Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
One Cooper Plaza
Suite
Room/suite
City or town, state or country, and ZIP + 4
Camden, NJ08103
D Employer identification number

21-0634462
E Telephone number

G Gross receipts $ 1,094,641,304
F Name and address of principal officer:
John P Sheridan Jr
One Cooper Plaza
Camden,NJ08103
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.COOPERHEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1875
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: COOPER HEALTH SYSTEM IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING THE SOUTHERN NEW JERSEY REGION DEDICATED TO WORLD-CLASS PATIENT CARE, EDUCATION & RESEARCH RESULTING IN A HEALTHIER COMMUNITY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 6,445
6 Total number of volunteers (estimate if necessary) ............. 6 672
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,606,363 20,228,620
9 Program service revenue (Part VIII, line 2g) ......... 855,841,987 878,390,769
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,447,019 9,976,751
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,749,449 4,988,485
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 876,644,818 913,584,625
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 245,572 368,250
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 460,898,962 490,646,492
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 392,022,140 380,768,465
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 853,166,674 871,783,207
19 Revenue less expenses. Subtract line 18 from line 12....... 23,478,144 41,801,418
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 756,349,812 827,680,872
21 Total liabilities (Part X, line 26)............. 471,548,316 485,712,796
22 Net assets or fund balances. Subtract line 21 from line 20..... 284,801,496 341,968,076
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: COOPER HEALTH SYSTEM IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING THE SOUTHERN NEW JERSEY REGION. COOPER HEALTH SYSTEM IS DEDICATED TO WORLD-CLASS PATIENT CARE, EDUCATION AND RESEARCH RESULTING IN A HEALTHIER COMMUNITY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 745,599,580 including grants of $ 368,250 ) (Revenue $ 878,390,769 )
See Schedule O.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet745,599,580
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
236
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,445
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBD
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
21
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDOUGLAS E SHIRLEYONE COOPER PLAZACAMDENNJ08103 (856) 342-2443
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) George E Norcross III........................................................................
Chairman - Trustee
3.0
.......................  
X   X       0 0 0
(2) Joan S Davis........................................................................
Vice Chair - Trustee
3.0
.......................  
X   X       0 0 0
(3) John P Sheridan Jr........................................................................
Trustee/President/CEO
58.0
.......................3.0
X   X       934,282 0 29,151
(4) Adrienne Kirby PhD........................................................................
CEO Administration
55.0
.......................4.0
X   X       683,815 0 13,795
(5) Michael E Chansky MD........................................................................
Trustee/Chief, Emergency Med
55.0
.......................  
X           451,548 0 11,290
(6) Leon D Dembo Esq........................................................................
Trustee
3.0
.......................  
X           0 0 0
(7) Dennis M DiFlorio........................................................................
Trustee
3.0
.......................  
X           0 0 0
(8) Generosa Grana MD........................................................................
Trustee/Dir Cooper Cancer Inst
55.0
.......................  
X           585,541 0 11,642
(9) Paul Katz MD........................................................................
Trustee
3.0
.......................  
X           0 0 0
(10) Ali A Houshmand PhD........................................................................
Trustee
3.0
.......................  
X           0 0 0
(11) Wendell Pritchett PhD........................................................................
Trustee
3.0
.......................  
X           0 0 0
(12) Duane D Myers........................................................................
Trustee
3.0
.......................  
X           0 0 0
(13) Annette Reboli MD........................................................................
Trustee
3.0
.......................  
X           0 0 0
(14) Robert A Saporito DDS........................................................................
Trustee
3.0
.......................  
X           0 0 0
(15) Roland Schwarting MD........................................................................
Trustee/Chief, Pathology
55.0
.......................  
X           561,617 0 19,281
(16) William A Schwartz Jr........................................................................
Trustee
3.0
.......................  
X           0 0 0
(17) John W Shimark........................................................................
Trustee
3.0
.......................  
X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Harvey A Snyder MD........................................................................
Trustee
3.0
.......................  
X           0 0 0
(19) Dr Kris Singh MD........................................................................
Trustee
3.0
.......................  
X           0 0 0
(20) M Allan Vogelson JSC Ret........................................................................
Trustee
3.0
.......................  
X           0 0 0
(21) Peter E Driscoll Esq........................................................................
Trustee Emeritus (non-voting)
3.0
.......................  
X           0 0 0
(22) Linda M Kassekert-end 82012........................................................................
Trustee
3.0
.......................  
X           0 0 0
(23) Peter S Amenta MD PhD........................................................................
Trustee
3.0
.......................  
X           0 0 0
(24) Raymond A Meiller........................................................................
Trustee Emeritus (non-voting)
3.0
.......................  
X           0 0 0
(25) George Weinroth........................................................................
COO of UP
55.0
.......................6.0
    X       383,872 0 28,987
(26) Carolyn E Bekes MD fmr CMO........................................................................
Current Chief Academic Affairs
55.0
.......................  
    X       371,349 0 27,111
(27) Mary P Gamon........................................................................
Board Secretary (partial year)
40.0
.......................  
    X       51,228 0 7,062
(28) Douglas Shirley........................................................................
Chief Financial Officer
55.0
.......................8.0
    X       471,928 0 27,813
(29) Gary Lesneski........................................................................
Sr EVP/General Counsel
55.0
.......................  
    X       620,889 0 24,353
(30) David A Bocian........................................................................
Chief Compliance Officer
55.0
.......................  
    X       245,980 0 31,989
(31) Jane M Tubbs........................................................................
Board Secretary (partial year)
55.0
.......................  
    X       56,569 0 1,760
(32) Raymond Baraldi MD........................................................................
interim CMO/Chief Diag Imaging
55.0
.......................  
    X       542,445 0 25,082
(33) Robin L Perry MD........................................................................
Chief, Dept of Ob Gyn
55.0
.......................3.0
      X     443,154 0 33,000
(34) Douglas Allen........................................................................
VP Human Resource
55.0
.......................  
      X     272,818 0 11,085
(35) Dianne S Charsha........................................................................
Sr VP Patient Care/CNO
55.0
.......................  
      X     373,902 0 19,593
(36) Lawrence S Miller MD........................................................................
Chief, Orthopedic Surgery
55.0
.......................3.0
      X     859,160 0 32,875
(37) John Schwarz........................................................................
VP Facilities & Support Svc
55.0
.......................  
      X     252,721 0 8,932
(38) William G Smith MBA........................................................................
VP Chief Accounting Officer
55.0
.......................8.0
      X     238,852 0 27,210
(39) Joseph E Parrillo-END 102012........................................................................
Chief, Dept of Medicine
55.0
.......................  
      X     1,115,879 0 28,508
(40) Jeffrey P Carpenter MD........................................................................
VP - Perioperative Services
55.0
.......................  
      X     1,242,709 0 33,134
(41) Glenn Sherman........................................................................
VP Supply Chain
55.0
.......................  
      X     241,351 0 19,073
(42) Eli Winkler........................................................................
Sr VP Strategic Plan Bus Dev
55.0
.......................  
      X     356,107 0 32,077
(43) Naomi Lawrence MD........................................................................
Head, Division of Dermatology
55.0
.......................  
        X   844,025 0 32,875
(44) Michael Rosenbloom MD........................................................................
Head,Div of Cardiothoracic Sur
55.0
.......................  
        X   1,212,743 0 33,134
(45) Adam B Elfant MD........................................................................
Assoc Div Head, Dept of Med
55.0
.......................  
        X   764,953 0 27,455
(46) Richard Y Highbloom MD........................................................................
Surgeon
55.0
.......................  
        X   940,584 0 27,208
(47) Frank W Bowen III MD........................................................................
Surgeon
55.0
.......................  
        X   786,700 0 10,361
(48) Jeffrey N Yarmel........................................................................
Former Senior VP & COO
0.0
.......................  
          X 253,213 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 16,159,934 0 635,836
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet840
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ATLANTIC AMBULANCE CORPORATION, PO BOX 35654NEWARKNJ07193 AIR AMBULANCE SVCS 3,677,499
STANDARD TEXTILE CO, PO BOX 371805CINCINNATIOH452221805 LAUNDRY SERVICES 1,837,357
CROTHALL HEALTHCARE INC, 955 CHESTERBROOK BLVD SUITE 300WAYNEPA19087 HOUSEKEEPING MGMT 1,330,875
THE CAMPAIGN GROUP INC, 1600 LOCUST STREETPHILADELPHIAPA19103 ADVERTISING 1,315,489
QUEST DIAGNOSTIC, 770 COLLECTION CENTER DRIVECHICAGOIL606930077 LABORATORY SERVICES 1,092,896
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet62
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,467,143
e Government grants (contributions)1e 18,718,391
f All other contributions, gifts, grants, and
similar amounts not included above
1f
43,086
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 20,228,620
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541900 821,716,185 821,716,185    
b OTHER HEALTHCARE RELATED REVENUE 541900 56,674,584 56,674,584    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 878,390,769
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 7,597,020     7,597,020
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 103,485  
b Less: rental expenses    
c Rental income or (loss) 103,485 0
d Net rental income or (loss).......MediumBullet 103,485     103,485
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 183,436,410  
b Less: cost or other basis and sales expenses 181,056,679  
c Gain or (loss) 2,379,731  
d Net gain or (loss)..........MediumBullet 2,379,731     2,379,731
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA/KIOSK 900099 2,045,586     2,045,586
b GIFT SHOP/COFFEE SHOP 900099 1,978,683     1,978,683
c PARKING 812930 819,138     819,138
d All other revenue .... 41,593     41,593
e Total. Add lines 11a–11d ...... MediumBullet 4,885,000
12 Total revenue. See Instructions......MediumBullet 913,584,625 878,390,769   14,965,236
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 368,250 368,250
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 12,203,979 11,037,906 1,166,073  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 399,607,967 361,425,996 38,181,971  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 11,384,516 10,211,471 1,173,045  
9 Other employee benefits ....... 38,176,785 34,976,802 3,199,983  
10 Payroll taxes ........... 29,273,245 26,477,650 2,795,595  
11 Fees for services (non-employees):        
a Management ...... 6,430,337 1,734,569 4,695,768  
b Legal ......... 663,289 30,401 632,888  
c Accounting ........... 366,449   366,449  
d Lobbying ........... 406,385   406,385  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 288,132   288,132  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 29,387,337 14,823,536 14,563,801  
12 Advertising and promotion .... 4,662,159 51,239 4,610,920  
13 Office expenses ....... 130,690,533 129,559,278 1,131,255  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 28,730,301 20,772,115 7,958,186  
17 Travel ............ 383,549 278,049 105,500  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,243,680 1,022,311 221,369  
20 Interest ........... 9,929,152   9,929,152  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 35,052,289 35,052,289    
23 Insurance .............. 13,062,554 13,062,554    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a BAD DEBT EXPENSE 62,057,929 62,057,929    
b MISCELLANEOUS 57,414,390 22,657,235 34,757,155  
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 871,783,207 745,599,580 126,183,627 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 30,095,805 1 85,491,753
2 Savings and temporary cash investments ......... 11,973,863 2 11,266,132
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 91,684,149 4 106,150,382
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 15,781,400
8 Inventories for sale or use .............. 9,631,362 8 10,730,667
9 Prepaid expenses and deferred charges .......... 4,126,288 9 4,732,378
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 683,888,699
b Less: accumulated depreciation ..... 10b 341,373,952 345,571,160 10c 342,514,747
11 Investments—publicly traded securities .......... 237,626,000 11 235,731,176
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 4,423,111 14 4,142,270
15 Other assets. See Part IV, line 11 ........... 21,218,074 15 11,139,967
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 756,349,812 16 827,680,872
Liabilities 17 Accounts payable and accrued expenses ......... 84,620,744 17 109,647,279
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 22,910,816 19 23,454,595
20 Tax-exempt bond liabilities ............. 246,475,459 20 240,606,281
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 5,946,476 23 6,615,273
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 111,594,821 25 105,389,368
26 Total liabilities. Add lines 17 through 25......... 471,548,316 26 485,712,796
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 284,362,496 27 341,529,076
28 Temporarily restricted net assets ........... 0 28 0
29 Permanently restricted net assets ........... 439,000 29 439,000
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 284,801,496 33 341,968,076
34 Total liabilities and net assets/fund balances ........ 756,349,812 34 827,680,872
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
913,584,625
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
871,783,207
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
41,801,418
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
284,801,496
5
Net unrealized gains (losses) on investments ...............
5
-221,004
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
15,586,166
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
341,968,076
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
251,595
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
69,281
j
Total. Add lines 1c through 1i ...............................
320,876
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Lobbying Activity Explanation Schedule C, Part II-B, Lines 1G & 1H During 2012, the organization paid independent firms $251,595 to provide lobbying consulting services and to engage in lobbying efforts on behalf of the organization. In addition, the organization is a member of the following organizations all of which engage in lobbying efforts on behalf of their member hospitals. The portion of these dues allocated to lobbying expenditures for 2012 is detailed below and in total is $69,281. New Jersey Hospital Association $27,731 Hospital Alliance of New Jersey $5,500 New Jersey Council of Teaching Hospitals $36,050
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 439,000 439,000 439,000 439,000 439,000
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ...... 439,000 439,000 439,000 439,000 439,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   3,753,751 3,753,751
b Buildings ................   230,032,766 32,472,253 197,560,513
c Leasehold improvements ............   127,375,309 72,266,369 55,108,940
d Equipment ................   284,097,906 235,031,906 49,066,000
e Other .................   38,628,967 1,603,424 37,025,543
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 342,514,747
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
SETTLEMENTS-3RD PARTY PAYORS, CURR 4,698,767
SELF-INSURED RESERVES, CURRENT 14,482,806
SELF-INSURED RESERVES, NON-CURR 57,372,208
ACCRUED RETIREMENT BENEFITS 8,144,958
SETTLEMENTS-3RD PARTY PAYORS, N/C 18,050,452
DUE TO AFFILIATES 2,640,177



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 105,389,368
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 935,619,000
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -221,004
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 22,543,511
e Add lines 2a through 2d ..................... 2e 22,322,507
3 Subtract line 2e from line 1..................... 3 913,296,493
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 288,132
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c 288,132
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 913,584,625
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 878,453,000
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 6,957,925
e Add lines 2a through 2d...................... 2e 6,957,925
3 Subtract line 2e from line 1..................... 3 871,495,075
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 288,132
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 288,132
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 871,783,207
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Endowment Funds Schedule D, Part V, Question 4 Restricted Funds are used to support the charitable activities and programs of the organization and its affiliates.
Schedule D, Part XI, Line 2d RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN change in fair value of interest rate swap agreements $ (261,802) change in pension benefit obligation 847,388 Malpractice Actuarial Gain 6,613,000 Net Asset Transfer From Affiliate 15,000,000 Cooper Cancer Center (separate legal entity) 344,925 ---------- TOTAL $ 22,543,511 ==========
Schedule D, part XII, Line 2d RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN Malpractice Actuarial Gain $ 6,613,000 Cooper Cancer Center (separate legal entity) 344,925 --------- Total $ 6,957,925 =========
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
1 2,808 63,031,026 42,055,646 20,975,380 2.590 %
b Medicaid (from Worksheet 3,
column a) ....
1 7,874 143,392,054 126,493,193 16,898,861 2.090 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
2 10,682 206,423,080 168,548,839 37,874,241 4.680 %
Other Benefits
    1,789,475 281,025 1,226,107 0.150 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    48,200,331 23,891,041 24,309,290 3.000 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)     2,551,369 1,331,343 1,220,026 0.150 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    21,000 0 21,000  
j Total. Other Benefits ..     52,562,175 25,503,409 26,776,423 3.300 %
k Total. Add lines 7d and 7j . 2 10,682 258,985,255 194,052,248 64,650,664 7.980 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 3   456,781 360,538 96,243 0.010 %
2 Economic development 1   55,000   55,000 0.010 %
3 Community support 7   362,021   362,021 0.040 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 6   8,927   8,927  
7 Community health improvement advocacy 5   5,424   5,424  
8 Workforce development 7   59,203   59,203 0.010 %
9 Other            
10 Total 29   947,356 360,538 586,818 0.070 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
62,057,929
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
142,935,933
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
155,253,301
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-12,317,368
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Cooper Health System
One Cooper Plaza
Camden,NJ08103
X X X X   X X X Level 1 Trauma  
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Cooper Health System
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 500.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?14
Name and address Type of Facility (describe)
1 Cooper Cancer Inst - HematologyOncology
900 Centennial Road Suite M
Voorhees,NJ08043
hospital based, off-site ambulatory care, outpatient infusion therapy services
2 Cooper Imaging Center at Voorhees
900 Centennial Boulevard Suite B
Voorhees,NJ08043
Hospital based, Off-site ambulatory care, Outpatient radiology services
3 Cooper Surgery Center
900 Centennial Boulevard Suite F
Voorhees,NJ08043
Hospital Based, Off-site ambulatory care, Outpatient surgery center
4 Cooper Cancer Inst - HematologyOncology
900 Centennial Boulevard Suite F
Voorhees,NJ08043
hospital based, off-site ambulatory care, outpatient infusion therapy services
5 Cooper Digestive Health Inst Endoscopy
501 Fellowship Road
Mt Laurel,NJ08054
hospital based, off-site ambulatory care, outpatient endoscopy center
6 Cooper Cyberknife Center
715 Fellowship Road
Mt Laurel,NJ08054
hospital based, off-site ambulatory care, outpatient robotic radiation treatment
7 Cooper Cancer Inst - HematologyOncology
1000 Salem Road Suite C
Willingboro,NJ08046
hospital based, off-site ambulatory care, outpatient infusion therapy services
8 Dept of Radiation Oncology - Voorhees
900 Centennial Boulevard Suite D
Voorhees,NJ08043
Hospital based, Off-site ambulatory care, Outpatient radiation oncology
9 Pulmonary and Family Sleep Center
900 Centennial Boulevard Suite JK
Voorhees,NJ08043
Hospital based, Off-site ambulatory care, Outpatient sleep studies
10 Cooper Univ Hospital Rancocas Endoscopy
218 Sunset Road
Willingboro,NJ08046
Hospital based, Off-site ambulatory care, Outpatient endoscopy center
11 Women's Care Center
3 Cooper Plaza Suite 301
Camden,NJ08103
Hospital based, Off-site ambulatory care, Outpatient ob/gyn services
12 Cooper Gamma Knife and Diagnostic Center
3 Cooper Plaza Suite 100
Camden,NJ08103
hospital based, off-site ambulatory care, outpatient stereotactic radiosurgery
13 Early Intervention Program
3 Cooper Plaza Suite 513
Camden,NJ08103
Hospital based, Off-site ambulatory care, Outpatient HIV/AIDS services
14 CHS Regional Cleft-Craniofacial Program
110 Marter Avenue Suite 402
Moorestown,NJ08057
hospital based, off-site ambulatory care, outpatient cleft-craniofacial services
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
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 2012 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 7G FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
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 $62,057,929.
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, LINE 4 BAD DEBT EXPENSE BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. COOPER HEALTH SYSTEM PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE COOPER HEALTH SYSTEM - OBLIGATED GROUP. 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 $58,802,000 AND $59,227,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, 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 HIGHER-THAN-NORMAL PATIENT RECEIVABLE CREDIT RISKS. TO THE EXTENT THAT THE HEALTH SYSTEM REALIZES ADDITIONAL LOSSES RESULTING FROM SUCH HIGHER CREDIT RISKS AND PATIENTS THAT ARE NOT IDENTIFIED OR DO NOT MEET THE HEALTH SYSTEM'S DEFINED CHARITY CARE POLICY, SUCH ADDITIONAL LOSSES ARE INCLUDED IN THE PROVISION FOR BAD DEBTS. CHAPTER 160 ESTABLISHED THE CHARITY CARE SUBSIDY FUND AND THE HOSPITAL RELIEF SUBSIDY FUND TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE CERTAIN HOSPITALS FOR CHARITY CARE. THE HEALTH SYSTEM RECORDED THE FOLLOWING AMOUNTS FROM THE FUNDS AS NET PATIENT SERVICE REVENUE. THE AMOUNTS ARE SUBJECT TO CHANGE FROM YEAR TO YEAR BASED ON AVAILABLE STATE BUDGET AMOUNTS AND ALLOCATION METHODOLOGIES. A PROPORTIONATE AMOUNT IS IN PLACE THROUGH JUNE 2013. WHILE AMOUNTS ARE NOT FINALIZED FOR THE STATE OF NEW JERSEY'S FISCAL 2014 BUDGET, IT IS ANTICIPATED THAT FUNDING WILL BE SLIGHTLY REDUCED.
PART III, SECTION B, LINE 8 MEDICARE MEDICARE COSTS WERE DERIVED FROM THE 2012 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 PROMULATED 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. CHARITY CARE STANDARD : IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC SECTION 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD: IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREASURY REGULATION 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE FENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. CENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE INDIGENT. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID - SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND INDIGENT. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40 PERCENT OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THA
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 ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. 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 OR THE FINANCIAL 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 INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; REIVEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES. 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 FIFTH MOST POPULOUS COUNTY IN THE STATE WITH 37 MUNICIPALITIES. CHS IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 40 PERCENT OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 10 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 INPATIENT 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 HEALTHQUEST 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 SUBURBAN 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 EIGHTH MOST POPULOUS COUNTY IN THE STATE WITH 37 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS CAMDEN COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 47 PERCENT OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 10 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 PER 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 DIRECTORS; 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 TO 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 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 CANCER CENTER, INC. WAS FORMED IN 2012. THE ORGANIZATION HAS REQUESTED TAX-EXEMPT STATUS FROM THE INTERNAL REVENUE SERVICE PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE SECTION 509(A)(3), TYPE I. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE COOPER HEALTH SYSTEM. - C & H COLLECTION SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES. - COOPER CUSTOM PACKS, INC. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. - COOPER DATA SERVICES, INC. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. - COOPER HEALTHCARE MANAGEMENT, INC. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. - COOPER HEALTHCARE PROPERTIES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES. - COOPER HEALTHCARE SERVICES IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. THE ORGANIZATION HOLDS AN INVESTMENT IN THE FOLLOWING LIMITED LIABILITY COMPANY: CONTINUUM HEALTH ALLIANCE.
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.
PART V, QUESTIONS 1-7 COMMUNITY HEALTH NEEDS ASSESSMENT COOPER HEALTH SYSTEM HAS COMPLETED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT AND ITS IMPLEMENTATION STRATEGY IS IN THE PROCESS OF BEING FINALIZED. THE CHNA RESULTS AND PROPOSED IMPLEMENTATION STRATEGY WERE PRESENTED TO THE STRATEGIC AND FACILITIES PLANNING COMMITTEE OF THE BOARD IN SEPTEMBER 2013. THE CHNA REPORT AND IMPLEMENTATION STRATEGY WILL BE PRESENTED TO THE FULL BOARD FOR APPROVAL AT ITS DECEMBER 2013 MEETING. FULL ADOPTION WILL TAKE PLACE ON OR BEFORE DECEMBER 31, 2013.
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number
21-0634462
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) American Heart Association
1 Union St
Robbinsville,NJ08681
13-5613797 501(c)(3) 30,000       Sponsorship
(2) Susan G Komen Breast Cancer Foundation
125 South 9th St
Philadelphia,PA19107
75-2949264 501(c)(3) 17,500       Sponsorship
(3) Juvenile Diabetes Research Foundation
26 Broadway 14th Fl
New York,NY10004
23-1907729 501(c)(3) 10,000       Sponsorship
(4) March of Dimes
3012 Main Street
Voorhees,NJ08043
13-1846366 501(c)(3) 15,000       Sponsorship
(5) Ronald McDonald House
311 South Sixth Street
Camden,NJ08103
22-2430393 501(c)(3) 15,000       Sponsorship
(6) Symphony in C
One Market St
Camden,NJ08102
51-0244534 501(c)(3) 6,000       Sponsorship
(7) South Jersey Healthcare Foundation
1430 W Sherman Ave
Vineland,NJ08360
22-3746758 501(C)(3) 5,800       SPONSORSHIP
(8) Jewish Federation of Southern New Jersey
1301 Springdale Rd
Cherry Hill,NJ08033
21-0634489 501(C)(3) 23,175       SPONSORSHIP
(9) Executive Women of NJ
1255 WHTHRSE-MRCRVILLE RD
TRENTON,NJ08619
22-6534516 501(C)(3) 6,000       SPONSORSHIP






2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
9
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
Schedule I, Part I, Question 2 Grant Fund Monitoring Grants are monitored by the organization's finance personnel through the utilizition of cost centers and other information; including written documentation and receipts.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)John P Sheridan JrTrustee/President/CEO (i)
(ii)
894,435
0
0
0
39,847
0
8,750
0
20,401
0
963,433
0
0
0
(2)Adrienne Kirby PhDCEO Administration (i)
(ii)
681,328
0
0
0
2,487
0
0
0
13,795
0
697,610
0
 
0
(3)Michael E Chansky MDTrustee/Chief, Emergency Med (i)
(ii)
432,479
0
0
0
19,069
0
8,750
0
2,540
0
462,838
0
0
0
(4)Generosa Grana MDTrustee/Dir Cooper Cancer Inst (i)
(ii)
567,148
0
0
0
18,393
0
8,750
0
2,892
0
597,183
0
0
0
(5)Robin L Perry MDChief, Dept of Ob Gyn (i)
(ii)
442,047
0
0
0
1,107
0
8,750
0
24,250
0
476,154
0
0
0
(6)Roland Schwarting MDTrustee/Chief, Pathology (i)
(ii)
558,970
0
0
0
2,647
0
8,750
0
10,531
0
580,898
0
0
0
(7)George WeinrothCOO of UP (i)
(ii)
376,553
0
0
0
7,319
0
8,750
0
20,237
0
412,859
0
0
0
(8)Carolyn E Bekes MD fmr CMOCurrent Chief Academic Affairs (i)
(ii)
341,009
0
0
0
30,340
0
16,250
0
10,861
0
398,460
0
0
0
(9)Jeffrey N YarmelFormer Senior VP & COO (i)
(ii)
0
0
0
0
253,213
0
0
0
0
0
253,213
0
0
0
(10)Douglas ShirleyChief Financial Officer (i)
(ii)
471,539
0
0
0
389
0
8,750
0
19,063
0
499,741
0
0
0
(11)Douglas AllenVP Human Resource (i)
(ii)
271,227
0
0
0
1,591
0
8,682
0
2,403
0
283,903
0
0
0
(12)Dianne S CharshaSr VP Patient Care/CNO (i)
(ii)
356,478
0
0
0
17,424
0
8,750
0
10,843
0
393,495
0
0
0
(13)Lawrence S Miller MDChief, Orthopedic Surgery (i)
(ii)
839,322
0
0
0
19,838
0
8,750
0
24,125
0
892,035
0
0
0
(14)John SchwarzVP Facilities & Support Svc (i)
(ii)
252,517
0
0
0
204
0
7,527
0
1,405
0
261,653
0
0
0
(15)William G Smith MBAVP Chief Accounting Officer (i)
(ii)
238,000
0
0
0
852
0
7,561
0
19,649
0
266,062
0
0
0
(16)Joseph E Parrillo-END 102012Chief, Dept of Medicine (i)
(ii)
1,107,652
0
0
0
8,227
0
8,750
0
19,758
0
1,144,387
0
0
0
(17)Jeffrey P Carpenter MDVP - Perioperative Services (i)
(ii)
1,241,191
0
0
0
1,518
0
8,750
0
24,384
0
1,275,843
0
0
0
(18)Naomi Lawrence MDHead, Division of Dermatology (i)
(ii)
842,527
0
0
0
1,498
0
8,750
0
24,125
0
876,900
0
0
0
(19)Michael Rosenbloom MDHead,Div of Cardiothoracic Sur (i)
(ii)
1,209,905
0
0
0
2,838
0
8,750
0
24,384
0
1,245,877
0
0
0
(20)Gary LesneskiSr EVP/General Counsel (i)
(ii)
617,325
0
0
0
3,564
0
8,750
0
15,603
0
645,242
0
0
0
(21)Adam B Elfant MDAssoc Div Head, Dept of Med (i)
(ii)
746,986
0
0
0
17,967
0
8,750
0
18,705
0
792,408
0
0
0
(22)Richard Y Highbloom MDSurgeon (i)
(ii)
939,066
0
0
0
1,518
0
8,750
0
18,458
0
967,792
0
0
0
(23)Frank W Bowen III MDSurgeon (i)
(ii)
769,031
0
0
0
17,669
0
8,750
0
1,611
0
797,061
0
 
 
(24)David A BocianChief Compliance Officer (i)
(ii)
245,762
0
0
0
218
0
8,021
0
23,968
0
277,969
0
 
 
(25)Glenn ShermanVP Supply Chain (i)
(ii)
237,283
0
0
0
4,068
0
3,937
0
15,136
0
260,424
0
 
 
(26)Eli WinklerSr VP Strategic Plan Bus Dev (i)
(ii)
355,852
0
0
0
255
0
7,518
0
24,559
0
388,184
0
 
 
(27)Raymond Baraldi MDinterim CMO/Chief Diag Imaging (i)
(ii)
521,509
0
0
 
20,936
 
8,750
0
16,332
0
567,527
0
 
 
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J, Part I, Line 4b Compensation Information THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS IN 2012 AS A RESULT OF PARTICIPATION IN COOPER HEALTH SYSTEM'S EXECUTIVE FLEXIBLE BENEFIT NONQUALIFIED RETIREMENT PLAN. THESE AMOUNTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III), OTHER REPORTABLE COMPENSATION AND FORM 990, PART VII, COLUMN D. FORMER SENIOR VP & COO - JEFFREY N. YARMEL $253,213
Schedule J (Form 990) 2012

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number
21-0634462
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CAMDEN COUNTY IMPROVEMENT AUTHORITY
 
22-2681222   11-09-2009 10,000,000 Construction-Bldg,Refund Bank Loan   X   X   X
B New Jersey Economic Development Authority
 
22-2045817 645918TV5 11-04-2008 50,000,000 Construction-Bldg & Renovations   X   X   X
C Camden County Improvement Authority
 
22-2681222 13281QAX3 12-15-2005 136,045,550 Construction&refund 2/27/97 issue   X   X   X
D Camden County Improvement Authority
 
22-2681222 13281QAA3 08-26-2004 69,996,908 Construction-Bldg & various costs   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 17,275,000 5,585,000
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 10,000,000 50,000,000 145,925,088 75,693,394
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 10,598,046 3,276,508
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 190,000 1,000,000 1,829,501 1,399,938
8 Credit enhancement from proceeds . . . . . . . . . . . 0 208,947 0 504,932
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 5,771,076 48,791,053 73,909,777 70,512,016
11 Other spent proceeds . . . . . . . . . . . . . . 4,038,924 0 59,587,764 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . .
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X        
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
X       X   X  
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
 
0
 
0
 
0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Part II, Line 3, Column C & D 0 The difference in the issue price and the total proceeds is the total investment earnings earned to date and $3,452,000 of proceeds transferred from the 1997 reserve fund. This amount is also included in the original $6,612,118 of 2005 proceeds used for the reserve fund on Part II, Column C, Line 4.
Part II, Line 11, Column A & C 0 The other spent proceeds relate to the refunding proceeds of the respective issue.
Part IV, Question 2c 0 column c: Calculation performed on 12/15/2010; Column D: Calculation performed on 8/25/2009
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) CONNER STRONG BUCKELEW TRUSTEE - NORCROSS 477,381 SEE PART V, FOOTNOTE #1   No
(2) BONNIE J MANNINO FAMILY MEMBER - PERRY 91,902 EMPLOYEE   No
(3) TINA CRESSMAN FAMILY MEMBER - WEINROTH 87,422 EMPLOYEE   No
(4) PARKER MCCAY PA FAM MEMBER CO. - NORCROSS 759,017 SEE PART V, FOOTNOTE #2   No
(5) CARDIOVASCULAR ASSOC OF DE VALLEY TRUSTEE - SNYDER 507,009 SEE PART V, FOOTNOTE #3   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Business Transactions with Interested Persons Schedule L, Part IV With regard to conflicts of members of the board of trustees, the board policy on duality and conflict of interest requires trustees to disclose all relationships that may cause a conflict. The audit and ethics committee of the board of trustees reviews transactions that may involve a conflict of interest of an officer, director, trustee or key employee. These procedures are designed to provide for independent review of the transaction, determination of the availability of alternative transactions that do not pose a conflict of interest, and preservation of the organization's best interests in transactions where non-conflicting alternatives are not reasonably attainable. The audit and ethics committee makes a recommendation to the board of trustees with regard to such transactions, which then makes a determination whether the transaction is in the organization's best interest, whether the transaction is fair and reasonable and whether there is a legitimate business interest for such transaction. Any trustee with a conflict of interest with regard to such matter may not vote on such transaction.
Business Transactions with Interested Persons Schedule L, Part IV Footnote # 1: The amount noted in Part IV, Column (c): $477,381 represents the amount paid by Cooper Health System to Conner Strong & Buckelew for insurance brokerage, consulting, risk manager and safety services. It should be additionally noted that Cooper's relationship with Conner Strong & Buckelew and its predecessors extends back approximately twenty five years and predates Mr. Norcross' board membership. Mr. Norcross is not personally involved either in the procurement, performance or supervision of any services rendered by Conner Strong & Buckelew to Cooper. The Conner Strong & Buckelew relationship has been annually reviewed by Cooper's independent audit/ethics committee and consulting and brokerage services have been peiodically subjected to a competitive bidding process.
Business Transactions with Interested Persons Schedule L, Part IV Footnote #2: Parker McCay PA (Parker) has been providing legal services to Cooper for more than twenty five years, predating George Norcross' membership on the Cooper Health System Board of Trustees. Mr. Norcross' brother, Philip, is a shareholder and a managing officer of Parker, but did not become such until well after the firm began providing legal services to Cooper. Parker's primary function as outside counsel is representing the Cooper Health System and its employees in defense of professional liability claims. Philip Norcross is not involved in the assignment, performance, or supervision of that work.
Business Transactions with Interested Persons Schedule L, Part IV Footnote #3: Cardiovascular Associates of the Delaware Valley (CADV), a professional association, provides interventional and other cardiology services to patients. CHS, under an agreement for professional services (leased physicians), provides cardiothoracic surgical physicians' services on a part-time basis to CADV. Harvey A. Snyder, CHS Trustee, is a greater than 5% owner of CADV. During the tax year, CHS paid CADV $64,860 for services related to billings/collections and office space and associated support. CADV paid CHS $442,149 for the leased physicians arrangement. The figure reflected in Schedule L is the addition of $64,860 and $442,149 or $507,009.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Identifier Return Reference Explanation
Form 990, Part III, Lines 4a-c Statement of Program Service Accomplishments The Cooper Health System, a New Jersey Non-Profit Corporation (CHS) IS A NEW JERSEY NOT-FOR-PROFIT ORGANIZATION. CHS IS COMPRISED OF TWO DIVISIONS: THE COOPER UNIVERSITY HOSPITAL (CUH) AND COOPER UNIVERSITY PHYSICIANS (UP). THE CUH INCLUDES THE OPERATIONS OF COOPER HOSPITAL/UNIVERSITY MEDICAL CENTER 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 UP CONSISTS PRIMARILY OF THE EMPLOYED MEDICAL STAFF. FOR THE YEAR ENDED DECEMBER 31, 2012, CHS PROVIDES THE FOLLOWING STATISTICS: TOTAL INPATIENT ADMISSIONS INCLUDING BIRTHS AND NICU/TRANS BIRTHS: 26,468 PATIENTS TOTAL OUTPATIENT VOLUME NOT INCLUDING EMERGENCY ROOM CASES THAT WERE ADMITTED: 251,826 PATIENTS TOTAL PATIENT DAYS: 135,330 TOTAL BED DAYS: 178,409 TOTAL CARDIAC CATH PROCEDURES: 6,673 TOTAL CYBER KNIFE PROCEDURES: 110 TOTAL GAMMA KNIFE PROCEDURES: 67
Form 990, Part VI, Line 11b Form 990 Review Process 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 FIRMS TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATIONS 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 ORGANIZATIONS FINANCE PERSONNEL AND OTHER SENIOR MANAGEMENT MEMBERS FOR THEIR REVIEW. THE ORGANIZATIONS FINANCE PERSONNEL AND OTHER SENIOR MANAGEMENT MEMBERS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATIONS 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 AND ETHICS 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 IS COMPLETE, The completed form 990 is shared with the entire board prior to its filing with the IRS.
Form 990, Part VI, Line 12c Conflict of Interest Policy THE 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 DIRECTOR OF COMPLIANCE AND REVIEWED WITH INTERNAL AUDIT, THE FINANCE DEPARTMENT, AND GENERAL COUNSEL. BOTH DATA AND A SUMMARY ARE PRESENTED TO THE COOPER HEALTH SYSTEMS AUDIT AND ETHICS COMMITTEE FOR THEIR REVIEW AND DISCUSSION. THE ORGANIZATIONS COMPLIANCE AND LEGAL DEPARTMENTS HAVE DEVELOPED PROCESSES TO REVIEW AND PRESENT POTENTIAL CONFLICTS TO THE AUDIT AND ETHICS COMMITTEE.
Form 990, Part VI, Line 15a & 15b Process for determining compensation THE ORGANIZATIONS BOARD OF TRUSTEES HAS AN EXECUTIVE COMMITTEE AND AN INDEPENDENT AUDIT AND ETHICS COMMITTEE THAT ARE TOGETHER CHARGED BY THE BOARD OF TRUSTEES WITH REVIEWING EXECUTIVE COMPENSATION AND OBTAINING AN INDEPENDENT COMPENSATION SURVEY AND REASONABLENESS OPINION FOR COMPARISON, RESPECTIVELY. THE EXECUTIVE COMMITTEE, IN ACCORDANCE WITH COOPERS BYLAWS, BENEFITS, POLICIES, AND PLANS, EVALUATES AND APPROVES COMPENSATION AND BENEFITS OF THE ORGANIZATIONS SENIOR MANAGEMENT INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE EXECUTIVE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE EXECUTIVE COMMITTEES REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. WE BELIEVE THAT THE ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE IN CONJUNCTION WITH THE AUDIT AND ETHICS COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. The Compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement, 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION, AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE AUDIT AND ETHICS COMMITTEE IS COMPRISED ENTIRELY OF MEMBERS WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICT OF INTEREST. THE AUDIT AND ETHICS COMMITTEE RETAINS AN INDEPENDENT COMPENSATION SURVEY FIRM TO PROVIDE A WRITTEN COMPENSATION STUDY OF RANGES OF EXECUTIVE SALARIES BASED ON COMPARABLE HEALTHCARE ORGANIZATIONS. THE AUDIT AND ETHICS COMMITTEE ENSURES THE INDEPENDENCE OF THE SURVEY FIRM AND ITS REPORT, REVIEWS THE REPORT, WHICH INCLUDES THE RANGES RECOMMENDED BY THE INDEPENDENT FIRM BASED UPON MARKET DATA, AND FOLLOWING THIS REVIEW, THE AUDIT AND ETHICS COMMITTEE, AS APPROPRIATE, RECOMMENDS TO THE EXECUTIVE COMMITTEE THAT THE SALARY RANGES DOCUMENTED BY THE INDEPENDENT COMPENSATION SURVEY FIRM BE USED AS RANGES TO DETERMINE ACTUAL COMPENSATION TO SENIOR MANAGEMENT. THE EXECUTIVE COMMITTEE EVALUATES PERFORMANCE OF EXECUTIVES, INCLUDING PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATION OFFICER AND CHIEF FINANCIAL OFFICER. THE EXECUTIVE COMMITTEE RELIES UPON THE APPROPRIATE COMPARABLE DATA AS ACCEPTED BY THE AUDIT AND ETHICS COMMITTEE, WHICH IS A WRITTEN COMPENSATION STUDY AND REASONABLENESS OPINION FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTH CARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA, INCLUDING, BUT NOT LIMITED TO, SIMILAR SIZED HOSPITALS, number OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE EXECUTIVE COMMITTEE ADEQUATELY DOCUMENTS ITS BASIS FOR ITS EXECUTIVE COMPENSATION DETERMINATIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE EXECUTIVE COMMITTEE AND THE AUDIT AND ETHICS COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER AND OTHER EMPLOYEES WHO REPORT DIRECTLY TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS FOR CHIEFS OF DEPARTMENTS MAY NOT EXCEED THE 75TH PERCENTILE OF AAMC BENCHMARK DATA WITHOUT SPECIFIC APPROVAL BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. EMPLOYED PHYSICIAN SALARIES MAY NOT EXCEED THE 75TH PERCENTILE OF A BLENDED FORMULA OF 25% ACADEMIC AND 75% PRIVATE PRACTICE OF MGMA BENCHMARK DATA WITHOUT APPROVAL OF THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION AND BENEFITS OF ANY OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER, WITH ASSISTANCE FROM THE ORGANIZATIONS HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE INDIVIDUALS JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
Form 990, Part VI, Line 19 Document availability to the public 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 and Schedule J   Part VII reflects certain board members or board officers receiving compensation and benefits from the organization including: John P. Sheridan, Jr. Michael E. Chansky, M.D., Ph.D. Generosa Grana, M.D. Roland Schwarting, M.D. George Weinroth Douglas Shirley Dianne S. Charsha Gary Lesneski David A. Bocian Adrienne Kirby, Ph.D. Jane M. Tubbs Raymond Baraldi Carolyn E. Bekes, M.D. Please note this remuneration was for services rendered as full-time employees of the organization, not for services rendered as a voting member or officer of the organization's board of trustees.
Form 990, Part XI, Line 9 Reconciliation of Net Assets change in fair value of interest rate swap agreements $ (261,802) change in pension benefit obligation 847,388 Net Asset Transfer From Affiliate 15,000,000 Temporarily restricted net asset transfer (82) Rounding 662 ----------- Total $ 15,586,166 =========== Community Benefit Statement Index: References lower right-hand corner page number. 1. Background, Page 92 2. Charitable purposes, charity care and community activites, Page 94 3. Vision and Mission of the Cooper Health System, Page 96 4. Signature Programs, Page 96 Cooper Heart Institute, Page 96 Cooper Bone & Joint Institute, Page 97 Cooper Cancer Institute, Page 98 Critical Care Medicine, Page 99 Cooper Level One Trauma Center, Page 100 Cooper Neurological Institute, Page 101 Children's Regional Hospital at Cooper, Page 103 5. Other Medical Specialties, Page 105 6. Cooper Community Benefit Programs, Page 105 Community Health Outreach, Page 106 Classes and Support Groups, Page 106 Programs, Screenings and Activities, Page 106 The Cooper Learning Center, Page 107 Trauma Education, Page 109 Safe Kids Southern New Jersey Coalition, Page 109 Life Supoprt Training Center, Page 110 Health Professional Education, Page 110 Continuing Medical Education, Page 111 Graduate Medical Education, Page 111 Cooper Medical School of Rowan University, Page 112 Training for Camcare (Local FQHC) Physicians, Page 112 Allied Health Prof Clinical/Didactic Educ/Train, Page 112 Simulation Lab, Page 112 EMS Training, Page 113 Emergency Services for Community Events, Page 113 Early Intervention Program, Page 113 Disaster Preparedness and Medical Coordination Center, Page 114 Health Outreach Project (HOP Clinic), Page 116 Support Groups, Page 116 Translation Services for Patients, Page 117 Camden Coalition of Healthcare Providers, page 117 Camden Citywide Care Management Project, Page 118 Practice Capacity Building Project, Page 119 Expansion of Access to Mental Health Care, Page 119 Palliative Care Program, Page 119 Research-clinical and Community Health, Page 120 Community Building, Page 122 Economic Development, Page 123 Community Support, Page 124 Environmental Improvements, Page 125 Leadership Development/Training for Community Members, Page 125 Efforts to address Health and Safety Issues, Page 126
COMMUNITY BENEFIT STATEMENT   1. Background Cooper University Hospital, founded in 1887, is the clinical campus of Cooper Medical School of Rowan University, and the leading provider of health services to southern New Jersey. Cooper has been a vital institution in Camden for 126 years. In the past decade, Cooper has greatly expanded its facilities and services in Camden and throughout South Jersey. The Cooper network currently serves more than half a million patients a year. Cooper's main hospital campus is located on the Health Sciences Campus in Camden, New Jersey. Adjacent to the Cooper Plaza/Lanning Square neighborhood, Cooper has a long history of outreach and service efforts to its local community. Some of these initiatives include health and wellness programs for the neighborhood, development of three neighborhood parks and a playground, and outreach with programs into local schools. Cooper has also expanded its footprint in the city with the construction of a state-of-the-art medical tower, creation of a new medical school, a new cancer center, an urgent care center, and an Accountable Care facility, and efforts to rehabilitate nearby residential properties. Cooper University Health Care has over 5,700 employees and a medical staff of more than 700 physicians in over 75 specialties. The health system has been the clinical campus of the University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School at Camden since 1978 and is now training the next generation of physicians at our new Cooper Medical School of Rowan University. Cooper offers training programs for medical students, residents, fellows, nurses and allied health professionals in a variety of specialties. Cooper University Health Care offers a network of comprehensive services that include prevention and wellness, primary and specialty physician services, hospital care, ambulatory diagnostic and treatment services, and home health care within southern New Jersey and the entire Delaware Valley. Coupled with its educational goals, Cooper offers a broad agenda in the field of research. Cooper physicians are involved in ongoing research and development as they keep abreast of changing modalities in medical care. As an academic medical center, Cooper continuously strives 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: state-designated Level I Regional Trauma Center, the Cooper Cancer Institute, the Cooper Heart Institute, the Cooper Bone and Joint Institute, the Cooper Neurological Institute and Critical Care Medicine. Cooper is also home to the Children's Regional Hospital, the only state-designated children's hospital in South Jersey. The new Cooper Cancer Institute will open in 2013 at the corner of Haddon Avenue and Martin Luther King Boulevard. This freestanding 103,000 square foot facility will provide integrated diagnostic and treatment services for cancer patients. 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-that includes 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 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 that 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 is guided by the belief that it is dedicated to the health care needs of the communities that it serves. That level of determination and commitment is the very soul of Cooper. 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 as defined by 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 needy and elderly population that require special support, various clinical outreach programs as well as health promotion and education for the general community welfare.
COMMUNITY BENEFIT STATEMENT (CONTINUED)   3. Vision and Mission of The Cooper Health System Vision Statement Cooper University Health Care will be the health care leader in the Delaware Valley providing exceptional medical care and service for every patient, every day, in a patient-centered, family-focused environment. Mission Statement Cooper University Health Care is an academic medical center committed to world-class patient care, education, and research resulting in a healthier community. 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 open blocked heart arteries to beating heart surgery and complex heart valve surgery. Cooper conducts cutting-edge clinical research in areas such as interventional cardiology, electrophysiology and arrhythmias, and the treatment of cardiogenic shock. The Cooper Heart Institute is the region's expert in treatment of acute myocardial infarction, and receives urgent transfers of seriously ill cardiac patients round-the-clock. Cooper Bone & 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, these physicians 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; as well as hand and upper extremity surgery and 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 Institute has over 27 comprehensive programs offering a unique treatment continuum of care within a highly integrated health care delivery network. The goal of the Cooper Bone and Joint Institute is simple: to return its 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. Cooper Cancer Institute Within the Cooper Cancer Institute, multidisciplinary, disease-site specific teams, consisting of physicians (medical, gynecologic, radiation and surgical oncologists), 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 the CyberKnife, to advanced chemotherapy regimens to innovative surgical techniques including minimally invasive and robotic surgeries - as well as access to groundbreaking clinical trials and dynamic patient-physician relationships. 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 CCI patients. Cooper Cancer Institute is a Major Clinical Research Affiliate of The Cancer Institute of New Jersey, a National Cancer Institute-designated Comprehensive Cancer Center. Cooper University Health Care is the only accredited American College of Surgeons Teaching Hospital Cancer Program in South Jersey. Critical Care Medicine Cooper has earned the distinguished reputation as the critical care provider to the region's most seriously ill. The opening of a state-of-the-art intensive care unit and the development of an acclaimed clinical research program have catapulted critical care at Cooper to a new level of clinical and academic excellence. 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 for handling the transfer and care of patients after cardiac arrest. 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. 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. experienced team of critical care transport specialists provide ongoing monitoring during the ground or air transport.
COMMUNITY BENEFIT STATEMENT (CONTINUED)   Cooper Level One Trauma Center Each year, nearly 3,000 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 I Trauma Center With Pediatric Commitment. 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 Program (TIPP) is geared toward youth violence prevention, and drinking and driving prevention. This program is presented an average of 100 times per year. Cooper Neurological Institute Cooper has one of the most progressive patient- and family-centered neurological centers in the region - offering the most advanced system on the East Coast for noninvasive treatment for brain disorders. The Cooper Neurological Institute (CNI) is located in an 11,500 square-foot facility in Three Cooper Plaza on the campus of Cooper University Hospital. The 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 many other sub specialists. Cooper University Hospital's neurological institute is the only one in central and southern New Jersey, and one of the first hospitals in the United States, to offer patients the Leksell Gamma Knife Perfexion. 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 fall prevention program offers expert diagnosis and treatment in a multidisciplinary environment to identify any treatable underlying causes of the patient's 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-our-hospital," the Children's Regional Hospital (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 were recruited from the best children's hospitals in the nation. And because they are experts in their field, they are also faculty members at Cooper Medical School of Rowan University. Cooper has the only pediatric trauma program in South Jersey, and the highest level Newborn Intensive Care Unit which was recently awarded NIDCAP developmental 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. CRH's participation in international, national, and statewide research collaboratives like the CRH's cancer group, AIDS clinical trials group and UMDNJ-New Jersey Medical School Asthma and Allergy Study Group also allow the CRH to offer patients access to the latest treatment modalities. Each year, about 5,000 children are admitted to the Children's Regional Hospital at Cooper for specialized care. Another 15,000 children are treated each year in its pediatric emergency room. In addition, there are more than 60,000 outpatient visits each year to the pediatric medicine and surgical specialists of the CRH. The CHR 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, nutritionalists, 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. 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. By examining Cooper's specialties, it is clear why the name Cooper is synonymous with World Class Care and leading edge facilities and services throughout the Delaware Valley.
COMMUNITY BENEFIT STATEMENT (CONTINUED)   6. Cooper Community Benefit Programs The health of its 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. Cooper's Community Benefit Activities: Community health, health education, clinical services and fundraising/grant writing for community benefit programs. Community Health Outreach - Classes and health screenings for the community: a. Classes and support groups offered by Cooper include, but are not limited to, the following: - Breastfeeding: The benefits of breastfeeding and discusses how to get started, positioning techniques and community resources - Childbirth Preparation / Education Classes- One-Day, Two-Part Series - Obstetrical Unit Tours - Infant/Child CPR Class-certification - CPR: The Friends and Family Course- Non-Certified - Prenatal Yoga - Early Pregnancy Consultation: All You Need to Know - Breathing and Relaxation Class - Breastfeeding Support Group - Baby 101: Newborn Care and Characteristics - Child and Infant Car Seat Safety Workshops and Programs b. 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 - Asthma Education for children and families - Zumba - The Healthy Weigh: Weight Management Program - The Diabetes Weigh: Personalized Diabetes Management Program - Chair Yoga - Yoga for Women - Ripa Center Health Living Seminars - Core and More - Tai Chi - Flip Fitness - Viva Mat Pilates - Breast Health Education - OB/GYN Flu Clinic - Flu Vaccine - Community Based Diabetes Self Management Education Classes - Health Conferences and Health Fairs - Health and Wellness-Nutrition Program - Healthy Living Free Seminars - eHealth Connection Newsletters - Health eTalk Web Chat - Teachers and Coaches Seminars - Safe Sitter Interactive Baby Sitting Course - Cooper Cancer Institute's Dr. Diane Barton Complementary Medicine Program: - Restorative Yoga - Qi Gong - Mindful Meditation - Live, Lunch and Learn - Annual Survivors Day - Bonnie's Book Club - Cooper in Schools - Health education for school professionals, parents and students - Concussion and sports related injuries education and outreach c. The Cooper Learning Center - offers the following programs and services: - 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 - Lanning Square Summer Reading Program for underserved Camden children - The Rookie Reader Program Trauma Education: The Trauma Outreach Program is a combination of 16 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. Safe Kids Southern New Jersey Coalition: This local coalition covers the Camden, Gloucester, and Burlington county area and is one of over 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, home safety, sports safety, pedestrian safety programs and other training and educational programs or initiatives. 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 BLS training program has existed internally for over a decade. In the past two years the Life Support Training Center has expanded the program and now offers classes to other organizations and community members. The purpose of expanding the program is to educate and empower the community about Basic Life Support. There are two basic program activities that are offered through the Life Support Training Center: Healthcare Provider BLS for health care professionals and HeartSaver AED for community members.
COMMUNITY BENEFIT STATEMENT (CONTINUED)   Health professional education - physicians, medical students, nurses, etc; scholarships: Continuing Medical Education: In July 2012, Cooper received a six-year accreditation with commendation (until July 2018). The year 2011 marked our twenty-first accredited year as a national sponsor of CME. In July 2006, Cooper received a six-year accreditation with commendation (until July 2012). This is a major accomplishment for The Cooper Health System! Cooper is the only hospital or health system in southern New Jersey with national accreditation. Moreover, only an average of 7 percent of all national CME providers receive 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. 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. The key factor for this partnership is the collaboration between Rowan and Cooper to work 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 welcomed its Inaugural Class of 50 students in August 2012. Training for CAMcare (local FQHC) Physicians: Cooper provides continuing medical education programs to physicians employed with the local FQHC. Allied Health Professional Clinical and Didactic Education/Training: Cooper University Hospital provided education to, approximately, 74 allied health professional students in three different fields within the Center for Allied Health Education: School of Cardiovascular Perfusion, School of Diagnostic Imaging, and the School of Radiation Therapy. 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. EMS Training: Cooper provides medical director services and training for numerous local EMS services. Subsidized health services, ER and trauma, hospital outpatient, behavioral health, palliative care: Emergency Services for Community Events: Cooper provides emergency services for local community events. Early Intervention Program: The Cooper University Hospital EIP/Family HIV Treatment Center was established in 1990 to serve a four county area of southern New Jersey consisting of Camden, Burlington, Gloucester, and Salem counties. It is a regional, multidisciplinary outpatient center that has provided a full range of services to over 1400 patients. The primary mission of the EIP/HIV Family Treatment Center at Cooper is to provide comprehensive medical and supportive services to HIV infected individuals regardless of their ability to pay. The center also frequently serves as a port of entry for many HIV infected Camden residents into any type of medical care. 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 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 (includes the City of Wilmington).
COMMUNITY BENEFIT STATEMENT (CONTINUED)   The MCC utilizes the expertise provided by the Division of EMS and Disaster Medicine, regional law enforcement, fire departments, emergency medical services, Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) teams, technical rescue teams, etc., to assist the healthcare continuum in meeting their mission. In January, 2010 Cooper sent a medical team to Haiti after the devastating earthquake injured thousands of Haitians. The team spent two weeks treating patients and helping coordinate an effort to set up hospitals and clinics for the injured. Health Outreach Project (HOP Clinic): The HOP Clinic is a service learning program created to provide medical care and reinforce skills for third- and fourth-year medical students. The Adult Medicine Clinic, which has been in existence for more than 5 years, maximizes the student's mission of service learning. In addition, the program offers a clinic for pediatric medicine and a clinic for obstetrics/gynecology. Cooper provides care to a diverse community, representing the underserved, uninsured and underinsured patients, including the low income and high risk population of Camden City. By providing quality care to underserved and uninsured Camden residents, the free clinics helps alleviate the burden of health disparities in the city. Support Groups: 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. Groups included but are not limited to: Prostate Support Group & Lecture Series - The Cooper Cancer Institute 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 Cooper Prostate 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 My Genes, My Risk Young Women With Breast Cancer Support Group Smoking Cessation Group - Whether you have been smoking for 3 years or 30 years, it is not too late to quit and improve health. The program is based on empirically supported therapies that have been found to help people quit smoking. Translation Services for Patients: Cooper provides translation services for patients whose first language is not English. Camden Coalition of Healthcare Providers: Cooper provides significant support to this organization which was created six years ago 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. Two staff (Medical Director and Program Manager) and one social worker are supported by Cooper. The remaining staff is supported in full by grant funds. The Coalition's primary projects include: 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. Many of the patients are homeless with criminal histories, substance abuse, chronic illnesses, and mental health problems. The advantage of running a project like this, using a citywide coalition, is our ability to encourage collaboration between the hospitals, to share data, to identify common challenges, and to address the challenges with coordinated solutions. For instance we've improved access to the homeless shelter and streamlined the application process for long-term federal disability. 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. Palliative Care Program: The Palliative Care Program is designed to be integrated as part of a patient's care plan at anytime, 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.
COMMUNITY BENEFIT STATEMENT (CONTINUED)   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 National Institutes of Health (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 orthopaedics. 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. Among other medical advances credited to the Cooper Research Institute are: - New joint replacements, such as ceramic-on-ceramic (COC) hip replacements. COC hip replacements appear to be the most durable implants available. - The new onyx mechanical heart valve whose unique design results in the formation of fewer blood clots than with other artificial valves. - A new surgical adhesive, Bioglue, which is widely used in cardiothoracic surgery as an adjunct to standard methods of achieving hemostasis in adult patients with open surgical repair of large vessels. - New cardiology medications, such as Reopro, the first GP IIB/IIIA inhibitor, which reduces cardiac ischemic complications associated with percutaneous coronary intervention. Reopro is the gold standard among GP IIB/IIIA inhibitors. Community Building and Community Activities: Cooper sponsors various non-profit organizations to promote and build a healthy community. Some of the various activities that Cooper sponsored, provided, planned, partnered or participated in during 2012 are as follows: Cooper's Community Building activities include but are not limited to: - 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, Greater Camden Partnership, the Cooper Lanning Civic Association and additional community partners on $2 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 a second phase 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 a partnership with Saint Joseph's Carpenter Society, Habitat for Humanity and other partners to utilize grant funding for rehabilitation and housing improvements in the Cooper Plaza neighborhood in Camden. - Homeownership Partnerships: Cooper has partnered with non-profit organizations such as Saint Joseph's Carpenter Society and Metro Camden Habitat for Humanity to promote home ownership opportunities in the Cooper Plaza Neighborhood to further stabilize the community with occupied housing. Economic Development - assisting business development, creating new employment opportunities: - Broadway Main Street: Cooper partners with and participates in the Broadway Main Street Program to encourage economic growth on the corridor. - 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, provide additional maintenance services and serve as a daily presence on these corridors. Community Support - mentoring, neighborhood support, disaster readiness, neighborhood safety: - Cooper Lanning Civic Association and Lanning Square West Association - Participation in association meetings, project coordination, events and administrative support. - Neighborhood Concert Series: In 2012, Cooper University Hospital continued the series with four free community concerts in Cooper Commons Park and the Lanning Square 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. - 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. - Cooper Health Sciences Academy at Charles Brimm Arts High Schoo: This program provides sophomore students at the Brimm High School with health education and health profession career exposure during the high school academic year through lectures, guest speakers, presentations and seminars. - Camden Safety Zone Initiative: Cooper University Hospital has partnered with Camden County through a federal grant to provide surveillance cameras in the Cooper Plaza Neighborhood to improve safety for the community. Environmental Improvements: - Clean and Safe Cooper Plaza Program: Partnership with the Greater Camden Partnership and 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. 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 teacher in-service sessions
COMMUNITY BENEFIT STATEMENT (CONTINUED)   Coalition building and collaborative efforts to address health and safety issues: - 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"). - Cooper's Ferry Partnership: Cooper is a member of Cooper's Ferry Partnership and actively works with the organization as a dues paying member to collaborate on community issues and additional projects to improve the neighborhoods in Camden. - Cooper is an 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. Workforce Development: - Career fairs and education: STRIVE, Woodland Community Development Corporation, Camden County and Camden One Stop. - Cooper Health Sciences Academy: Recruits local high school students for a 10 month supplemental educational experience with exposure to various health science careers. - Youth Career Mentoring and Summer Employment Program: Cooper's Youth Career Mentoring and Summer 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. The program provides for tours, career mentoring opportunities and career exploration for high school students. - 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Cooper Health System a New Jersey
Non-Profit Corporation
Employer identification number

21-0634462
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) Cooper Medical Services Inc

One Cooper Plaza

Camden,NJ08103
22-3832149
Health Svcs. NJ 501(c)(3) 11 CH SYSTEM
 
Yes
 
(2) The Cooper Foundation

One Cooper Plaza

Camden,NJ08103
22-2213715
Support CHS NJ 501(c)(3) 7 CH SYSTEM
 
 
No
(3) The Cooper Hlth Sys - Wrkrs Comp Trust

One Cooper Plaza

Camden,NJ08103
22-6409235
Support CHS NJ 501(c)(3) 11 CH SYSTEM
 
Yes
 
(4) Cooper Cancer Center Inc

One Cooper Plaza

Camden,NJ08103
46-0943572
Health Svcs NJ 501(c)(3) 11 ch system
 
Yes
 






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) C & H Collection Svs Inc

Rte 70 Three Exec Campus Ste 310
Cherry Hill,NJ08002
22-2603503
Collection NJ CH Services
 
c corp.          
(2) Cooper Custom Packs Inc

Rte 70 Three Exec Campus Ste 310
Cherry Hill,NJ08002
22-3236745
medical suppl NJ CH Services
 
c corp          
(3) Cooper Data Services Inc

Rte 70 Three Exec Campus Ste 310
Cherry Hill,NJ08002
22-3192943
data services NJ CH Services
 
c corp          
(4) Cooper Healthcare Management Inc

Rte 70 Three Exec Campus Ste 310
Cherry Hill,NJ08002
22-2599494
Management NJ CH Services
 
c corp          
(5) Cooper Healthcare Properties Inc

Rte 70 Three Exec Campus Ste 310
Cherry Hill,NJ08002
22-2567105
real estate m NJ CH Services
 
c corp          
(6) Cooper Healthcare Services

Rte 70 Three Exec Campus Ste 310
Cherry Hill,NJ08002
22-2567106
Health Svcs NJ CH SYSTEM
 
c corp     100.000 %    


Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) COOPER MEDICAL SERVICES

K 3,894,000 CASH-FMV
(2) COOPER HEALTHCARE PROPERTIES INC

K 434,000 CASH-FMV
(3) C & H COLLECTION SERVICES INC

L 163,000 CASH-FMV
(4) COOPER HEALTHCARE PROPERTIES INC

L 111,000 CASH-FMV
(5) COOPER MEDICAL SERVICES

L 507,000 CASH-FMV
(6) THE COOPER FOUNDATION

C 1,467,000 CASH-FMV
(7) COOPER HEALTHCARE SERVICES INC

S 15,000,000 CASH-FMV
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID:  
Software Version: