TY 2018 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) George E Norcross III...................................................................... Chariman of the Board/Trustee	3.0 ................. 0.0	X	X	0	0
(2) ADRIENNE KIRBY PHD...................................................................... PRES&CEO-COOPER UNIV HLTH/TTEE	48.0 ................. 7.0	X	X	1,427,587	188,593
(3) MICHAEL E CHANSKY MD...................................................................... TRUSTEE/CHIEF, EMERGENCY MED	55.0 ................. 0.0	X		588,842	11,943
(4) Leon D Dembo Esq...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(5) Dennis M DiFlorio...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(6) Generosa Grana MD...................................................................... Trustee/Dir Cooper Cancer Ins	52.0 ................. 3.0	X		786,415	12,302
(7) Paul Katz MD...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(8) Ali A Houshmand PhD...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(9) Duane D Myers...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(10) Annette Reboli MD...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(11) Robert A Saporito DDS...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(12) Roland Schwarting MD...................................................................... Trustee/Chief, Pathology	52.0 ................. 3.0	X		725,788	23,470
(13) William A Schwartz Jr...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(14) John W Shimark...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(15) Harvey A Snyder MD...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(16) Kris Singh PhD...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(17) Peter S Amenta MD PhD...................................................................... Trustee	3.0 ................. 0.0	X		0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Joseph C Spagnoletti........................................................................ Trustee	3.0 .......................0.0	X				0	0
(19) Sidney R Brown........................................................................ Trustee	3.0 .......................0.0	X				0	0
(20) Phoebe A Haddon JD LLM........................................................................ Trustee	3.0 .......................0.0	X				0	0
(21) Philip A Norcross Esq........................................................................ Trustee	3.0 .......................3.0	X				0	0
(22) Steven E Ross MD........................................................................ Trustee/Dept of Surgery	55.0 .......................0.0	X				349,867	36,292
(23) Susan Weiner........................................................................ Trustee	3.0 .......................0.0	X				0	0
(24) Gary Lesneski........................................................................ Sr EVP/General Counsel	55.0 .......................0.0		X			1,296,563	32,951
(25) Jane M Tubbs........................................................................ Board Secretary (end 11/9/18)	37.0 .......................3.0		X			85,799	2,304
(26) Anthony Mazzarelli MDJDMBA........................................................................ Chief Medical Officer, SVP OPS	55.0 .......................0.0		X			1,140,931	162,787
(27) Stephanie Conners........................................................................ Sr EVP, COO, CNO (end 7/1/18)	55.0 .......................0.0		X			900,962	5,127
(28) Kevin O'Dowd........................................................................ Sr EVP-chief admin off	55.0 .......................0.0		X			1,386,021	163,191
(29) Brian Reilly........................................................................ Chief Financial Officer	51.0 .......................4.0		X			606,590	96,980
(30) Dina Mathews Laurendeau........................................................................ Board Secretary (beg 11/10/18)	37.0 .......................3.0		X			106,702	1,199
(31) Kathleen Devine RN DRNP........................................................................ SVP/Chief Nursing Officer	55.0 .......................0.0		X			255,137	71,676
(32) Eric Kupersmith MD........................................................................ Chief Physician Executive	55.0 .......................0.0		X			600,088	92,192
(33) Jayashree Raman........................................................................ Chief Information Officer	55.0 .......................0.0		X			555,109	23,319
(34) Robin L Perry MD........................................................................ Chief, Dept of Ob Gyn	55.0 .......................0.0			X		645,709	43,823
(35) Lawrence S Miller MD........................................................................ Chief, Orthopedic Surgery	52.0 .......................3.0			X		975,252	45,013
(36) William G Smith MBA........................................................................ VP CAO (end 8/3/18)	46.0 .......................9.0			X		304,194	8,836
(37) Jeffrey P Carpenter MD........................................................................ Chief of Surgery	55.0 .......................0.0			X		1,142,361	40,961
(38) Elizabeth Green........................................................................ SVP Human Resource	55.0 .......................0.0			X		382,711	53,515
(39) Kenneth M Wright........................................................................ SVP/CHIEF ACCTG OFFICER	46.0 .......................9.0			X		263,145	36,129
(40) Robert Hockel........................................................................ SVP, OPERATIONS	55.0 .......................0.0			X		253,568	54,419
(41) Michael Rosenbloom MD........................................................................ Head, Div of Cardiothoracic Sg	55.0 .......................0.0				X	1,704,326	45,326
(42) Richard Y Highbloom MD........................................................................ Surgeon	55.0 .......................0.0				X	1,241,019	29,882
(43) Frank W Bowen III MD........................................................................ Surgeon	55.0 .......................0.0				X	1,463,152	10,737
(44) Adam Elfant MD........................................................................ Assc Division Head-Dept of Med	55.0 .......................0.0				X	1,076,632	29,153
(45) Gregory Kubicek MD........................................................................ Physician	55.0 .......................0.0				X	1,097,061	14,363

(A) Name and business address	(B) Description of services	(C) Compensation
ATOS Medical, Dept CH 17589 PALATINE,IL600557589	IT Services	6,953,765
MD Anderson Physicians Network, 1515 Holcombe Blvd HOUSTON,TX77030	healthcare services	6,894,689
NThrive, 200 North Point Center ALPHARETTA,GA30022	billing services	6,113,518
Epic Systems Corp, 1979 Milky Way VERONA,WI53593	IT services	4,891,392
Medco Health Solutions, 600 13th St NW WASHINGTON,DC20005	clinical solutions	4,312,280
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 82

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization The Cooper Health System A New Jersey Non-Profit Corporation

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

253,653

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

33,076

Total. Add lines 1c through 1i ....................................................................................................

286,729

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Lobbying Activity Explanation	During the year, the Organization incurred the following lobbying expenditures: The organization paid independent firms $192,053 to provide lobbying consulting services and to engage in lobbying efforts on behalf of the organization. The organization incurred internal expenses for salaries and benefits of $61,600 where its professionals participated in lobbying efforts. The organization was a member of certain industry organizations; all of which engage in lobbying efforts on behalf of their member hospitals. The portion of these dues allocated to lobbying expenditures for the year is detailed below and in total is $33,076. New Jersey Hospital Association $25,576 Hospital Alliance of New Jersey $7,500

Return Reference

Explanation

Lobbying Activity Explanation

During the year, the Organization incurred the following lobbying expenditures: The organization paid independent firms $192,053 to provide lobbying consulting services and to engage in lobbying efforts on behalf of the organization. The organization incurred internal expenses for salaries and benefits of $61,600 where its professionals participated in lobbying efforts. The organization was a member of certain industry organizations; all of which engage in lobbying efforts on behalf of their member hospitals. The portion of these dues allocated to lobbying expenditures for the year is detailed below and in total is $33,076. New Jersey Hospital Association $25,576 Hospital Alliance of New Jersey $7,500

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(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

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. 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 .....	3,331,857		3,331,857
b	Buildings ....	278,490,641	88,861,118	189,629,522
c	Leasehold improvements	274,512,318	118,092,194	156,420,124
d	Equipment ....	520,601,877	388,052,572	132,549,306
e	Other .....	1,270,943	525,726	745,217
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				482,676,026

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
SETTLEMENTS-3RD PARTY PAYORS	353,883
SELF-INSURED RESERVES, CURRENT	25,421,580
SELF-INSURED RESERVES, NON-CUR	53,117,644
ACCRUED RETIREMENT BENEFITS	21,171,709
LT SETTLEMENT- MEDICARE	5,548,477
LONG TERM INTERCOMPANY PAYABLE	40,867,605
MISCELLANEOUS	1,153,847
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	147,634,745
2. Liability for uncertain tax positions. 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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,315,166,496
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-10,204,296
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-56,834,046
e	Add lines 2a through 2d .....................			2e	-67,038,342
3	Subtract line 2e from line 1..................			3	1,382,204,838
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
b	Other (Describe in Part XIII.) ...........	4b	158,540
c	Add lines 4a and 4b....................			4c	158,540
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,382,363,378

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,261,513,014
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
e	Add lines 2a through 2d....................			2e
3	Subtract line 2e from line 1...................			3	1,261,513,014
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
b	Other (Describe in Part XIII.) ............	4b	59,255,693
c	Add lines 4a and 4b.....................			4c	59,255,693
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,320,768,707

Part XIII

Supplemental Information

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.

Return Reference	Explanation
Schedule D, Part V, Line 4	Intended uses of endowment funds Restricted Funds are used to support the charitable activities and programs of the organization and its affiliates.
RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN	SCHEDULE D, Part XI, LINE 2D Change in Interest Rate Swap $ 973,195 Change in Pension Benefit Obligation 1,448,452 Reclass: Provision for Bad Debt (58,788,394) Reclass: Investment Mgmt Fees (467,299) -------------- TOTAL $(56,834,046) SCHEDULE D, PART XI, LINE 4B UBI FROM INVESTMENT $158,540
RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN	Schedule D, Part XII, Line 4b Reclass: Provision for Bad Debt $58,788,394 Reclass: Investment Mgmt Fees 467,299 ----------- Total $59,255,693

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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	1,044	29,244,021	13,546,000	15,698,021	1.240 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1	9,799	336,133,467	237,545,930	98,587,537	7.810 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	2	10,843	365,377,488	251,091,930	114,285,558	9.050 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	55	205,802	1,347,973	829,734	518,239	0.040 %
f	Health professions education (from Worksheet 5) . . .	43	1,588	90,939,787	42,694,060	48,245,727	3.820 %
g	Subsidized health services (from Worksheet 6) . . . .	10	945	589,715	141,947	447,768	0.040 %
h	Research (from Worksheet 7) .	1	120	49,682
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	109	208,455	92,927,157	43,665,741	49,211,734	3.900 %
k	Total. Add lines 7d and 7j .	111	219,298	458,304,645	294,757,671	163,497,292	12.950 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	2		768,995	628,146	140,849	0.010 %
2	Economic development	1		55,000	0	55,000
3	Community support	6	1,198	971,957	28,142	943,815	0.070 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	4	105	17,996	0	17,996
7	Community health improvement advocacy	2	525	17,648	0	17,648
8	Workforce development	1	245	1,790	0	1,790
9	Other
10	Total	16	2,073	1,833,386	656,288	1,177,098	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

58,788,394

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. ......

689,034

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

Enter total revenue received from Medicare (including DSH and IME).....

205,756,413

Enter Medicare allowable costs of care relating to payments on line 5.....

269,329,673

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-63,573,260

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2018

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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)									Other (describe)	Facility reporting group
1	Cooper Health System One Cooper Plaza Camden,NJ08103 www.cooperhealth.org	X	X	X	X	X	X	X	Level 1 Trauma	A

Schedule H (Form 990) 2018

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SUPPLEMENTAL INFORMATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SUPPLEMENTAL INFORMATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	COOPER HEALTH SYSTEM
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

see supplemental information

The FAP application form was widely available on a website (list url):

see supplemental information

A plain language summary of the FAP was widely available on a website (list url):
see supplemental information

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	COOPER HEALTH SYSTEM
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	COOPER HEALTH SYSTEM
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B	The Community Health Needs Assessment (CHNA) was conducted from February to October of 2016 with the purpose of gathering information about local health needs and health behaviors. The assessment used both primary and secondary research to illustrate and compare health trends and disparities across the region. Primary research solicited input from key community stakeholders representing the broad interests of the community, including experts in public health and individuals representing medically underserved, low-income, and minority populations. Secondary research identified demographic and health trends across geographic areas and populations. The Cooper Board of Trustees met on December 21, 2016 to review the findings of the CHNA and the recommended implementation strategy. The board voted to adopt the final summary report and the implementation strategy and provide the necessary resources and support to carry out the initiatives therein. The 2019 Community Health Needs Assessment was completed in July 2019. The report and the implementation strategy are set to be approved by the Board of Directors in December 2019. Question 5: The Burlington, Camden, Gloucester, and Ocean County Health Departments participated in the design and completion of Cooper's Community Health Needs Assessment, including meetings to identify and prioritize health needs. Specific research methods: - A review of secondary health and socioeconomic indicators for the service area. - An analysis and comparison of hospital utilization data. - Partner forums with community representatives and leaders to identify community health priorities and facilitate population health strategy collaboration. - Focus groups with health consumers. Question 6: The Health Assessment Collaborative included the following partners: Cooper University Hospital, Deborah Heart and Lung Center, Kennedy Health System, Lourdes Health System, Virtua Health, and the Health Departments of Burlington, Camden, Gloucester, and Ocean Counties. Question 7A & 10A: WWW.COOPERHEALTH.ORG/about-us/community-health-needs-assessment - The implementation strategy is on pages 17 & 18. Question 11: A voting system based on the criteria of scope, severity, and ability to impact was used to help participants in the assessment prioritize local health needs. The prioritized list of health needs is as follows: 1. behavioral health and chronic disease comorbidities 2. linkages to care - access 3. substance abuse Cooper is addressing the significant needs identified in the recently conducted CHNA as follows: Behavioral health/chronic disease comorbidities: -creation of an advanced care center with implementation of an innovative multidisciplinary group visit model -Patients with similar diagnoses meet together and learn best practices of care together -community education programs and support groups linkages to care - access: -partnered with a third party vendor to assist patients in completing applications for financial assistance, medicaid, etc. -trained staff as certified application counselors to assist patients in obtaining insurance -launched urgent care services in three locations -implemented dedicated schedule slots with primary care physicians to ensure available follow-up appointments for patients within two weeks after hospital discharge Substance abuse: -implemented standardized, systematic mental health screening for all patients admitted to Cooper -launched an initiative to address the gaps in behavioral health resources and identify partnership opportunities in service provision -hosted and supported many community events in collaboration with the county's addiction awareness task force Rationale for community health needs not specifically addressed: Cooper recognizes that partnerships with community agencies have the broadest reach to improve community health issues. While additional disease specific and population specific needs were identified, the group found that other resources, such as the Southern New Jersey Perinatal Cooperative and disease specific resources were available and the health systems would be more effective in utilizing the available resources in addressing the prioritized needs. Question 16: WWW.COOPERHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-MATTERS

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. 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?71
Name and address		Type of Facility (describe)
1	Bone & Joint 221 Victoria Street Glassboro,NJ08028	B&J Institute/ambulatory care/ outpatient infusion therapy services/CNI
2	Bone&JointRheumatologyPhysical Therapy 900 Centennial Blvd Bldg 2 STE 203 Voorhees,NJ08043	B&J/Rheumatology/Physical therapy
3	Bariatrics 6017 Main St Voorhees,NJ08043	Bariatrics
4	Bone & Joint 525 Route 73 South STE 303 Marlton,NJ08053	Bone & Joint/cni
5	Cancer Center 900 Centennial Blvd Bldg 1 STE L Voorhees,NJ08043	Cancer Center
6	Cancer Institute 301-303 Central Ave Unit A B Egg Harbor Twnshp,NJ08234	Cancer Institute
7	Cardiology 900 Centennial Blvd Bldg 2 STE 201 Voorhees,NJ08043	Cardiology
8	Cardiology 400 Medical Center Dr STE B Turnersville,NJ08081	Cardiology
9	Cardiology 66 East Ave STE A B Woodstown,NJ08098	Cardiology
10	Cyber Knife Center 715 Fellowship Rd STE B C Mount Laurel,NJ08054	Cyber Knife Center/outpatient infusion therapy services
11	Dermatologic & Cosmetic Procedural Surge 10000 Sagemore Dr STE 10103 Marlton,NJ08053	Dermatologic & Cosmetic
12	ENT 6200 Main St Voorhees,NJ08043	ENT
13	Family Medicine 110 Marter Ave STE 503 Moorestown,NJ08057	Family Medicine
14	Family Medicine 1865 Harrison Ave STE 1300 Camden,NJ08105	Family Medicine
15	Family Medicine 1217 North Church St Moorestown,NJ08057	Family Medicine
16	Family Medicine 1050 North Kings Highway STE 105 Cherry Hill,NJ08034	Family Medicine
17	Family Medicine 504 White Horse Pike Haddon Heights,NJ08035	Family Medicine
18	Family Medicine 200 College Dr Blackwood,NJ08012	Family Medicine
19	Family Medicine 111 East Main St Maple Shade,NJ08052	Family Medicine
20	Family Medicine OBGYN Peds 701 Route 73 North STE 7 8 Marlton,NJ08053	Family Medicine/OBGYN/Peds
21	Walgreens Pharmacy 900 Centennial Blvd Bldg 2 STE 205 Voorhees,NJ08043	Walgreens Pharmacy Space
22	General OBGYN 1900 Burlington-Mt Holly Rd Bldg 2 Burlington,NJ08016	General OBGYN
23	GI Phys Practice & Digestive Health 501 Fellowship Rd STE 101 102 Mount Laurel,NJ08053	physician practice/ambulatory care/outpatient endoscopy center
24	Gynelogical Oncology 900 Centennial Blvd Bldg 1 STE F Voorhees,NJ08043	GynOnc
25	Hematology Oncology 1000 Salem Rd STE C Willingboro,NJ08046	Hematology Oncology
26	Multi-specialty center Three Cooper Plaza Camden,NJ08103	Gamm Knife Diagnostic Center/ cni/uhi/surgery/b&j/ahi/cci/ hi/w&c
27	Internal Medicine 1 2 4 Plaza Dr Bldg 1 STE 103 Sewell,NJ08080	Internal Medicine
28	Internal Medicine 900 Centennial Blvd Bldg 2 STE 202 Voorhees,NJ08043	Internal Medicine
29	Internal Medicine 123 Egg Harbor Rd Bldg 600 suite Sewell,NJ08080	Internal Medicine
30	Internal Medicine 196 Grove Ave STE B C Thorofare,NJ08086	Internal Medicine
31	Internal Medicine 390 North Broadway STE 100 200 Pennsville,NJ08070	Internal Medicine
32	Internal Medicine 430 S Broadway Gloucester City,NJ08030	Internal Medicine
33	Internal Medicine 222 Gibbsboro Rd Clementon,NJ08021	Internal Medicine
34	Internal Medicine 416 Haddon Ave Collingswood,NJ08108	Internal Medicine
35	Internal Medicine Cardiology Endocrino 1210 Brace Rd Cherry Hill,NJ08034	Internal Medicine/Cardiology
36	Internal Medicine MFM Surgery etc 651 John F Kennedy Way Willingboro,NJ08046	Internal Medicine/MFM/Surgery
37	Laboratory 900 Centennial Blvd Bldg 2 STE 204 Voorhees,NJ08043	Lab
38	Learning Center 4011 Main St Voorhees,NJ08043	Learning Center
39	Maternal Fetal Medicine 10 Forrestal Rd STE 208 210 Princeton,NJ08540	Maternal Fetal Medicine
40	MD Anderson Cancer Center at Cooper Two Cooper Plaza Camden,NJ08103	Oncology/Multi-Specialty Ctr
41	Nephrology 1030 North Kings Highway STE 310 Cherry Hill,NJ08034	Nephrology
42	Orthopedics 401 S Kings Highway STE 3A 3B Cherry Hill,NJ08034	Orthopedics
43	Orthopedics 3740 West Chester Pike Newtown Square,PA19063	Orthopedics
44	Orthopedics (PTOT) 1878 Marlton Pike East STE 4 5 Cherry Hill,NJ08003	Orthopedics (PT/OT)
45	Pediatrics 1900 Burlington-Mt Holly RdBldg 2 Burlington,NJ08016	Pediatrics
46	Pediatrics 6400 Main St Voorhees,NJ08043	Pediatrics
47	Pediatrics learning center 110 Marter Ave STE 505 506 Moorestown,NJ08057	Pediatrics/learning center
48	Pediatrics OBGYN Audiology 1 2 4 Plaza Dr Bldg 4 STE 401 Sewell,NJ08080	Pediatrics/OBGYN/Audiology
49	Pain Management & Rehabilitation 1101 North Kings Highway STE 100 Cherry Hill,NJ08034	Pain Management/Rehabilitation
50	Psychiatry 1011 Main St Voorhees,NJ08043	Psychiatry
51	Pulmonary & Family Sleep Center 218 Sunset Rd STE C Willingboro,NJ08046	Pulmonary/Family Sleep Center/ cardiology/anesthesiology/ digestive health institute
52	Radiology 900 Centennial Blvd Bldg 1 STE B Voorhees,NJ08043	Radiology
53	Radiology Lab OBGYN Internal Med 1103 North Kings Highway Cherry Hill,NJ08034	Radiology/Lab/OBGYN/Internal medicine
54	RadOnc 900 Centennial Blvd Bldg 1 STE D Voorhees,NJ08043	RadOnc
55	Regional Cleft-Craniofacial Palate 110 Marter Ave STE 402 Moorestown,NJ08057	Regional Cleft-Craniofacial Pa
56	RIPA Women's Health Center 6100 Main St Voorhees,NJ08043	Women's Health Center
57	SleepPulmonary 900 Centennial Blvd Bldg 1 STE J Voorhees,NJ08043	Sleep/Pulmonary
58	Surgery 500 Cross Keys Rd Bldg A Sicklerville,NJ08081	Surgery
59	Surgery 900 Centennial Blvd Bldg 1 STE E Voorhees,NJ08043	Surgery
60	Surgery 6014/6015 Main St Voorhees,NJ08043	Surgery
61	Surgery 1 2 4 Plaza Dr Bldg 2 STE 202 Sewell,NJ08080	Surgery
62	Surgery CNI PT 1935 Route 70 Cherry Hill,NJ08003	Surgery/CNI/PT
63	Surgical Specialties - Cancer Center 900 Centennial Blvd Bldg 1 STE G Voorhees,NJ08043	Surgical Specialties - Cancer
64	Urgent Care 195 Route 130 Cinnaminson,NJ08077	Urgent Care
65	Urgent Care 20 S Blackhorse Pike Runnemede,NJ08078	Urgent Care
66	Urgent Care 318 S Whitehorse Pike Audubon,NJ08106	Urgent Care
67	Urgent Care 2001 Route 70 East Cherry Hill,NJ08003	Urgent Care
68	UroGynecology 6012 Main St Voorhees,NJ08043	UroGyn
69	UroGynecology 3100 Quakerbridge Rd Hamilton,NJ08619	UroGynecology
70	Urology Surgery 127 Church Rd STE 400 500 Marlton,NJ08053	Urology Surgery
71	INTERNAL MEDICINE 180 TUCKERTON ROAD MEDFORD,NJ08055	INTERNAL MEDICINE

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	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 2015 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES (FPG) ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSES: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $58,788,394. Part I, Line 7G FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
PART II	COMMUNITY BUILDING ACTIVITIES: THE HEALTH OF THE SURROUNDING COMMUNITIES IS OF COOPER'S UTMOST CONCERN. FROM HEALTHCARE PROGRAMS FOR THE COMMUNITY TO EDUCATIONAL AND EMPLOYMENT PROGRAMS, COOPER STRIVES TO BE A RESPONSIBLE, INVOLVED COMMUNITY ADVOCATE. PLEASE SEE SCHEDULE O FOR THE COMMUNITY BENEFIT STATEMENT.
PART III, SECTION A, LINES 2 & 4	THE HEALTH SYSTEM ADOPTED ASU 2014-09 FOLLOWING THE MODIFIED RETROSPECTIVE METHOD EFFECTIVE JANUARY 1, 2018, FOR ITS CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF IMPLEMENTING ASU-2014-09, CERTAIN PATIENT ACTIVITY WHERE COLLECTION IS UNCERTAIN (REPRESENTING $58,788,394) NO LONGER MEETS THE CRITERIA FOR REVENUE RECOGNITION AND, ACCORDINGLY, REPRESENTS A REDUCTION TO NET PATIENT SERVICE REVENUE AS AN IMPLICIT PRICE CONCESSION. PLEASE SEE PAGES 15, 16 AND 28, 29 OF THE AUDITED FINANCIAL STATEMENTS FOR A DISCUSSION ON THIS TOPIC. THE HEALTH SYSTEM PROVIDES CARE TO THOSE WHO MEET THE STATE OF NEW JERSEY PUBLIC LAW 1992 (CHAPTER 160) CHARITY CARE CRITERIA. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED CHARGES. THE HEALTH SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE COST OF SERVICES PROVIDED AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED BASED ON THE HEALTH SYSTEMS COST ACCOUNTING SYSTEM. THE TOTAL DIRECT AND INDIRECT AMOUNT OF CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, WAS $29,708,319 AND $36,029,421 (revised since prior year return) FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY. THE HEALTH SYSTEM'S PATIENT ACCEPTANCE POLICY IS BASED UPON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE HEALTH SYSTEM ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS POLICY RESULTS IN THE HEALTH SYSTEM'S ASSUMPTION OF SIGNIFICANT PATIENT RECEIVABLE CREDIT RISKS. FOR THE YEAR ENDED DECEMBER 31, 2018, AND FOR SERVICES PROVIDED SUBSEQUENT TO THE ADOPTION OF ASU 2014-09 ON JANUARY 1, 2018, FOR PATIENTS WHO WERE DETERMINED BY THE HEALTH SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE EXPECTED UNCOLLECTED AMOUNTS ARE CLASSIFIED AS AN IMPLICIT PRICE CONCESSION WHICH REDUCES NET PATIENT SERVICE REVENUE. FOR PATIENT SERVICES PROVIDED PRIOR TO DECEMBER 31, 2017, PRIOR TO THE ADOPTION OF ASU-2014-09, FOR PATIENTS WHO WERE DETERMIEND BY THE HEALTH SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS WERE CLASSIFIED AS PROVISION FOR BAD DEBTS.
PART III, SECTION B, LINE 8	Medicare costs were derived from the 2018 Medicare Cost Report. Medicare underpayments (shortfall) and bad debt are community benefit and associated costs, in our opinion, should be includable on the Form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code (IRC) section 501(c)(3).The organization is recognized as a tax-exempt entity and charitable organization under IRC section 501(c)(3). Although there is no definition in the tax code for the term charitable, a regulation promulgated by the department of the treasury provides some guidance and states that the term charitable is used in IRC section 501(c)(3) in its generally accepted legal sense, and provides examples of charitable purposes, including the relief of the indigent or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term charitable to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC section 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard.
PART III, SECTION C, LINE 9B	COLLECTION PRACTICES: THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AS WELL AS IRC SECTION 501(R). EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX, OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS.
PART VI, QUESTION 2	NEEDS ASSESSMENT: Cooper Health System (CHS) conducts a review of key factor information annually which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare service estimates and forecasts (both and outpatient); assessments of local demographic and socioeconomic information; review of health status/needs assessments and studies conducted by external parties, including not limited to a community health needs assessment completed and approved by Cooper Health System in December 2016 as required by IRC Section 501(r). CHS is in a diverse suburban location serving diverse communities ranging from inner city communities in Camden to more affluent suburban areas. CHS is located in Camden, Camden County. Camden County is the 4th most populous county in the state with 21 counties. CHS is committed to service for its communities and serves both inner city and suburban areas. About 47.5 percent of its inpatients are of minority race/ethnicity. In addition, approximately 9.23 percent of its patients are of underinsured and uninsured payer categories.
PART VI, QUESTION 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: It is the policy of Cooper University Hospital to assist uninsured and underinsured patients with hospital and physician bills by providing discounts and payment plan options when eligibility for Medicaid or Charity Care have been exhausted due to excess income or resources. 1. Patients are screened for all potential third party liability resources, including Cooper related grants. 2. Referrals directed to uninsured patient coordinator originate from accounts receivable management and data services, physician offices, clinics and any other Cooper Hospital, off campus, facilities and can be made prior to or after a specified date of service(s). 3. Uninsured patient coordinator contacts physician departments to inform them of patient need for discount, secures discounted rates, and forwards to patient. 4. Patients are quoted prices by the uninsured patient coordinator that corresponds to Medicare expected reimbursement rates for outpatient procedures and Medicare base diagnosis-related group rate for hospitalizations. 5. All discounted rates are presented to the patient as well as payment plan options using the pricing estimate software tool that stores and prints standard estimates for patients. 6. Uninsured discount plan insurance and adjustments are posted to Hospital and Professional billing system when appropriate. 7. The uninsured patient coordinator determines and distributes patient payments amongst all hospital and physician departments.
PART VI, QUESTION 4	community information: THE ORGANIZATION IS IN A DIVERSE URBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN CAMDEN TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN CAMDEN, IN CAMDEN COUNTY. CAMDEN COUNTY IS THE fourth MOST POPULOUS COUNTY IN THE STATE WITH 21 counties. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS CAMDEN COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 47.5 PERCENT OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 9.23 PERCENT OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES.
PART VI, QUESTION 5	PROMOTION OF COMMUNITY HEALTH: This organization operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. The organization provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. The organization operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days a year. 3. The organization maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of the organization rests with its Board of Trustees; which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities.
PART VI, QUESTION 6	AFFILIATED HEALTH CARE SYSTEM: Cooper Health System (CHS) is committed enhancing the overall health status of the community by providing the highest quality healthcare and related services. CHS strives to exceed the patients' expectations emphasizing commitment, competence, collaboration, communication, and compassion. The respective roles of CHS and its affiliates in promoting the health of the communities served is as follows: - Cooper Medical Services, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(3). The organization supports the charitable purposes, programs and services of the Cooper Health System. - The Cooper Foundation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(C)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(A)(1). The organization receives charitable contributions and grants from various sources and disburses grants to primarily Cooper Health System for its mission and programs, but also to other Internal Revenue Code Section 501(c)(3) organizations. - The Cooper Cancer Center is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(1). The organization was established to ground lease to MD Anderson Cancer Center at Cooper University Healthcare, Inc. real property in Camden, NJ to cause the construction of, to obtain loan funding from certain qualified community development facilities under the new market tax credit to fund the construction costs for, to own and manage, and to lease back to Cooper Health System a new Cooper Cancer Institute building. - The Cooper Health System Worker's Compensation Trust is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(3). The organization provides worker's compensation insurance coverage to employees of the Cooper Health System. - Cooper Healthcare Services is a for-profit entity whose sole shareholder is Cooper Health System. The organization is located in Camden, New Jersey. The company is a holding company with zero activity. - C & H Collection Services, Inc. is a for-profit entity whose sole shareholder is Cooper Healthcare Services. The company is located in Camden, New Jersey. The company provides collection services for Cooper Health System and its affiliated companies. - Cooper Healthcare Properties, Inc. is a for-profit entity whose sole shareholder is Cooper Healthcare Services. The organization is located in Camden, New Jersey. The organization provides property management services. - Cooper's Physician Practices are incorporated professional corporations in the state of New Jersey. The practices support the overall health system's continuum of care. They are listed as follows: Cooper Perinatology Associates, P.C.; Center for Health and Wellness, P.C.; CHC Pain Management Center, P.A.; CMC Department of Medicine Group, P.A.; CMC Psychiatric Associates, P.C.; Cooper Anesthesia Associates, P.C.; Cooper Bone and Joint Institute, P.C.; Cooper Department of Neuroscience, P.C.; Cooper Faculty OB-GYN, P.C.; Cooper Family Medicine, P.C.; Cooper Gyn Oncology Association, P.C.; Cooper Obstetrical Associates, P.C.; Cooper Pathology, P.C.; Cooper Pediatric Specialists, P.C.; Cooper Pediatrics, P.C.; Cooper Physical Med & Rehab Associates, P.C.; Cooper Physician Offices, P.A.; Cooper Primary Care at Pennsville, P.A.; Cooper Surgical Associates, P.A.; Cooper University Trauma Physicians, P.C.; Cooper Urgent Care, P.C.; Critical Care Group, P.A.; Radiation Oncology, P.C.; University Urogynecology Association, P.C.; Cooper University Emergency Physicians, P.C.; Cooper University Radiology, P.C.; Cooper Nephrology, P.C.
PART VI, QUESTION 7	STATE FILING OF COMMUNITY BENEFIT REPORT: NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY AS IT IS NOT A STATE REQUIREMENT.

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Susan G Komen Breast Cancer Foundation 125 South 9th Street Philadelphia,PA19107	75-2949264	501(c)(3)	20,000	Sponsorship
(2) Head of Schuylkill Regatta 7 BOATHOUSE DR Philadelphia,PA19130	35-2366125	501(c)(3)	8,000	Sponsorship
(3) CAMDEN COUNTY PARKS DEPT 1301 PARK BLVD CHERRY HILL,NJ08002		Government	6,000	SPONSORSHIP
(4) CROHN'S & COLITIS FOUNDATION 150 Monument Road Suite 402 Bala Cynwyd,PA19004	13-6193105	501(c)(3)	10,000	SPONSORSHIP
(5) American Cancer Society 1851 Old Cuthbert Cherry Hill,NJ08034	13-1788491	501(c)(3)	8,250	Sponsorship
(6) National Brain Tumor Society 55 Chapel Street Ste 200 Newton,MA02458	04-3068130	501(c)(3)	7,500	Sponsorship
(7) American Heart Association 1 Union St 301 Robbinsville,NJ08691	13-5613797	501(c)(3)	7,500	Sponsorship

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I, QUESTION 2	Procedure for monitoring use of grant funds inside the U.S.: Grants are monitored by the organization's finance personnel through the utilization of cost centers and other information, including written documentation and receipts.

Schedule I (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on 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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

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 on 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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ADRIENNE KIRBY PHD PRES&CEO-COOPER UNIV HLTH/TTEE	(i) (ii)	857,821 ------------- 0	429,383 ------------- 0	140,383 ------------- 0	168,025 ------------- 0	20,568 ------------- 0	1,616,180 ------------- 0	129,383 ------------- 0
2MICHAEL E CHANSKY MD TRUSTEE/CHIEF, EMERGENCY MED	(i) (ii)	523,132 ------------- 0	47,710 ------------- 0	18,000 ------------- 0	9,625 ------------- 0	2,318 ------------- 0	600,785 ------------- 0	0 ------------- 0
3Generosa Grana MD Trustee/Dir Cooper Cancer Ins	(i) (ii)	722,397 ------------- 0	45,518 ------------- 0	18,500 ------------- 0	9,625 ------------- 0	2,677 ------------- 0	798,717 ------------- 0	0 ------------- 0
4Roland Schwarting MD Trustee/Chief, Pathology	(i) (ii)	639,163 ------------- 0	86,625 ------------- 0	0 ------------- 0	9,625 ------------- 0	13,845 ------------- 0	749,258 ------------- 0	0 ------------- 0
5Gary Lesneski Sr EVP/General Counsel	(i) (ii)	569,563 ------------- 0	608,000 ------------- 0	119,000 ------------- 0	9,625 ------------- 0	23,326 ------------- 0	1,329,514 ------------- 0	108,000 ------------- 0
6Robin L Perry MD Chief, Dept of Ob Gyn	(i) (ii)	584,815 ------------- 0	60,894 ------------- 0	0 ------------- 0	9,625 ------------- 0	34,198 ------------- 0	689,532 ------------- 0	0 ------------- 0
7Lawrence S Miller MD Chief, Orthopedic Surgery	(i) (ii)	891,799 ------------- 0	64,953 ------------- 0	18,500 ------------- 0	9,625 ------------- 0	35,388 ------------- 0	1,020,265 ------------- 0	0 ------------- 0
8William G Smith MBA VP CAO (end 8/3/18)	(i) (ii)	185,387 ------------- 0	0 ------------- 0	118,807 ------------- 0	6,030 ------------- 0	2,806 ------------- 0	313,030 ------------- 0	118,807 ------------- 0
9Jeffrey P Carpenter MD Chief of Surgery	(i) (ii)	1,047,486 ------------- 0	94,875 ------------- 0	0 ------------- 0	7,852 ------------- 0	33,109 ------------- 0	1,183,322 ------------- 0	0 ------------- 0
10Michael Rosenbloom MD Head, Div of Cardiothoracic Sg	(i) (ii)	1,624,618 ------------- 0	79,708 ------------- 0	0 ------------- 0	9,625 ------------- 0	35,701 ------------- 0	1,749,652 ------------- 0	0 ------------- 0
11Richard Y Highbloom MD Surgeon	(i) (ii)	1,161,311 ------------- 0	79,708 ------------- 0	0 ------------- 0	9,625 ------------- 0	20,257 ------------- 0	1,270,901 ------------- 0	0 ------------- 0
12Frank W Bowen III MD Surgeon	(i) (ii)	1,364,944 ------------- 0	79,708 ------------- 0	18,500 ------------- 0	9,625 ------------- 0	1,112 ------------- 0	1,473,889 ------------- 0	0 ------------- 0
13Anthony Mazzarelli MDJDMBA Chief Medical Officer, SVP OPS	(i) (ii)	651,727 ------------- 0	414,102 ------------- 0	75,102 ------------- 0	129,625 ------------- 0	33,162 ------------- 0	1,303,718 ------------- 0	64,102 ------------- 0
14Stephanie Conners Sr EVP, COO, CNO (end 7/1/18)	(i) (ii)	216,701 ------------- 0	262,352 ------------- 0	421,909 ------------- 0	3,606 ------------- 0	1,521 ------------- 0	906,089 ------------- 0	62,352 ------------- 0
15Adam Elfant MD Assc Division Head-Dept of Med	(i) (ii)	740,652 ------------- 0	317,980 ------------- 0	18,000 ------------- 0	9,625 ------------- 0	19,528 ------------- 0	1,105,785 ------------- 0	0 ------------- 0
16Steven E Ross MD Trustee/Dept of Surgery	(i) (ii)	349,367 ------------- 0	500 ------------- 0	0 ------------- 0	9,625 ------------- 0	26,667 ------------- 0	386,159 ------------- 0	0 ------------- 0
17Elizabeth Green SVP Human Resource	(i) (ii)	283,667 ------------- 0	71,542 ------------- 0	27,502 ------------- 0	41,825 ------------- 0	11,690 ------------- 0	436,226 ------------- 0	15,542 ------------- 0
18Kevin O'Dowd Sr EVP-chief admin off	(i) (ii)	638,441 ------------- 0	659,040 ------------- 0	88,540 ------------- 0	129,625 ------------- 0	33,566 ------------- 0	1,549,212 ------------- 0	59,040 ------------- 0
19Brian Reilly Chief Financial Officer	(i) (ii)	568,090 ------------- 0	20,000 ------------- 0	18,500 ------------- 0	63,429 ------------- 0	33,551 ------------- 0	703,570 ------------- 0	0 ------------- 0
20Gregory Kubicek MD Physician	(i) (ii)	985,926 ------------- 0	111,135 ------------- 0	0 ------------- 0	4,614 ------------- 0	9,749 ------------- 0	1,111,424 ------------- 0	0 ------------- 0
21Kenneth M Wright SVP/CHIEF ACCTG OFFICER	(i) (ii)	193,281 ------------- 0	52,167 ------------- 0	17,697 ------------- 0	36,000 ------------- 0	129 ------------- 0	299,274 ------------- 0	0 ------------- 0
22Robert Hockel SVP, OPERATIONS	(i) (ii)	253,568 ------------- 0	0 ------------- 0	0 ------------- 0	32,500 ------------- 0	21,919 ------------- 0	307,987 ------------- 0	0 ------------- 0
23Kathleen Devine RN DRNP SVP/Chief Nursing Officer	(i) (ii)	221,699 ------------- 0	26,719 ------------- 0	6,719 ------------- 0	38,929 ------------- 0	32,747 ------------- 0	326,813 ------------- 0	6,719 ------------- 0
24Eric Kupersmith MD Chief Physician Executive	(i) (ii)	489,812 ------------- 0	83,138 ------------- 0	27,138 ------------- 0	64,625 ------------- 0	27,567 ------------- 0	692,280 ------------- 0	27,138 ------------- 0
25Jayashree Raman Chief Information Officer	(i) (ii)	315,581 ------------- 0	160,019 ------------- 0	79,509 ------------- 0	9,625 ------------- 0	13,694 ------------- 0	578,428 ------------- 0	42,509 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

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.

Return Reference

Explanation

Part I, Line 4a

Stephanie Conners, Sr. EVP, COO, CNO $348,558 Part I, Line 4b DURING THE YEAR, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAD A PORTION OF THE CONTRIBUTIONS VEST IN THE PLAN IN THE CURRENT YEAR. SUCH VESTED CONTRIBUTIONS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. ADRIENNE KIRBY ANTHONY MAZZARELLI KEVIN O'DOWD GARY LESNESKI KATHLEEN DEVINE ELIZABETH GREEN ERIC KUPPERSMITH JAYASHREE RAMAN WILLIAM G. SMITH STEPHANIE CONNERS DURING THE CALENDAR YEAR, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAD A PORTION OF THE CONTRIBUTIONS CONSIDERED NOT YET VESTED; THEREFORE, UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFFERED COMPENSATION. ADRIENNE KIRBY ANTHONY MAZZARELLI KEVIN O'DOWD KATHLEEN DEVINE ELIZABETH GREEN ERIC KUPPERSMITH ROBERT HOCKEL BRIAN REILLY KENNY WRIGHT

Part I, Line 7

Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operation achievements. The final determination of the bonus amount is determined and approved by the board as part of the overall compensation review of the officers, key employees, and top five highest compensated.

Schedule J (Form 990) 2018

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Camden County Improvement Authority	22-2681222	13281QAY1	08-01-2013	53,048,439	various capital projects		X		X		X
B	New Jersey Economic Dev Auth	22-2045817		11-09-2009	10,000,000	Construction/Refund Issue		X		X		X
C	Camden County Improvement Authority	22-2681222	645918TVS	11-04-2008	50,000,000	Construction-Bldg, Various		X		X		X
D	Camden County Improvement Authority	22-2681222	13281QBP9	11-18-2014	159,117,690	Refund Issues 12/25/05, 6/26/04		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		7,672,000		0		13,550,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	53,105,151		10,000,000		50,000,000		159,117,690
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,050,969		190,000		986,526		1,966,144
8 Credit enhancement from proceeds .............	0		0		208,947		0
9 Working capital expenditures from proceeds .............	0		0		0		192,465
10 Capital expenditures from proceeds .............	48,507,681		5,771,076		48,804,527		0
11 Other spent proceeds .............	0		4,038,924		0		156,959,437
12 Other unspent proceeds .............	3,546,501		0		0		0
13 Year of substantial completion .............			2010		2009
	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) 2018

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?					X		X
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 ....	0 %		0 %		0.400 %		0.100 %
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 .........					0 %		0 %
6 Total of lines 4 and 5 .............					0.400 %		0.100 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X	X			X		X
c No rebate due? .........	X			X	X			X
If "Yes" to 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		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part II, Line 3, Column A	The total proceeds exceeds the issue price by the investment earnings earned to date.
Part II, Question 11, Columns B&C	THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW
Part IV, Question 2(C), Column A	A REBATE REPORT WAS COMPLETED ON 7/31/2018 WITH NO REBATE BEING DUE
Part IV, Question 2(C), Column C	A REBATE REPORT WAS COMPLETED ON 11/18/2016 WITH NO REBATE BEING DUE; AN INTERIM REBATE REPORT WAS COMPLETED ON 7/31/2018 WITH NO REBATE BEING DUE

Schedule K (Form 990) 2018

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting 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) 2018

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Bonnie J Mannino	FAMILY MEMBER-PERRY	163,758	Employee		No
(2) JOANNE MAZZARELLI	FAMILY MEMBER-MAZZARELLI	430,727	Employee		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

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Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

The Cooper Health System A New Jersey
Non-Profit Corporation

Employer identification number

21-0634462

Return Reference	Explanation
Form 990, Part VI Disclosures	Form 990, Part VI, Section A, Line 2 A family relationship exists between George E. Norcross, III and Philip A. Norcross, ESQ. Form 990, Part VI, Section B, Line 11b As part of the tax return preparation process, the organization hired a professional CPA firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the Federal Form 990. The CPA firm's tax professionals worked closely with the organization's finance personnel and other senior management members of the organization and the system to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft Federal Form 990 and furnished it to the organization's finance personnel and other senior management members for their review. The organization's finance personnel and other senior management members reviewed the draft Federal Form 990 and discussed questions and comment with the CPA firm. Revisions were made to the draft Federal Form 990, where necessary, and a final draft was furnished by the CPA firm to the organization's finance personnel and other senior management members for further review and approval. The Form 990 is then presented to and reviewed by the members of the Cooper Health System Audit/Ethics & Compliance Committee of the Board of Trustees. The Bylaws of the Board of Trustees provide that this Committee of the Board review the annual Federal Tax Return prior to its filing. Once that Committee's review and approval process has concluded, the completed Form 990 is shared with the entire Board prior to its filing with the IRS. FORM 990, SECTION B, PART VI, LINE 12C THE FILING ORGANIZATION IS THE PARENT ENTITY IN THE COOPER HEALTH SYSTEM. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE CHIEF COMPLIANCE OFFICER AND REVIEWED WITH INTERNAL AUDIT, THE FINANCE DEPARTMENT, AND GENERAL COUNSEL. BOTH DATA AND A SUMMARY ARE PRESENTED TO THE COOPER HEALTH SYSTEM'S AUDIT/ETHICS & COMPLIANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION. THE ORGANIZATION'S COMPLIANCE AND LEGAL DEPARTMENTS HAVE DEVELOPED PROCESSES TO REVIEW AND PRESENT POTENTIAL CONFLICTS TO THE AUDIT/ETHICS & COMPLIANCE COMMITTEE. Form 990, Part VI, Section B, Lines 15A & 15b The organization follows a process for determining the compensation of senior executives which is compliant with the requirements of Internal Revenue Code Section 4958 to enable the organization to receive the rebuttable presumption of reasonableness: 1. The organization's Bylaws charge the Audit/Ethics & Compliance Committee with the role of approving the selection of an executive compensation consulting firm and the services, including the methodology that will be employed by that firm, confirms the independence of the executive compensation survey and thereafter recommends to the Executive Committee of the Board the executive compensation survey prepared by the outside consultant. The Audit/Ethics & Compliance Committee is comprised entirely of independent members and no member of the Committee is either: a member of the Board's Finance Committee or an ex officio member of the Board, or; has had any material financial dealings with the organization, or; otherwise has a conflict or duality of interest or the appearance of a conflict or duality of interest with the organization; 2. The selected outside consulting firm prepares a written, detailed report reviewing compensation for more than 20 senior executives, which documents relevant market comparability data, as well as the methodology, job matches, and survey sources used for the executive compensation review, and includes the firm's opinion that the executives' compensation falls within a reasonable range of competitive market practice applicable to like positions among like organizations under like circumstances, for purposes of compliance with Section 4958 of the Internal Revenue Code; 3. The Executive Committee of the Board is the required internal approval agent for executive compensation. In that role the Committee reviews and considers all recommendations made by the Audit/Ethics & Compliance Committee, reviews and approves the report of the outside consulting firm, approves compensation for the affected executives based upon the report and recommendations, and where applicable, recommends to the full Board any actions which the Committee deems necessary in response to the outside consulting firm's report; 4. The actions of both the Audit/Ethics & Compliance and Executive Committees are documented in the minutes of the Committee meetings. Additionally, the Executive Committee monitors the organization's compliance with policy regarding compensation of employed physicians. By organization policy, the full Board must approve all new and renewed physician contracts for: Chiefs and/or Institute Medical Directors; all other physicians who report directly to the organization's President and Chief Executive Officer; all physicians whose base compensation exceeds the 75th percentile of MGMA benchmark data; all physicians who are either corporate officer or Board or Committee members, and; all physicians who have an interest in any entity that refers business to the organization or otherwise has disclosed a potential conflict of interest in his/her annual disclosure survey or supplementary disclosure. Form 990, Part VI, Section C, Line 19 The organization has issued tax-exempt bonds to finance various capital improvement projects, renovations and equipment. In conjunction with the issuance of these tax-exempt bonds, the organization's financial statements were included with the tax-exempt bond prospectus which was made available to the general public for review. In addition, the organization's filed certificate of incorporation and any amendments, BYLAWS AND conflict of interest policy can be viewed on the organization's website.
Form 990, Part VII	The Cooper Health System also has one Trustee Emeritus, non-voting member: Peter E. Driscoll, Esq. Part VII reflects certain board trustees or board officers receiving compensation and benefits from the organization including: Adrienne Kirby, PhD (Trustee & Officer) Michael E. Chansky, MD, PhD (Trustee) Generosa Grana, MD (Trustee) Roland Schwarting, MD (Trustee) Steven E. Ross, MD (Trustee) Gary Lesneski (Officer) Jane M. Tubbs (Officer) Dina Mathews Laurendeau (Officer) Anthony Mazzarelli, MD, JD, MBA (Officer) Stephanie Conners (Officer) Kevin O'Dowd (Officer) Brian Reilly (Officer) Kathleen Devine, RN DRNP (Officer) Eric Kuppersmith, MD (Officer) Jayashree Raman (Officer) Please note that remuneration was for services rendered as full-time employees of the organization, not for services rendered as a voting trustee or officer of the organization's board of trustees.
Form 990, Part XI, Line 9	Reconciliation of Net Assets: Change in interest rate swap $ 973,195 Change in Pension Benefit Obligation 1,448,452 UBI from investments (158,540) ------------ Total $ 2,263,107
Part III, Line 1:	COOPER HEALTH SYSTEM IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING THE SOUTHERN NEW JERSEY REGION. COOPER HEALTH SYSTEM'S MISSION IS TO SERVE, TO HEAL, AND TO EDUCATE. COOPER ACCOMPLISHES ITS MISSION THROUGH INNOVATIVE AND EFFECTIVE SYSTEMS TO CARE AND BY BRINGING PEOPLE AND RESOURCES TOGETHER, CREATING VALUE FOR OUR PATIENTS AND THE COMMUNITY. COOPER'S VISION IS TO BE THE PREMIER HEALTH CARE PROVIDER IN THE REGION, DRIVEN BY ITS EXCEPTIONAL PEOPLE DELIVERING A WORLD CLASS PATIENT EXPERIENCE, ONE PATIENT AT A TIME, AND THROUGH ITS COMMITMENT TO EDUCATING THE PROVIDERS OF THE FUTURE. Part III, Line 4: The Cooper Health System, A New Jersey Non-Profit Corporation (CHS) is a New Jersey Non-Profit Organization. CHS is comprised of three divisions: The Cooper University Hospital (CUH), Cooper University Physicians (CUP) and MD Anderson Cooper Cancer Center. The CUH includes the operations of Cooper University Health Care and the Children's Regional Hospital at Cooper, as well as programs focusing on ambulatory diagnostic and treatment services, wellness and prevention, and many other health services. The CUP consists primarily of the employed medical staff. MD Anderson Cooper Cancer Center provides cancer patients with the most advanced diagnostic and treatment technologies available. Statistics for the year: Hospital admissions: 28,716 average daily census: 439 emergency department visits: 80,802 urgent care visits: 46,511 outpatient visits: hospital 363,996; physician practices 1,308,776 surgical cases: 23,110 trauma cases: 3,766 cancer visits: inpatient 3,075; outpatient 123,839 licensed beds: 635 (includes 35 NICU/Newborn Bassinets) Community benefit statement index: References lower right-hand corner page number. 1. Background, Page 94 2. Charitable purposes, charity care and community activites, Page 96 3. Vision and Mission of the Cooper Health System, Page 98 4. Signature Programs, Page 98 5. Other Medical Specialties, Page 108 6. Cooper Community Benefit Programs, Page 109 (A) Comm Hlth, Educ, Clinical Svcs, Fundraising, grantwriting, Page 109 (B) Health Professional Education, Page 112 (C) Subsidized Health Services, Page 114 (D) Research-clinical and Community Health, Page 120 (E) Cash-in-kind Contributions to Community Groups, Page 120 (F) Community Building, Page 120
Community benefit statement	1) Background Cooper University Health Cares hospital (Cooper University Hospital) is the clinical campus of Cooper Medical School of Rowan University, and a leading provider of health services to southern New Jersey. Cooper has been a vital institution in Camden since 1887. In the past decade, Cooper has greatly expanded its facilities and services in Camden and throughout South Jersey. Annually, there are more than 1.6 million patient visits to Cooper University Health Care facilities. Cooper's main hospital campus is located on the Health Sciences Campus in Camden, New Jersey. Cooper has a long history of outreach and service to its local community, including health and wellness programs for the neighborhood, development of three neighborhood parks, outreach programs in local schools, and partnering with local organizations to rehabilitate nearby residential properties. Cooper has also expanded its footprint in the city with the construction of a state-of-the-art medical, 10 story patient pavilion, the MD Anderson Cancer Center at Cooper, and Cooper Medical School of Rowan University. MD Anderson Cooper opened in 2013 at the corner of Haddon Avenue and Martin Luther King Boulevard. This freestanding 103,000 square foot facility provides integrated diagnosis, treatment and cancer care. Cooper partnered with MD Anderson, the nations leading cancer center, to offer the most advanced cancer care to patients in South Jersey and the Delaware Valley. Today, thousands of New Jersey residents choose to stay in the Garden State for first-rate cancer care. Cooper Medical School of Rowan University (CMSRU), located on Coopers Camden Campus, is proudly mission driven and focused on developing highly skilled and socially conscious physician leaders who value a patient-centered, team-approach to health care. Cooper also offers training programs for medical students, residents, fellows, and nurses in a variety of specialties. Cooper University Health Care has over 7,000 employees and a medical staff of more than 800 physicians in more than 75 specialties. Cooper offers a network of comprehensive ambulatory as well as hospital services, which includes prevention and wellness, primary and specialty physician services, hospital care, ambulatory diagnostic and treatment services, and education and support services within southern New Jersey and the entire Delaware Valley. Cooper physicians are also involved in ongoing research and development as they keep abreast of changing modalities of medical care. As an academic medical center, Cooper continuously attempts to improve patient's quality of life through the research efforts of its medical staff. Cooper University Health Care takes pride in its ability to offer a comprehensive array of diagnostic and treatment services. The hospital serves as southern New Jersey's major tertiary-care referral hospital for specialized services. These signature programs include: Level I Southern New Jersey Regional Trauma Center; MD Anderson Cancer Center at Cooper, the Cooper Heart Institute, the Cooper Bone & Joint Institute, and the Cooper Neurological Institute and Critical Care. Cooper is also home to The Children's Regional Hospital, the only state-designated children's hospital in South Jersey. 2) Charitable Purposes, Charity Care and Community Activities Cooper is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Moreover, Cooper operates consistently with the following criteria outlined in IRS revenue ruling 69-545: a. Cooper provides medically necessary health care services to all individuals regardless of ability to pay - including charity care, self-pay, Medicare and Medicaid patients. b. Cooper operates an active emergency room for all persons, which is open 24 hours a day, 7 days a week, 365 days per year. c. Cooper maintains an open medical staff, with privileges in most services available to all qualified physicians. d. Cooper is governed by its Board of Trustees which is comprised of independent civic leaders and other prominent members of the community. As demonstrated by the above IRS criteria, as well as other information contained herein, the use and control of Cooper is for the benefit of the public and no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Cooper provides health care services to all persons in a non-discriminatory manner regardless of race, color, creed, sex, national origins or ability to pay. Moreover, Cooper provides health care services to patients who meet certain criteria under its charity care policy in compliance with the New Jersey state attorney general without charge or at amounts less than established rates. Cooper maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Additionally, as outlined herein, Cooper sponsors other charitable programs, which provide substantial benefit to the broader community. Such programs include services to the low income and elderly population that require special support, various clinical outreach programs as well as health promotion and education for the general community welfare. 3) Vision and Mission of The Cooper Health System Vision Statement Cooper University Health Care will be the premier health care provider in the region, driven by our exceptional people delivering a world-class patient experience, one patient at a time, and through our commitment to educating the providers of the future. Mission Our mission is to serve, to heal, to educate. We accomplish our mission through innovative and effective systems of care and by bringing people and resources together, creating value for our patients and the community.
Community benefit statement continued	4) Signature Programs - Cooper Heart Institute The Cooper Heart Institute is the most comprehensive cardiovascular program in southern New Jersey. At Cooper, cardiac patients have access to a world-renowned team of cardiovascular experts, the most advanced technology and the best care options. Cooper provides the full spectrum of heart care from prevention and diagnosis, to the most innovative non-surgical techniques and surgical treatments-from special stenting procedures to opening blocked heart arteries to beating heart surgery and complex heart valve surgery. Cooper was the first in the region to offer novel approaches for treating heart disease such as TAVR, WATCHMAN, Linq, MitraClip, and others. Cooper conducts cutting-edge clinical research in areas such as interventional cardiology, electrophysiology and arrhythmias, and the treatment of cardiogenic shock. The Cooper Heart Institute is the region's expert in treatment of acute myocardial infarction, and receives urgent transfers of seriously ill cardiac patients round-the-clock. In 2018, Cooper University Health Care and Inspira Health Network have integrated the cardiac services lines from both organizations to form a new collaborative called Cardiac Partners at Cooper and Inspira. This affiliation was established in January 2018 and provides patients in the South Jersey region with access to more coordinated and comprehensive cardiac services across the continuum of care. The combination of the two systems heart services makes Cardiac Partners the largest cardiac program in South Jersey, with a network of more than 65 clinicians. This innovative delivery care model provides patients with better access to more efficient, high-quality cardiac care in more locations throughout southern New Jersey. - Cooper Bone and Joint Institute The Cooper Bone and Joint Institute is staffed by orthopaedic physicians who provide comprehensive surgical and non-surgical services for disorders of the musculoskeletal system. As part of the Level I Trauma Center in southern New Jersey, they are an integral part of the trauma team that handles the most complex orthopaedic injuries. Cooper's orthopaedic surgeons are experts who are developing innovative techniques in arthroscopic surgery; joint replacement of the shoulder, hip, and knee; ankle, elbow, and spine surgery; orthopaedic oncology; as well as hand and upper extremity surgery, re-plantation and orthopaedic reconstruction. The Cooper Bone and Joint Institute also provides a collaborative multidisciplinary concussion program and orthopaedic rehabilitation. The Cooper Bone and Joint Institutes comprehensive programs offer a unique continuum of care and highly integrated health care delivery system. The goal of the Cooper Bone & Joint Institute is simple: to return patients to normal function as quickly and safely as possible. To reach this goal, the medical professionals at the Cooper Bone and Joint Institute enlist a comprehensive, leading edge approach to the prevention, assessment, treatment and rehabilitation of musculoskeletal injuries. The Cooper Bone and Joint Institute's highly trained team of surgeons, nurses, physician assistants, rehabilitation specialists and various medical support personnel works with each patient and their primary care physician to develop a treatment plan specifically for that patient. By combining extensive clinical expertise with a compassionate, caring, treatment philosophy, the Cooper Bone and Joint Institute has created a program known for its quality of care. - MD Anderson Cancer Center at Cooper Within MD Anderson Cancer Center at Cooper, multidisciplinary disease-site specific teams, consisting of physicians (medical, gynecologic, radiation and surgical oncologists), advanced practice nurses, nurses and other clinical specialists, work together to provide cancer patients with the most advanced diagnostic and treatment technologies available - from cutting-edge radiation oncology technologies such as CyberKnife radiosurgery, to advanced chemotherapy regimens and innovative surgical techniques including minimally invasive and robotic. A full complement of support services including nutritional counseling, genetic testing and counseling, social work services, complementary medicine therapies and behavioral health support services provides complete, compassionate care for all patients. In September 2013, Cooper partnered with MD Anderson Cancer Center in Houston, Texas - the nations leading cancer center. MD Anderson Cooper physicians adhere to the philosophy, processes and guidelines set by MD Anderson in Houston, Texas, and patients receive the same proven practice standards and treatment plans provided at MD Anderson. Today at MD Anderson Cooper, patients have access to more clinical trials, for more types of cancer than ever before. The MD Anderson Cancer Center at Cooper building in Camden is the cornerstone of our partnership and is one of the most tangible examples of the integration between our two organizations. At this new center, patients experience MD Andersons signature, multidisciplinary approach to care in a state-of-the-art setting close to home. Every aspect of the patient experience at MD Anderson Cooper is modeled on the care and operational structure at MD Anderson in Houston. Advanced, comprehensive outpatient cancer services are also provided at our Voorhees and Willingboro locations with the same focus on multidisciplinary care. Inpatient cancer care is provided at Cooper University Hospital - South Jerseys only dedicated inpatient oncology unit. - Center for Critical Care Services Cooper has earned the distinguished reputation as the critical care provider to the region's most seriously ill. Known for its clinical and academic excellence, the center has a state-of-the-art intensive care unit and an acclaimed clinical research program. More than 40 percent of inter-hospital transfers from South Jersey are directed to Cooper's critical care service since the implementation of the Cooper Transfer Center. Critical care physicians at Cooper are among the world's experts in the treatment, and research of sepsis and septic shock. Cooper is also the region's leading provider of therapeutic hypothermia, and has established the Cooper Resuscitation Center to handle the transfer and care of patients post cardiac arrest, providing the best-possible change for optimal recovery. When a child has a serious illness or has suffered serious trauma, Cooper directs the highest caliber of attention to the child's critical care needs. Cooper's pediatric intensive care service, which admits nearly 1,200 children each year, is staffed by pediatric critical care specialists who have the most sophisticated medical equipment at their disposal. Inter-hospital transfers from South Jersey are directed to Cooper's pediatric transfer center. When patients must be transported here from area hospitals, an experienced team of critical care transport specialists provide ongoing monitoring during the ground or air transport. - Cooper Level 1 Trauma Center Each year, nearly 3,700 critically injured patients are transported to Cooper's Level I Trauma Center, South Jersey's only Level I trauma service. Whether they arrive by helicopter or ambulance, the mission of the trauma team remains the same: resuscitate, evaluate and treat the patient's injuries as quickly as possible. Cooper's Trauma Center is known and respected throughout the region and is the most active trauma center in the entire Delaware Valley. Cooper's trauma teams have saved tens of thousands of lives. The Trauma Center at Cooper was established in 1982 and is one of only three New Jersey state-designated Level I trauma centers. Cooper serves as the regional trauma center for southern New Jersey including Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Ocean and Salem Counties; and as a resource for the Level II Trauma Centers in our region. A Level I trauma center cares for severely injured patients including persons involved in motor vehicle accidents, falls, and assaults with guns, knives, or other blunt objects. The Level I Trauma Center at Cooper has also been recognized and verified by the American College of Surgeons as a Level II Pediatric Trauma Center Cooper is the first hospital in South Jersey and the second among the New Jerseys Level I trauma centers to achieve this verification. Cooper's trauma center is part of a statewide network of trauma centers. These centers participate in multiple national research studies to advance treatments for brain damage, spinal cord injuries and shock management. Cooper's nationally recognized Traumatic Injury Prevention Programs are geared for teens, education professionals and senior citizens with 300 programs reaching over 12,800 individuals and since the inception of the program, the team has reached over 200,000 individuals. Additional classes are held through Cooper's partici
Community benefit statement continued	- Cooper Neurological Institute The Cooper Neurological Institute (CNI) is dedicated to providing exceptional, compassionate and easy-to-access care to patients with neurological diseases and disorders - and applying innovative and promising solutions, from surgery and minimally invasive procedures of the brain and spine, to radiosurgery and magnetic guidance systems. The medical staff at the CNI includes renowned neurologists, neurosurgeons and experts from many other sub specialists. The CNI Stroke Program was recently awarded The Joint Commissions Gold Seal of Approval and the American Heart Association/American Stroke Associations Heart-Check mark for Advanced Certification for Comprehensive Stroke Centers. The Gold Seal of Approval and the Heart-Check mark represent hospitals with the highest level of stroke care and are symbols of quality from their respective organizations. Cooper is one of only seven hospitals in New Jersey and the only one in South Jersey to achieve this significant certification. The CNI is the only program in southern New Jersey, and one of the first hospitals in the U.S., to offer patients the Leksell Gamma Knife (federally registered trademark symbol) Perfexion (unregistered trademark symbol). Gamma Knife Perfexion radiosurgery is available for the treatment of patients with brain disorders such as cancers and tumors, vascular abnormalities, functional disorders, and ocular disorders. The Gamma Knife surgical technology provides brain surgery without any incisions, and is as precise as a pinpoint. A patient can normally return home the same day. The CNI also treats patients for Parkinson's Disease, tremors and dystonia. CNI provides deep brain stimulation (DBS) which involves the implantation in the brain of a thin electrode which is connected to a neurostimulator the size of a pacemaker. Once in place, patients can experience relieved or decreased symptoms of tremor, rigidity, slowness of movement, stiffness, and balance. CNI also provides help for patients with gait or balance dysfunction. The CNI provides a full range of services - from sophisticated diagnostics to advanced rehabilitation resources-and offers the most progressive medical and surgical treatments in virtually every neurological field. - Children's Regional Hospital at Cooper A hospital-within-a-hospital, the Children's Regional Hospital at Cooper (CRH) provides the finest pediatric services available to the children of southern New Jersey. Designated by the State Department of Health as a specialty, acute care children's hospital, Cooper is uniquely equipped and carefully staffed to treat the region's most critically ill and seriously injured children, from newborns to adolescents. Physicians and surgeons are recruited from the best children's hospitals in the nation. And because they are experts in their fields, they are also faculty members at Cooper Medical School of Rowan University. Coopers only pediatric trauma program in South Jersey was certified Level II in 2015. Newborn Intensive Care Unit was awarded NIDCAP Nursery Certification, only the second hospital in the world to receive this certification. Cooper also has a Regional Cleft-Palate Craniofacial Program. In addition to its facilities and staff, the CRH membership in the National Association of Children's Hospitals and Related Institutions (NACHRI) ensures access to the most current standards of pediatric care in practice in the U.S.Each year, more than 3,800 children are admitted to the Children's Regional Hospital at Cooper for specialized care. More than 13,700 children are treated each year in its pediatric emergency room. In addition, there are more than 27,900 outpatient visits each year to the pediatric medicine and surgical specialists of the CRH. The CRH provides a wide range of pediatric services for infants, children and adolescents from southern New Jersey, Philadelphia and throughout the Delaware Valley. The CRH's services are comprehensive with the clinical staff and medical technology to diagnose the most complex pediatric diseases in an environment where the focus is on the child and the family. In addition to its highly skilled physicians, the CRH is staffed with nurses, clinical specialists, therapists, nutritionists, social workers and technicians who are dedicated to providing the highest caliber of care in each of their respective professions. Their excellent training is complemented by their dedication to serving the special needs of children. - Cooper Center for Urgent and Emergent Services Cooper Center for Urgent and Emergent Services include Cooper Emergency Department; Urgent Care Centers; 911 Emergency Medical Services; Air Medical Services; and, the Cooper Transfer Center. Coopers Emergency Department in Camden handles more than 80,000 visits annually which averages approximately 220 a day. Seeking to provide an alternative to the Emergency Department for patients in the region, Cooper has a growing network of Urgent Care Centers including centers in Audubon, Cherry Hill, Cinnaminson and Runnemede. Unlike others Urgent Care Centers in the region, Coopers is staffed by an Emergency Medicine physician at all times, at the ready to provide the higher level of care Cooper is known for. When visiting Cooper Urgent Care, patients can walk-in or can reserve a spot ahead of time so the team is ready and waiting. During 2018, Cooper continued comprehensive Basic Life Support (BLS) and Advanced Life Support (ALS) Emergency Medicine Service in Camden. Cooper EMS averages more than 60 ambulance runs per day and has two ALS transport vehicles, in two separate locations, on call 24 hours a day, seven days a week improving the timeliness of care and transport of critically ill or injured patients. Cooper also has at least two BLS units on call 24 hours a day, seven days a week and up to five BLS units during peak call times. Cooper EMS has also worked to build strong community relationships and provides training to a number of other emergency service agencies serving the City of Camden. Cooper Air Medical Transport, Cooper 1, provides critical care air medical transportation from locations throughout the seven counties of southern New Jersey to Cooper University Hospital. During 2018, there were more than 400 air transports to Cooper. Critically injured patients receive rapid transport from emergency scenes to Coopers Level I Trauma Center, the only Level I adult trauma and Level II pediatric trauma center in South Jersey. Additionally, Cooper 1 provides rapid transfer for patients at other hospitals in the region who are critically ill or injured and need the advanced medical and/or surgical care only available at Cooper. The Cooper Transfer Center is a service offered to hospitals and physicians who wish to initiate a patient transfer to Cooper University Hospital. The transfer requires physician-to-physician consultation, which the transfer center initiates. By providing one point of contact, the Cooper Transfer Center streamlines the transfer process. A Transfer Nurse Coordinator is on-duty 24/7.
Community benefit statement continued	5) Other Medical Specialties Cooper offers a variety of innovative prevention programs, state-of-the-art diagnostic and treatment techniques, and a dedicated team of physicians, nurses and other medical professionals. From its signature programs in cancer, cardiology, critical care, neurology, orthopaedics and trauma to its innovative programs in radiology, oncology and pediatrics, Cooper offers a full range of care and services for adults and children. 6) Cooper Community Benefit Programs The health of its surrounding communities is of Cooper's utmost concern. From health care programs for the community to educational and employment programs, Cooper strives to be a responsible, involved community advocate. Many, but not all, of Cooper's community benefit activities are outlined below. (A) Cooper's Community Benefit Activities: Community health, health education, clinical services, and fundraising/grant writing for community benefit programs 1. Community Health Outreach - Classes and Health screenings for the community: (i) Classes for Parents - Classes and support groups offered by Cooper include, but are not limited to, the following: - Breastfeeding: An Introduction - Examines the benefits of breastfeeding and discusses how to get started, positioning techniques and community resources. - Childbirth Preparation / Education Classes - Obstetrical Unit Tours - Infant/Child CPR Class-certification - CPR - Non-certified Training - Early Pregnancy Consultation - Breastfeeding Support Group - Child and Infant Car Seat Safety Workshop (ii) Community programs, screenings and activities, most of which are free of charge. Includes events and educational classes such as (not an all-inclusive list): - Diabetes Support Group - Health Screenings: Stroke, Cholesterol, Glucose, Blood Pressure, Peripheral Vascular Disease - The Diabetes Weigh: Personalized Diabetes Management Program - Yoga - Exercise Classes - RipaCenter Health and Wellness-Seminars - Breast Health Education - Community Based diabetes education classes - Health Conferences and health fairs - Health and wellness-Nutrition Programs - Healthy Living Free Seminars - eHealth Connection Newsletters - Health eTalk Web Chat - Teachers and Coaches Seminars - Concussion and sports related injuries education and outreach - MD Anderson Cancer Center at Cooper Dr. Diane Barton Complementary Medicine Programs: Restorative Yoga, Qi Gong, Mindfulness Meditation, Live and Learn, Annual Survivors Day Celebrations, Horticultural Therapy, Other Programs by the Cooper Learning Center: Educational assessments, Reading enrichment programs, Comprehensive ADD & ADHD assessments, Fast forward language programs, Writing and language programs, Math programs, Anger management, Social skills, Study skills, Parenting sessions, Therapeutic Services, Psychological Services, Services and Programs for Teachers and Schools, Summer Reading Programs in Camden and the Community, The Rookie Reader Program 2. Trauma Education: The Trauma Outreach Program offers a variety of educational and interventional classes that focus on injury/trauma prevention. For the past 15 years the Trauma Outreach Programs has been committed to reducing the incidence of trauma injuries in southern New Jersey by delivering comprehensive trauma/injury intervention programs. Programs and classes include such topics as: Alcohol Abuse and Outcomes, Don't fall for Us, Drivers Education, Prom Program, Risk Taking, Teen Drug Use and Outcomes, Youth Gang Violence, Tours of the trauma facilities for schools and students, and Safe Kids Walk to School Day. The Department also provides courses, programs and education sessions for local EMS organizations. 3. Safe Kids Southern New Jersey Coalition: This local coalition covers the Camden, Gloucester, and Burlington county area and is one of more than 300 groups across the country and around the world organized by the National SAFE KIDS Campaign. Cooper University Hospital serves as the lead organization for the coalition of hospitals, public safety departments, non-profits, businesses, and concerned parents. The mission of the coalition is to reduce accidental injuries and deaths of children ages 14 and under through education in schools. Safe Kids Southern New Jersey draws on the strength of its grassroots participation and brings together a cross-section of community leadership including Law enforcement, Firefighters and paramedics, Medical and health professionals, Educators, Parents, Businesses, Public policymakers, and Media. Current programs also include classes on car seat safety, bike helmet safety, summer safety and home safety. 4. Life Support Training Center: Basic Life Support (BLS) Training teaches the process of supplying rescue breaths and chest compressions to individuals experiencing cardiac arrest. The Life Support Training Center offers two basic programs: Healthcare Provider BLS for health professional and HeartSaver AED for community members. community members.
Community benefit statement continued	(B) Health professional education, physicians, medical students, nurses, etc.; scholarship 1. Continuing Medical Education -In July 2012, Cooper received a six-year accreditation with commendation (until July 2018). Cooper is the only hospital or health system in southern New Jersey with national accreditation. Moreover, only an average of seven percent of all national CME providers receives a six-year accreditation with commendation (approximately 49 providers). All CME activities target primary care physicians and physicians from all specialties. Other allied health professionals including fellows, residents, advanced practice nurses, physician assistants, nurses, technicians, and medical students also attend. This year's topics included anesthesiology, various cancers, gynecologic oncology, cancer survivorship, orthopaedics, hypnosis, cardiovascular disease, rheumatology, pediatric emergencies, and clinical research. All areas of interest are covered in our in-house series and joint-sponsorship series. 2. Graduate Medical Education - Cooper's GME programs train approximately 260 residents and fellows per year. Cooper Medical School of Rowan University In October 2009, Cooper and Rowan University announced a landmark partnership to establish a medical school - the first four-year allopathic medical school ever in Southern New Jersey and the first new medical school in 35 years in the state. Key to the partnership has been the collaboration between the institutions. Representatives from both Rowan and Cooper worked together to forge a founding philosophy for the school, explore partnerships in research areas, and create committees to work toward Liaison Committee on Medical Education (LCME) accreditation of the school. Cooper Medical School of Rowan University is located in Camden, NJ, at Broadway and Benson Streets. The six-floor, 200,000 square-foot school graduated its inaugural class in May 2016. 3. Cooper provides continuing medical education programs to physicians employed with the local FQHC. 4. Simulation Lab - The Cooper University Hospital Simulation Laboratory is dedicated to advancing patient safety and healthcare provider education at all clinical levels. We aim to be a resource to our Cooper Departments and to other hospitals and healthcare providers in our community and region. One-to-one and small group instruction utilizing lifelike mannequins is conducted by facilitators trained in the use of computer driven simulation adjuncts. Attention is focused on maintaining a non-threatening learning environment, providing adequate mechanisms for positive feedback and developing a supportive student-facilitator relationship. This includes training for medical students. 5. EMS Training - Cooper provides medical director services and training for numerous local EMS services. (C) Subsidized health services, ER and trauma, hospital outpatient, behavioral health, palliative care 1. Emergency services for Community Events - Cooper provides emergency services for local community events. 2. Early Intervention Program - The Cooper University Hospital EIP/Family HIV Treatment Center was established in 1990, to serve a four county area of southern New Jersey consisting of Camden, Burlington, Gloucester, and Salem counties. It is a regional, multidisciplinary outpatient center that has provided a full range of services to over 1,000 patients. The primary mission of the EIP/HIV Family Treatment Center at Cooper is to provide comprehensive medical and supportive services to HIV infected individuals regardless of their ability to pay. The center also frequently serves as a port of entry for many HIV infected Camden residents into any type of medical care. 3. Disaster Preparedness and Medical Coordination Center - The mission of the Division of EMS and Disaster Medicine is to maintain the integrity of the health care continuum as it relates to the response for a mass casualty incident involving chemical, biological, radiological, nuclear, traumatic, and natural events through clinical care, education, training, and research. The goals for the Division are to provide subject matter expertise related to disaster medicine (emergency medical services, emergency medicine, trauma, toxicology, pediatrics, infectious diseases, environmental safety, radiation safety, and industrial hygiene); to provide education and training for all audiences involved in disaster preparedness through the National Disaster Life Support Regional Training Center; to participate in research initiatives to maintain the highest level of preparedness and pre-hospital care through evidence based medicine; to support a highly trained medical strike team that can respond to large chemical, biological, radiological, nuclear, and traumatic mass casualty events; and to collaborate with local, state, regional, and federal partners to assist in effective disaster planning. The Medical Coordination Center (MCC) serves as the regional hub for healthcare related emergency planning, training and response. The MCC located at CUH provides situational awareness, resource management, and information management for the healthcare continuum as it relates to emergency preparedness, response, mitigation and recovery. The primary area of responsibility for the CUH MCC is the entire Southern Region of New Jersey which consists of the seven Southern most counties as well as integration with Southeastern Pennsylvania (including the City of Philadelphia) and the State of Delaware (including the City of Wilmington). The MCC utilizes the expertise provided by the Division of EMS and Disaster Medicine, regional law enforcement, fire departments, emergency medical services, CBRNE (Chemical, Biological, Radiological, Nuclear, and Explosive) teams, technical rescue teams, etc., to assist the healthcare continuum in meeting their mission. 4. Support groups and Cancer Support Groups There are times when the support of friends and family isn't enough. Spending time with others who have a shared or similar experience and sharing experiences helps with depression and anxiety, and is the key to recovery. Cooper's support groups, activities and social events encourage fitness and the maintenance of a healthy body and mind. Support groups include but are not limited to: - Prostate Cancer Lecture Series: MD Anderson Cancer Center at Cooper is proud to present the Prostate Support Group, the only such support group in southwestern New Jersey. This is a joint venture of leaders in the care and treatment of prostate diseases and the MD Anderson Cooper Geitorurinary Cancer Center. The meetings are intended to allow survivors of prostate diseases and their families to become well informed, give and receive the support of others, ask questions, and express their concerns. - Sister Will You Help Me? - A breast cancer support group for women of color and faith - the group's mission is to empower through knowledge, encourage through sisterhood, enlighten through faith and to bond through love. - Latino Cancer Survivors - Diabetes Support Group- Other Support Groups - Traumatic Brain Trauma Support Group 5. Language Interpreter services for patients - Cooper provides interpreting services for patients whose first language is not English and for the sight and hearing impaired.
Community benefit statement continued	6. Camden Coalition of Healthcare Providers - Cooper provides significant support to this organization which was created as an opportunity for providers to network and discuss the common issues they face in running medical practices in Camden and providing care in a poor, urban environment. Camden Citywide Care Management Project In September 2007, the Coalition began implementation of a Citywide Care Management Project to reach out to high utilizers of city emergency rooms and hospitals. A part-time nurse practitioner, community health worker, and a full-time social worker staff the project. Patients are enrolled to the project by referral from emergency department physicians, inpatient physicians, and social workers. The project provides transitional primary care with a goal of moving the patients into a primary care setting that can meet their needs. With over sixty patients enrolled in our project; we are visiting them in homeless shelters, abandoned homes, hospital rooms, ED gurneys, and street corners. Practice Capacity Building Project The Coalition's philosophy is that by increasing capacity within local primary care offices we can help them achieve higher patient satisfaction, improved economic viability, and better health outcomes. Monthly roundtable meetings and seminars have been held for local office managers and providers to encourage peer-to-peer linkages, increase skills and knowledge of modern medical office management techniques and educate in specific practice management topics. Participation in this group leads to on-site consultation for individual offices, focusing on process flows, operations management, analyzing cycle times, and information management. Expansion of Access to Mental Health Care Psychiatry services are extremely difficult to access in underserved communities. The Coalition is developing a system of joint primary care/psychiatry appointments to increase a primary care provider's capacity to provide mental health care. The psychiatrist will provide mentoring, coaching and consultation to the primary provider. 7. Palliative Care Program The Palliative Care Program is designed to be integrated as part of a patient's care plan at any time, to manage symptoms related to treatment such as chemotherapy, or for symptoms that linger or appear after treatment is complete. Palliative care is the comprehensive treatment of the discomfort, symptoms and stress of serious illness. It does not replace a patient's primary treatment, but works together with treatment at any point in a patient's care. Palliative care also addresses psychological, social and spiritual concerns - all to achieve the best quality of life possible for each patient. At Cooper, the Palliative Care Program can help patients manage the common side effects of illness such as: pain, fatigue, nausea, constipation, diarrhea, depression and anxiety, difficulty breathing, loss of appetite and weight loss, weakness, sleep problems, confusion and end-of-life care. (D) Research-clinical and community health The Cooper Research Institute, established in January 2003, coordinates clinical trials and supports researchers at Cooper. Through basic and clinical research, faculty at Cooper is bringing scientific discoveries to life and providing thousands of patients in South Jersey with access to cutting-edge treatments in fields such as cancer, cardiology, critical care, diabetes, and gene therapy.Cooper faculty members currently conduct approximately 340 NIH and industry-sponsored clinical trials each year. Many of these studies are only available in South Jersey at Cooper. By participating in a clinical trial, an individual may have the first chance to benefit from improved treatment methods and the opportunity to make an important contribution to medical science. Past research by Cooper faculty has led to new standards of care and novel therapies in fields such as cancer, cardiology, surgery, and orthopedics. For example, Cooper faculty members have conducted studies that led to: new cancer treatments such as Rituxan for lymphoma, Iressa for advanced non-small cell lung cancer, Tamoxifen to prevent breast cancer, and Cisplatin plus radiation therapy for cervical cancer. (E) Cash in kind contributions to community groups Cooper sponsors various non-profit organizations to promote and build a healthy community. (F) Cooper's Community Building activities include but are not limited to: 1) Physical improvements and housing revitalization projects: - Neighborhood Revitalization Tax Credit Project: Cooper University Hospital has served as the lead and is partnering with Metro Camden Habitat for Humanity, Saint Joseph's Carpenter Society, Center for Family Services, Camden Special Services District, The Cooper Lanning Civic Association and additional community partners on nearly $5 million in funding from the Neighborhood Revitalization Tax Credit (NRTC) program through the N.J. Department of Community Affairs to improve housing and community conditions in the Cooper Plaza Neighborhood. Cooper University Hospital has served as the lead in writing and administering the grant on behalf of the community partners. This includes four phases of NRTC projects. - New Parks and Park Maintenance - Cooper has partnered with Camden City, Camden County and community groups on the construction of three new neighborhood parks. Cooper has taken the responsibility for the ongoing maintenance and upkeep of the three parks. Cooper has been a partner with Camden County and community organizations for the ongoing streetscape and landscape improvements in the Cooper Plaza Neighborhood funded through the County. Cooper has facilitated meetings to coordinate the project with the County and community organizations and address community questions or concerns. - Housing Rehabilitation - Cooper partners with non-profits to advance efforts to improve housing in the Cooper Plaza neighborhood. This includes partnerships with Saint Joseph's Carpenter Society, Camden County Habitat for Humanity and other housing partners tO projects for the acquisition and rehabilitation of homes in the Cooper Plaza neighborhood. - Homeownership Partnerships - Cooper has partnered with non-profit organizations such as Saint Joseph's Carpenter Society and Camden County Habitat for Humanity to promote home ownership opportunities in the Cooper Plaza Neighborhood to further stabilize the community with occupied housing. 2) Economic Development - assisting business development, creating new employment opportunities: - Cooper's Ferry Partnership - Cooper is a member of the Cooper's Ferry Partnership. Cooper actively works with the organization on community issues and additional projects to improve the neighborhoods in Camden and foster economic development opportunities. This includes collaboration and partnerships on initiatives and opportunities to facilitate the revival of the City of Camden as a place where people choose to live, work, visit, and invest. - Camden Special Services District - Cooper is a partner for the Camden Special Services District that provides maintenance and a human presence through Ambassadors in Camden's Downtown, University District, and Broadway Corridor to remove graffiti, clean streets, pickup liter and debris, additional maintenance services and serve as a daily presence on these corridors.
Community benefit statement continued	3) Community Support - mentoring, neighborhood support, disaster readiness - Cooper Lanning Civic Association and Lanning Square West Association - Participation in association meetings, project coordination, events and administrative support. - Neighborhood Concert Series: In 2017, Cooper University Hospital continued the series with three free community concerts in the Sheila Roberts Park during the summer. - Cooper Plaza Neighborhood Watch: Cooper supports the Cooper Plaza neighborhood and the Cooper Lanning Civic Association during the community's neighborhood watch initiative by providing space and food for the effort and increased security in the Cooper Plaza neighborhood. - Promise Neighborhood Initiative: Cooper University Hospital has been an active partner with the City of Camden, Center for Family Services and other community groups on the planning effort and the Promise Neighborhood Initiative to develop a comprehensive approach to social services for children and families living in the Cooper Lanning neighborhood. - Support for the KIPP Cooper Norcross Academy - Camden Promise Neighborhood with the Center for Family Services - Camden Promise Neighborhood with the Center for Family Services 4) Environmental improvements: - Clean and Safe Cooper Plaza Program - Partnership with the Camden Special Services District to provide maintenance services in the Cooper Plaza Neighborhood to improve the physical appearance and upkeep of the neighborhood in order to provide an enhanced sense of safety and a maintained neighborhood for residents and visitors. - Streetscaping, landscaping and park maintenance in community. 5) Leadership development/training for community members Cooper provides development and training to include but not limited to: - Child passenger safety technician classes - Child passenger safety training - booster seat program - Fire safety sessions 6) Coalition building and collaborative efforts to address health and safety issues include but not limited to: - Camden Higher Education and Health Care Task Force - Cooper is a founding member and active participant in the Camden Higher Education and Health Care Task Force ("Eds and Meds"). - Housing Implementation Task Force - Cooper convenes meetings with non-profits, community organizations, and government agencies to discuss opportunities to improve housing options in the City of Camden. - Safe Kids New Jersey and Southern New Jersey 7) Workforce Development: - Career fairs and education: STRIVE, Woodland Community Development Corporation, Camden County and Camden One Stop - Partnering with the Camden County Workforce Investment Board - Youth Summer Employment Program - Cooper's Summer Youth Employment Program provides opportunities for Camden residents that are in high school to work in paid internship positions for six weeks in the summer at various departments at Cooper. - Career exploration programs with Camden girls scout program for high school students and additional schools and organizations in the community. - Cooper participates and serves in a collaborative effort with organizations like the Camden County Workforce Investment Board in the development and retention of workforce opportunities in Camden County and works with the Board on literacy programs and initiatives to prepare individuals to gain employment.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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" on 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
(1) All Care Health Alliance LLC 1 Federal Street Suite S-400 Camden,NJ08103 21-0634462	ACO	NJ	0	0	Cooper Hlth

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on 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?
(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	Yes	No
(1)Cooper Medical Sevices Inc 1 federal st suite nw2-400 Camden,NJ081031438 22-3832149	Health Svcs	NJ	501(c)(3)	11-I	CH System	Yes
(2)The Cooper Foundation 1 federal st suite nw2-400 Camden,NJ081031438 22-2213715	Support CHS	NJ	501(c)(3)	7	NA		No
(3)The Cooper Hlth Sys - Wrkrs Comp Trust 1 federal st suite nw2-400 Camden,NJ081031438 22-6409235	Support CHS	NJ	501(c)(3)	11-I	CH System	Yes
(4)Cooper Cancer Center Inc 1 federal st suite nw2-400 Camden,NJ081031438 46-0943572	Health Svcs	NJ	501(c)(3)	11-I	CH System	Yes
(5)Cooper GYN Oncology Association PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3427282	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(6)Cooper Pediatrics PC 1 federal st suite nw2-400 Camden,NJ081031438 22-2965846	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(7)Cooper Bone and Joint Institute PC 1 federal st suite nw2-400 Camden,NJ081031438 22-2354988	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(8)Center for Health and Wellness PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3487144	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(9)Cooper Obstetrical Associates PC 1 federal st suite nw2-400 Camden,NJ081031438 22-2329164	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(10)CMC Department of Medicine Group PA 1 federal st suite nw2-400 Camden,NJ081031438 22-3266219	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(11)CHC Pain Management Center PA 1 federal st suite nw2-400 Camden,NJ081031438 22-3419259	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(12)Cooper Faculty OB-GYN PC 1 federal st suite nw2-400 Camden,NJ081031438 22-2700904	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(13)Cooper Perinatology Associates PC 1 federal st suite nw2-400 Camden,NJ081031438 22-2965240	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(14)Cooper Pathology PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3075647	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(15)Cooper Physical Medicine&Rehab Assoc PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3137520	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(16)Cooper Physician Offices PA 1 federal st suite nw2-400 Camden,NJ081031438 22-3310529	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(17)CMC Psychiatric Associates PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3315602	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(18)Cooper Anesthesia Associates PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3346073	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(19)Cooper Family Medicine PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3358732	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(20)Cooper University Radiology PC 1 federal st suite nw2-400 Camden,NJ081031438 51-0483383	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(21)Cooper Urgent Care PC 1 federal st suite nw2-400 Camden,NJ081031438 80-0747085	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(22)Cooper Pediatric Specialists PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3474357	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(23)Cooper Primary Care at Pennsville PA 1 federal st suite nw2-400 Camden,NJ081031438 22-3486722	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(24)Critical Care Group PA 1 federal st suite nw2-400 Camden,NJ081031438 22-3266221	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(25)Radiation Oncology PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3587486	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(26)Cooper University Trauma Physicians PC 1 federal st suite nw2-400 Camden,NJ081031438 20-0031895	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(27)Cooper University Emergency PhysiciansPC 1 federal st suite nw2-400 Camden,NJ081031438 20-0835576	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(28)Cooper Surgical Associates PA 1 federal st suite nw2-400 Camden,NJ081031438 22-2170196	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(29)University Urogynecology Association PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3235088	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(30)Cooper Department of Neuroscience PC 1 federal st suite nw2-400 Camden,NJ081031438 22-3358684	Physician Pra	NJ	501(c)(3)	10	CH System	Yes
(31)Cooper Nephrology PC 1 Federal St Suite NW2-400 Camden,NJ081031438 82-1589048	Physician Pra	NJ	501(c)(3)	10	CH System	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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?
(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		Yes	No
(1) C & H Collection SVS Inc 1 federal st suite nw2-400 Camden,NJ081031438 22-2603503	Collections	NJ	CH Services	C Corp	1,222,891	1,703,442	100.000 %	Yes
(2) Cooper Healthcare Properties Inc 1 federal st suite nw2-400 Camden,NJ081031438 22-2567105	Real Estate	NJ	CH Services	C Corp	656,041	5,868,018	100.000 %	Yes
(3) Cooper Healthcare Services 1 federal st suite nw2-400 Camden,NJ081031438 22-2567106	Health Svcs	NJ	Cooper Hlth sys	C Corp	542	0	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) THE COOPER FOUNDATION	C	1,750,536	CASH - FMV
(2) COOPER MEDICAL SERVICES	L	507,244	CASH - FMV
(3) COOPER HEALTHCARE PROPERTIES INC	K	461,710	CASH - FMV
(4) COOPER MEDICAL SERVICES	K	5,869,026	CASH - FMV
(5) COOPER MEDICAL SERVICES	O	187,944	CASH - FMV
(6) C&H COLLECTION SERVICES INC	O	63,468	CASH - FMV
(7) C&H COLLECTION SERVICES INC	L	1,386,178	CASH - FMV
(8) all physician practices	B	402,786,894	CASH - FMV
(9) THE COOPER FOUNDATION	O	1,727,036	CASH - FMV
(10) COOPER HEALTHCARE PROPERTIES INC	L	111,151	CASH - FMV
(11) COOPER HEALTHCARE PROPERTIES INC	Q	153,948	CASH - FMV

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO SERVE, TO HEAL, AND TO EDUCATE. COOPER ACCOMPLISHES ITS MISSION THROUGH INNOVATIVE AND EFFECTIVE SYSTEMS OF CARE AND BY BRINGING PEOPLE AND RESOURCES TOGETHER, CREATING VALUE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	9,007
6	Total number of volunteers (estimate if necessary) .............	6	715
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	158,540
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	817,657

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	36,616,142	46,456,306
9	Program service revenue (Part VIII, line 2g) .........	1,222,915,445	1,303,473,080
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,257,252	10,157,954
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	29,551,111	22,276,038
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,300,339,950	1,382,363,378
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	102,500	132,100
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)	713,946,596	749,300,919
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	564,279,073	571,335,688
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,278,328,169	1,320,768,707
19	Revenue less expenses. Subtract line 18 from line 12.......	22,011,781	61,594,671
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,187,942,560	1,253,765,162
21	Total liabilities (Part X, line 26).............	563,847,707	576,016,827
22	Net assets or fund balances. Subtract line 21 from line 20.....	624,094,853	677,748,335

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,158,222,777 including grants of $ 132,100 ) (Revenue $ 1,310,422,005 )
	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 expenses1,158,222,777

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	21,361,531	0	1,336,483

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,750,536
e	Government grants (contributions)		1e	44,705,770

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		46,456,306

		Business Code
2a	NET PATIENT SERVICE REVENUE	541900	1,268,147,676	1,268,147,676
b	OTHER HEALTHCARE RELATED REVENUE	541900	35,233,749	35,233,749
c	EDUCATION	541900	91,655	91,655
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		1,303,473,080

3 Investment income (including dividends, interest, and othersimilar amounts) ......			8,815,670			8,815,670
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		160,867
b	Less: rental expenses
c	Rental income or (loss)	0	160,867
d	Net rental income or (loss)......			160,867			160,867
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		151,790,938
b	Less: cost or other basis and sales expenses		150,448,654
c	Gain or (loss)		1,342,284
d	Net gain or (loss).....			1,342,284			1,342,284
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA/COFFEE/GIFT SHOP		900099	6,545,867			6,545,867
b	AIR/GROUND TRANSPORT/PARKING		900099	8,461,839			8,461,839
c	JOINT VENTURES		900099	-1,324,975	-1,324,975
d	All other revenue ....			8,432,440	8,273,900	158,540
e	Total. Add lines 11a–11d ......			22,115,171
12	Total revenue. See Instructions......			1,382,363,378	1,310,422,005	158,540	25,326,527

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	132,100	132,100
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	15,986,373	7,289,502	8,696,871
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	625,504,570	562,797,259	62,707,311
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	17,210,625	15,808,833	1,401,792
9	Other employee benefits .......	48,991,265	43,757,468	5,233,797
10	Payroll taxes ...........	41,608,086	37,018,714	4,589,372
11	Fees for services (non-employees):
a	Management ......	7,742,611	1,389,366	6,353,245
b	Legal .........	924,121	183,496	740,625
c	Accounting ...........	472,976		472,976
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	467,299		467,299
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	52,692,688	29,455,872	23,236,816
12	Advertising and promotion ....	7,404,614	2,554,297	4,850,317
13	Office expenses .......	238,945,737	235,675,558	3,270,179
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	37,567,084	28,791,560	8,775,524
17	Travel ............	496,681	376,249	120,432
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,493,509	1,360,274	133,235
20	Interest ...........	12,565,954	9,974,747	2,591,207
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	47,233,739	47,233,739
23	Insurance ...	26,671,461	24,888,235	1,783,226
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	IMPLICIT PRICE CONCESSION	58,788,394	58,788,394
b	MISCELLANEOUS EXPENSE	77,868,820	50,747,114	27,121,706
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,320,768,707	1,158,222,777	162,545,930	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			113,410,916	1	162,015,648
2	Savings and temporary cash investments .........			99,393,682	2	99,693,590
3	Pledges and grants receivable, net ......			4,444,355	3	4,946,042
4	Accounts receivable, net .............			158,145,285	4	138,859,714
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 ....			15,781,400	7	15,781,400
8	Inventories for sale or use ........			20,998,565	8	20,287,167
9	Prepaid expenses and deferred charges ......			7,750,907	9	15,574,795
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,078,207,636
b	Less: accumulated depreciation	10b	595,531,610	447,771,011	10c	482,676,026
11	Investments—publicly traded securities .			303,187,162	11	295,574,736
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 ...............			272,840	14	225,507
15	Other assets. See Part IV, line 11 ...........			16,786,437	15	18,130,537
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,187,942,560	16	1,253,765,162

17	Accounts payable and accrued expenses .....	147,480,234	17	158,861,618
18	Grants payable ...	0	18	0
19	Deferred revenue .........	15,157,187	19	13,434,299
20	Tax-exempt bond liabilities .........	248,724,527	20	248,211,178
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 ..	8,335,501	23	7,874,987
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	144,150,258	25	147,634,745
26	Total liabilities. Add lines 17 through 25..	563,847,707	26	576,016,827

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	623,655,853	27	677,309,335
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 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 ...........	624,094,853	33	677,748,335
34	Total liabilities and net assets/fund balances ........	1,187,942,560	34	1,253,765,162