2019-11-15T22:22:45-06:00 2018-12-31 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2018-01-01 210634462 The Cooper Health System A New Jersey Non-Profit Corporation % CHIEF FINANCIAL OFFICER COOP 8563422000 1 Federal Street Suite NW2-400 Camden NJ 08103 BRIAN M REILLY CFO 8563422443 2019-11-15 true Frank Giardini P00532355 2155614200 65.229.27.130 23695320193195000148 2019-11-15 P E812B1CEFD5DE1B5E739BFE6F29325D0AAC26CBA FD9EB17EE6CEBBFF0A7DD1FEEB690E33963E7E29 2018 2020-04-17 16:48:07Z Kevin O'Dowd One Cooper Plaza Camden NJ 08103 1532812032 false 6260 X www.Cooperhealth.org X 1875 NJ 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. 23 18 9007 715 158540 817657 36616142 46456306 1222915445 1303473080 11257252 10157954 29551111 22276038 1300339950 1382363378 102500 132100 0 0 713946596 749300919 0 0 0 564279073 571335688 1278328169 1320768707 22011781 61594671 1187942560 1253765162 563847707 576016827 624094853 677748335 X See Schedule O. false false 1158222777 132100 1310422005 See Schedule O. 1158222777 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false true true true true false false true 1042 0 true 9007 true true true false false false false false false false false false true false X 23 18 true false false false false false false true true false false true true true true true true true true false NJ X CHIEF FINANCIAL OFFICER 8563422000 ONE COOPER PLAZA Camden NJ 08103 X George E Norcross III Chariman of the Board/Trustee 3.0 0.0 X X 0 0 0 ADRIENNE KIRBY PHD PRES&CEO-COOPER UNIV HLTH/TTEE 48.0 7.0 X X 1427587 0 188593 MICHAEL E CHANSKY MD TRUSTEE/CHIEF, EMERGENCY MED 55.0 0.0 X 588842 0 11943 Leon D Dembo Esq Trustee 3.0 0.0 X 0 0 0 Dennis M DiFlorio Trustee 3.0 0.0 X 0 0 0 Generosa Grana MD Trustee/Dir Cooper Cancer Ins 52.0 3.0 X 786415 0 12302 Paul Katz MD Trustee 3.0 0.0 X 0 0 0 Ali A Houshmand PhD Trustee 3.0 0.0 X 0 0 0 Duane D Myers Trustee 3.0 0.0 X 0 0 0 Annette Reboli MD Trustee 3.0 0.0 X 0 0 0 Robert A Saporito DDS Trustee 3.0 0.0 X 0 0 0 Roland Schwarting MD Trustee/Chief, Pathology 52.0 3.0 X 725788 0 23470 William A Schwartz Jr Trustee 3.0 0.0 X 0 0 0 John W Shimark Trustee 3.0 0.0 X 0 0 0 Harvey A Snyder MD Trustee 3.0 0.0 X 0 0 0 Kris Singh PhD Trustee 3.0 0.0 X 0 0 0 Peter S Amenta MD PhD Trustee 3.0 0.0 X 0 0 0 Joseph C Spagnoletti Trustee 3.0 0.0 X 0 0 0 Sidney R Brown Trustee 3.0 0.0 X 0 0 0 Phoebe A Haddon JD LLM Trustee 3.0 0.0 X 0 0 0 Philip A Norcross Esq Trustee 3.0 3.0 X 0 0 0 Steven E Ross MD Trustee/Dept of Surgery 55.0 0.0 X 349867 0 36292 Susan Weiner Trustee 3.0 0.0 X 0 0 0 Gary Lesneski Sr EVP/General Counsel 55.0 0.0 X 1296563 0 32951 Jane M Tubbs Board Secretary (end 11/9/18) 37.0 3.0 X 85799 0 2304 Anthony Mazzarelli MDJDMBA Chief Medical Officer, SVP OPS 55.0 0.0 X 1140931 0 162787 Stephanie Conners Sr EVP, COO, CNO (end 7/1/18) 55.0 0.0 X 900962 0 5127 Kevin O'Dowd Sr EVP-chief admin off 55.0 0.0 X 1386021 0 163191 Brian Reilly Chief Financial Officer 51.0 4.0 X 606590 0 96980 Dina Mathews Laurendeau Board Secretary (beg 11/10/18) 37.0 3.0 X 106702 0 1199 Kathleen Devine RN DRNP SVP/Chief Nursing Officer 55.0 0.0 X 255137 0 71676 Eric Kupersmith MD Chief Physician Executive 55.0 0.0 X 600088 0 92192 Jayashree Raman Chief Information Officer 55.0 0.0 X 555109 0 23319 Robin L Perry MD Chief, Dept of Ob Gyn 55.0 0.0 X 645709 0 43823 Lawrence S Miller MD Chief, Orthopedic Surgery 52.0 3.0 X 975252 0 45013 William G Smith MBA VP CAO (end 8/3/18) 46.0 9.0 X 304194 0 8836 Jeffrey P Carpenter MD Chief of Surgery 55.0 0.0 X 1142361 0 40961 Elizabeth Green SVP Human Resource 55.0 0.0 X 382711 0 53515 Kenneth M Wright SVP/CHIEF ACCTG OFFICER 46.0 9.0 X 263145 0 36129 Robert Hockel SVP, OPERATIONS 55.0 0.0 X 253568 0 54419 Michael Rosenbloom MD Head, Div of Cardiothoracic Sg 55.0 0.0 X 1704326 0 45326 Richard Y Highbloom MD Surgeon 55.0 0.0 X 1241019 0 29882 Frank W Bowen III MD Surgeon 55.0 0.0 X 1463152 0 10737 Adam Elfant MD Assc Division Head-Dept of Med 55.0 0.0 X 1076632 0 29153 Gregory Kubicek MD Physician 55.0 0.0 X 1097061 0 14363 21361531 0 1336483 1411 false true false ATOS Medical Dept CH 17589 PALATINE IL 600557589 IT Services 6953765 MD Anderson Physicians Network 1515 Holcombe Blvd HOUSTON TX 77030 healthcare services 6894689 NThrive 200 North Point Center ALPHARETTA GA 30022 billing services 6113518 Epic Systems Corp 1979 Milky Way VERONA WI 53593 IT services 4891392 Medco Health Solutions 600 13th St NW WASHINGTON DC 20005 clinical solutions 4312280 82 1750536 44705770 46456306 NET PATIENT SERVICE REVENUE 541900 1268147676 1268147676 OTHER HEALTHCARE RELATED REVENUE 541900 35233749 35233749 EDUCATION 541900 91655 91655 1303473080 8815670 8815670 0 0 160867 160867 0 160867 160867 151790938 150448654 1342284 1342284 1342284 0 0 0 0 0 0 0 0 0 CAFETERIA/COFFEE/GIFT SHOP 900099 6545867 6545867 AIR/GROUND TRANSPORT/PARKING 900099 8461839 8461839 JOINT VENTURES 900099 -1324975 -1324975 8432440 8273900 158540 22115171 1382363378 1310422005 158540 25326527 132100 132100 0 0 0 15986373 7289502 8696871 0 625504570 562797259 62707311 17210625 15808833 1401792 48991265 43757468 5233797 41608086 37018714 4589372 7742611 1389366 6353245 924121 183496 740625 472976 472976 0 0 467299 467299 52692688 29455872 23236816 7404614 2554297 4850317 238945737 235675558 3270179 0 0 37567084 28791560 8775524 496681 376249 120432 0 1493509 1360274 133235 12565954 9974747 2591207 0 47233739 47233739 26671461 24888235 1783226 IMPLICIT PRICE CONCESSION 58788394 58788394 MISCELLANEOUS EXPENSE 77868820 50747114 27121706 1320768707 1158222777 162545930 0 113410916 162015648 99393682 99693590 4444355 4946042 158145285 138859714 0 0 0 0 15781400 15781400 20998565 20287167 7750907 15574795 1078207636 595531610 447771011 482676026 303187162 295574736 0 0 0 0 272840 225507 16786437 18130537 1187942560 1253765162 147480234 158861618 0 0 15157187 13434299 248724527 248211178 0 0 0 0 8335501 7874987 0 0 144150258 147634745 563847707 576016827 X 623655853 677309335 0 0 439000 439000 624094853 677748335 1187942560 1253765162 X 61594671 -10204296 2263107 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 253653 false true 33076 286729 false Lobbying Activity Explanation During the year, the Organization incurred the following lobbying expenditures: The organization paid independent firms $192,053 to provide lobbying consulting services and to engage in lobbying efforts on behalf of the organization. The organization incurred internal expenses for salaries and benefits of $61,600 where its professionals participated in lobbying efforts. The organization was a member of certain industry organizations; all of which engage in lobbying efforts on behalf of their member hospitals. The portion of these dues allocated to lobbying expenditures for the year is detailed below and in total is $33,076. New Jersey Hospital Association $25,576 Hospital Alliance of New Jersey $7,500 439000 439000 439000 439000 439000 439000 439000 439000 439000 439000 1.00000 false false 3331857 3331857 278490641 88861118 189629522 274512318 118092194 156420124 520601877 388052572 132549306 1270943 525726 745217 482676026 0 SETTLEMENTS-3RD PARTY PAYORS 353883 SELF-INSURED RESERVES, CURRENT 25421580 SELF-INSURED RESERVES, NON-CUR 53117644 ACCRUED RETIREMENT BENEFITS 21171709 LT SETTLEMENT- MEDICARE 5548477 LONG TERM INTERCOMPANY PAYABLE 40867605 MISCELLANEOUS 1153847 147634745 1315166496 -10204296 -56834046 -67038342 1382204838 158540 158540 1382363378 1261513014 1261513014 59255693 59255693 1320768707 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 $ 973,195 Change in Pension Benefit Obligation 1,448,452 Reclass: Provision for Bad Debt (58,788,394) Reclass: Investment Mgmt Fees (467,299) -------------- TOTAL $(56,834,046) SCHEDULE D, PART XI, LINE 4B UBI FROM INVESTMENT $158,540 RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN Schedule D, Part XII, Line 4b Reclass: Provision for Bad Debt $58,788,394 Reclass: Investment Mgmt Fees 467,299 ----------- Total $59,255,693 true true true X true X 500. true true true false true true 1 1044 29244021 13546000 15698021 0.01240 1 9799 336133467 237545930 98587537 0.07810 2 10843 365377488 251091930 114285558 0.09050 55 205802 1347973 829734 518239 0.00040 43 1588 90939787 42694060 48245727 0.03820 10 945 589715 141947 447768 0.00040 1 120 49682 109 208455 92927157 43665741 49211734 0.03900 111 219298 458304645 294757671 163497292 0.12950 2 768995 628146 140849 0.00010 1 55000 0 55000 6 1198 971957 28142 943815 0.00070 4 105 17996 0 17996 2 525 17648 0 17648 1 245 1790 0 1790 16 2073 1833386 656288 1177098 0.00080 true 58788394 689034 205756413 269329673 -63573260 X true true 1 1 Cooper Health System One Cooper Plaza Camden NJ 08103 www.cooperhealth.org X X X X X X X Level 1 Trauma A COOPER HEALTH SYSTEM 1 true false true X X X X X X X X X 16 true true true true X SEE SUPPLEMENTAL INFORMATION X true 16 true SEE SUPPLEMENTAL INFORMATION false true X 200. 500. X X X X X X true true X X X X true X see supplemental information X see supplemental information X see supplemental information X X X X X true X false X X X X true X false false Part V, Section B The Community Health Needs Assessment (CHNA) was conducted from February to October of 2016 with the purpose of gathering information about local health needs and health behaviors. The assessment used both primary and secondary research to illustrate and compare health trends and disparities across the region. Primary research solicited input from key community stakeholders representing the broad interests of the community, including experts in public health and individuals representing medically underserved, low-income, and minority populations. Secondary research identified demographic and health trends across geographic areas and populations. The Cooper Board of Trustees met on December 21, 2016 to review the findings of the CHNA and the recommended implementation strategy. The board voted to adopt the final summary report and the implementation strategy and provide the necessary resources and support to carry out the initiatives therein. The 2019 Community Health Needs Assessment was completed in July 2019. The report and the implementation strategy are set to be approved by the Board of Directors in December 2019. Question 5: The Burlington, Camden, Gloucester, and Ocean County Health Departments participated in the design and completion of Cooper's Community Health Needs Assessment, including meetings to identify and prioritize health needs. Specific research methods: - A review of secondary health and socioeconomic indicators for the service area. - An analysis and comparison of hospital utilization data. - Partner forums with community representatives and leaders to identify community health priorities and facilitate population health strategy collaboration. - Focus groups with health consumers. Question 6: The Health Assessment Collaborative included the following partners: Cooper University Hospital, Deborah Heart and Lung Center, Kennedy Health System, Lourdes Health System, Virtua Health, and the Health Departments of Burlington, Camden, Gloucester, and Ocean Counties. Question 7A & 10A: WWW.COOPERHEALTH.ORG/about-us/community-health-needs-assessment - The implementation strategy is on pages 17 & 18. Question 11: A voting system based on the criteria of scope, severity, and ability to impact was used to help participants in the assessment prioritize local health needs. The prioritized list of health needs is as follows: 1. behavioral health and chronic disease comorbidities 2. linkages to care - access 3. substance abuse Cooper is addressing the significant needs identified in the recently conducted CHNA as follows: Behavioral health/chronic disease comorbidities: -creation of an advanced care center with implementation of an innovative multidisciplinary group visit model -Patients with similar diagnoses meet together and learn best practices of care together -community education programs and support groups linkages to care - access: -partnered with a third party vendor to assist patients in completing applications for financial assistance, medicaid, etc. -trained staff as certified application counselors to assist patients in obtaining insurance -launched urgent care services in three locations -implemented dedicated schedule slots with primary care physicians to ensure available follow-up appointments for patients within two weeks after hospital discharge Substance abuse: -implemented standardized, systematic mental health screening for all patients admitted to Cooper -launched an initiative to address the gaps in behavioral health resources and identify partnership opportunities in service provision -hosted and supported many community events in collaboration with the county's addiction awareness task force Rationale for community health needs not specifically addressed: Cooper recognizes that partnerships with community agencies have the broadest reach to improve community health issues. While additional disease specific and population specific needs were identified, the group found that other resources, such as the Southern New Jersey Perinatal Cooperative and disease specific resources were available and the health systems would be more effective in utilizing the available resources in addressing the prioritized needs. Question 16: WWW.COOPERHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-MATTERS 71 Bone & Joint 221 Victoria Street Glassboro NJ 08028 B&J Institute/ambulatory care/ outpatient infusion therapy services/CNI Bone&JointRheumatologyPhysical Therapy 900 Centennial Blvd Bldg 2 STE 203 Voorhees NJ 08043 B&J/Rheumatology/Physical therapy Bariatrics 6017 Main St Voorhees NJ 08043 Bariatrics Bone & Joint 525 Route 73 South STE 303 Marlton NJ 08053 Bone & Joint/cni Cancer Center 900 Centennial Blvd Bldg 1 STE L Voorhees NJ 08043 Cancer Center Cancer Institute 301-303 Central Ave Unit A B Egg Harbor Twnshp NJ 08234 Cancer Institute Cardiology 900 Centennial Blvd Bldg 2 STE 201 Voorhees NJ 08043 Cardiology Cardiology 400 Medical Center Dr STE B Turnersville NJ 08081 Cardiology Cardiology 66 East Ave STE A B Woodstown NJ 08098 Cardiology Cyber Knife Center 715 Fellowship Rd STE B C Mount Laurel NJ 08054 Cyber Knife Center/outpatient infusion therapy services Dermatologic & Cosmetic Procedural Surge 10000 Sagemore Dr STE 10103 Marlton NJ 08053 Dermatologic & Cosmetic ENT 6200 Main St Voorhees NJ 08043 ENT Family Medicine 110 Marter Ave STE 503 Moorestown NJ 08057 Family Medicine Family Medicine 1865 Harrison Ave STE 1300 Camden NJ 08105 Family Medicine Family Medicine 1217 North Church St Moorestown NJ 08057 Family Medicine Family Medicine 1050 North Kings Highway STE 105 Cherry Hill NJ 08034 Family Medicine Family Medicine 504 White Horse Pike Haddon Heights NJ 08035 Family Medicine Family Medicine 200 College Dr Blackwood NJ 08012 Family Medicine Family Medicine 111 East Main St Maple Shade NJ 08052 Family Medicine Family Medicine OBGYN Peds 701 Route 73 North STE 7 8 Marlton NJ 08053 Family Medicine/OBGYN/Peds Walgreens Pharmacy 900 Centennial Blvd Bldg 2 STE 205 Voorhees NJ 08043 Walgreens Pharmacy Space General OBGYN 1900 Burlington-Mt Holly Rd Bldg 2 Burlington NJ 08016 General OBGYN GI Phys Practice & Digestive Health 501 Fellowship Rd STE 101 102 Mount Laurel NJ 08053 physician practice/ambulatory care/outpatient endoscopy center Gynelogical Oncology 900 Centennial Blvd Bldg 1 STE F Voorhees NJ 08043 GynOnc Hematology Oncology 1000 Salem Rd STE C Willingboro NJ 08046 Hematology Oncology Multi-specialty center Three Cooper Plaza Camden NJ 08103 Gamm Knife Diagnostic Center/ cni/uhi/surgery/b&j/ahi/cci/ hi/w&c Internal Medicine 1 2 4 Plaza Dr Bldg 1 STE 103 Sewell NJ 08080 Internal Medicine Internal Medicine 900 Centennial Blvd Bldg 2 STE 202 Voorhees NJ 08043 Internal Medicine Internal Medicine 123 Egg Harbor Rd Bldg 600 suite Sewell NJ 08080 Internal Medicine Internal Medicine 196 Grove Ave STE B C Thorofare NJ 08086 Internal Medicine Internal Medicine 390 North Broadway STE 100 200 Pennsville NJ 08070 Internal Medicine Internal Medicine 430 S Broadway Gloucester City NJ 08030 Internal Medicine Internal Medicine 222 Gibbsboro Rd Clementon NJ 08021 Internal Medicine Internal Medicine 416 Haddon Ave Collingswood NJ 08108 Internal Medicine Internal Medicine Cardiology Endocrino 1210 Brace Rd Cherry Hill NJ 08034 Internal Medicine/Cardiology Internal Medicine MFM Surgery etc 651 John F Kennedy Way Willingboro NJ 08046 Internal Medicine/MFM/Surgery Laboratory 900 Centennial Blvd Bldg 2 STE 204 Voorhees NJ 08043 Lab Learning Center 4011 Main St Voorhees NJ 08043 Learning Center Maternal Fetal Medicine 10 Forrestal Rd STE 208 210 Princeton NJ 08540 Maternal Fetal Medicine MD Anderson Cancer Center at Cooper Two Cooper Plaza Camden NJ 08103 Oncology/Multi-Specialty Ctr Nephrology 1030 North Kings Highway STE 310 Cherry Hill NJ 08034 Nephrology Orthopedics 401 S Kings Highway STE 3A 3B Cherry Hill NJ 08034 Orthopedics Orthopedics 3740 West Chester Pike Newtown Square PA 19063 Orthopedics Orthopedics (PTOT) 1878 Marlton Pike East STE 4 5 Cherry Hill NJ 08003 Orthopedics (PT/OT) Pediatrics 1900 Burlington-Mt Holly RdBldg 2 Burlington NJ 08016 Pediatrics Pediatrics 6400 Main St Voorhees NJ 08043 Pediatrics Pediatrics learning center 110 Marter Ave STE 505 506 Moorestown NJ 08057 Pediatrics/learning center Pediatrics OBGYN Audiology 1 2 4 Plaza Dr Bldg 4 STE 401 Sewell NJ 08080 Pediatrics/OBGYN/Audiology Pain Management & Rehabilitation 1101 North Kings Highway STE 100 Cherry Hill NJ 08034 Pain Management/Rehabilitation Psychiatry 1011 Main St Voorhees NJ 08043 Psychiatry Pulmonary & Family Sleep Center 218 Sunset Rd STE C Willingboro NJ 08046 Pulmonary/Family Sleep Center/ cardiology/anesthesiology/ digestive health institute Radiology 900 Centennial Blvd Bldg 1 STE B Voorhees NJ 08043 Radiology Radiology Lab OBGYN Internal Med 1103 North Kings Highway Cherry Hill NJ 08034 Radiology/Lab/OBGYN/Internal medicine RadOnc 900 Centennial Blvd Bldg 1 STE D Voorhees NJ 08043 RadOnc Regional Cleft-Craniofacial Palate 110 Marter Ave STE 402 Moorestown NJ 08057 Regional Cleft-Craniofacial Pa RIPA Women's Health Center 6100 Main St Voorhees NJ 08043 Women's Health Center SleepPulmonary 900 Centennial Blvd Bldg 1 STE J Voorhees NJ 08043 Sleep/Pulmonary Surgery 500 Cross Keys Rd Bldg A Sicklerville NJ 08081 Surgery Surgery 900 Centennial Blvd Bldg 1 STE E Voorhees NJ 08043 Surgery Surgery 6014/6015 Main St Voorhees NJ 08043 Surgery Surgery 1 2 4 Plaza Dr Bldg 2 STE 202 Sewell NJ 08080 Surgery Surgery CNI PT 1935 Route 70 Cherry Hill NJ 08003 Surgery/CNI/PT Surgical Specialties - Cancer Center 900 Centennial Blvd Bldg 1 STE G Voorhees NJ 08043 Surgical Specialties - Cancer Urgent Care 195 Route 130 Cinnaminson NJ 08077 Urgent Care Urgent Care 20 S Blackhorse Pike Runnemede NJ 08078 Urgent Care Urgent Care 318 S Whitehorse Pike Audubon NJ 08106 Urgent Care Urgent Care 2001 Route 70 East Cherry Hill NJ 08003 Urgent Care UroGynecology 6012 Main St Voorhees NJ 08043 UroGyn UroGynecology 3100 Quakerbridge Rd Hamilton NJ 08619 UroGynecology Urology Surgery 127 Church Rd STE 400 500 Marlton NJ 08053 Urology Surgery INTERNAL MEDICINE 180 TUCKERTON ROAD MEDFORD NJ 08055 INTERNAL MEDICINE PART I, LINE 3C ELIGIBILITY FOR DISCOUNTED CARE: THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2015 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES (FPG) ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSES: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $58,788,394. Part I, Line 7G FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. PART II COMMUNITY BUILDING ACTIVITIES: THE HEALTH OF THE SURROUNDING COMMUNITIES IS OF COOPER'S UTMOST CONCERN. FROM HEALTHCARE PROGRAMS FOR THE COMMUNITY TO EDUCATIONAL AND EMPLOYMENT PROGRAMS, COOPER STRIVES TO BE A RESPONSIBLE, INVOLVED COMMUNITY ADVOCATE. PLEASE SEE SCHEDULE O FOR THE COMMUNITY BENEFIT STATEMENT. PART III, SECTION A, LINES 2 & 4 THE HEALTH SYSTEM ADOPTED ASU 2014-09 FOLLOWING THE MODIFIED RETROSPECTIVE METHOD EFFECTIVE JANUARY 1, 2018, FOR ITS CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF IMPLEMENTING ASU-2014-09, CERTAIN PATIENT ACTIVITY WHERE COLLECTION IS UNCERTAIN (REPRESENTING $58,788,394) NO LONGER MEETS THE CRITERIA FOR REVENUE RECOGNITION AND, ACCORDINGLY, REPRESENTS A REDUCTION TO NET PATIENT SERVICE REVENUE AS AN IMPLICIT PRICE CONCESSION. PLEASE SEE PAGES 15, 16 AND 28, 29 OF THE AUDITED FINANCIAL STATEMENTS FOR A DISCUSSION ON THIS TOPIC. THE HEALTH SYSTEM PROVIDES CARE TO THOSE WHO MEET THE STATE OF NEW JERSEY PUBLIC LAW 1992 (CHAPTER 160) CHARITY CARE CRITERIA. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED CHARGES. THE HEALTH SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE COST OF SERVICES PROVIDED AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED BASED ON THE HEALTH SYSTEMS COST ACCOUNTING SYSTEM. THE TOTAL DIRECT AND INDIRECT AMOUNT OF CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, WAS $29,708,319 AND $36,029,421 (revised since prior year return) FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY. THE HEALTH SYSTEM'S PATIENT ACCEPTANCE POLICY IS BASED UPON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE HEALTH SYSTEM ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS POLICY RESULTS IN THE HEALTH SYSTEM'S ASSUMPTION OF SIGNIFICANT PATIENT RECEIVABLE CREDIT RISKS. FOR THE YEAR ENDED DECEMBER 31, 2018, AND FOR SERVICES PROVIDED SUBSEQUENT TO THE ADOPTION OF ASU 2014-09 ON JANUARY 1, 2018, FOR PATIENTS WHO WERE DETERMINED BY THE HEALTH SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE EXPECTED UNCOLLECTED AMOUNTS ARE CLASSIFIED AS AN IMPLICIT PRICE CONCESSION WHICH REDUCES NET PATIENT SERVICE REVENUE. FOR PATIENT SERVICES PROVIDED PRIOR TO DECEMBER 31, 2017, PRIOR TO THE ADOPTION OF ASU-2014-09, FOR PATIENTS WHO WERE DETERMIEND BY THE HEALTH SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS WERE CLASSIFIED AS PROVISION FOR BAD DEBTS. PART III, SECTION B, LINE 8 Medicare costs were derived from the 2018 Medicare Cost Report. Medicare underpayments (shortfall) and bad debt are community benefit and associated costs, in our opinion, should be includable on the Form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code (IRC) section 501(c)(3).The organization is recognized as a tax-exempt entity and charitable organization under IRC section 501(c)(3). Although there is no definition in the tax code for the term charitable, a regulation promulgated by the department of the treasury provides some guidance and states that the term charitable is used in IRC section 501(c)(3) in its generally accepted legal sense, and provides examples of charitable purposes, including the relief of the indigent or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term charitable to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC section 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. PART III, SECTION C, LINE 9B COLLECTION PRACTICES: THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AS WELL AS IRC SECTION 501(R). EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX, OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS. PART VI, QUESTION 2 NEEDS ASSESSMENT: Cooper Health System (CHS) conducts a review of key factor information annually which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare service estimates and forecasts (both and outpatient); assessments of local demographic and socioeconomic information; review of health status/needs assessments and studies conducted by external parties, including not limited to a community health needs assessment completed and approved by Cooper Health System in December 2016 as required by IRC Section 501(r). CHS is in a diverse suburban location serving diverse communities ranging from inner city communities in Camden to more affluent suburban areas. CHS is located in Camden, Camden County. Camden County is the 4th most populous county in the state with 21 counties. CHS is committed to service for its communities and serves both inner city and suburban areas. About 47.5 percent of its inpatients are of minority race/ethnicity. In addition, approximately 9.23 percent of its patients are of underinsured and uninsured payer categories. PART VI, QUESTION 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: It is the policy of Cooper University Hospital to assist uninsured and underinsured patients with hospital and physician bills by providing discounts and payment plan options when eligibility for Medicaid or Charity Care have been exhausted due to excess income or resources. 1. Patients are screened for all potential third party liability resources, including Cooper related grants. 2. Referrals directed to uninsured patient coordinator originate from accounts receivable management and data services, physician offices, clinics and any other Cooper Hospital, off campus, facilities and can be made prior to or after a specified date of service(s). 3. Uninsured patient coordinator contacts physician departments to inform them of patient need for discount, secures discounted rates, and forwards to patient. 4. Patients are quoted prices by the uninsured patient coordinator that corresponds to Medicare expected reimbursement rates for outpatient procedures and Medicare base diagnosis-related group rate for hospitalizations. 5. All discounted rates are presented to the patient as well as payment plan options using the pricing estimate software tool that stores and prints standard estimates for patients. 6. Uninsured discount plan insurance and adjustments are posted to Hospital and Professional billing system when appropriate. 7. The uninsured patient coordinator determines and distributes patient payments amongst all hospital and physician departments. PART VI, QUESTION 4 community information: THE ORGANIZATION IS IN A DIVERSE URBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN CAMDEN TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN CAMDEN, IN CAMDEN COUNTY. CAMDEN COUNTY IS THE fourth MOST POPULOUS COUNTY IN THE STATE WITH 21 counties. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS CAMDEN COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 47.5 PERCENT OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 9.23 PERCENT OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. PART VI, QUESTION 5 PROMOTION OF COMMUNITY HEALTH: This organization operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. The organization provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. The organization operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days a year. 3. The organization maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of the organization rests with its Board of Trustees; which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. PART VI, QUESTION 6 AFFILIATED HEALTH CARE SYSTEM: Cooper Health System (CHS) is committed enhancing the overall health status of the community by providing the highest quality healthcare and related services. CHS strives to exceed the patients' expectations emphasizing commitment, competence, collaboration, communication, and compassion. The respective roles of CHS and its affiliates in promoting the health of the communities served is as follows: - Cooper Medical Services, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(3). The organization supports the charitable purposes, programs and services of the Cooper Health System. - The Cooper Foundation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(C)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(A)(1). The organization receives charitable contributions and grants from various sources and disburses grants to primarily Cooper Health System for its mission and programs, but also to other Internal Revenue Code Section 501(c)(3) organizations. - The Cooper Cancer Center is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(1). The organization was established to ground lease to MD Anderson Cancer Center at Cooper University Healthcare, Inc. real property in Camden, NJ to cause the construction of, to obtain loan funding from certain qualified community development facilities under the new market tax credit to fund the construction costs for, to own and manage, and to lease back to Cooper Health System a new Cooper Cancer Institute building. - The Cooper Health System Worker's Compensation Trust is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(3). The organization provides worker's compensation insurance coverage to employees of the Cooper Health System. - Cooper Healthcare Services is a for-profit entity whose sole shareholder is Cooper Health System. The organization is located in Camden, New Jersey. The company is a holding company with zero activity. - C & H Collection Services, Inc. is a for-profit entity whose sole shareholder is Cooper Healthcare Services. The company is located in Camden, New Jersey. The company provides collection services for Cooper Health System and its affiliated companies. - Cooper Healthcare Properties, Inc. is a for-profit entity whose sole shareholder is Cooper Healthcare Services. The organization is located in Camden, New Jersey. The organization provides property management services. - Cooper's Physician Practices are incorporated professional corporations in the state of New Jersey. The practices support the overall health system's continuum of care. They are listed as follows: Cooper Perinatology Associates, P.C.; Center for Health and Wellness, P.C.; CHC Pain Management Center, P.A.; CMC Department of Medicine Group, P.A.; CMC Psychiatric Associates, P.C.; Cooper Anesthesia Associates, P.C.; Cooper Bone and Joint Institute, P.C.; Cooper Department of Neuroscience, P.C.; Cooper Faculty OB-GYN, P.C.; Cooper Family Medicine, P.C.; Cooper Gyn Oncology Association, P.C.; Cooper Obstetrical Associates, P.C.; Cooper Pathology, P.C.; Cooper Pediatric Specialists, P.C.; Cooper Pediatrics, P.C.; Cooper Physical Med & Rehab Associates, P.C.; Cooper Physician Offices, P.A.; Cooper Primary Care at Pennsville, P.A.; Cooper Surgical Associates, P.A.; Cooper University Trauma Physicians, P.C.; Cooper Urgent Care, P.C.; Critical Care Group, P.A.; Radiation Oncology, P.C.; University Urogynecology Association, P.C.; Cooper University Emergency Physicians, P.C.; Cooper University Radiology, P.C.; Cooper Nephrology, P.C. PART VI, QUESTION 7 STATE FILING OF COMMUNITY BENEFIT REPORT: 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 AS IT IS NOT A STATE REQUIREMENT. true Susan G Komen Breast Cancer Foundation 125 South 9th Street Philadelphia PA 19107 752949264 501(c)(3) 20000 Sponsorship Head of Schuylkill Regatta 7 BOATHOUSE DR Philadelphia PA 19130 352366125 501(c)(3) 8000 Sponsorship CAMDEN COUNTY PARKS DEPT 1301 PARK BLVD CHERRY HILL NJ 08002 Government 6000 SPONSORSHIP CROHN'S & COLITIS FOUNDATION 150 Monument Road Suite 402 Bala Cynwyd PA 19004 136193105 501(c)(3) 10000 SPONSORSHIP American Cancer Society 1851 Old Cuthbert Cherry Hill NJ 08034 131788491 501(c)(3) 8250 Sponsorship National Brain Tumor Society 55 Chapel Street Ste 200 Newton MA 02458 043068130 501(c)(3) 7500 Sponsorship American Heart Association 1 Union St 301 Robbinsville NJ 08691 135613797 501(c)(3) 7500 Sponsorship 7 0 SCHEDULE I, PART I, QUESTION 2 Procedure for monitoring use of grant funds inside the U.S.: Grants are monitored by the organization's finance personnel through the utilization of cost centers and other information, including written documentation and receipts. X X X X X true true false false false false false true false ADRIENNE KIRBY PHD PRES&CEO-COOPER UNIV HLTH/TTEE 857821 0 429383 0 140383 0 168025 0 20568 0 1616180 0 129383 0 MICHAEL E CHANSKY MD TRUSTEE/CHIEF, EMERGENCY MED 523132 0 47710 0 18000 0 9625 0 2318 0 600785 0 0 0 Generosa Grana MD Trustee/Dir Cooper Cancer Ins 722397 0 45518 0 18500 0 9625 0 2677 0 798717 0 0 0 Roland Schwarting MD Trustee/Chief, Pathology 639163 0 86625 0 0 0 9625 0 13845 0 749258 0 0 0 Gary Lesneski Sr EVP/General Counsel 569563 0 608000 0 119000 0 9625 0 23326 0 1329514 0 108000 0 Robin L Perry MD Chief, Dept of Ob Gyn 584815 0 60894 0 0 0 9625 0 34198 0 689532 0 0 0 Lawrence S Miller MD Chief, Orthopedic Surgery 891799 0 64953 0 18500 0 9625 0 35388 0 1020265 0 0 0 William G Smith MBA VP CAO (end 8/3/18) 185387 0 0 0 118807 0 6030 0 2806 0 313030 0 118807 0 Jeffrey P Carpenter MD Chief of Surgery 1047486 0 94875 0 0 0 7852 0 33109 0 1183322 0 0 0 Michael Rosenbloom MD Head, Div of Cardiothoracic Sg 1624618 0 79708 0 0 0 9625 0 35701 0 1749652 0 0 0 Richard Y Highbloom MD Surgeon 1161311 0 79708 0 0 0 9625 0 20257 0 1270901 0 0 0 Frank W Bowen III MD Surgeon 1364944 0 79708 0 18500 0 9625 0 1112 0 1473889 0 0 0 Anthony Mazzarelli MDJDMBA Chief Medical Officer, SVP OPS 651727 0 414102 0 75102 0 129625 0 33162 0 1303718 0 64102 0 Stephanie Conners Sr EVP, COO, CNO (end 7/1/18) 216701 0 262352 0 421909 0 3606 0 1521 0 906089 0 62352 0 Adam Elfant MD Assc Division Head-Dept of Med 740652 0 317980 0 18000 0 9625 0 19528 0 1105785 0 0 0 Steven E Ross MD Trustee/Dept of Surgery 349367 0 500 0 0 0 9625 0 26667 0 386159 0 0 0 Elizabeth Green SVP Human Resource 283667 0 71542 0 27502 0 41825 0 11690 0 436226 0 15542 0 Kevin O'Dowd Sr EVP-chief admin off 638441 0 659040 0 88540 0 129625 0 33566 0 1549212 0 59040 0 Brian Reilly Chief Financial Officer 568090 0 20000 0 18500 0 63429 0 33551 0 703570 0 0 0 Gregory Kubicek MD Physician 985926 0 111135 0 0 0 4614 0 9749 0 1111424 0 0 0 Kenneth M Wright SVP/CHIEF ACCTG OFFICER 193281 0 52167 0 17697 0 36000 0 129 0 299274 0 0 0 Robert Hockel SVP, OPERATIONS 253568 0 0 0 0 0 32500 0 21919 0 307987 0 0 0 Kathleen Devine RN DRNP SVP/Chief Nursing Officer 221699 0 26719 0 6719 0 38929 0 32747 0 326813 0 6719 0 Eric Kupersmith MD Chief Physician Executive 489812 0 83138 0 27138 0 64625 0 27567 0 692280 0 27138 0 Jayashree Raman Chief Information Officer 315581 0 160019 0 79509 0 9625 0 13694 0 578428 0 42509 0 Part I, Line 4a Stephanie Conners, Sr. EVP, COO, CNO $348,558 Part I, Line 4b DURING THE YEAR, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAD A PORTION OF THE CONTRIBUTIONS VEST IN THE PLAN IN THE CURRENT YEAR. SUCH VESTED CONTRIBUTIONS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. ADRIENNE KIRBY ANTHONY MAZZARELLI KEVIN O'DOWD GARY LESNESKI KATHLEEN DEVINE ELIZABETH GREEN ERIC KUPPERSMITH JAYASHREE RAMAN WILLIAM G. SMITH STEPHANIE CONNERS DURING THE CALENDAR YEAR, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAD A PORTION OF THE CONTRIBUTIONS CONSIDERED NOT YET VESTED; THEREFORE, UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFFERED COMPENSATION. ADRIENNE KIRBY ANTHONY MAZZARELLI KEVIN O'DOWD KATHLEEN DEVINE ELIZABETH GREEN ERIC KUPPERSMITH ROBERT HOCKEL BRIAN REILLY KENNY WRIGHT Part I, Line 7 Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operation achievements. The final determination of the bonus amount is determined and approved by the board as part of the overall compensation review of the officers, key employees, and top five highest compensated. A Camden County Improvement Authority 222681222 13281QAY1 2013-08-01 53048439 various capital projects false false false B New Jersey Economic Dev Auth 222045817 2009-11-09 10000000 Construction/Refund Issue false false false C Camden County Improvement Authority 222681222 645918TVS 2008-11-04 50000000 Construction-Bldg, Various false false false D Camden County Improvement Authority 222681222 13281QBP9 2014-11-18 159117690 Refund Issues 12/25/05, 6/26/04 false false false A 0 0 53105151 0 0 0 1050969 0 0 48507681 0 3546501 false false false true B 7672000 0 10000000 0 0 0 190000 0 0 5771076 4038924 0 2010 true false true true C 0 0 50000000 0 0 0 986526 208947 0 48804527 0 0 2009 false false true true D 13550000 0 159117690 0 0 0 1966144 0 192465 0 156959437 0 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C true true true true false 0.00400 0.00000 0.00400 false false false true D true true true true false 0.00100 0.00000 0.00100 false false false true A false false false true false false 0 false 0 false true B false false true false true false 0 false 0 false true C false false false true true false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true Part II, Line 3, Column A The total proceeds exceeds the issue price by the investment earnings earned to date. Part II, Question 11, Columns B&C THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW Part IV, Question 2(C), Column A A REBATE REPORT WAS COMPLETED ON 7/31/2018 WITH NO REBATE BEING DUE Part IV, Question 2(C), Column C A REBATE REPORT WAS COMPLETED ON 11/18/2016 WITH NO REBATE BEING DUE; AN INTERIM REBATE REPORT WAS COMPLETED ON 7/31/2018 WITH NO REBATE BEING DUE Bonnie J Mannino FAMILY MEMBER-PERRY 163758 Employee false JOANNE MAZZARELLI FAMILY MEMBER-MAZZARELLI 430727 Employee false Form 990, Part VI Disclosures 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 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 comment 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 thereafter recommends to the Executive Committee of the Board the executive compensation survey prepared by the outside consultant. The Audit/Ethics & Compliance Committee is comprised entirely of independent members and no member of the Committee is either: a member of the Board's Finance Committee or an ex officio member of the Board, or; has had any material financial dealings with the organization, or; otherwise has a conflict or duality of interest or the appearance of a conflict or duality of interest with the organization; 2. The selected outside consulting firm prepares a written, detailed report reviewing compensation for more than 20 senior executives, which documents relevant market comparability data, as well as the methodology, job matches, and survey sources used for the executive compensation review, and includes the firm's opinion that the executives' compensation falls within a reasonable range of competitive market practice applicable to like positions among like organizations under like circumstances, for purposes of compliance with Section 4958 of the Internal Revenue Code; 3. The Executive Committee of the Board is the required internal approval agent for executive compensation. In that role the Committee reviews and considers all recommendations made by the Audit/Ethics & Compliance Committee, reviews and approves the report of the outside consulting firm, approves compensation for the affected executives based upon the report and recommendations, and where applicable, recommends to the full Board any actions which the Committee deems necessary in response to the outside consulting firm's report; 4. The actions of both the Audit/Ethics & Compliance and Executive Committees are documented in the minutes of the Committee meetings. Additionally, the Executive Committee monitors the organization's compliance with policy regarding compensation of employed physicians. By organization policy, the full Board must approve all new and renewed physician contracts for: Chiefs and/or Institute Medical Directors; all other physicians who report directly to the organization's President and Chief Executive Officer; all physicians whose base compensation exceeds the 75th percentile of MGMA benchmark data; all physicians who are either corporate officer or Board or Committee members, and; all physicians who have an interest in any entity that refers business to the organization or otherwise has disclosed a potential conflict of interest in his/her annual disclosure survey or supplementary disclosure. Form 990, Part VI, Section C, Line 19 The organization has issued tax-exempt bonds to finance various capital improvement projects, renovations and equipment. In conjunction with the issuance of these tax-exempt bonds, the organization's financial statements were included with the tax-exempt bond prospectus which was made available to the general public for review. In addition, the organization's filed certificate of incorporation and any amendments, BYLAWS AND conflict of interest policy can be viewed on the organization's website. 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) Gary Lesneski (Officer) Jane M. Tubbs (Officer) Dina Mathews Laurendeau (Officer) Anthony Mazzarelli, MD, JD, MBA (Officer) Stephanie Conners (Officer) Kevin O'Dowd (Officer) Brian Reilly (Officer) Kathleen Devine, RN DRNP (Officer) Eric Kuppersmith, MD (Officer) Jayashree Raman (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. Form 990, Part XI, Line 9 Reconciliation of Net Assets: Change in interest rate swap $ 973,195 Change in Pension Benefit Obligation 1,448,452 UBI from investments (158,540) ------------ Total $ 2,263,107 Part III, Line 1: 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. Part III, Line 4: The Cooper Health System, A New Jersey Non-Profit Corporation (CHS) is a New Jersey Non-Profit Organization. CHS is comprised of three divisions: The Cooper University Hospital (CUH), Cooper University Physicians (CUP) and MD Anderson Cooper Cancer Center. The CUH includes the operations of Cooper University Health Care and the Children's Regional Hospital at Cooper, as well as programs focusing on ambulatory diagnostic and treatment services, wellness and prevention, and many other health services. The CUP consists primarily of the employed medical staff. MD Anderson Cooper Cancer Center provides cancer patients with the most advanced diagnostic and treatment technologies available. Statistics for the year: Hospital admissions: 28,716 average daily census: 439 emergency department visits: 80,802 urgent care visits: 46,511 outpatient visits: hospital 363,996; physician practices 1,308,776 surgical cases: 23,110 trauma cases: 3,766 cancer visits: inpatient 3,075; outpatient 123,839 licensed beds: 635 (includes 35 NICU/Newborn Bassinets) Community benefit statement index: References lower right-hand corner page number. 1. Background, Page 94 2. Charitable purposes, charity care and community activites, Page 96 3. Vision and Mission of the Cooper Health System, Page 98 4. Signature Programs, Page 98 5. Other Medical Specialties, Page 108 6. Cooper Community Benefit Programs, Page 109 (A) Comm 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 120 (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 1.6 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 (CMSRU), located on Coopers Camden Campus, is proudly mission driven and focused on developing highly skilled and socially conscious physician leaders who value a patient-centered, team-approach to health care. Cooper also offers training programs for medical students, residents, fellows, and nurses in a variety of specialties. Cooper University Health Care has over 7,000 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 comprised of independent civic leaders and other prominent members of the community. As demonstrated by the above IRS criteria, as well as other information contained herein, the use and control of Cooper is for the benefit of the public and 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. Cooper provides health care services to all persons in a non-discriminatory manner regardless of race, color, creed, sex, national origins or ability to pay. Moreover, Cooper provides health care services to patients who meet certain criteria under its charity care policy in compliance with the New Jersey state attorney general without charge or at amounts less than established rates. Cooper maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Additionally, as outlined herein, Cooper sponsors other charitable programs, which provide substantial benefit to the broader community. Such programs include services to the low income and elderly population that require special support, various clinical outreach programs as well as health promotion and education for the general community welfare. 3) Vision and Mission of The Cooper Health System Vision Statement Cooper University Health Care will be the premier health care provider in the region, driven by our exceptional people delivering a world-class patient experience, one patient at a time, and through our commitment to educating the providers of the future. Mission Our mission is to serve, to heal, to educate. We accomplish our mission through innovative and effective systems of care and by bringing people and resources together, creating value for our patients and the community. 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. In 2018, Cooper University Health Care and Inspira Health Network have integrated the cardiac services lines from both organizations to form a new collaborative called Cardiac Partners at Cooper and Inspira. This affiliation was established in January 2018 and provides patients in the South Jersey region with access to more coordinated and comprehensive cardiac services across the continuum of care. The combination of the two systems heart services makes Cardiac Partners the largest cardiac program in South Jersey, with a network of more than 65 clinicians. This innovative delivery care model provides patients with better access to more efficient, high-quality cardiac care in more locations throughout southern New Jersey. - 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 Anderson. Today at MD Anderson Cooper, patients have access to more clinical trials, for more types of cancer than ever before. The MD Anderson Cancer Center at Cooper building in Camden is the cornerstone of our partnership and is one of the most tangible examples of the integration between our two organizations. At this new center, patients experience MD Andersons signature, multidisciplinary approach to care in a state-of-the-art setting close to home. Every aspect of the patient experience at MD Anderson Cooper is modeled on the care and operational structure at MD Anderson in Houston. Advanced, comprehensive outpatient cancer services are also provided at our Voorhees and Willingboro locations with the same focus on multidisciplinary care. Inpatient cancer care is provided at Cooper University Hospital - South Jerseys only dedicated inpatient oncology unit. - Center for Critical Care Services Cooper has earned the distinguished reputation as the critical care provider to the region's most seriously ill. Known for its clinical and academic excellence, the center has a state-of-the-art intensive care unit and an acclaimed clinical research program. More than 40 percent of inter-hospital transfers from South Jersey are directed to Cooper's critical care service since the implementation of the Cooper Transfer Center. Critical care physicians at Cooper are among the world's experts in the treatment, and research of sepsis and septic shock. Cooper is also the region's leading provider of therapeutic hypothermia, and has established the Cooper Resuscitation Center to handle the transfer and care of patients post cardiac arrest, providing the best-possible change for optimal recovery. When a child has a serious illness or has suffered serious trauma, Cooper directs the highest caliber of attention to the child's critical care needs. Cooper's pediatric intensive care service, which admits nearly 1,200 children each year, is staffed by pediatric critical care specialists who have the most sophisticated medical equipment at their disposal. Inter-hospital transfers from South Jersey are directed to Cooper's pediatric transfer center. When patients must be transported here from area hospitals, an experienced team of critical care transport specialists provide ongoing monitoring during the ground or air transport. - Cooper Level 1 Trauma Center Each year, nearly 3,700 critically injured patients are transported to Cooper's Level I Trauma Center, South Jersey's only Level I trauma service. Whether they arrive by helicopter or ambulance, the mission of the trauma team remains the same: resuscitate, evaluate and treat the patient's injuries as quickly as possible. Cooper's Trauma Center is known and respected throughout the region and is the most active trauma center in the entire Delaware Valley. Cooper's trauma teams have saved tens of thousands of lives. The Trauma Center at Cooper was established in 1982 and is one of only three New Jersey state-designated Level I trauma centers. Cooper serves as the regional trauma center for southern New Jersey including Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Ocean and Salem Counties; and as a resource for the Level II Trauma Centers in our region. A Level I trauma center cares for severely injured patients including persons involved in motor vehicle accidents, falls, and assaults with guns, knives, or other blunt objects. The Level I Trauma Center at Cooper has also been recognized and verified by the American College of Surgeons as a Level II Pediatric Trauma Center Cooper is the first hospital in South Jersey and the second among the New Jerseys Level I trauma centers to achieve this verification. Cooper's trauma center is part of a statewide network of trauma centers. These centers participate in multiple national research studies to advance treatments for brain damage, spinal cord injuries and shock management. Cooper's nationally recognized Traumatic Injury Prevention Programs are geared for teens, education professionals and senior citizens with 300 programs reaching over 12,800 individuals and since the inception of the program, the team has reached over 200,000 individuals. Additional classes are held through Cooper's partici 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 3,800 children are admitted to the Children's Regional Hospital at Cooper for specialized care. More than 13,700 children are treated each year in its pediatric emergency room. In addition, there are more than 27,900 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 clinical staff and medical technology to diagnose the most complex pediatric diseases in an environment where the focus is on the child and the family. In addition to its highly skilled physicians, the CRH is staffed with nurses, clinical specialists, therapists, nutritionists, social workers and technicians who are dedicated to providing the highest caliber of care in each of their respective professions. Their excellent training is complemented by their dedication to serving the special needs of children. - Cooper Center for Urgent and Emergent Services Cooper Center for Urgent and Emergent Services include Cooper Emergency Department; Urgent Care Centers; 911 Emergency Medical Services; Air Medical Services; and, the Cooper Transfer Center. Coopers Emergency Department in Camden handles more than 80,000 visits annually which averages approximately 220 a day. Seeking to provide an alternative to the Emergency Department for patients in the region, Cooper has a growing network of Urgent Care Centers including centers in Audubon, Cherry Hill, Cinnaminson and Runnemede. Unlike others Urgent Care Centers in the region, Coopers is staffed by an Emergency Medicine physician at all times, at the ready to provide the higher level of care Cooper is known for. When visiting Cooper Urgent Care, patients can walk-in or can reserve a spot ahead of time so the team is ready and waiting. During 2018, Cooper continued comprehensive Basic Life Support (BLS) and Advanced Life Support (ALS) Emergency Medicine Service in Camden. Cooper EMS averages more than 60 ambulance runs per day and has two ALS transport vehicles, in two separate locations, on call 24 hours a day, seven days a week improving the timeliness of care and transport of critically ill or injured patients. Cooper also has at least two BLS units on call 24 hours a day, seven days a week and up to five BLS units during peak call times. Cooper EMS has also worked to build strong community relationships and provides training to a number of other emergency service agencies serving the City of Camden. Cooper Air Medical Transport, Cooper 1, provides critical care air medical transportation from locations throughout the seven counties of southern New Jersey to Cooper University Hospital. During 2018, there were more than 400 air transports to Cooper. Critically injured patients receive rapid transport from emergency scenes to Coopers Level I Trauma Center, the only Level I adult trauma and Level II pediatric trauma center in South Jersey. Additionally, Cooper 1 provides rapid transfer for patients at other hospitals in the region who are critically ill or injured and need the advanced medical and/or surgical care only available at Cooper. The Cooper Transfer Center is a service offered to hospitals and physicians who wish to initiate a patient transfer to Cooper University Hospital. The transfer requires physician-to-physician consultation, which the transfer center initiates. By providing one point of contact, the Cooper Transfer Center streamlines the transfer process. A Transfer Nurse Coordinator is on-duty 24/7. 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 - 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 National SAFE KIDS Campaign. Cooper University Hospital serves as the lead organization for the coalition of hospitals, public safety departments, non-profits, businesses, and concerned parents. The mission of the coalition is to reduce accidental injuries and deaths of children ages 14 and under through education in schools. Safe Kids Southern New Jersey draws on the strength of its grassroots participation and brings together a cross-section of community leadership including Law enforcement, Firefighters and paramedics, Medical and health professionals, Educators, Parents, Businesses, Public policymakers, and Media. Current programs also include classes on car seat safety, bike helmet safety, summer safety and home safety. 4. Life Support Training Center: Basic Life Support (BLS) Training teaches the process of supplying rescue breaths and chest compressions to individuals experiencing cardiac arrest. The Life Support Training Center offers two basic programs: Healthcare Provider BLS for health professional and HeartSaver AED for community members. community members. 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 1,000 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, nuclear, traumatic, and natural events through clinical care, education, training, and research. The goals for the Division are to provide subject matter expertise related to disaster medicine (emergency medical services, emergency medicine, trauma, toxicology, pediatrics, infectious diseases, environmental safety, radiation safety, and industrial hygiene); to provide education and training for all audiences involved in disaster preparedness through the National Disaster Life Support Regional Training Center; to participate in research initiatives to maintain the highest level of preparedness and pre-hospital care through evidence based medicine; to support a highly trained medical strike team that can respond to large chemical, biological, radiological, nuclear, and traumatic mass casualty events; and to collaborate with local, state, regional, and federal partners to assist in effective disaster planning. The Medical Coordination Center (MCC) serves as the regional hub for healthcare related emergency planning, training and response. The MCC located at CUH provides situational awareness, resource management, and information management for the healthcare continuum as it relates to emergency preparedness, response, mitigation and recovery. The primary area of responsibility for the CUH MCC is the entire Southern Region of New Jersey which consists of the seven Southern most counties as well as integration with Southeastern Pennsylvania (including the City of Philadelphia) and the State of Delaware (including the City of Wilmington). The MCC utilizes the expertise provided by the Division of EMS and Disaster Medicine, regional law enforcement, fire departments, emergency medical services, CBRNE (Chemical, Biological, Radiological, Nuclear, and Explosive) teams, technical rescue teams, etc., to assist the healthcare continuum in meeting their mission. 4. Support groups and Cancer Support Groups There are times when the support of friends and family isn't enough. Spending time with others who have a shared or similar experience and sharing experiences helps with depression and anxiety, and is the key to recovery. Cooper's support groups, activities and social events encourage fitness and the maintenance of a healthy body and mind. Support groups include but are not limited to: - Prostate Cancer Lecture Series: MD Anderson Cancer Center at Cooper is proud to present the Prostate Support Group, the only such support group in southwestern New Jersey. This is a joint venture of leaders in the care and treatment of prostate diseases and the MD Anderson Cooper Geitorurinary Cancer Center. The meetings are intended to allow survivors of prostate diseases and their families to become well informed, give and receive the support of others, ask questions, and express their concerns. - Sister Will You Help Me? - A breast cancer support group for women of color and faith - the group's mission is to empower through knowledge, encourage through sisterhood, enlighten through faith and to bond through love. - Latino Cancer Survivors - Diabetes Support Group- Other Support Groups - Traumatic Brain Trauma Support Group 5. Language Interpreter services for patients - Cooper provides interpreting services for patients whose first language is not English and for the sight and hearing impaired. 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 members have conducted studies that led to: new cancer treatments such as Rituxan for lymphoma, Iressa for advanced non-small cell lung cancer, Tamoxifen to prevent breast cancer, and Cisplatin plus radiation therapy for cervical cancer. (E) Cash in kind contributions to community groups Cooper sponsors various non-profit organizations to promote and build a healthy community. (F) Cooper's Community Building activities include but are not limited to: 1) Physical improvements and housing revitalization projects: - Neighborhood Revitalization Tax Credit Project: Cooper University Hospital has served as the lead and is partnering with Metro Camden Habitat for Humanity, Saint Joseph's Carpenter Society, Center for Family Services, Camden Special Services District, The Cooper Lanning Civic Association and additional community partners on nearly $5 million in funding from the Neighborhood Revitalization Tax Credit (NRTC) program through the N.J. Department of Community Affairs to improve housing and community conditions in the Cooper Plaza Neighborhood. Cooper University Hospital has served as the lead in writing and administering the grant on behalf of the community partners. This includes four phases of NRTC projects. - New Parks and Park Maintenance - Cooper has partnered with Camden City, Camden County and community groups on the construction of three new neighborhood parks. Cooper has taken the responsibility for the ongoing maintenance and upkeep of the three parks. Cooper has been a partner with Camden County and community organizations for the ongoing streetscape and landscape improvements in the Cooper Plaza Neighborhood funded through the County. Cooper has facilitated meetings to coordinate the project with the County and community organizations and address community questions or concerns. - Housing Rehabilitation - Cooper partners with non-profits to advance efforts to improve housing in the Cooper Plaza neighborhood. This includes partnerships with Saint Joseph's Carpenter Society, Camden County Habitat for Humanity and other housing partners tO projects for the acquisition and rehabilitation of homes in the Cooper Plaza neighborhood. - Homeownership Partnerships - Cooper has partnered with non-profit organizations such as Saint Joseph's Carpenter Society and Camden County Habitat for Humanity to promote home ownership opportunities in the Cooper Plaza Neighborhood to further stabilize the community with occupied housing. 2) Economic Development - assisting business development, creating new employment opportunities: - Cooper's Ferry Partnership - Cooper is a member of the Cooper's Ferry Partnership. Cooper actively works with the organization on community issues and additional projects to improve the neighborhoods in Camden and foster economic development opportunities. This includes collaboration and partnerships on initiatives and opportunities to facilitate the revival of the City of Camden as a place where people choose to live, work, visit, and invest. - Camden Special Services District - Cooper is a partner for the Camden Special Services District that provides maintenance and a human presence through Ambassadors in Camden's Downtown, University District, and Broadway Corridor to remove graffiti, clean streets, pickup liter and debris, additional maintenance services and serve as a daily presence on these corridors. Community benefit statement continued 3) Community Support - mentoring, neighborhood support, disaster readiness - Cooper Lanning Civic Association and Lanning Square West Association - Participation in association meetings, project coordination, events and administrative support. - Neighborhood Concert Series: In 2017, Cooper University Hospital continued the series with three free community concerts in the Sheila Roberts Park during the summer. - Cooper Plaza Neighborhood Watch: Cooper supports the Cooper Plaza neighborhood and the Cooper Lanning Civic Association during the community's neighborhood watch initiative by providing space and food for the effort and increased security in the Cooper Plaza neighborhood. - Promise Neighborhood Initiative: Cooper University Hospital has been an active partner with the City of Camden, Center for Family Services and other community groups on the planning effort and the Promise Neighborhood Initiative to develop a comprehensive approach to social services for children and families living in the Cooper Lanning neighborhood. - Support for the KIPP Cooper Norcross Academy - Camden Promise Neighborhood with the Center for Family Services - Camden Promise Neighborhood with the Center for Family Services 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. 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