2013-11-14T14:56:14-06:00 2012-12-31 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2012-01-01 210634462 The Cooper Health System a New Jersey Non-Profit Corporation % DOUGLAS E SHIRLEY COOP 8563826502 One Cooper Plaza Suite Camden NJ 08103 DOUGLAS SHIRLEY 8563826502 2013-11-08 true Frank Giardini 2155614200 2012 2016-02-25 16:41:14Z John P Sheridan Jr One Cooper Plaza Camden NJ 08103 1094641304 false X WWW.COOPERHEALTH.ORG X 1875 NJ COOPER HEALTH SYSTEM IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING THE SOUTHERN NEW JERSEY REGION DEDICATED TO WORLD-CLASS PATIENT CARE, EDUCATION & RESEARCH RESULTING IN A HEALTHIER COMMUNITY. 21 14 6445 672 0 0 5606363 20228620 855841987 878390769 10447019 9976751 4749449 4988485 876644818 913584625 245572 368250 0 0 460898962 490646492 0 0 0 392022140 380768465 853166674 871783207 23478144 41801418 756349812 827680872 471548316 485712796 284801496 341968076 X COOPER HEALTH SYSTEM IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING THE SOUTHERN NEW JERSEY REGION. COOPER HEALTH SYSTEM IS DEDICATED TO WORLD-CLASS PATIENT CARE, EDUCATION AND RESEARCH RESULTING IN A HEALTHIER COMMUNITY. false false 745599580 368250 878390769 See Schedule O. 745599580 true true false true false false false false false true true false false false true false true true false false false false false false false false true true true false true true false false false false false false false true true true false false false false false true true true false false true 236 0 true 6445 true false true BD false false false true true false false false false X 21 14 false false false false false false false true true false false true true true true true true true true true false NJ X DOUGLAS E SHIRLEY 8563422443 ONE COOPER PLAZA CAMDEN NJ 08103 X George E Norcross III 3.0 X X 0 0 0 Joan S Davis 3.0 X X 0 0 0 John P Sheridan Jr 58.0 3.0 X X 934282 0 29151 Adrienne Kirby PhD 55.0 4.0 X X 683815 0 13795 Michael E Chansky MD 55.0 X 451548 0 11290 Leon D Dembo Esq 3.0 X 0 0 0 Dennis M DiFlorio 3.0 X 0 0 0 Generosa Grana MD 55.0 X 585541 0 11642 Paul Katz MD 3.0 X 0 0 0 Ali A Houshmand PhD 3.0 X 0 0 0 Wendell Pritchett PhD 3.0 X 0 0 0 Duane D Myers 3.0 X 0 0 0 Annette Reboli MD 3.0 X 0 0 0 Robert A Saporito DDS 3.0 X 0 0 0 Roland Schwarting MD 55.0 X 561617 0 19281 William A Schwartz Jr 3.0 X 0 0 0 John W Shimark 3.0 X 0 0 0 Harvey A Snyder MD 3.0 X 0 0 0 Dr Kris Singh MD 3.0 X 0 0 0 M Allan Vogelson JSC Ret 3.0 X 0 0 0 Peter E Driscoll Esq 3.0 X 0 0 0 Linda M Kassekert-end 82012 3.0 X 0 0 0 Peter S Amenta MD PhD 3.0 X 0 0 0 Raymond A Meiller 3.0 X 0 0 0 George Weinroth 55.0 6.0 X 383872 0 28987 Carolyn E Bekes MD fmr CMO 55.0 X 371349 0 27111 Mary P Gamon 40.0 X 51228 0 7062 Douglas Shirley 55.0 8.0 X 471928 0 27813 Gary Lesneski 55.0 X 620889 0 24353 David A Bocian 55.0 X 245980 0 31989 Jane M Tubbs 55.0 X 56569 0 1760 Raymond Baraldi MD 55.0 X 542445 0 25082 Robin L Perry MD 55.0 3.0 X 443154 0 33000 Douglas Allen 55.0 X 272818 0 11085 Dianne S Charsha 55.0 X 373902 0 19593 Lawrence S Miller MD 55.0 3.0 X 859160 0 32875 John Schwarz 55.0 X 252721 0 8932 William G Smith MBA 55.0 8.0 X 238852 0 27210 Joseph E Parrillo-END 102012 55.0 X 1115879 0 28508 Jeffrey P Carpenter MD 55.0 X 1242709 0 33134 Glenn Sherman 55.0 X 241351 0 19073 Eli Winkler 55.0 X 356107 0 32077 Naomi Lawrence MD 55.0 X 844025 0 32875 Michael Rosenbloom MD 55.0 X 1212743 0 33134 Adam B Elfant MD 55.0 X 764953 0 27455 Richard Y Highbloom MD 55.0 X 940584 0 27208 Frank W Bowen III MD 55.0 X 786700 0 10361 Jeffrey N Yarmel 0.0 X 253213 0 0 16159934 0 635836 840 true true false ATLANTIC AMBULANCE CORPORATION PO BOX 35654 NEWARK NJ 07193 AIR AMBULANCE SVCS 3677499 STANDARD TEXTILE CO PO BOX 371805 CINCINNATI OH 452221805 LAUNDRY SERVICES 1837357 CROTHALL HEALTHCARE INC 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 HOUSEKEEPING MGMT 1330875 THE CAMPAIGN GROUP INC 1600 LOCUST STREET PHILADELPHIA PA 19103 ADVERTISING 1315489 QUEST DIAGNOSTIC 770 COLLECTION CENTER DRIVE CHICAGO IL 606930077 LABORATORY SERVICES 1092896 62 1467143 18718391 43086 20228620 NET PATIENT SERVICE REVENUE 541900 821716185 821716185 OTHER HEALTHCARE RELATED REVENUE 541900 56674584 56674584 878390769 7597020 7597020 0 0 103485 103485 0 103485 103485 183436410 181056679 2379731 2379731 2379731 0 0 0 CAFETERIA/KIOSK 900099 2045586 2045586 GIFT SHOP/COFFEE SHOP 900099 1978683 1978683 PARKING 812930 819138 819138 41593 41593 4885000 913584625 878390769 14965236 368250 368250 0 0 0 12203979 11037906 1166073 0 399607967 361425996 38181971 11384516 10211471 1173045 38176785 34976802 3199983 29273245 26477650 2795595 6430337 1734569 4695768 663289 30401 632888 366449 366449 406385 406385 0 288132 288132 29387337 14823536 14563801 4662159 51239 4610920 130690533 129559278 1131255 0 0 28730301 20772115 7958186 383549 278049 105500 0 1243680 1022311 221369 9929152 9929152 0 35052289 35052289 13062554 13062554 BAD DEBT EXPENSE 62057929 62057929 MISCELLANEOUS 57414390 22657235 34757155 871783207 745599580 126183627 0 30095805 85491753 11973863 11266132 0 0 91684149 106150382 0 0 0 0 0 15781400 9631362 10730667 4126288 4732378 683888699 341373952 345571160 342514747 237626000 235731176 0 0 0 0 4423111 4142270 21218074 11139967 756349812 827680872 84620744 109647279 0 0 22910816 23454595 246475459 240606281 0 0 0 0 5946476 6615273 0 0 111594821 105389368 471548316 485712796 X 284362496 341529076 0 0 439000 439000 284801496 341968076 756349812 827680872 X 41801418 -221004 15586166 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 251595 false true 69281 320876 false Lobbying Activity Explanation Schedule C, Part II-B, Lines 1G & 1H During 2012, the organization paid independent firms $251,595 to provide lobbying consulting services and to engage in lobbying efforts on behalf of the organization. In addition, the organization is a member of the following organizations all of which engage in lobbying efforts on behalf of their member hospitals. The portion of these dues allocated to lobbying expenditures for 2012 is detailed below and in total is $69,281. New Jersey Hospital Association $27,731 Hospital Alliance of New Jersey $5,500 New Jersey Council of Teaching Hospitals $36,050 439000 439000 439000 439000 439000 439000 439000 439000 439000 439000 1.00000 false false 3753751 3753751 230032766 32472253 197560513 127375309 72266369 55108940 284097906 235031906 49066000 38628967 1603424 37025543 342514747 0 SETTLEMENTS-3RD PARTY PAYORS, CURR 4698767 SELF-INSURED RESERVES, CURRENT 14482806 SELF-INSURED RESERVES, NON-CURR 57372208 ACCRUED RETIREMENT BENEFITS 8144958 SETTLEMENTS-3RD PARTY PAYORS, N/C 18050452 DUE TO AFFILIATES 2640177 105389368 935619000 -221004 22543511 22322507 913296493 288132 288132 913584625 878453000 6957925 6957925 871495075 288132 288132 871783207 Endowment Funds Schedule D, Part V, Question 4 Restricted Funds are used to support the charitable activities and programs of the organization and its affiliates. Schedule D, Part XI, Line 2d RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN change in fair value of interest rate swap agreements $ (261,802) change in pension benefit obligation 847,388 Malpractice Actuarial Gain 6,613,000 Net Asset Transfer From Affiliate 15,000,000 Cooper Cancer Center (separate legal entity) 344,925 ---------- TOTAL $ 22,543,511 ========== Schedule D, part XII, Line 2d RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN Malpractice Actuarial Gain $ 6,613,000 Cooper Cancer Center (separate legal entity) 344,925 --------- Total $ 6,957,925 ========= true true true X true X 500. true true true false true true 1 2808 63031026 42055646 20975380 0.02590 1 7874 143392054 126493193 16898861 0.02090 2 10682 206423080 168548839 37874241 0.04680 1789475 281025 1226107 0.00150 48200331 23891041 24309290 0.03000 2551369 1331343 1220026 0.00150 21000 0 21000 52562175 25503409 26776423 0.03300 2 10682 258985255 194052248 64650664 0.07980 3 456781 360538 96243 0.00010 1 55000 55000 0.00010 7 362021 362021 0.00040 6 8927 8927 5 5424 5424 7 59203 59203 0.00010 29 947356 360538 586818 0.00070 true 62057929 142935933 155253301 -12317368 X true true 1 1 Cooper Health System

One Cooper Plaza Camden NJ 08103

X X X X X X X Level 1 Trauma Cooper Health System 1 true true 200. true 500. true X X X X X X true true X X X X X true false X X X X true X false false 14 Cooper Cancer Inst - HematologyOncology

900 Centennial Road Suite M Voorhees NJ 08043

hospital based, off-site ambulatory care, outpatient infusion therapy services Cooper Imaging Center at Voorhees

900 Centennial Boulevard Suite B Voorhees NJ 08043

Hospital based, Off-site ambulatory care, Outpatient radiology services Cooper Surgery Center

900 Centennial Boulevard Suite F Voorhees NJ 08043

Hospital Based, Off-site ambulatory care, Outpatient surgery center Cooper Cancer Inst - HematologyOncology

900 Centennial Boulevard Suite F Voorhees NJ 08043

hospital based, off-site ambulatory care, outpatient infusion therapy services Cooper Digestive Health Inst Endoscopy

501 Fellowship Road Mt Laurel NJ 08054

hospital based, off-site ambulatory care, outpatient endoscopy center Cooper Cyberknife Center

715 Fellowship Road Mt Laurel NJ 08054

hospital based, off-site ambulatory care, outpatient robotic radiation treatment Cooper Cancer Inst - HematologyOncology

1000 Salem Road Suite C Willingboro NJ 08046

hospital based, off-site ambulatory care, outpatient infusion therapy services Dept of Radiation Oncology - Voorhees

900 Centennial Boulevard Suite D Voorhees NJ 08043

Hospital based, Off-site ambulatory care, Outpatient radiation oncology Pulmonary and Family Sleep Center

900 Centennial Boulevard Suite JK Voorhees NJ 08043

Hospital based, Off-site ambulatory care, Outpatient sleep studies Cooper Univ Hospital Rancocas Endoscopy

218 Sunset Road Willingboro NJ 08046

Hospital based, Off-site ambulatory care, Outpatient endoscopy center Women's Care Center

3 Cooper Plaza Suite 301 Camden NJ 08103

Hospital based, Off-site ambulatory care, Outpatient ob/gyn services Cooper Gamma Knife and Diagnostic Center

3 Cooper Plaza Suite 100 Camden NJ 08103

hospital based, off-site ambulatory care, outpatient stereotactic radiosurgery Early Intervention Program

3 Cooper Plaza Suite 513 Camden NJ 08103

Hospital based, Off-site ambulatory care, Outpatient HIV/AIDS services CHS Regional Cleft-Craniofacial Program

110 Marter Avenue Suite 402 Moorestown NJ 08057

hospital based, off-site ambulatory care, outpatient cleft-craniofacial services PART I, LINE 3C ELIGIBILITY FOR DISCOUNTED CARE The income based criteria used to determine eligibility is per New Jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the 2012 poverty guidelines (Department of Health and Senior Services). Federal Poverty Guidelines ("FPG") are included in the criteria for determining eligibility for charity and discounted care PART I, LINE 7G FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSES THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $62,057,929. PART II COMMUNITY BUILDING ACTIVITIES THE HEALTH OF THE SURROUNDING COMMUNITIES IS OF COOPER'S UTMOST CONCERN. FROM HEALTHCARE PROGRAMS FOR THE COMMUNITY TO EDUCATIONAL AND EMPLOYMENT PROGRAMS, COOPER STRIVES TO BE A RESPONSIBLE, INVOLVED COMMUNITY ADVOCATE. PLEASE SEE SCHEDULE O FOR THE COMMUNITY BENEFIT STATEMENT. PART III, SECTION A, LINE 4 BAD DEBT EXPENSE BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. COOPER HEALTH SYSTEM PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE COOPER HEALTH SYSTEM - OBLIGATED GROUP. THE HEALTH SYSTEM PROVIDES CARE TO THOSE WHO MEET THE STATE OF NEW JERSEY PUBLIC LAW 1992 (CHAPTER 160) CHARITY CARE CRITERIA. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED CHARGES. THE HEALTH SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE COST OF SERVICES PROVIDED AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED BASED ON THE HEALTH SYSTEMS COST ACCOUNTING SYSTEM. THE TOTAL DIRECT AND INDIRECT AMOUNT OF CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, WAS $58,802,000 AND $59,227,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THE HEALTH SYSTEM'S PATIENT ACCEPTANCE POLICY IS BASED UPON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE HEALTH SYSTEM ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS POLICY RESULTS IN THE HEALTH SYSTEM'S ASSUMPTION OF HIGHER-THAN-NORMAL PATIENT RECEIVABLE CREDIT RISKS. TO THE EXTENT THAT THE HEALTH SYSTEM REALIZES ADDITIONAL LOSSES RESULTING FROM SUCH HIGHER CREDIT RISKS AND PATIENTS THAT ARE NOT IDENTIFIED OR DO NOT MEET THE HEALTH SYSTEM'S DEFINED CHARITY CARE POLICY, SUCH ADDITIONAL LOSSES ARE INCLUDED IN THE PROVISION FOR BAD DEBTS. CHAPTER 160 ESTABLISHED THE CHARITY CARE SUBSIDY FUND AND THE HOSPITAL RELIEF SUBSIDY FUND TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE CERTAIN HOSPITALS FOR CHARITY CARE. THE HEALTH SYSTEM RECORDED THE FOLLOWING AMOUNTS FROM THE FUNDS AS NET PATIENT SERVICE REVENUE. THE AMOUNTS ARE SUBJECT TO CHANGE FROM YEAR TO YEAR BASED ON AVAILABLE STATE BUDGET AMOUNTS AND ALLOCATION METHODOLOGIES. A PROPORTIONATE AMOUNT IS IN PLACE THROUGH JUNE 2013. WHILE AMOUNTS ARE NOT FINALIZED FOR THE STATE OF NEW JERSEY'S FISCAL 2014 BUDGET, IT IS ANTICIPATED THAT FUNDING WILL BE SLIGHTLY REDUCED. PART III, SECTION B, LINE 8 MEDICARE MEDICARE COSTS WERE DERIVED FROM THE 2012 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS, IN OUR OPINION, SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER IRC SECTION 501(C)(3). ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN IRC SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE INDIGENT OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC SECTION 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD : IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC SECTION 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD: IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREASURY REGULATION 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE FENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. CENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE INDIGENT. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID - SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND INDIGENT. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40 PERCENT OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THA PART III, SECTION C, LINE 9B COLLECTION PRACTICES THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX, OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. PART VI, QUESTION 2 NEEDS ASSESSMENT COOPER HEALTH SYSTEM (CHS) CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; REIVEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES. CHS IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN CAMDEN TO MORE AFFLUENT SUBURBAN AREAS. CHS IS LOCATED IN CAMDEN, CAMDEN COUNTY. CAMDEN COUNTY IS THE FIFTH MOST POPULOUS COUNTY IN THE STATE WITH 37 MUNICIPALITIES. CHS IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 40 PERCENT OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 10 PERCENT OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. PART VI, QUESTION 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IT IS THE POLICY OF COOPER UNIVERSITY HOSPITAL TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH HOSPITAL AND PHYSICIAN BILLS BY PROVIDING DISCOUNTS AND PAYMENT PLAN OPTIONS WHEN ELIGIBILITY FOR MEDICAID OR CHARITY CARE HAVE BEEN EXHAUSTED DUE TO EXCESS INCOME OR RESOURCES. 1. PATIENTS ARE SCREENED FOR ALL POTENTIAL THIRD PARTY LIABILITY RESOURCES, INCLUDING COOPER RELATED GRANTS. 2. REFERRALS DIRECTED TO UNINSURED PATIENT COORDINATOR ORIGINATE FROM ACCOUNTS RECEIVABLE MANAGEMENT AND DATA SERVICES, PHYSICIAN OFFICES, CLINICS AND ANY OTHER COOPER HOSPITAL, OFF CAMPUS, FACILITIES AND CAN BE MADE PRIOR TO OR AFTER A SPECIFIED DATE OF SERVICE(S). 3. UNINSURED PATIENT COORDINATOR CONTACTS PHYSICIAN DEPARTMENTS TO INFORM THEM OF PATIENT NEED FOR DISCOUNT, SECURES DISCOUNTED RATES, AND FORWARDS TO PATIENT. 4. PATIENTS ARE QUOTED PRICES BY THE UNINSURED PATIENT COORDINATOR THAT CORRESPONDS TO MEDICARE EXPECTED REIMBURSEMENT RATES FOR OUTPATIENT PROCEDURES AND MEDICARE BASE DIAGNOSIS-RELATED GROUP RATE FOR INPATIENT HOSPITALIZATIONS. 5. ALL DISCOUNTED RATES ARE PRESENTED TO THE PATIENT AS WELL AS PAYMENT PLAN OPTIONS USING THE PRICING ESTIMATE SOFTWARE TOOL THAT STORES AND PRINTS STANDARD ESTIMATES FOR PATIENTS. 6. UNINSURED DISCOUNT PLAN INSURANCE AND ADJUSTMENTS ARE POSTED TO HEALTHQUEST WHEN APPROPRIATE. 7. THE UNINSURED PATIENT COORDINATOR DETERMINES AND DISTRIBUTES PATIENT PAYMENTS AMONGST ALL HOSPITAL AND PHYSICIAN DEPARTMENTS. PART VI, QUESTION 4 COMMUNITY INFORMATION THE ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN CAMDEN TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN CAMDEN, IN CAMDEN COUNTY. CAMDEN COUNTY IS THE EIGHTH MOST POPULOUS COUNTY IN THE STATE WITH 37 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS CAMDEN COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 47 PERCENT OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 10 PERCENT OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. PART VI, QUESTION 5 PROMOTION OF COMMUNITY HEALTH THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PART VI, QUESTION 6 AFFILIATED HEALTH CARE SYSTEM COOPER HEALTH SYSTEM (CHS) IS COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. CHS STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. THE RESPECTIVE ROLES OF CHS AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED IS AS FOLLOWS: - COOPER MEDICAL SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE SECTION 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE COOPER HEALTH SYSTEM. - THE COOPER FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE SECTION 509(A)(1). THE ORGANIZATION RECEIVES CHARITABLE CONTRIBUTIONS AND GRANTS FROM VARIOUS SOURCES AND DISBURSES GRANTS TO PRIMARILY COOPER HEALTH SYSTEM FOR ITS MISSION AND PROGRAMS, BUT ALSO TO OTHER INTERNAL REVENUE CODE SECTION 501(C)(3) ORGANIZATIONS. - THE COOPER HEALTH SYSTEM WORKER'S COMPENSATION TRUST IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE SECTION 509(A)(3). THE ORGANIZATION PROVIDES WORKER'S COMPENSATION INSURANCE COVERAGE TO EMPLOYEES OF THE COOPER HEALTH SYSTEM. - COOPER CANCER CENTER, INC. WAS FORMED IN 2012. THE ORGANIZATION HAS REQUESTED TAX-EXEMPT STATUS FROM THE INTERNAL REVENUE SERVICE PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE SECTION 509(A)(3), TYPE I. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE COOPER HEALTH SYSTEM. - C & H COLLECTION SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES. - COOPER CUSTOM PACKS, INC. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. - COOPER DATA SERVICES, INC. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. - COOPER HEALTHCARE MANAGEMENT, INC. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. - COOPER HEALTHCARE PROPERTIES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES. - COOPER HEALTHCARE SERVICES IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHS. THE ORGANIZATION IS LOCATED IN CHERRY HILL, CAMDEN COUNTY, NEW JERSEY. THE ORGANIZATION HOLDS AN INVESTMENT IN THE FOLLOWING LIMITED LIABILITY COMPANY: CONTINUUM HEALTH ALLIANCE. PART VI, QUESTION 7 STATE FILING OF COMMUNITY BENEFIT REPORT NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY AS IT IS NOT A STATE REQUIREMENT. PART V, QUESTIONS 1-7 COMMUNITY HEALTH NEEDS ASSESSMENT COOPER HEALTH SYSTEM HAS COMPLETED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT AND ITS IMPLEMENTATION STRATEGY IS IN THE PROCESS OF BEING FINALIZED. THE CHNA RESULTS AND PROPOSED IMPLEMENTATION STRATEGY WERE PRESENTED TO THE STRATEGIC AND FACILITIES PLANNING COMMITTEE OF THE BOARD IN SEPTEMBER 2013. THE CHNA REPORT AND IMPLEMENTATION STRATEGY WILL BE PRESENTED TO THE FULL BOARD FOR APPROVAL AT ITS DECEMBER 2013 MEETING. FULL ADOPTION WILL TAKE PLACE ON OR BEFORE DECEMBER 31, 2013. true American Heart Association 1 Union St Robbinsville NJ 08681 135613797 501(c)(3) 30000 Sponsorship Susan G Komen Breast Cancer Foundation 125 South 9th St Philadelphia PA 19107 752949264 501(c)(3) 17500 Sponsorship Juvenile Diabetes Research Foundation 26 Broadway 14th Fl New York NY 10004 231907729 501(c)(3) 10000 Sponsorship March of Dimes 3012 Main Street Voorhees NJ 08043 131846366 501(c)(3) 15000 Sponsorship Ronald McDonald House 311 South Sixth Street Camden NJ 08103 222430393 501(c)(3) 15000 Sponsorship Symphony in C One Market St Camden NJ 08102 510244534 501(c)(3) 6000 Sponsorship South Jersey Healthcare Foundation 1430 W Sherman Ave Vineland NJ 08360 223746758 501(C)(3) 5800 SPONSORSHIP Jewish Federation of Southern New Jersey 1301 Springdale Rd Cherry Hill NJ 08033 210634489 501(C)(3) 23175 SPONSORSHIP Executive Women of NJ 1255 WHTHRSE-MRCRVILLE RD TRENTON NJ 08619 226534516 501(C)(3) 6000 SPONSORSHIP 9 Schedule I, Part I, Question 2 Grant Fund Monitoring Grants are monitored by the organization's finance personnel through the utilizition of cost centers and other information; including written documentation and receipts. X X X X X false true false false false false false false false John P Sheridan Jr 894435 0 0 0 39847 0 8750 0 20401 0 963433 0 0 0 Adrienne Kirby PhD 681328 0 0 0 2487 0 0 0 13795 0 697610 0 0 Michael E Chansky MD 432479 0 0 0 19069 0 8750 0 2540 0 462838 0 0 0 Generosa Grana MD 567148 0 0 0 18393 0 8750 0 2892 0 597183 0 0 0 Robin L Perry MD 442047 0 0 0 1107 0 8750 0 24250 0 476154 0 0 0 Roland Schwarting MD 558970 0 0 0 2647 0 8750 0 10531 0 580898 0 0 0 George Weinroth 376553 0 0 0 7319 0 8750 0 20237 0 412859 0 0 0 Carolyn E Bekes MD fmr CMO 341009 0 0 0 30340 0 16250 0 10861 0 398460 0 0 0 Jeffrey N Yarmel 0 0 0 0 253213 0 0 0 0 0 253213 0 0 0 Douglas Shirley 471539 0 0 0 389 0 8750 0 19063 0 499741 0 0 0 Douglas Allen 271227 0 0 0 1591 0 8682 0 2403 0 283903 0 0 0 Dianne S Charsha 356478 0 0 0 17424 0 8750 0 10843 0 393495 0 0 0 Lawrence S Miller MD 839322 0 0 0 19838 0 8750 0 24125 0 892035 0 0 0 John Schwarz 252517 0 0 0 204 0 7527 0 1405 0 261653 0 0 0 William G Smith MBA 238000 0 0 0 852 0 7561 0 19649 0 266062 0 0 0 Joseph E Parrillo-END 102012 1107652 0 0 0 8227 0 8750 0 19758 0 1144387 0 0 0 Jeffrey P Carpenter MD 1241191 0 0 0 1518 0 8750 0 24384 0 1275843 0 0 0 Naomi Lawrence MD 842527 0 0 0 1498 0 8750 0 24125 0 876900 0 0 0 Michael Rosenbloom MD 1209905 0 0 0 2838 0 8750 0 24384 0 1245877 0 0 0 Gary Lesneski 617325 0 0 0 3564 0 8750 0 15603 0 645242 0 0 0 Adam B Elfant MD 746986 0 0 0 17967 0 8750 0 18705 0 792408 0 0 0 Richard Y Highbloom MD 939066 0 0 0 1518 0 8750 0 18458 0 967792 0 0 0 Frank W Bowen III MD 769031 0 0 0 17669 0 8750 0 1611 0 797061 0 David A Bocian 245762 0 0 0 218 0 8021 0 23968 0 277969 0 Glenn Sherman 237283 0 0 0 4068 0 3937 0 15136 0 260424 0 Eli Winkler 355852 0 0 0 255 0 7518 0 24559 0 388184 0 Raymond Baraldi MD 521509 0 0 20936 8750 0 16332 0 567527 0 Schedule J, Part I, Line 4b Compensation Information THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS IN 2012 AS A RESULT OF PARTICIPATION IN COOPER HEALTH SYSTEM'S EXECUTIVE FLEXIBLE BENEFIT NONQUALIFIED RETIREMENT PLAN. THESE AMOUNTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III), OTHER REPORTABLE COMPENSATION AND FORM 990, PART VII, COLUMN D. FORMER SENIOR VP & COO - JEFFREY N. YARMEL $253,213 A CAMDEN COUNTY IMPROVEMENT AUTHORITY 222681222 2009-11-09 10000000 Construction-Bldg,Refund Bank Loan false false false B New Jersey Economic Development Authority 222045817 645918TV5 2008-11-04 50000000 Construction-Bldg & Renovations false false false C Camden County Improvement Authority 222681222 13281QAX3 2005-12-15 136045550 Construction&refund 2/27/97 issue false false false D Camden County Improvement Authority 222681222 13281QAA3 2004-08-26 69996908 Construction-Bldg & various costs false false false A 0 0 10000000 0 0 0 190000 0 0 5771076 4038924 0 true false true true B 0 0 50000000 0 0 0 1000000 208947 0 48791053 0 0 false false true true C 17275000 0 145925088 10598046 0 0 1829501 0 0 73909777 59587764 0 false true true true D 5585000 0 75693394 3276508 0 0 1399938 504932 0 70512016 0 0 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false 0 false 0 false false B false false true false 0 false 0 false false C false true false false 0 false 0 false false D false true true false 0 false 0 false false A false B false C false D false Part II, Line 3, Column C & D 0 The difference in the issue price and the total proceeds is the total investment earnings earned to date and $3,452,000 of proceeds transferred from the 1997 reserve fund. This amount is also included in the original $6,612,118 of 2005 proceeds used for the reserve fund on Part II, Column C, Line 4. Part II, Line 11, Column A & C 0 The other spent proceeds relate to the refunding proceeds of the respective issue. Part IV, Question 2c 0 column c: Calculation performed on 12/15/2010; Column D: Calculation performed on 8/25/2009 CONNER STRONG BUCKELEW TRUSTEE - NORCROSS 477381 SEE PART V, FOOTNOTE #1 false BONNIE J MANNINO FAMILY MEMBER - PERRY 91902 EMPLOYEE false TINA CRESSMAN FAMILY MEMBER - WEINROTH 87422 EMPLOYEE false PARKER MCCAY PA FAM MEMBER CO. - NORCROSS 759017 SEE PART V, FOOTNOTE #2 false CARDIOVASCULAR ASSOC OF DE VALLEY TRUSTEE - SNYDER 507009 SEE PART V, FOOTNOTE #3 false Business Transactions with Interested Persons Schedule L, Part IV With regard to conflicts of members of the board of trustees, the board policy on duality and conflict of interest requires trustees to disclose all relationships that may cause a conflict. The audit and ethics committee of the board of trustees reviews transactions that may involve a conflict of interest of an officer, director, trustee or key employee. These procedures are designed to provide for independent review of the transaction, determination of the availability of alternative transactions that do not pose a conflict of interest, and preservation of the organization's best interests in transactions where non-conflicting alternatives are not reasonably attainable. The audit and ethics committee makes a recommendation to the board of trustees with regard to such transactions, which then makes a determination whether the transaction is in the organization's best interest, whether the transaction is fair and reasonable and whether there is a legitimate business interest for such transaction. Any trustee with a conflict of interest with regard to such matter may not vote on such transaction. Business Transactions with Interested Persons Schedule L, Part IV Footnote # 1: The amount noted in Part IV, Column (c): $477,381 represents the amount paid by Cooper Health System to Conner Strong & Buckelew for insurance brokerage, consulting, risk manager and safety services. It should be additionally noted that Cooper's relationship with Conner Strong & Buckelew and its predecessors extends back approximately twenty five years and predates Mr. Norcross' board membership. Mr. Norcross is not personally involved either in the procurement, performance or supervision of any services rendered by Conner Strong & Buckelew to Cooper. The Conner Strong & Buckelew relationship has been annually reviewed by Cooper's independent audit/ethics committee and consulting and brokerage services have been peiodically subjected to a competitive bidding process. Business Transactions with Interested Persons Schedule L, Part IV Footnote #2: Parker McCay PA (Parker) has been providing legal services to Cooper for more than twenty five years, predating George Norcross' membership on the Cooper Health System Board of Trustees. Mr. Norcross' brother, Philip, is a shareholder and a managing officer of Parker, but did not become such until well after the firm began providing legal services to Cooper. Parker's primary function as outside counsel is representing the Cooper Health System and its employees in defense of professional liability claims. Philip Norcross is not involved in the assignment, performance, or supervision of that work. Business Transactions with Interested Persons Schedule L, Part IV Footnote #3: Cardiovascular Associates of the Delaware Valley (CADV), a professional association, provides interventional and other cardiology services to patients. CHS, under an agreement for professional services (leased physicians), provides cardiothoracic surgical physicians' services on a part-time basis to CADV. Harvey A. Snyder, CHS Trustee, is a greater than 5% owner of CADV. During the tax year, CHS paid CADV $64,860 for services related to billings/collections and office space and associated support. CADV paid CHS $442,149 for the leased physicians arrangement. The figure reflected in Schedule L is the addition of $64,860 and $442,149 or $507,009. Form 990, Part III, Lines 4a-c Statement of Program Service Accomplishments The Cooper Health System, a New Jersey Non-Profit Corporation (CHS) IS A NEW JERSEY NOT-FOR-PROFIT ORGANIZATION. CHS IS COMPRISED OF TWO DIVISIONS: THE COOPER UNIVERSITY HOSPITAL (CUH) AND COOPER UNIVERSITY PHYSICIANS (UP). THE CUH INCLUDES THE OPERATIONS OF COOPER HOSPITAL/UNIVERSITY MEDICAL CENTER AND THE CHILDREN'S REGIONAL HOSPITAL AT COOPER, AS WELL AS PROGRAMS FOCUSING ON AMBULATORY DIAGNOSTIC AND TREATMENT SERVICES, WELLNESS AND PREVENTION, AND MANY OTHER HEALTH SERVICES. THE UP CONSISTS PRIMARILY OF THE EMPLOYED MEDICAL STAFF. FOR THE YEAR ENDED DECEMBER 31, 2012, CHS PROVIDES THE FOLLOWING STATISTICS: TOTAL INPATIENT ADMISSIONS INCLUDING BIRTHS AND NICU/TRANS BIRTHS: 26,468 PATIENTS TOTAL OUTPATIENT VOLUME NOT INCLUDING EMERGENCY ROOM CASES THAT WERE ADMITTED: 251,826 PATIENTS TOTAL PATIENT DAYS: 135,330 TOTAL BED DAYS: 178,409 TOTAL CARDIAC CATH PROCEDURES: 6,673 TOTAL CYBER KNIFE PROCEDURES: 110 TOTAL GAMMA KNIFE PROCEDURES: 67 Form 990, Part VI, Line 11b Form 990 Review Process AS PART OF THE TAX RETURN PREPARATION PROCESS, THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRMS TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATIONS FINANCE PERSONNEL AND OTHER SENIOR MANAGEMENT MEMBERS OF THE ORGANIZATION AND THE SYSTEM TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATIONS FINANCE PERSONNEL AND OTHER SENIOR MANAGEMENT MEMBERS FOR THEIR REVIEW. THE ORGANIZATIONS FINANCE PERSONNEL AND OTHER SENIOR MANAGEMENT MEMBERS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATIONS FINANCE PERSONNEL AND OTHER SENIOR MANAGEMENT MEMBERS FOR FURTHER REVIEW AND APPROVAL. THE FORM 990 IS THEN PRESENTED TO AND REVIEWED BY THE MEMBERS OF THE COOPER HEALTH SYSTEM AUDIT AND ETHICS COMMITTEE OF THE BOARD OF TRUSTEES. THE BYLAWS OF THE BOARD OF TRUSTEES PROVIDE THAT THIS COMMITTEE OF THE BOARD REVIEW THE ANNUAL FEDERAL TAX RETURN PRIOR TO ITS FILING. ONCE THAT COMMITTEE'S REVIEW AND APPROVAL PROCESS IS COMPLETE, The completed form 990 is shared with the entire board prior to its filing with the IRS. Form 990, Part VI, Line 12c Conflict of Interest Policy THE ORGANIZATION IS THE PARENT ENTITY IN THE COOPER HEALTH SYSTEM. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE DIRECTOR OF COMPLIANCE AND REVIEWED WITH INTERNAL AUDIT, THE FINANCE DEPARTMENT, AND GENERAL COUNSEL. BOTH DATA AND A SUMMARY ARE PRESENTED TO THE COOPER HEALTH SYSTEMS AUDIT AND ETHICS COMMITTEE FOR THEIR REVIEW AND DISCUSSION. THE ORGANIZATIONS COMPLIANCE AND LEGAL DEPARTMENTS HAVE DEVELOPED PROCESSES TO REVIEW AND PRESENT POTENTIAL CONFLICTS TO THE AUDIT AND ETHICS COMMITTEE. Form 990, Part VI, Line 15a & 15b Process for determining compensation THE ORGANIZATIONS BOARD OF TRUSTEES HAS AN EXECUTIVE COMMITTEE AND AN INDEPENDENT AUDIT AND ETHICS COMMITTEE THAT ARE TOGETHER CHARGED BY THE BOARD OF TRUSTEES WITH REVIEWING EXECUTIVE COMPENSATION AND OBTAINING AN INDEPENDENT COMPENSATION SURVEY AND REASONABLENESS OPINION FOR COMPARISON, RESPECTIVELY. THE EXECUTIVE COMMITTEE, IN ACCORDANCE WITH COOPERS BYLAWS, BENEFITS, POLICIES, AND PLANS, EVALUATES AND APPROVES COMPENSATION AND BENEFITS OF THE ORGANIZATIONS SENIOR MANAGEMENT INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE EXECUTIVE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE EXECUTIVE COMMITTEES REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. WE BELIEVE THAT THE ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE IN CONJUNCTION WITH THE AUDIT AND ETHICS COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. The Compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement, 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION, AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE AUDIT AND ETHICS COMMITTEE IS COMPRISED ENTIRELY OF MEMBERS WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICT OF INTEREST. THE AUDIT AND ETHICS COMMITTEE RETAINS AN INDEPENDENT COMPENSATION SURVEY FIRM TO PROVIDE A WRITTEN COMPENSATION STUDY OF RANGES OF EXECUTIVE SALARIES BASED ON COMPARABLE HEALTHCARE ORGANIZATIONS. THE AUDIT AND ETHICS COMMITTEE ENSURES THE INDEPENDENCE OF THE SURVEY FIRM AND ITS REPORT, REVIEWS THE REPORT, WHICH INCLUDES THE RANGES RECOMMENDED BY THE INDEPENDENT FIRM BASED UPON MARKET DATA, AND FOLLOWING THIS REVIEW, THE AUDIT AND ETHICS COMMITTEE, AS APPROPRIATE, RECOMMENDS TO THE EXECUTIVE COMMITTEE THAT THE SALARY RANGES DOCUMENTED BY THE INDEPENDENT COMPENSATION SURVEY FIRM BE USED AS RANGES TO DETERMINE ACTUAL COMPENSATION TO SENIOR MANAGEMENT. THE EXECUTIVE COMMITTEE EVALUATES PERFORMANCE OF EXECUTIVES, INCLUDING PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATION OFFICER AND CHIEF FINANCIAL OFFICER. THE EXECUTIVE COMMITTEE RELIES UPON THE APPROPRIATE COMPARABLE DATA AS ACCEPTED BY THE AUDIT AND ETHICS COMMITTEE, WHICH IS A WRITTEN COMPENSATION STUDY AND REASONABLENESS OPINION FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTH CARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA, INCLUDING, BUT NOT LIMITED TO, SIMILAR SIZED HOSPITALS, number OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE EXECUTIVE COMMITTEE ADEQUATELY DOCUMENTS ITS BASIS FOR ITS EXECUTIVE COMPENSATION DETERMINATIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE EXECUTIVE COMMITTEE AND THE AUDIT AND ETHICS COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER AND OTHER EMPLOYEES WHO REPORT DIRECTLY TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS FOR CHIEFS OF DEPARTMENTS MAY NOT EXCEED THE 75TH PERCENTILE OF AAMC BENCHMARK DATA WITHOUT SPECIFIC APPROVAL BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. EMPLOYED PHYSICIAN SALARIES MAY NOT EXCEED THE 75TH PERCENTILE OF A BLENDED FORMULA OF 25% ACADEMIC AND 75% PRIVATE PRACTICE OF MGMA BENCHMARK DATA WITHOUT APPROVAL OF THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION AND BENEFITS OF ANY OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER, WITH ASSISTANCE FROM THE ORGANIZATIONS HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE INDIVIDUALS JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. Form 990, Part VI, Line 19 Document availability to the public The organization has issued tax-exempt bonds to finance various capital improvement projects, renovations and equipment. In conjunction with the issuance of these tax-exempt bonds, the organization's financial statements were included with the tax-exempt bond prospectus which was made available to the general public for review. In addition, the organization's filed certificate of incorporation and any amendments, BYLAWS AND conflict of interest policy can be viewed on the organization's website. Form 990, Part VII and Schedule J Part VII reflects certain board members or board officers receiving compensation and benefits from the organization including: John P. Sheridan, Jr. Michael E. Chansky, M.D., Ph.D. Generosa Grana, M.D. Roland Schwarting, M.D. George Weinroth Douglas Shirley Dianne S. Charsha Gary Lesneski David A. Bocian Adrienne Kirby, Ph.D. Jane M. Tubbs Raymond Baraldi Carolyn E. Bekes, M.D. Please note this remuneration was for services rendered as full-time employees of the organization, not for services rendered as a voting member or officer of the organization's board of trustees. Form 990, Part XI, Line 9 Reconciliation of Net Assets change in fair value of interest rate swap agreements $ (261,802) change in pension benefit obligation 847,388 Net Asset Transfer From Affiliate 15,000,000 Temporarily restricted net asset transfer (82) Rounding 662 ----------- Total $ 15,586,166 =========== Community Benefit Statement Index: References lower right-hand corner page number. 1. Background, Page 92 2. Charitable purposes, charity care and community activites, Page 94 3. Vision and Mission of the Cooper Health System, Page 96 4. Signature Programs, Page 96 Cooper Heart Institute, Page 96 Cooper Bone & Joint Institute, Page 97 Cooper Cancer Institute, Page 98 Critical Care Medicine, Page 99 Cooper Level One Trauma Center, Page 100 Cooper Neurological Institute, Page 101 Children's Regional Hospital at Cooper, Page 103 5. Other Medical Specialties, Page 105 6. Cooper Community Benefit Programs, Page 105 Community Health Outreach, Page 106 Classes and Support Groups, Page 106 Programs, Screenings and Activities, Page 106 The Cooper Learning Center, Page 107 Trauma Education, Page 109 Safe Kids Southern New Jersey Coalition, Page 109 Life Supoprt Training Center, Page 110 Health Professional Education, Page 110 Continuing Medical Education, Page 111 Graduate Medical Education, Page 111 Cooper Medical School of Rowan University, Page 112 Training for Camcare (Local FQHC) Physicians, Page 112 Allied Health Prof Clinical/Didactic Educ/Train, Page 112 Simulation Lab, Page 112 EMS Training, Page 113 Emergency Services for Community Events, Page 113 Early Intervention Program, Page 113 Disaster Preparedness and Medical Coordination Center, Page 114 Health Outreach Project (HOP Clinic), Page 116 Support Groups, Page 116 Translation Services for Patients, Page 117 Camden Coalition of Healthcare Providers, page 117 Camden Citywide Care Management Project, Page 118 Practice Capacity Building Project, Page 119 Expansion of Access to Mental Health Care, Page 119 Palliative Care Program, Page 119 Research-clinical and Community Health, Page 120 Community Building, Page 122 Economic Development, Page 123 Community Support, Page 124 Environmental Improvements, Page 125 Leadership Development/Training for Community Members, Page 125 Efforts to address Health and Safety Issues, Page 126 COMMUNITY BENEFIT STATEMENT 1. Background Cooper University Hospital, founded in 1887, is the clinical campus of Cooper Medical School of Rowan University, and the leading provider of health services to southern New Jersey. Cooper has been a vital institution in Camden for 126 years. In the past decade, Cooper has greatly expanded its facilities and services in Camden and throughout South Jersey. The Cooper network currently serves more than half a million patients a year. Cooper's main hospital campus is located on the Health Sciences Campus in Camden, New Jersey. Adjacent to the Cooper Plaza/Lanning Square neighborhood, Cooper has a long history of outreach and service efforts to its local community. Some of these initiatives include health and wellness programs for the neighborhood, development of three neighborhood parks and a playground, and outreach with programs into local schools. Cooper has also expanded its footprint in the city with the construction of a state-of-the-art medical tower, creation of a new medical school, a new cancer center, an urgent care center, and an Accountable Care facility, and efforts to rehabilitate nearby residential properties. Cooper University Health Care has over 5,700 employees and a medical staff of more than 700 physicians in over 75 specialties. The health system has been the clinical campus of the University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School at Camden since 1978 and is now training the next generation of physicians at our new Cooper Medical School of Rowan University. Cooper offers training programs for medical students, residents, fellows, nurses and allied health professionals in a variety of specialties. Cooper University Health Care offers a network of comprehensive services that include prevention and wellness, primary and specialty physician services, hospital care, ambulatory diagnostic and treatment services, and home health care within southern New Jersey and the entire Delaware Valley. Coupled with its educational goals, Cooper offers a broad agenda in the field of research. Cooper physicians are involved in ongoing research and development as they keep abreast of changing modalities in medical care. As an academic medical center, Cooper continuously strives to improve patient's quality of life through the research efforts of its medical staff. Cooper University Health Care takes pride in its ability to offer a comprehensive array of diagnostic and treatment services. The hospital serves as Southern New Jersey's major tertiary-care referral hospital for specialized services. These signature programs include: state-designated Level I Regional Trauma Center, the Cooper Cancer Institute, the Cooper Heart Institute, the Cooper Bone and Joint Institute, the Cooper Neurological Institute and Critical Care Medicine. Cooper is also home to the Children's Regional Hospital, the only state-designated children's hospital in South Jersey. The new Cooper Cancer Institute will open in 2013 at the corner of Haddon Avenue and Martin Luther King Boulevard. This freestanding 103,000 square foot facility will provide integrated diagnostic and treatment services for cancer patients. 2. Charitable Purposes, Charity Care and Community Activities Cooper is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Moreover, Cooper operates consistently with the following criteria outlined in IRS revenue ruling 69-545: a)Cooper provides medically necessary health care services to all individuals regardless of ability to pay-that includes charity care, self-pay, Medicare and Medicaid patients. b)Cooper operates an active emergency room for all persons, which is open 24 hours a day, 7 days a week, 365 days per year. c)Cooper maintains an open medical staff, with privileges available to all qualified physicians. d)Cooper is governed by its Board of Trustees which is comprised of independent civic leaders and other prominent members of the community. As demonstrated by the above IRS criteria, as well as other information contained herein, the use and control of Cooper is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Cooper is guided by the belief that it is dedicated to the health care needs of the communities that it serves. That level of determination and commitment is the very soul of Cooper. Cooper provides health care services to all persons in a non-discriminatory manner regardless of race, color, creed, sex, national origins or ability to pay. Moreover, Cooper provides health care services to patients who meet certain criteria under its charity care policy as defined by the New Jersey state attorney general without charge or at amounts less than established rates. Cooper maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Additionally, as outlined herein, Cooper sponsors other charitable programs which provide substantial benefit to the broader community. Such programs include services to the needy and elderly population that require special support, various clinical outreach programs as well as health promotion and education for the general community welfare. COMMUNITY BENEFIT STATEMENT (CONTINUED) 3. Vision and Mission of The Cooper Health System Vision Statement Cooper University Health Care will be the health care leader in the Delaware Valley providing exceptional medical care and service for every patient, every day, in a patient-centered, family-focused environment. Mission Statement Cooper University Health Care is an academic medical center committed to world-class patient care, education, and research resulting in a healthier community. 4. Signature Programs Cooper Heart Institute The Cooper Heart Institute is the most comprehensive cardiovascular program in southern New Jersey. At Cooper, cardiac patients have access to a world-renowned team of cardiovascular experts, the most advanced technology and the best care options. Cooper provides the full spectrum of heart care from prevention and diagnosis, to the most innovative non-surgical techniques and surgical treatments-from special stenting procedures to open blocked heart arteries to beating heart surgery and complex heart valve surgery. Cooper conducts cutting-edge clinical research in areas such as interventional cardiology, electrophysiology and arrhythmias, and the treatment of cardiogenic shock. The Cooper Heart Institute is the region's expert in treatment of acute myocardial infarction, and receives urgent transfers of seriously ill cardiac patients round-the-clock. Cooper Bone & Joint Institute The Cooper Bone and Joint Institute is staffed by orthopaedic physicians who provide comprehensive surgical and non-surgical services for disorders of the musculoskeletal system. As part of the Level I Trauma Center in southern New Jersey, these physicians are an integral part of the trauma team that handles the most complex orthopaedic injuries. Cooper's orthopaedic surgeons are experts who are developing innovative techniques in arthroscopic surgery; joint replacement of the shoulder, hip, and knee; ankle, elbow, and spine surgery; as well as hand and upper extremity surgery and re-plantation and orthopaedic reconstruction. The Cooper Bone and Joint Institute also provides a collaborative multidisciplinary concussion program and orthopaedic rehabilitation. The Cooper Bone and Joint Institute has over 27 comprehensive programs offering a unique treatment continuum of care within a highly integrated health care delivery network. The goal of the Cooper Bone and Joint Institute is simple: to return its patients to normal function as quickly and safely as possible. To reach this goal, the medical professionals at the Cooper Bone and Joint Institute enlist a comprehensive, leading edge approach to the prevention, assessment, treatment and rehabilitation of musculoskeletal injuries. The Cooper Bone and Joint Institute's highly trained team of surgeons, nurses, physician assistants, rehabilitation specialists and various medical support personnel works with each patient and their primary care physician to develop a treatment plan specifically for that patient. By combining extensive clinical expertise with a compassionate, caring, treatment philosophy, the Cooper Bone and Joint Institute has created a program known for its quality of care. Cooper Cancer Institute Within the Cooper Cancer Institute, multidisciplinary, disease-site specific teams, consisting of physicians (medical, gynecologic, radiation and surgical oncologists), nurses and other clinical specialists, work together to provide cancer patients with the most advanced diagnostic and treatment technologies available - from cutting edge radiation oncology technologies such as the CyberKnife, to advanced chemotherapy regimens to innovative surgical techniques including minimally invasive and robotic surgeries - as well as access to groundbreaking clinical trials and dynamic patient-physician relationships. A full complement of support services including nutritional counseling, genetic testing and counseling, social work services, complementary medicine therapies and behavioral health support services provides complete, compassionate care for all CCI patients. Cooper Cancer Institute is a Major Clinical Research Affiliate of The Cancer Institute of New Jersey, a National Cancer Institute-designated Comprehensive Cancer Center. Cooper University Health Care is the only accredited American College of Surgeons Teaching Hospital Cancer Program in South Jersey. Critical Care Medicine Cooper has earned the distinguished reputation as the critical care provider to the region's most seriously ill. The opening of a state-of-the-art intensive care unit and the development of an acclaimed clinical research program have catapulted critical care at Cooper to a new level of clinical and academic excellence. More than 40 percent of inter-hospital transfers from South Jersey are directed to Cooper's critical care service since the implementation of the Cooper Transfer Center. Critical care physicians at Cooper are among the world's experts in the treatment and research of sepsis and septic shock. Cooper is also the region's leading provider of therapeutic hypothermia, and has established the Cooper Resuscitation Center for handling the transfer and care of patients after cardiac arrest. When a child has a serious illness or has suffered serious trauma, Cooper directs the highest caliber of attention to the child's critical care needs. Cooper's pediatric intensive care service, which admits nearly 1,200 children each year, is staffed by pediatric critical care specialists who have the most sophisticated medical equipment at their disposal. When patients must be transported here from area hospitals, an experienced team of critical care transport specialists provide ongoing monitoring during the ground or air transport. experienced team of critical care transport specialists provide ongoing monitoring during the ground or air transport. COMMUNITY BENEFIT STATEMENT (CONTINUED) Cooper Level One Trauma Center Each year, nearly 3,000 critically injured patients are transported to Cooper's Level I Trauma Center, South Jersey's only Level I trauma service. Whether they arrive by helicopter or ambulance, the mission of the trauma team remains the same: resuscitate, evaluate and treat the patient's injuries as quickly as possible. Cooper's Trauma Center is known and respected throughout the region and is the most active trauma center in the entire Delaware Valley. Cooper's trauma teams have saved tens of thousands of lives. The Trauma Center at Cooper was established in 1982 and is one of only three New Jersey state-designated Level I trauma centers. Cooper serves as the regional trauma center for southern New Jersey including Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Ocean and Salem Counties; and as a resource for the Level II Trauma Centers in our region. A Level I trauma center cares for severely injured patients including persons involved in motor vehicle accidents; falls; and assaults with guns, knives, or other blunt objects. The Level I Trauma Center at Cooper has also been recognized and verified by the American College of Surgeons as a Level I Trauma Center With Pediatric Commitment. Cooper's trauma center is part of a statewide network of trauma centers. These centers participate in multiple national research studies to advance treatments for brain damage, spinal cord injuries and shock management. Cooper's nationally recognized Traumatic Injury Prevention Program (TIPP) is geared toward youth violence prevention, and drinking and driving prevention. This program is presented an average of 100 times per year. Cooper Neurological Institute Cooper has one of the most progressive patient- and family-centered neurological centers in the region - offering the most advanced system on the East Coast for noninvasive treatment for brain disorders. The Cooper Neurological Institute (CNI) is located in an 11,500 square-foot facility in Three Cooper Plaza on the campus of Cooper University Hospital. The CNI is dedicated to providing exceptional, compassionate and easy-to-access care to patients with neurological diseases and disorders - and applying innovative and promising solutions, from surgery and minimally invasive procedures of the brain and spine, to radiosurgery and magnetic guidance systems. The medical staff at the CNI includes renowned neurologists, neurosurgeons and many other sub specialists. Cooper University Hospital's neurological institute is the only one in central and southern New Jersey, and one of the first hospitals in the United States, to offer patients the Leksell Gamma Knife Perfexion. Gamma Knife Perfexion radiosurgery is available for the treatment of patients with brain disorders such as cancers and tumors, vascular abnormalities, functional disorders, and ocular disorders. The Gamma Knife surgical technology provides brain surgery without any incisions, and is as precise as a pinpoint. A patient can normally return home the same day. The CNI also treats patients for Parkinson's Disease, tremors and dystonia. CNI provides deep brain stimulation (DBS) which involves the implantation in the brain of a thin electrode which is connected to a neurostimulator the size of a pacemaker. Once in place, patients can experience relieved or decreased symptoms of tremor, rigidity, slowness of movement, stiffness, and balance. CNI also provides help for patients with gait or balance dysfunction. The fall prevention program offers expert diagnosis and treatment in a multidisciplinary environment to identify any treatable underlying causes of the patient's balance dysfunction. The CNI provides a full range of services - from sophisticated diagnostics to advanced rehabilitation resources - and offers the most progressive medical and surgical treatments in virtually every neurological field. Children's Regional Hospital at Cooper A "hospital-within-our-hospital," the Children's Regional Hospital (CRH) provides the finest pediatric services available to the children of southern New Jersey. Designated by the State Department of Health as a specialty, acute care children's hospital, Cooper is uniquely equipped and carefully staffed to treat the region's most critically ill and seriously injured children, from newborns to adolescents. Physicians and surgeons were recruited from the best children's hospitals in the nation. And because they are experts in their field, they are also faculty members at Cooper Medical School of Rowan University. Cooper has the only pediatric trauma program in South Jersey, and the highest level Newborn Intensive Care Unit which was recently awarded NIDCAP developmental certification-only the second hospital in the world to receive this certification. Cooper also has a Regional Cleft-Palate Craniofacial Program. In addition to its facilities and staff, the CRH membership in the National Association of Children's Hospitals and Related Institutions (NACHRI) ensures access to the most current standards of pediatric care in practice in the U.S. CRH's participation in international, national, and statewide research collaboratives like the CRH's cancer group, AIDS clinical trials group and UMDNJ-New Jersey Medical School Asthma and Allergy Study Group also allow the CRH to offer patients access to the latest treatment modalities. Each year, about 5,000 children are admitted to the Children's Regional Hospital at Cooper for specialized care. Another 15,000 children are treated each year in its pediatric emergency room. In addition, there are more than 60,000 outpatient visits each year to the pediatric medicine and surgical specialists of the CRH. The CHR provides a wide range of pediatric services for infants, children and adolescents from southern New Jersey, Philadelphia and throughout the Delaware Valley. The CRH's services are comprehensive with the clinical staff and medical technology to diagnose the most complex pediatric diseases in an environment where the focus is on the child and the family. In addition to its highly skilled physicians, the CRH is staffed with nurses, clinical specialists, therapists, nutritionalists, social workers and technicians who are dedicated to providing the highest caliber of care in each of their respective professions. Their excellent training is complemented by their dedication to serving the special needs of children. 5. Other Medical Specialties Cooper offers a variety of innovative prevention programs, state-of-the-art diagnostic and treatment techniques, and a dedicated team of physicians, nurses and other medical professionals. From its signature programs in cancer, cardiology, critical care, neurology, orthopaedics and trauma to its innovative programs in radiology, oncology and pediatrics, Cooper offers a full range of care and services for adults and children. By examining Cooper's specialties, it is clear why the name Cooper is synonymous with World Class Care and leading edge facilities and services throughout the Delaware Valley. COMMUNITY BENEFIT STATEMENT (CONTINUED) 6. Cooper Community Benefit Programs The health of its surrounding communities is of Cooper's utmost concern. From healthcare programs for the community to educational and employment programs, Cooper strives to be a responsible, involved community advocate. Cooper's Community Benefit Activities: Community health, health education, clinical services and fundraising/grant writing for community benefit programs. Community Health Outreach - Classes and health screenings for the community: a. Classes and support groups offered by Cooper include, but are not limited to, the following: - Breastfeeding: The benefits of breastfeeding and discusses how to get started, positioning techniques and community resources - Childbirth Preparation / Education Classes- One-Day, Two-Part Series - Obstetrical Unit Tours - Infant/Child CPR Class-certification - CPR: The Friends and Family Course- Non-Certified - Prenatal Yoga - Early Pregnancy Consultation: All You Need to Know - Breathing and Relaxation Class - Breastfeeding Support Group - Baby 101: Newborn Care and Characteristics - Child and Infant Car Seat Safety Workshops and Programs b. Community programs, screenings and activities, most of which are free of charge. Includes events and educational classes such as (not an all inclusive list): - Diabetes Support Group. - Health Screenings: - Stroke - Cholesterol - Glucose - Blood Pressure - Peripheral Vascular Disease - Asthma Education for children and families - Zumba - The Healthy Weigh: Weight Management Program - The Diabetes Weigh: Personalized Diabetes Management Program - Chair Yoga - Yoga for Women - Ripa Center Health Living Seminars - Core and More - Tai Chi - Flip Fitness - Viva Mat Pilates - Breast Health Education - OB/GYN Flu Clinic - Flu Vaccine - Community Based Diabetes Self Management Education Classes - Health Conferences and Health Fairs - Health and Wellness-Nutrition Program - Healthy Living Free Seminars - eHealth Connection Newsletters - Health eTalk Web Chat - Teachers and Coaches Seminars - Safe Sitter Interactive Baby Sitting Course - Cooper Cancer Institute's Dr. Diane Barton Complementary Medicine Program: - Restorative Yoga - Qi Gong - Mindful Meditation - Live, Lunch and Learn - Annual Survivors Day - Bonnie's Book Club - Cooper in Schools - Health education for school professionals, parents and students - Concussion and sports related injuries education and outreach c. The Cooper Learning Center - offers the following programs and services: - Educational Assessments - Reading Enrichment Programs - Comprehensive ADD & ADHD Assessments - Fast Forward Language Programs - Writing and Language Programs - Math Programs - Anger Management - Social Skills - Study Skills - Parenting Sessions - Therapeutic Services - Psychological Services - Services and Programs for Teachers and Schools - Lanning Square Summer Reading Program for underserved Camden children - The Rookie Reader Program Trauma Education: The Trauma Outreach Program is a combination of 16 educational and interventional classes that focus on injury/trauma prevention. For the past 15 years the Trauma Outreach Programs has been committed to reducing the incidence of trauma injuries in southern New Jersey by delivering comprehensive trauma/injury intervention programs. Programs and classes include such topics as: Alcohol Abuse and Outcomes, Don't fall for Us, Drivers Education, Prom Program, Risk Taking, Teen Drug Use and Outcomes, Youth Gang Violence, Tours of the Trauma Facilities for Schools and Students, and Safe Kids Walk to School Day. The Department also provides courses, programs and education sessions for local EMS organizations. Safe Kids Southern New Jersey Coalition: This local coalition covers the Camden, Gloucester, and Burlington county area and is one of over 300 groups across the country and around the world organized by the National SAFE KIDS Campaign. Cooper University Hospital serves as the lead organization for the coalition of hospitals, public safety departments, non-profits, businesses, and concerned parents. The mission of the coalition is to reduce accidental injuries and deaths of children ages 14 and under through education in schools. Safe Kids Southern New Jersey draws on the strength of its grassroots participation and brings together a cross-section of community leadership including law enforcement, firefighters and paramedics, medical and health professionals, educators, parents, businesses, public policymakers, and media. Current programs also include classes on car seat safety, bike helmet safety, summer safety, home safety, sports safety, pedestrian safety programs and other training and educational programs or initiatives. Life Support Training Center: Basic Life Support (BLS) Training teaches the process of supplying rescue breaths and chest compressions to individuals experiencing cardiac arrest. The BLS training program has existed internally for over a decade. In the past two years the Life Support Training Center has expanded the program and now offers classes to other organizations and community members. The purpose of expanding the program is to educate and empower the community about Basic Life Support. There are two basic program activities that are offered through the Life Support Training Center: Healthcare Provider BLS for health care professionals and HeartSaver AED for community members. COMMUNITY BENEFIT STATEMENT (CONTINUED) Health professional education - physicians, medical students, nurses, etc; scholarships: Continuing Medical Education: In July 2012, Cooper received a six-year accreditation with commendation (until July 2018). The year 2011 marked our twenty-first accredited year as a national sponsor of CME. In July 2006, Cooper received a six-year accreditation with commendation (until July 2012). This is a major accomplishment for The Cooper Health System! Cooper is the only hospital or health system in southern New Jersey with national accreditation. Moreover, only an average of 7 percent of all national CME providers receive a six-year accreditation with commendation (approximately 49 providers). All CME activities target primary care physicians and physicians from all specialties. Other allied health professionals including fellows, residents, advanced practice nurses, physician assistants, nurses, technicians, and medical students also attend. This year's topics included anesthesiology, various cancers, gynecologic oncology, cancer survivorship, orthopaedics, hypnosis, cardiovascular disease, rheumatology, pediatric emergencies, and clinical research. All areas of interest are covered in our in-house series and joint-sponsorship series. Graduate Medical Education: Cooper's GME programs train approximately 260 residents and fellows per year. Cooper Medical School of Rowan University: In October 2009, Cooper and Rowan University announced a landmark partnership to establish a Medical School - the first four-year Allopathic Medical School ever in Southern New Jersey and the first new Medical School in 35 years in the State. The key factor for this partnership is the collaboration between Rowan and Cooper to work together to forge a founding philosophy for the school, explore partnerships in research areas, and create committees to work toward Liaison Committee on Medical Education (LCME) accreditation of the School. Cooper Medical School of Rowan University is located in Camden, NJ at Broadway and Benson Streets. The six-floor, 200,000 square-foot School welcomed its Inaugural Class of 50 students in August 2012. Training for CAMcare (local FQHC) Physicians: Cooper provides continuing medical education programs to physicians employed with the local FQHC. Allied Health Professional Clinical and Didactic Education/Training: Cooper University Hospital provided education to, approximately, 74 allied health professional students in three different fields within the Center for Allied Health Education: School of Cardiovascular Perfusion, School of Diagnostic Imaging, and the School of Radiation Therapy. Simulation Lab: The Cooper University Hospital Simulation Laboratory is dedicated to advancing patient safety and healthcare provider education at all clinical levels. We aim to be a resource to our Cooper Departments and to other hospitals and healthcare providers in our community and region. One-to-one and small group instruction utilizing lifelike mannequins is conducted by facilitators trained in the use of computer driven simulation adjuncts. Attention is focused on maintaining a non-threatening learning environment, providing adequate mechanisms for positive feedback and developing a supportive student-facilitator relationship. This includes training for medical students. EMS Training: Cooper provides medical director services and training for numerous local EMS services. Subsidized health services, ER and trauma, hospital outpatient, behavioral health, palliative care: Emergency Services for Community Events: Cooper provides emergency services for local community events. Early Intervention Program: The Cooper University Hospital EIP/Family HIV Treatment Center was established in 1990 to serve a four county area of southern New Jersey consisting of Camden, Burlington, Gloucester, and Salem counties. It is a regional, multidisciplinary outpatient center that has provided a full range of services to over 1400 patients. The primary mission of the EIP/HIV Family Treatment Center at Cooper is to provide comprehensive medical and supportive services to HIV infected individuals regardless of their ability to pay. The center also frequently serves as a port of entry for many HIV infected Camden residents into any type of medical care. Disaster Preparedness and Medical Coordination Center: The mission of the Division of EMS and Disaster Medicine is to maintain the integrity of the health care continuum as it relates to the response for a mass casualty incident involving chemical, biological, radiological, nuclear, traumatic, and natural events through clinical care, education, training, and research. The goals for the Division are to provide subject matter expertise related to disaster medicine (emergency medical services, emergency medicine, trauma, toxicology, pediatrics, infectious diseases, environmental safety, radiation safety, and industrial hygiene); to provide education and training for all audiences involved in disaster preparedness through the National Disaster Life Support Regional Training Center; to participate in research initiatives to maintain the highest level of preparedness and pre-hospital care through evidence based medicine; to support a highly trained medical strike team that can respond to large chemical, biological, radiological, nuclear, and traumatic mass casualty events; and to collaborate with local, state, regional, and federal partners to assist in effective disaster planning. The MCC serves as the regional hub for healthcare related emergency planning, training and response. The MCC located at CUH provides situational awareness, resource management, and information management for the healthcare continuum as it relates to emergency preparedness, response, mitigation and recovery. The primary area of responsibility for the CUH MCC is the entire southern Region of New Jersey which consists of the seven southern-most counties as well as integration with Southeastern Pennsylvania (including the City of Philadelphia) and the State of Delaware (includes the City of Wilmington). COMMUNITY BENEFIT STATEMENT (CONTINUED) The MCC utilizes the expertise provided by the Division of EMS and Disaster Medicine, regional law enforcement, fire departments, emergency medical services, Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) teams, technical rescue teams, etc., to assist the healthcare continuum in meeting their mission. In January, 2010 Cooper sent a medical team to Haiti after the devastating earthquake injured thousands of Haitians. The team spent two weeks treating patients and helping coordinate an effort to set up hospitals and clinics for the injured. Health Outreach Project (HOP Clinic): The HOP Clinic is a service learning program created to provide medical care and reinforce skills for third- and fourth-year medical students. The Adult Medicine Clinic, which has been in existence for more than 5 years, maximizes the student's mission of service learning. In addition, the program offers a clinic for pediatric medicine and a clinic for obstetrics/gynecology. Cooper provides care to a diverse community, representing the underserved, uninsured and underinsured patients, including the low income and high risk population of Camden City. By providing quality care to underserved and uninsured Camden residents, the free clinics helps alleviate the burden of health disparities in the city. Support Groups: Cancer Support Groups - There are times when the support of friends and family isn't enough. Spending time with others who have a shared or similar experience and sharing experiences helps with depression and anxiety, and is the key to recovery. Cooper's support groups, activities and social events encourage fitness and the maintenance of a healthy body and mind. Groups included but are not limited to: Prostate Support Group & Lecture Series - The Cooper Cancer Institute is proud to present the Prostate Support Group, the only such support group in southwestern New Jersey. This is a joint venture of leaders in the care and treatment of prostate diseases and the Cooper Prostate Center. The meetings are intended to allow survivors of prostate diseases and their families to become well informed, give and receive the support of others, ask questions, and express their concerns. Sister Will You Help Me? - A breast cancer support group for women of color and faith. The group's mission is to empower through knowledge, encourage through sisterhood, enlighten through faith and to bond through love. Latino Cancer Survivors My Genes, My Risk Young Women With Breast Cancer Support Group Smoking Cessation Group - Whether you have been smoking for 3 years or 30 years, it is not too late to quit and improve health. The program is based on empirically supported therapies that have been found to help people quit smoking. Translation Services for Patients: Cooper provides translation services for patients whose first language is not English. Camden Coalition of Healthcare Providers: Cooper provides significant support to this organization which was created six years ago as an opportunity for providers to network and discuss the common issues they face in running medical practices in Camden and providing care in a poor, urban environment. Two staff (Medical Director and Program Manager) and one social worker are supported by Cooper. The remaining staff is supported in full by grant funds. The Coalition's primary projects include: Camden Citywide Care Management Project In September 2007, the Coalition began implementation of a Citywide Care Management Project to reach out to high utilizers of city emergency rooms and hospitals. A part-time nurse practitioner, community health worker, and a full-time social worker staff the project. Patients are enrolled to the project by referral from emergency department physicians, inpatient physicians, and social workers. The project provides "transitional" primary care with a goal of moving the patients into a primary care setting that can meet their needs. With over sixty patients enrolled in our project; we are visiting them in homeless shelters, abandoned homes, hospital rooms, ED gurneys, and street corners. Many of the patients are homeless with criminal histories, substance abuse, chronic illnesses, and mental health problems. The advantage of running a project like this, using a citywide coalition, is our ability to encourage collaboration between the hospitals, to share data, to identify common challenges, and to address the challenges with coordinated solutions. For instance we've improved access to the homeless shelter and streamlined the application process for long-term federal disability. Practice Capacity Building Project The Coalition's philosophy is that by increasing capacity within local primary care offices we can help them achieve higher patient satisfaction, improved economic viability, and better health outcomes. Monthly roundtable meetings and seminars have been held for local office managers and providers to encourage peer-to-peer linkages, increase skills and knowledge of modern medical office management techniques and educate in specific practice management topics. Participation in this group leads to on-site consultation for individual offices, focusing on process flows, operations management, analyzing cycle times, and information management. Expansion of Access to Mental Health Care Psychiatry services are extremely difficult to access in underserved communities. The Coalition is developing a system of joint primary care/psychiatry appointments to increase a primary care provider's capacity to provide mental health care. The psychiatrist will provide mentoring, coaching and consultation to the primary provider. Palliative Care Program: The Palliative Care Program is designed to be integrated as part of a patient's care plan at anytime, to manage symptoms related to treatment such as chemotherapy, or for symptoms that linger or appear after treatment is complete. Palliative care is the comprehensive treatment of the discomfort, symptoms and stress of serious illness. It does not replace a patient's primary treatment, but works together with treatment at any point in a patient's care. Palliative care also addresses psychological, social and spiritual concerns - all to achieve the best quality of life possible for each patient. At Cooper, the Palliative Care Program can help patients manage the common side effects of illness such as: pain, fatigue, nausea, constipation, diarrhea, depression and anxiety, difficulty breathing, loss of appetite and weight loss, weakness, sleep problems, confusion and end-of-life. COMMUNITY BENEFIT STATEMENT (CONTINUED) Research-Clinical and Community Health: The Cooper Research Institute, established in January 2003, coordinates clinical trials and supports researchers at Cooper. Through basic and clinical research, faculty at Cooper is bringing scientific discoveries to life and providing thousands of patients in South Jersey with access to cutting-edge treatments in fields such as cancer, cardiology, critical care, diabetes, and gene therapy. Cooper faculty members currently conduct approximately 340 National Institutes of Health (NIH) and industry-sponsored clinical trials each year. Many of these studies are only available in South Jersey at Cooper. By participating in a clinical trial, an individual may have the first chance to benefit from improved treatment methods and the opportunity to make an important contribution to medical science. Past research by Cooper faculty has led to new standards of care and novel therapies in fields such as cancer, cardiology, surgery, and orthopaedics. For example, Cooper faculty members have conducted studies that led to: new cancer treatments such as Rituxan for lymphoma, Iressa for advanced non-small cell lung cancer, Tamoxifen to prevent breast cancer, and Cisplatin plus radiation therapy for cervical cancer. Among other medical advances credited to the Cooper Research Institute are: - New joint replacements, such as ceramic-on-ceramic (COC) hip replacements. COC hip replacements appear to be the most durable implants available. - The new onyx mechanical heart valve whose unique design results in the formation of fewer blood clots than with other artificial valves. - A new surgical adhesive, Bioglue, which is widely used in cardiothoracic surgery as an adjunct to standard methods of achieving hemostasis in adult patients with open surgical repair of large vessels. - New cardiology medications, such as Reopro, the first GP IIB/IIIA inhibitor, which reduces cardiac ischemic complications associated with percutaneous coronary intervention. Reopro is the gold standard among GP IIB/IIIA inhibitors. Community Building and Community Activities: Cooper sponsors various non-profit organizations to promote and build a healthy community. Some of the various activities that Cooper sponsored, provided, planned, partnered or participated in during 2012 are as follows: Cooper's Community Building activities include but are not limited to: - Physical improvements and housing revitalization projects - Neighborhood Revitalization Tax Credit Project - Cooper University Hospital has served as the lead and is partnering with Metro Camden Habitat for Humanity, Saint Joseph's Carpenter Society, Center for Family Services, Greater Camden Partnership, the Cooper Lanning Civic Association and additional community partners on $2 million in funding from the Neighborhood Revitalization Tax Credit (NRTC) program through the N.J. Department of Community Affairs to improve housing and community conditions in the Cooper Plaza Neighborhood. Cooper University Hospital has served as the lead in writing and administering the grant on behalf of the community partners. This includes a second phase of NRTC projects. - New Parks and Park Maintenance: Cooper has partnered with Camden City, Camden County and community groups on the construction of three new neighborhood parks. Cooper has taken the responsibility for the ongoing maintenance and upkeep of the three parks. - Cooper has been a partner with Camden County and community organizations for the ongoing streetscape and landscape improvements in the Cooper Plaza Neighborhood funded through the County. Cooper has facilitated meetings to coordinate the project with the County and community organizations and address community questions or concerns. - Housing Rehabilitation: Cooper partners with non-profits to advance efforts to improve housing in the Cooper Plaza neighborhood. This includes a partnership with Saint Joseph's Carpenter Society, Habitat for Humanity and other partners to utilize grant funding for rehabilitation and housing improvements in the Cooper Plaza neighborhood in Camden. - Homeownership Partnerships: Cooper has partnered with non-profit organizations such as Saint Joseph's Carpenter Society and Metro Camden Habitat for Humanity to promote home ownership opportunities in the Cooper Plaza Neighborhood to further stabilize the community with occupied housing. Economic Development - assisting business development, creating new employment opportunities: - Broadway Main Street: Cooper partners with and participates in the Broadway Main Street Program to encourage economic growth on the corridor. - Cooper's Ferry Partnership: Cooper is a member of the Cooper's Ferry Partnership. Cooper actively works with the organization on community issues and additional projects to improve the neighborhoods in Camden and foster economic development opportunities. This includes collaboration and partnerships on initiatives and opportunities to facilitate the revival of the City of Camden as a place where people choose to live, work, visit, and invest. - Camden Special Services District: Cooper is a partner for the Camden Special Services District that provides maintenance and a human presence through "Ambassadors" in Camden's Downtown University District and Broadway Corridor to remove graffiti, clean streets, pickup liter and debris, provide additional maintenance services and serve as a daily presence on these corridors. Community Support - mentoring, neighborhood support, disaster readiness, neighborhood safety: - Cooper Lanning Civic Association and Lanning Square West Association - Participation in association meetings, project coordination, events and administrative support. - Neighborhood Concert Series: In 2012, Cooper University Hospital continued the series with four free community concerts in Cooper Commons Park and the Lanning Square Park during the summer. - Cooper Plaza Neighborhood Watch - Cooper supports the Cooper Plaza neighborhood and the Cooper Lanning Civic Association during the community's neighborhood watch initiative by providing space and food for the effort. - Promise Neighborhood Initiative: Cooper University Hospital has been an active partner with the City of Camden, Center for Family Services and other community groups on the planning effort and the Promise Neighborhood Initiative to develop a comprehensive approach to social services for children and families living in the Cooper Lanning neighborhood. - Cooper Health Sciences Academy at Charles Brimm Arts High Schoo: This program provides sophomore students at the Brimm High School with health education and health profession career exposure during the high school academic year through lectures, guest speakers, presentations and seminars. - Camden Safety Zone Initiative: Cooper University Hospital has partnered with Camden County through a federal grant to provide surveillance cameras in the Cooper Plaza Neighborhood to improve safety for the community. Environmental Improvements: - Clean and Safe Cooper Plaza Program: Partnership with the Greater Camden Partnership and the Camden Special Services District to provide maintenance services in the Cooper Plaza Neighborhood to improve the physical appearance and upkeep of the neighborhood in order to provide an enhanced sense of safety and a maintained neighborhood for residents and visitors. - Streetscaping, landscaping and park maintenance in community. Leadership development/training for community members: Cooper provides development and training to include but not limited to: - Child passenger safety technician classes - Child passenger safety training; booster seat program - Fire safety teacher in-service sessions COMMUNITY BENEFIT STATEMENT (CONTINUED) Coalition building and collaborative efforts to address health and safety issues: - Camden Higher Education and Health Care Task Force: Cooper is a founding member and active participant in the Camden Higher Education and Health Care Task Force ("Eds and Meds"). - Cooper's Ferry Partnership: Cooper is a member of Cooper's Ferry Partnership and actively works with the organization as a dues paying member to collaborate on community issues and additional projects to improve the neighborhoods in Camden. - Cooper is an active participant in the Camden Higher Education and Health Care Task Force ("Eds and Meds"). - Housing Implementation Task Force: Cooper convenes meetings with non-profits, community organizations, and government agencies to discuss opportunities to improve housing options in the City of Camden. Workforce Development: - Career fairs and education: STRIVE, Woodland Community Development Corporation, Camden County and Camden One Stop. - Cooper Health Sciences Academy: Recruits local high school students for a 10 month supplemental educational experience with exposure to various health science careers. - Youth Career Mentoring and Summer Employment Program: Cooper's Youth Career Mentoring and Summer Employment Program provides opportunities for Camden residents that are in high school to work in paid internship positions for six weeks in the summer at various departments at Cooper. The program provides for tours, career mentoring opportunities and career exploration for high school students. - Cooper participates and serves in a collaborative effort with organizations like the Camden County Workforce Investment Board in the development and retention of workforce opportunities in Camden County and works with the Board on literacy programs and initiatives to prepare individuals to gain employment. Cooper Medical Services Inc One Cooper Plaza Camden NJ 08103 223832149 Health Svcs. 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