Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number
22-1487576
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		22-1987084 64579FVG5 04-10-2008 247,730,070 SEE PART VI   X   X   X
B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		22-1987084 64579FE58 08-26-2010 87,176,297 SEE PART VI   X   X   X
C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		22-1987084 64579FL92 10-26-2010 124,878,430 SEE PART VI X     X   X
D NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		22-1987084   08-12-2015 84,000,000 SEE PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 33,445,000 21,930,000 26,800,000 0
2 Amount of bonds legally defeased .............. 0 0 58,440,000 0
3 Total proceeds of issue .................. 249,429,933 87,176,297 124,878,430 84,000,000
4 Gross proceeds in reserve funds ............. 16,950,138 5,388,581 0 0
5 Capitalized interest from proceeds ............. 11,369,993 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 2,405,194 1,287,851 1,615,900 325,733
8 Credit enhancement from proceeds ............. 5,430,771 1,165,808 899,571 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 66,509,711 0 0 83,674,267
11 Other spent proceeds ............. 146,764,126 79,334,057 122,362,959 0
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2010 2010 2010 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2016
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Schedule K (Form 990) 2016
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............        
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......       X   X   X
b Exception to rebate? ........   X            
c No rebate due? .........                
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....                
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2016
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Schedule K (Form 990) 2016
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Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K A PORTION OF THE PROCEEDS OF THE SERIES 2008 BONDS WAS APPLIED TO REFUND THE SERIES 2004 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $146,900,000. PROCEEDS USED WERE $146,764,126. A PORTION OF THE PROCEEDS OF THE SERIES 2008 BONDS, TOGETHER WITH CAPITAL CAMPAIGN FUNDS AND OTHER DOLLARS AVAILABLE TO THE INSTITUTION HAS BEEN APPLIED TO CONSTRUCT THE CANCER CENTER PROJECT. THE CANCER CENTER PORTION OF THE PROJECT IS A FOUR FLOOR, ENVIRONMENTALLY AND ENERGY CERTIFIED, 155,000 GROSS SQUARE FOOT AMBULATORY CARE BUILDING ON A 1.4 ACRE SITE ACROSS THE STREET FROM THE INSTITUTION'S MAIN CAMPUS AT THE NORTHEAST CORNER OF ATLANTIC AND SECOND STREETS IN HACKENSACK. THE PROJECT ALSO INCLUDES A 975 CAR PARKING GARAGE ON A 2.6 ACRE SITE ON THE ADJACENT BLOCK AT THE NORTHWEST CORNER OF THE SAME INTERSECTION AS THE CANCER CENTER. PEDESTRIAN BRIDGES CONNECT THE CANCER CENTER TO THE MAIN HOSPITAL CAMPUS THROUGH THE PARKING GARAGE. CONSTRUCTION OF THE PROJECT BEGAN IN APRIL 2008. THE PARKING GARAGE OPENED IN NOVEMBER OF 2009. THE CANCER CENTER OPENED IN JANUARY OF 2011. THE DIFFERENCE BETWEEN THE ISSUE PRICE OF $247,730,070 AND TOTAL PROCEEDS OF $249,429,933 OF THE SERIES 2008 BONDS CONSISTS OF CAPITALIZED INTEREST AND CONSTRUCTION FUND DIVIDEND. PROCEEDS OF THE SERIES 2008 BONDS ARE APPLIED TO: (I) ACQUIRE MEDICAL AND OTHER EQUIPMENT AT ITS FACILITIES; (II) PAY CAPITALIZED INTEREST ON A PORTION OF THE SERIES 2008 BONDS; (III) FUND THE DEBT SERVICE RESERVE FUND; AND (IV) PAY COSTS OF ISSUANCE OF THE SERIES 2008 BONDS INCLUDING THE PREMIUM FOR THE BOND INSURANCE POLICY SECURING A PORTION OF THE SERIES 2008 BONDS. THE PROCEEDS OF THE SERIES 2010 BONDS ARE APPLIED TO REFUND ALL OF THE SERIES 2000 BONDS AND A PORTION OF THE SERIES 1997 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $86,735,000. PROCEEDS OF THE SERIES 2010 BONDS WERE ALSO APPLIED TO: (I) FUND THE DEBT SERVICE RESERVE FUND AND (II) PAY COSTS OF ISSUANCE OF THE SERIES 2010 BONDS. THE PROCEEDS OF THE SERIES 2010B BONDS ARE APPLIED TOGETHER WITH OTHER AVAILABLE MONIES TO REFUND ALL OF THE SERIES 1998 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $126,140,000. PROCEEDS OF THE SERIES 2010B BONDS WERE ALSO APPLIED TO PAY COSTS OF ISSUANCE AND CREDIT ENHANCEMENT OF THE SERIES 2010B BONDS. Prior to August 2015, the Medical Center leased a medical office building and its adjoining parking garage on the Medical Centers property from an unrelated entity ("the lessor"). The lessor entity agreed to sell the building and parking garage free and clear of the existing mortgage debt to the Medical Center for a price of $116.0 million. In August 2015, the Medical Center entered into two loans (Series 2015A and Series 2015B) to finance the purchase of the building and garage. Both notes are obligations under the Master Trust Indenture. The Series 2015A is an $84.0 million tax-exempt loan issued under the New Jersey Health Care Facilities Financing Authority. The Series 2015B is a $36.0 million taxable bank loan. The loans carry a combined blended rate of 2.63% and both loans will carry the same payment terms on a fixed basis for a 10-year term with 25-year amortization.
Schedule K (Form 990) 2016

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