cooper is governed by its Board of Trustees which is c

Community benefit statement continued

4) Signature Programs - Cooper Heart Institute The Cooper Heart Institute is the most comprehensive cardiovascular program in southern New Jersey. At Cooper, cardiac patients have access to a world-renowned team of cardiovascular experts, the most advanced technology and the best care options. Cooper provides the full spectrum of heart care from prevention and diagnosis, to the most innovative non-surgical techniques and surgical treatments-from special stenting procedures to opening blocked heart arteries to beating heart surgery and complex heart valve surgery. Cooper was the first in the region to offer novel approaches for treating heart disease such as TAVR, WATCHMAN, Linq, MitraClip, and others. Cooper conducts cutting-edge clinical research in areas such as interventional cardiology, electrophysiology and arrhythmias, and the treatment of cardiogenic shock. The Cooper Heart Institute is the region's expert in treatment of acute myocardial infarction, and receives urgent transfers of seriously ill cardiac patients round-the-clock. - Cooper Bone and Joint Institute The Cooper Bone and Joint Institute is staffed by orthopaedic physicians who provide comprehensive surgical and non-surgical services for disorders of the musculoskeletal system. As part of the Level I Trauma Center in southern New Jersey, they are an integral part of the trauma team that handles the most complex orthopaedic injuries. Cooper's orthopaedic surgeons are experts who are developing innovative techniques in arthroscopic surgery; joint replacement of the shoulder, hip, and knee; ankle, elbow, and spine surgery; orthopaedic oncology; as well as hand and upper extremity surgery, re-plantation and orthopaedic reconstruction. The Cooper Bone and Joint Institute also provides a collaborative multidisciplinary concussion program and orthopaedic rehabilitation. The Cooper Bone and Joint Institutes comprehensive programs offer a unique continuum of care and highly integrated health care delivery system. The goal of the Cooper Bone & Joint Institute is simple: to return patients to normal function as quickly and safely as possible. To reach this goal, the medical professionals at the Cooper Bone and Joint Institute enlist a comprehensive, leading edge approach to the prevention, assessment, treatment and rehabilitation of musculoskeletal injuries. The Cooper Bone and Joint Institute's highly trained team of surgeons, nurses, physician assistants, rehabilitation specialists and various medical support personnel works with each patient and their primary care physician to develop a treatment plan specifically for that patient. By combining extensive clinical expertise with a compassionate, caring, treatment philosophy, the Cooper Bone and Joint Institute has created a program known for its quality of care. - MD Anderson Cancer Center at Cooper Within MD Anderson Cancer Center at Cooper, multidisciplinary disease-site specific teams, consisting of physicians (medical, gynecologic, radiation and surgical oncologists), advanced practice nurses, nurses and other clinical specialists, work together to provide cancer patients with the most advanced diagnostic and treatment technologies available - from cutting-edge radiation oncology technologies such as CyberKnife radiosurgery, to advanced chemotherapy regimens and innovative surgical techniques including minimally invasive and robotic. A full complement of support services including nutritional counseling, genetic testing and counseling, social work services, complementary medicine therapies and behavioral health support services provides complete, compassionate care for all patients. In September 2013, Cooper partnered with MD Anderson Cancer Center in Houston, Texas - the nations leading cancer center. MD Anderson Cooper physicians adhere to the philosophy, processes and guidelines set by MD Anderson in Houston, Texas, and patients receive the same proven practice standards and treatment plans provided at MD Ander

Community benefit statement continued

- Cooper Neurological Institute The Cooper Neurological Institute (CNI) is dedicated to providing exceptional, compassionate and easy-to-access care to patients with neurological diseases and disorders - and applying innovative and promising solutions, from surgery and minimally invasive procedures of the brain and spine, to radiosurgery and magnetic guidance systems. The medical staff at the CNI includes renowned neurologists, neurosurgeons and experts from many other sub specialists. The CNI Stroke Program was recently awarded The Joint Commissions Gold Seal of Approval and the American Heart Association/American Stroke Associations Heart-Check mark for Advanced Certification for Comprehensive Stroke Centers. The Gold Seal of Approval and the Heart-Check mark represent hospitals with the highest level of stroke care and are symbols of quality from their respective organizations. Cooper is one of only seven hospitals in New Jersey and the only one in South Jersey to achieve this significant certification. The CNI is the only program in southern New Jersey, and one of the first hospitals in the U.S., to offer patients the Leksell Gamma Knife (federally registered trademark symbol) Perfexion (unregistered trademark symbol). Gamma Knife Perfexion radiosurgery is available for the treatment of patients with brain disorders such as cancers and tumors, vascular abnormalities, functional disorders, and ocular disorders. The Gamma Knife surgical technology provides brain surgery without any incisions, and is as precise as a pinpoint. A patient can normally return home the same day. The CNI also treats patients for Parkinson's Disease, tremors and dystonia. CNI provides deep brain stimulation (DBS) which involves the implantation in the brain of a thin electrode which is connected to a neurostimulator the size of a pacemaker. Once in place, patients can experience relieved or decreased symptoms of tremor, rigidity, slowness of movement, stiffness, and balance. CNI also provides help for patients with gait or balance dysfunction. The CNI provides a full range of services - from sophisticated diagnostics to advanced rehabilitation resources-and offers the most progressive medical and surgical treatments in virtually every neurological field. - Children's Regional Hospital at Cooper A hospital-within-a-hospital, the Children's Regional Hospital at Cooper (CRH) provides the finest pediatric services available to the children of southern New Jersey. Designated by the State Department of Health as a specialty, acute care children's hospital, Cooper is uniquely equipped and carefully staffed to treat the region's most critically ill and seriously injured children, from newborns to adolescents. Physicians and surgeons are recruited from the best children's hospitals in the nation. And because they are experts in their fields, they are also faculty members at Cooper Medical School of Rowan University. Coopers only pediatric trauma program in South Jersey was certified Level II in 2015. Newborn Intensive Care Unit was awarded NIDCAP Nursery Certification, only the second hospital in the world to receive this certification. Cooper also has a Regional Cleft-Palate Craniofacial Program. In addition to its facilities and staff, the CRH membership in the National Association of Children's Hospitals and Related Institutions (NACHRI) ensures access to the most current standards of pediatric care in practice in the U.S.Each year, more than 4,000 children are admitted to the Children's Regional Hospital at Cooper for specialized care. Another 13,500 children are treated each year in its pediatric emergency room. In addition, there are more than 28,000 outpatient visits each year to the pediatric medicine and surgical specialists of the CRH. The CRH provides a wide range of pediatric services for infants, children and adolescents from southern New Jersey, Philadelphia and throughout the Delaware Valley. The CRH's services are comprehensive with the clini

Community benefit statement continued

5) Other Medical Specialties Cooper offers a variety of innovative prevention programs, state-of-the-art diagnostic and treatment techniques, and a dedicated team of physicians, nurses and other medical professionals. From its signature programs in cancer, cardiology, critical care, neurology, orthopaedics and trauma to its innovative programs in radiology, oncology and pediatrics, Cooper offers a full range of care and services for adults and children. 6) Cooper Community Benefit Programs The health of its surrounding communities is of Cooper's utmost concern. From health care programs for the community to educational and employment programs, Cooper strives to be a responsible, involved community advocate. Many, but not all, of Cooper's community benefit activities are outlined below. (A) Cooper's Community Benefit Activities: Community health, health education, clinical services, and fundraising/grant writing for community benefit programs 1. Community Health Outreach - Classes and Health screenings for the community: (i) Classes for Parents - Classes and support groups offered by Cooper include, but are not limited to, the following: - Breastfeeding: An Introduction - Examines the benefits of breastfeeding and discusses how to get started, positioning techniques and community resources. - Childbirth Preparation / Education Classes - Obstetrical Unit Tours - Infant/Child CPR Class-certification - CPR - Non-certified Training - Early Pregnancy Consultation - Breastfeeding Support Group - Child and Infant Car Seat Safety Workshop (ii) Community programs, screenings and activities, most of which are free of charge. Includes events and educational classes such as (not an all-inclusive list): - Diabetes Support Group - Health Screenings: Stroke, Cholesterol, Glucose, Blood Pressure, Peripheral Vascular Disease - The Diabetes Weigh: Personalized Diabetes Management Program - Yoga - Exercise Classes - RipaCenter Health and Wellness-Seminars - Breast Health Education - Community Based diabetes education classes - Health Conferences and health fairs - Health and wellness-Nutrition Programs - Healthy Living Free Seminars - eHealth Connection Newsletters - Health eTalk Web Chat - Teachers and Coaches Seminars - Cooper in Schools: Health education for school professionals, parents and students - Concussion and sports related injuries education and outreach - MD Anderson Cancer Center at Cooper Dr. Diane Barton Complementary Medicine Programs: Restorative Yoga, Qi Gong, Mindfulness Meditation, Live and Learn, Annual Survivors Day Celebrations, Horticultural Therapy, Other Programs by the Cooper Learning Center: Educational assessments, Reading enrichment programs, Comprehensive ADD & ADHD assessments, Fast forward language programs, Writing and language programs, Math programs, Anger management, Social skills, Study skills, Parenting sessions, Therapeutic Services, Psychological Services, Services and Programs for Teachers and Schools, Summer Reading Programs in Camden and the Community, The Rookie Reader Program 2. Trauma Education: The Trauma Outreach Program offers a variety of educational and interventional classes that focus on injury/trauma prevention. For the past 15 years the Trauma Outreach Programs has been committed to reducing the incidence of trauma injuries in southern New Jersey by delivering comprehensive trauma/injury intervention programs. Programs and classes include such topics as: Alcohol Abuse and Outcomes, Don't fall for Us, Drivers Education, Prom Program, Risk Taking, Teen Drug Use and Outcomes, Youth Gang Violence, Tours of the trauma facilities for schools and students, and Safe Kids Walk to School Day. The Department also provides courses, programs and education sessions for local EMS organizations. 3. Safe Kids Southern New Jersey Coalition: This local coalition covers the Camden, Gloucester, and Burlington county area and is one of more than 300 groups across the country and around the world organized by the

Community benefit statement continued

(B) Health professional education, physicians, medical students, nurses, etc.; scholarship 1. Continuing Medical Education -In July 2012, Cooper received a six-year accreditation with commendation (until July 2018). Cooper is the only hospital or health system in southern New Jersey with national accreditation. Moreover, only an average of seven percent of all national CME providers receives a six-year accreditation with commendation (approximately 49 providers). All CME activities target primary care physicians and physicians from all specialties. Other allied health professionals including fellows, residents, advanced practice nurses, physician assistants, nurses, technicians, and medical students also attend. This year's topics included anesthesiology, various cancers, gynecologic oncology, cancer survivorship, orthopaedics, hypnosis, cardiovascular disease, rheumatology, pediatric emergencies, and clinical research. All areas of interest are covered in our in-house series and joint-sponsorship series. 2. Graduate Medical Education - Cooper's GME programs train approximately 260 residents and fellows per year. Cooper Medical School of Rowan University In October 2009, Cooper and Rowan University announced a landmark partnership to establish a medical school - the first four-year allopathic medical school ever in Southern New Jersey and the first new medical school in 35 years in the state. Key to the partnership has been the collaboration between the institutions. Representatives from both Rowan and Cooper worked together to forge a founding philosophy for the school, explore partnerships in research areas, and create committees to work toward Liaison Committee on Medical Education (LCME) accreditation of the school. Cooper Medical School of Rowan University is located in Camden, NJ, at Broadway and Benson Streets. The six-floor, 200,000 square-foot school graduated its inaugural class in May 2016. 3. Cooper provides continuing medical education programs to physicians employed with the local FQHC. 4. Simulation Lab - The Cooper University Hospital Simulation Laboratory is dedicated to advancing patient safety and healthcare provider education at all clinical levels. We aim to be a resource to our Cooper Departments and to other hospitals and healthcare providers in our community and region. One-to-one and small group instruction utilizing lifelike mannequins is conducted by facilitators trained in the use of computer driven simulation adjuncts. Attention is focused on maintaining a non-threatening learning environment, providing adequate mechanisms for positive feedback and developing a supportive student-facilitator relationship. This includes training for medical students. 5. EMS Training - Cooper provides medical director services and training for numerous local EMS services. (C) Subsidized health services, ER and trauma, hospital outpatient, behavioral health, palliative care 1. Emergency services for Community Events - Cooper provides emergency services for local community events. 2. Early Intervention Program - The Cooper University Hospital EIP/Family HIV Treatment Center was established in 1990, to serve a four county area of southern New Jersey consisting of Camden, Burlington, Gloucester, and Salem counties. It is a regional, multidisciplinary outpatient center that has provided a full range of services to over 1400 patients. The primary mission of the EIP/HIV Family Treatment Center at Cooper is to provide comprehensive medical and supportive services to HIV infected individuals regardless of their ability to pay. The center also frequently serves as a port of entry for many HIV infected Camden residents into any type of medical care. 3. Disaster Preparedness and Medical Coordination Center - The mission of the Division of EMS and Disaster Medicine is to maintain the integrity of the health care continuum as it relates to the response for a mass casualty incident involving chemical, biological, radiological, nucl

Community benefit statement continued

6. Camden Coalition of Healthcare Providers - Cooper provides significant support to this organization which was created as an opportunity for providers to network and discuss the common issues they face in running medical practices in Camden and providing care in a poor, urban environment. Camden Citywide Care Management Project In September 2007, the Coalition began implementation of a Citywide Care Management Project to reach out to high utilizers of city emergency rooms and hospitals. A part-time nurse practitioner, community health worker, and a full-time social worker staff the project. Patients are enrolled to the project by referral from emergency department physicians, inpatient physicians, and social workers. The project provides "transitional" primary care with a goal of moving the patients into a primary care setting that can meet their needs. With over sixty patients enrolled in our project; we are visiting them in homeless shelters, abandoned homes, hospital rooms, ED gurneys, and street corners. Practice Capacity Building Project The Coalition's philosophy is that by increasing capacity within local primary care offices we can help them achieve higher patient satisfaction, improved economic viability, and better health outcomes. Monthly roundtable meetings and seminars have been held for local office managers and providers to encourage peer-to-peer linkages, increase skills and knowledge of modern medical office management techniques and educate in specific practice management topics. Participation in this group leads to on-site consultation for individual offices, focusing on process flows, operations management, analyzing cycle times, and information management. Expansion of Access to Mental Health Care Psychiatry services are extremely difficult to access in underserved communities. The Coalition is developing a system of joint primary care/psychiatry appointments to increase a primary care provider's capacity to provide mental health care. The psychiatrist will provide mentoring, coaching and consultation to the primary provider. 7. Palliative Care Program The Palliative Care Program is designed to be integrated as part of a patient's care plan at any time, to manage symptoms related to treatment such as chemotherapy, or for symptoms that linger or appear after treatment is complete. Palliative care is the comprehensive treatment of the discomfort, symptoms and stress of serious illness. It does not replace a patient's primary treatment, but works together with treatment at any point in a patient's care. Palliative care also addresses psychological, social and spiritual concerns - all to achieve the best quality of life possible for each patient. At Cooper, the Palliative Care Program can help patients manage the common side effects of illness such as: pain, fatigue, nausea, constipation, diarrhea, depression and anxiety, difficulty breathing, loss of appetite and weight loss, weakness, sleep problems, confusion and end-of-life care. (D) Research-clinical and community health The Cooper Research Institute, established in January 2003, coordinates clinical trials and supports researchers at Cooper. Through basic and clinical research, faculty at Cooper is bringing scientific discoveries to life and providing thousands of patients in South Jersey with access to cutting-edge treatments in fields such as cancer, cardiology, critical care, diabetes, and gene therapy.Cooper faculty members currently conduct approximately 340 NIH and industry-sponsored clinical trials each year. Many of these studies are only available in South Jersey at Cooper. By participating in a clinical trial, an individual may have the first chance to benefit from improved treatment methods and the opportunity to make an important contribution to medical science. Past research by Cooper faculty has led to new standards of care and novel therapies in fields such as cancer, cardiology, surgery, and orthopedics. For example, Cooper faculty memb

Community benefit statement continued

4) Environmental improvements: - Clean and Safe Cooper Plaza Program - Partnership with the Camden Special Services District to provide maintenance services in the Cooper Plaza Neighborhood to improve the physical appearance and upkeep of the neighborhood in order to provide an enhanced sense of safety and a maintained neighborhood for residents and visitors. - Streetscaping, landscaping and park maintenance in community. 5) Leadership development/training for community members Cooper provides development and training to include but not limited to: - Child passenger safety technician classes - Child passenger safety training - booster seat program - Fire safety sessions 6) Coalition building and collaborative efforts to address health and safety issues include but not limited to: - Camden Higher Education and Health Care Task Force - Cooper is a founding member and active participant in the Camden Higher Education and Health Care Task Force ("Eds and Meds"). - Housing Implementation Task Force - Cooper convenes meetings with non-profits, community organizations, and government agencies to discuss opportunities to improve housing options in the City of Camden. - Safe Kids New Jersey and Southern New Jersey 7) Workforce Development: - Career fairs and education: STRIVE, Woodland Community Development Corporation, Camden County and Camden One Stop - Partnering with the Camden County Workforce Investment Board - Youth Summer Employment Program - Cooper's Summer Youth Employment Program provides opportunities for Camden residents that are in high school to work in paid internship positions for six weeks in the summer at various departments at Cooper. - Career exploration programs with Camden girls scout program for high school students and additional schools and organizations in the community. - Cooper participates and serves in a collaborative effort with organizations like the Camden County Workforce Investment Board in the development and retention of workforce opportunities in Camden County and works with the Board on literacy programs and initiatives to prepare individuals to gain employment.

Financial Statement Notes

Schedule D, Part V, Line 4

Intended uses of endowment funds Restricted Funds are used to support the charitable activities and programs of the organization and its affiliates.

Reconciliation of Revenue Per Afs With Revenue Per Return

SCHEDULE D, Part XI, LINE 2D Change in Interest Rate Swap $ 446,352 Change in Pension Benefit Obligation (1,476,394) Reclass: Provision for Bad Debt (84,694,553) Reclass: Investment Mgmt Fees (460,051) -------------- TOTAL $(86,184,646)

Reconciliation of Expenses Per Afs With Expenses Per Return

Schedule D, Part XII, Line 4b Reclass: Provision for Bad Debt $ 84,694,553

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IRS990/Form990PartVIISectionAGrp/PersonNm1ADRIENNE KIRBY PHD
IRS990/Form990PartVIISectionAGrp/PersonNm2MICHAEL E CHANSKY MD
IRS990/Form990PartVIISectionAGrp/PersonNm3Leon D Dembo Esq
IRS990/Form990PartVIISectionAGrp/PersonNm4Dennis M DiFlorio
IRS990/Form990PartVIISectionAGrp/PersonNm5Generosa Grana MD
IRS990/Form990PartVIISectionAGrp/PersonNm6Paul Katz MD
IRS990/Form990PartVIISectionAGrp/PersonNm7Ali A Houshmand PhD
IRS990/Form990PartVIISectionAGrp/PersonNm8Duane D Myers
IRS990/Form990PartVIISectionAGrp/PersonNm9Annette Reboli MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Robert A Saporito DDS
IRS990/Form990PartVIISectionAGrp/PersonNm11Roland Schwarting MD
IRS990/Form990PartVIISectionAGrp/PersonNm12William A Schwartz Jr
IRS990/Form990PartVIISectionAGrp/PersonNm13John W Shimark
IRS990/Form990PartVIISectionAGrp/PersonNm14Harvey A Snyder MD
IRS990/Form990PartVIISectionAGrp/PersonNm15Kris Singh PhD
IRS990/Form990PartVIISectionAGrp/PersonNm16M Allan Vogelson JSC Ret
IRS990/Form990PartVIISectionAGrp/PersonNm17Peter S Amenta MD PhD
IRS990/Form990PartVIISectionAGrp/PersonNm18Joseph C Spagnoletti
IRS990/Form990PartVIISectionAGrp/PersonNm19Sidney R Brown
IRS990/Form990PartVIISectionAGrp/PersonNm20Phoebe A Haddon JD LLM
IRS990/Form990PartVIISectionAGrp/PersonNm21Philip A Norcross Esq
IRS990/Form990PartVIISectionAGrp/PersonNm22Steven E Ross MD
IRS990/Form990PartVIISectionAGrp/PersonNm23Susan Weiner
IRS990/Form990PartVIISectionAGrp/PersonNm24Douglas Shirley
IRS990/Form990PartVIISectionAGrp/PersonNm25Gary Lesneski
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IRS990/Form990PartVIISectionAGrp/PersonNm27Anthony Mazzarelli MDJDMBA
IRS990/Form990PartVIISectionAGrp/PersonNm28Stephanie Conners
IRS990/Form990PartVIISectionAGrp/PersonNm29Kevin O'Dowd
IRS990/Form990PartVIISectionAGrp/PersonNm30Brian Reillyconsultant April 2017
IRS990/Form990PartVIISectionAGrp/PersonNm31Robin L Perry MD
IRS990/Form990PartVIISectionAGrp/PersonNm32Lawrence S Miller MD
IRS990/Form990PartVIISectionAGrp/PersonNm33William G Smith MBA
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IRS990/Form990PartVIISectionAGrp/PersonNm39Adam Elfant MD
IRS990/Form990PartVIISectionAGrp/PersonNm40Gregory Kubicek
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