FURP.ORG / PUBLIC DATA EXPLORER

CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201811349349302551
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T09:40:02-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510103684EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIANA CARE HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% VICE PRESIDENT'S OFFICEInCareOfNm
Business Name ControlCHRIBusinessNameControlTxt
Phone3026237201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2653AddressLine1Txt
CityWILMINGTONCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198050653ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS L CORRIGANPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Phone3026237201PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2018-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANICE NEVIN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14755 OGLETOWN-STANTON ROADAddressLine1Txt
CityNEWARKCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19718ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,186,306,484GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHRISTIANACARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionOUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee10728TotalEmployeeCnt
Total Volunteers1245TotalVolunteersCnt
Total Gross UBI$4,232,754TotalGrossUBIAmt
PY Contributions Grants$30,666,972PYContributionsGrantsAmt
CY Contributions Grants$35,304,559CYContributionsGrantsAmt
PY Program Service Revenue$1,345,427,552PYProgramServiceRevenueAmt
CY Program Service Revenue$1,396,421,550CYProgramServiceRevenueAmt
PY Investment Income$44,952,105PYInvestmentIncomeAmt
CY Investment Income$71,183,909CYInvestmentIncomeAmt
PY Other Revenue$282,318,321PYOtherRevenueAmt
CY Other Revenue$294,090,298CYOtherRevenueAmt
PY Total Revenue$1,703,364,950PYTotalRevenueAmt
CY Total Revenue$1,797,000,316CYTotalRevenueAmt
PY Grants And Similar Paid$472,446PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$988,848,685PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,044,935,974CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$525,613,730PYOtherExpensesAmt
CY Other Expenses$538,565,296CYOtherExpensesAmt
PY Total Expenses$1,514,934,861PYTotalExpensesAmt
CY Total Expenses$1,583,501,270CYTotalExpensesAmt
PY Revenues Less Expenses$188,430,089PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$213,499,046CYRevenuesLessExpensesAmt
Total Assets BOY$2,713,743,603TotalAssetsBOYAmt
Total Assets EOY$2,946,500,848TotalAssetsEOYAmt
Total Liabilities BOY$752,404,970TotalLiabilitiesBOYAmt
Total Liabilities EOY$615,628,909TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,961,338,633NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,330,871,939NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE SERVE OUR NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH, IN THE COMMUNITY, IN OUR PHYSICIAN PRACTICES AND IN OUR HOSPITALS. WE SERVE TOGETHER AS ONE TEAM, GUIDED BY OUR VALUES, EXCELLENCE AND LOVE, TO BE A CATALYST FOR A HEALTHIER COMMUNITY. WE SHARE A COMMITMENT TO EXCELLENCE AT CHRISTIANA CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$476,456,714ExpenseAmt
Grant$0GrantAmt
Revenue$304,618,281RevenueAmt
DescPROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. 3,608 NURSES ARE EMPLOYED WITH 289,965 PATIENT DAYS RECORDED DURING FISCAL 2017. THE HOSPITALS OFFER A FULL SCOPE OF SERVICES WITH THE NEEDS OF THE POPULATION SERVED WITHOUT REGARD TO AGE, RACE OR ECONOMIC CIRCUMSTANCES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$78,640,690ExpenseAmt
Grant$0GrantAmt
Revenue$149,223,881RevenueAmt
DescLABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2017, 3,367,140 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 349.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$264,101,919ExpenseAmt
Grant$0GrantAmt
Revenue$379,370,835RevenueAmt
DescOPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2017, 39,155 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 299.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$470,076,424TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$855,434,377TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,289,275,747TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document507IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10728EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonVICE PRESIDENT'S OFFICEPersonNm
Phone3026237202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HYGEIA DRIVEAddressLine1Txt
CityNEWARKCityNm
State AbbreviationDEStateAbbreviationCd
ZIP197132049ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRIAN E BURGESS MD
MEMBER, VICE CHAIR1.01.0Yes (X)Yes (X)$0$0$0
BETTY J CAFFO PHD
MEMBER1.01.0Yes (X)$0$0$0
CARROLL M CARPENTER
MEMBER- THRU 11/20161.01.0Yes (X)$0$0$0
JOHN R COCHRAN III
MEMBER- THRU 11/20161.01.0Yes (X)$0$0$0
DONEENE DAMON ESQ
CHAIRMAN OF THE BOARD1.01.0Yes (X)Yes (X)$0$0$0
TARA D ELLIOTT ESQ
MEMBER1.01.0Yes (X)$0$0$0
JAMES HOPKINS MD
MEMBER40.01.0Yes (X)$498,994$0$37,599
ERIC T JOHNSON MD
MEMBER1.01.0Yes (X)$9,169$0$568
W DONALD JOHNSON
MEMBER- THRU 11/20161.01.0Yes (X)$0$0$0
PAUL KANIEFSKI
MEMBER1.01.0Yes (X)$0$0$0
ANDREW M LUBIN
MEMBER1.01.0Yes (X)$0$0$0
LOLITA A LOPEZ
MEMBER1.01.0Yes (X)$0$0$0
NICHOLAS M MARSINI JR
MEMBER1.01.0Yes (X)$0$0$0
KATHLEEN FUREY MCDONOUGH ESQ
MEMBER1.01.0Yes (X)$0$0$0
MICHAEL R MILLER
MEMBER1.01.0Yes (X)$0$0$0
JOHN M MURRAY II
MEMBER1.01.0Yes (X)$0$0$0
JANICE E NEVIN MD
PRESIDENT & CEO40.01.0Yes (X)Yes (X)$1,409,666$0$138,008
SKIP PENNELLA
MEMBER1.01.0Yes (X)$0$0$0
GARY M PFEIFFER
MEMBER- THRU 11/20161.01.0Yes (X)$0$0$0
THEODORE G PLUSH
MEMBER1.01.0Yes (X)$0$0$0
LEO RAISIS MD
MEMBER1.01.0Yes (X)$0$0$0
GEORGIANNA RILEY
MEMBER1.01.0Yes (X)$0$0$0
PENELOPE T SARIDAKIS
MEMBER1.01.0Yes (X)$0$0$0
FRED C SEARS II
MEMBER- THRU 11/20161.01.0Yes (X)$0$0$0
WILFRED B SHERK
MEMBER- THRU 11/20161.01.0Yes (X)$0$0$0
JANICE TILDON-BURTON MD
MEMBER- THRU 11/20161.01.0Yes (X)$0$0$0
THOMAS L CORRIGAN
EXECUTIVE VP AND CFO40.01.0Yes (X)$1,360,695$0$45,229
BRENDA K PIERCE ESQ
SECRETARY OF THE CORP40.03.0Yes (X)$384,610$0$57,935
AUDREY VAN LUVEN
SENIOR VP & CHIEF HR OFFICER40.00.0$686,118$0$69,365Yes (X)
KENNETH SILVERSTEIN
CHIEF CLINICAL OFFICER40.00.0$745,798$0$96,917Yes (X)
RICHARD CUMING
CHIEF NURSING EXECUTIVE40.00.0$151,612$0$20,797Yes (X)
MICHAEL EPPEHIMER
CHIEF OP. OFFICER - MED GROUP40.00.0$377,765$0$62,770Yes (X)
SHARON KURFUERST
CHIEF OP. OFFICER - HEALTH SVC40.00.0$362,419$0$61,729Yes (X)
MICHAEL BANBURY MD
CHIEF, CARDIAC SURGERY40.00.0$974,325$0$46,571Yes (X)
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS40.00.0$858,793$0$39,954Yes (X)
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER40.00.0$752,993$0$47,299Yes (X)
PAUL DAVIS
PHYSICIAN40.00.0$772,102$0$45,904Yes (X)
KERT ANZILOTTI
CHIEF MED. OFFICER- ACUTE CARE40.00.0$706,277$0$79,454Yes (X)
ROBERT LASKOWSKI
FORMER PRESIDENT & CEO0.00.0$388,187$0$7,347Yes (X)
DIANE TALAREK
FORMER SR VP PATIENT CARE SVCS0.00.0$276,953$0$19,162Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,716,476TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$876,608TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1188IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SKANSKA USA BUILDING
518 EAST TOWNSHIP LINE RDBLUE BELLPA19422CONSTRUCTION SRVCS$28,714,548
CERNER CORPORATION
PO BOX 959156ST LOUISMO631959156SOFTWARE SRVCS$19,503,922
WHITING TURNER CONTRACTING
PO BOX 17596BALTIMOREMD21297CONSTRUCTION SRVCS$11,827,724
PHILIPS MEDICAL SYSTEMS N A CO
PO BOX 100355ATLANTAGA30384MAINTENANCE SRVCS$4,209,699
DELAWARE CENTER FOR DIGESTIVE CARE
71D OMEGA DR OMEGA PROFESSIONAL CNEWARKDE19713MEDICAL SRVCS$3,914,585
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K292CntrctRcvdGreaterThan100KCnt
Related Organizations$16,423,206RelatedOrganizationsAmt
Government Grants$14,413,856GovernmentGrantsAmt
All Other Contributions$4,467,497AllOtherContributionsAmt
Total Contributions$35,304,559TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PROGRAM SERVICE REVENUES622110$1,377,972,669$1,377,972,669
OTHER REVENUES900099$18,448,881$2,235,332$4,232,754$11,980,795
FieldValueIRS element (for citing)
Total Program Service Revenue$1,396,421,550TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,983,545TotalRevenueColumnAmt
Exclusion$23,983,545ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,332,085RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,173,361RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$158,724RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,724TotalRevenueColumnAmt
Exclusion$158,724ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$303,432,300SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$256,231,936SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$47,200,364SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,200,364TotalRevenueColumnAmt
Exclusion$47,200,364ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$421,419,646GrossSalesOfInventoryAmt
Cost Of Goods Sold$130,900,871CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$290,518,775TotalRevenueColumnAmt
Related Or Exempt Func Income$290,518,775RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MAINTENANCE FEES531390$1,705,750$1,705,750
MEANINGFUL USE110000$1,707,049$1,707,049
FieldValueIRS element (for citing)
Other Revenue Total$3,412,799OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,797,000,316TotalRevenueColumnAmt
Related Or Exempt Func Income$1,672,433,825RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,232,754UnrelatedBusinessRevenueAmt
Exclusion$85,029,178ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,929,146TotalAmt
Program Services$4,520,536ProgramServicesAmt
Management And General$5,408,610ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$778,778,016TotalAmt
Program Services$617,816,330ProgramServicesAmt
Management And General$160,961,686ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$67,918,937TotalAmt
Program Services$53,588,041ProgramServicesAmt
Management And General$14,330,896ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$133,323,585TotalAmt
Program Services$105,192,309ProgramServicesAmt
Management And General$28,131,276ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$54,986,290TotalAmt
Program Services$43,384,183ProgramServicesAmt
Management And General$11,602,107ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$671,185TotalAmt
Program Services$529,565ProgramServicesAmt
Management And General$141,620ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$710,289TotalAmt
Program Services$560,418ProgramServicesAmt
Management And General$149,871ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$174,335TotalAmt
Program Services$137,550ProgramServicesAmt
Management And General$36,785ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,230,655TotalAmt
Program Services$3,337,987ProgramServicesAmt
Management And General$892,668ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,944,802TotalAmt
Program Services$2,323,449ProgramServicesAmt
Management And General$621,353ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$171,873,621TotalAmt
Program Services$135,700,168ProgramServicesAmt
Management And General$36,173,453ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,104,629TotalAmt
Program Services$34,798,552ProgramServicesAmt
Management And General$9,306,077ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,723,795TotalAmt
Program Services$11,617,074ProgramServicesAmt
Management And General$3,106,721ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,906,247TotalAmt
Program Services$2,293,029ProgramServicesAmt
Management And General$613,218ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,904,163TotalAmt
Program Services$3,869,385ProgramServicesAmt
Management And General$1,034,778ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,329,815TotalAmt
Program Services$3,416,224ProgramServicesAmt
Management And General$913,591ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$93,845,555TotalAmt
Program Services$74,044,143ProgramServicesAmt
Management And General$19,801,412ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,736,499TotalAmt
Program Services$3,737,098ProgramServicesAmt
Management And General$999,401ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEDICAL SUPPLIESDesc
Total$188,409,706TotalAmt
Program Services$188,409,706ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,583,501,270TotalAmt
Program Services$1,289,275,747ProgramServicesAmt
Management And General$294,225,523ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$109,326,399BOYAmt
EOY$74,992,808EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$181,912,413BOYAmt
EOY$182,606,435EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$233,708,969BOYAmt
EOY$239,035,873EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,446,488BOYAmt
EOY$23,441,424EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,864,674,092LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,087,989,005LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$787,296,912BOYAmt
EOY$776,685,087EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,146,131,125BOYAmt
EOY$1,369,302,395EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$130,714,031BOYAmt
EOY$141,317,495EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,015,805BOYAmt
EOY$1,015,805EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$103,191,461BOYAmt
EOY$138,103,526EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,713,743,603BOYAmt
EOY$2,946,500,848EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$209,755,717BOYAmt
EOY$235,732,820EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$264,140,882BOYAmt
EOY$256,454,888EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$278,508,371BOYAmt
EOY$123,441,201EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$752,404,970BOYAmt
EOY$615,628,909EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,907,925,853BOYAmt
EOY$2,274,639,016EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,273,854BOYAmt
EOY$28,856,381EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,138,926BOYAmt
EOY$27,376,542EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,961,338,633BOYAmt
EOY$2,330,871,939EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,713,743,603BOYAmt
EOY$2,946,500,848EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$213,499,046ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$86,273,162NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$69,761,098OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,189,603CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,177,754CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,304,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,666,972CurrentTaxYearMinus1YearAmt
Current Tax Year$35,304,559CurrentTaxYearAmt
Total$174,643,543TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,189,603CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,177,754CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,304,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,666,972CurrentTaxYearMinus1YearAmt
Current Tax Year$35,304,559CurrentTaxYearAmt
Total$174,643,543TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$174,643,543PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,752,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,839,119CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,534,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,364,397CurrentTaxYearMinus1YearAmt
Current Tax Year$26,315,630CurrentTaxYearAmt
Total$100,806,338TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,677,493CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,658,279CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,286,674CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,728,215CurrentTaxYearMinus1YearAmt
Current Tax Year$3,412,799CurrentTaxYearAmt
Total$15,763,460TotalAmt
FieldValueIRS element (for citing)
Total Support$291,213,341TotalSupportAmt
Gross Receipts Rltd Activities$8,112,097,339GrossReceiptsRltdActivitiesAmt
Public Support CY1700.59971PublicSupportCY170Pct
Public Support PY1700.60736PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$174,335FilingOrganizationsTotalAmt
Affiliated Group Total$174,335AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$174,335FilingOrganizationsTotalAmt
Affiliated Group Total$174,335AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,583,326,935FilingOrganizationsTotalAmt
Affiliated Group Total$1,636,247,720AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,583,501,270FilingOrganizationsTotalAmt
Affiliated Group Total$1,636,422,055AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$189,841CurrentYearMinus3Amt
Current Year Minus2$180,124CurrentYearMinus2Amt
Current Year Minus1$237,095CurrentYearMinus1Amt
Current Year$174,335CurrentYearAmt
Total$781,395TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$84,884,618BeginningYearBalanceAmt
Contributions$11,443,636ContributionsAmt
Investment Earnings Or Losses$6,597,077InvestmentEarningsOrLossesAmt
Other Expenditures$188,301OtherExpendituresAmt
End Year Balance$102,737,030EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,078,532BeginningYearBalanceAmt
Contributions$15,000,000ContributionsAmt
Investment Earnings Or Losses-$278,006InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$915,908OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$84,884,618EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$57,618,783BeginningYearBalanceAmt
Contributions$13,000,000ContributionsAmt
Investment Earnings Or Losses$1,204,217InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$744,468OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$71,078,532EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$54,104,570BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$4,079,790InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$565,577OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$57,618,783EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$49,617,140BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$5,285,298InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$797,868OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$54,104,570EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.66000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.18000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.16000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,541,766OtherCostOrOtherBasisAmt
Book Value$39,541,766BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,148,953,021OtherCostOrOtherBasisAmt
Depreciation$641,374,646DepreciationAmt
Book Value$507,578,375BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$647,090,684OtherCostOrOtherBasisAmt
Depreciation$424,012,425DepreciationAmt
Book Value$223,078,259BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,088,621OtherCostOrOtherBasisAmt
Depreciation$22,601,934DepreciationAmt
Book Value$6,486,687BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$776,685,087TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PENSION AND POST RETIREMENT BE$73,036,235
INSURANCE LIABILITIES$24,580,305
OTHER LIABILITIES$25,824,661
FieldValueIRS element (for citing)
Total Liability$123,441,201TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART V, LINE 3A & 4DETAIL OF ENDOWMENT FUNDS THE ORGANIZATION'S BOARD DESIGNATED ENDOWMENTS ARE INTENDED TO COVER ANNUAL INCREMENTAL OPERATING EXPENSES OF THE HEALTH SERVICES' CANCER PROGRAM, VALUE INSTITUTE, AND INFANT MORTALITY. THE ORGANIZATION'S PERMANENT ENDOWMENT CONSISTS OF APPROXIMATELY EIGHT INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS USED FOR A VARIETY OF PURPOSES, INCLUDING SALARY AND PROGRAM SUPPORT. THE ORGANIZATION'S TEMPORARILY RESTRICTED ENDOWMENT REPRESENTS TEMPORARILY RESTRICTED NET ASSETS WHICH ARE RESTRICTED FOR INDIGENT CARE, BUILDING AND MAINTENANCE AND PROGRAM SUPPORT. --------------------
FORM 990, SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF REVENUES OTHER COGS CONTRACTUAL ALLOWANCES $(109,167,004) RENTAL EXPENSES (2,173,361) SUBSIDIARY ACTIVITY (11,531,348) NET ASSETS RELEASED (2,277,789) CONTRIBUTIONS 16,495,763 RESTRICTED INVESTMENT INCOME 2,649,266 ------------- TOTAL OTHER CHANGES $(106,004,473) ============= --------------------
FORM 990, SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF EXPENSES OTHER COGS CONTRACTUAL ALLOWANCES $(109,167,004) RENTAL EXPENSES (2,173,361) SUBSIDIARY ACTIVITY (11,614,155) ------------ TOTAL OTHER CHARGES $(122,954,520) =============

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentfalseFreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,563,944TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,563,944NetCommunityBenefitExpnsAmt
Total Expense0.00980TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$239,729,308TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$204,685,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,043,573NetCommunityBenefitExpnsAmt
Total Expense0.02210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$255,293,252TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$204,685,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,607,517NetCommunityBenefitExpnsAmt
Total Expense0.03190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served67787PersonsServedCnt
Total Community Benefit Expns$9,351,959TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,667,498DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,684,461NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served2226PersonsServedCnt
Total Community Benefit Expns$47,666,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,473,221DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,193,446NetCommunityBenefitExpnsAmt
Total Expense0.02290TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$20,412,273TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,094,679DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,317,594NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$453,542TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$453,542NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs59ActivitiesOrProgramsCnt
Persons Served70013PersonsServedCnt
Total Community Benefit Expns$77,884,441TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,235,398DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,649,043NetCommunityBenefitExpnsAmt
Total Expense0.03080TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs59ActivitiesOrProgramsCnt
Persons Served70013PersonsServedCnt
Total Community Benefit Expns$333,177,693TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$233,921,133DirectOffsettingRevenueAmt
Net Community Benefit Expns$99,256,560NetCommunityBenefitExpnsAmt
Total Expense0.06270TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$136,170TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$136,170NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,214TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,214NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$9,784TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,784NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$147,168TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$147,168NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$48,439,495BadDebtExpenseAmt
Bad Debt Expense Attributable$4,843,950BadDebtExpenseAttributableAmt
Reimbursed By Medicare$472,824,337ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$554,888,792CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$82,064,455MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
CHRISTIANA HOSPITAL
14755 OGLETOWN-STANTON ROADNEWARKDE19718www.christianacare.orgLICENSE #HSPTL-002Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
WILMINGTON HOSPITAL
2501 WEST 14TH STREETWILMINGTONDE19801www.christianacare.orgLICENSE #HSPTL-001Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1A-CHRISTIANA AND WILMINGTON HOSPITALSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility12FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B LINE 5 (INPUT FROM COMMUNITY)CHRISTIANA CARE HEALTH SYSTEM ("CHRISTIANA CARE") CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IN 2016 TO BETTER UNDERSTAND AND MEET THE NEEDS OF RESIDENTS IN ITS SERVICE AREA. TO ENSURE THE CHNA WAS COMPREHENSIVE AND FULLY REPRESENTATIVE OF COMMUNITY MEMBERS NEEDS, CHRISTIANA CARE CONTRACTED WITH COMMUNITY HEALTH ADVISORS, LLC ("CHA"). CHA CONDUCTED RESEARCH AND ANALYZED BOTH PRIMARY AND SECONDARY DATA. AS WAS DETAILED IN THE CHRISTIANA CARE CHNA, PRIMARY DATA COLLECTION EFFORTS INCLUDED INTERVIEWS WITH KEY STAKEHOLDERS AND COMMUNITY LEADERS, ALONG WITH A BRIEF COMMUNITY SURVEY COMPLETED BY AREA RESIDENTS. THIRTY-FOUR STAKEHOLDERS AND COMMUNITY LEADERS WERE INTERVIEWED SOME, LIKE RITA LANDGRAF, THE SECRETARY OF THE DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, HAD EXPERTISE IN PUBLIC HEALTH, WHILE OTHERS, LIKE BOBBY CUMMINGS, CHIEF OF THE WILMINGTON POLICE DEPARTMENT, HAD SPECIAL KNOWLEDGE ABOUT THE COMMUNITIES WE SERVE. OUR INTENTION WAS TO GAIN A BROAD UNDERSTANDING OF THE DIFFERENT FACTORS THAT PLAY INTO COMMUNITY HEALTH NEEDS. THE STAKEHOLDERS INTERVIEWED WERE THE FOLLOWING: 1. LINDA BRITTINGHAM, CHRISTIANA CARE DIRECTOR OF SOCIAL WORK 2. KATHY CANNATELLI, EUGENE DU PONT PREVENTATIVE MEDICINE & REHABILITATION INSTITUTE & CENTER FOR COMMUNITY HEALTH 3. PAUL CALISTRO, WEST END NEIGHBORHOOD HOUSE 4. DR. CHRIS CANNON, ARSHT CANNON FOUNDATION 5. REVEREND TAMIKA COBB, BEAUTIFUL GATES OUTREACH CENTER 6. VICKY COOKE, DELAWARE BREAST COALITION 7. CHIEF BOBBY CUMMINGS, CITY OF WILMINGTON POLICE 8. PASTOR GERDTS, FIRST AND CENTRAL PRESBYTERIAN CHURCH IN WILMINGTON 9. SUSAN GETMAN, WILMINGTON SENIOR CENTER 10. ALLISON GILL, AMERICAN CANCER SOCIETY 11. JIM GRANT, DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES 12. RICH HEFFRON, DELAWARE STATE CHAMBER OF COMMERCE 13. JUDITH HERRMAN, UNIVERSITY OF DELAWARE SCHOOL OF NURSING 14. JOE HICKEY, ST PATRICKS CENTER 15. PASTOR ANDY JACOB, HANOVER PRESBYTERIAN CHURCH 16. LYNN JONES, CHRISTIANA CARE VISITING NURSE ASSOCIATION 17. TYRONE JONES, UNITED WAY OF DELAWARE 18. NORA KATURAKES, CHRISTIANA CARE CANCER OUTREACH AND EDUCATION 19. OMAR KHAN, M.D., EUGENE DUPONT PREVENTIVE MEDICINE & REHABILITATION INSTITUTE, AND CENTER FOR COMMUNITY HEALTH 20. JIM LAFFERTY, MENTAL HEALTH SOCIETY 21. SECRETARY RITA LANDGRAF, DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES 22. REVEREND TOM LAYMAN, SUNDAY BREAKFAST MISSION 23. LOLITA LOPEZ, WESTSIDE FAMILY HEALTH 24. MARIA MATOS, LATIN AMERICAN COMMUNITY CENTER 25. DR. KARYL RATTAY, DIRECTOR OF THE DELAWARE DIVISION OF PUBLIC HEALTH 26. JILL ROGERS, DELAWARE DIVISION OF DEVELOPMENTAL DISABILITIES 27. COLONEL ELMER SETTING, NEW CASTLE POLICE 28. HANIFA SHABAZZ, WILMINGTON CITY COUNCILWOMAN 29. EILEEN SPARLING, UD CENTER FOR DISABILITIES STUDIES 30. MICHELLE TAYLOR, UNITED WAY OF DELAWARE 31. LAVAIDA WHITE, RETIRED PUBLIC HEALTH NURSE AND ACTIVE COMMUNITY RESIDENT 32. EMILY VERA, MENTAL HEALTH SOCIETY 33. TWO MEMBERS OF THE CHRISTIANA CARE PATIENT ADVISORY COMMITTEES ALONG WITH THESE STAKEHOLDER INTERVIEWS, A BRIEF SURVEY WAS ALSO CREATED TO GET COMMUNITY MEMBERS INPUT ON THE TOP HEALTH ISSUES IN THEIR COMMUNITIES, AND THE TOP HEALTH-RELATED ISSUES IN THEIR COMMUNITIES. WHILE ALL OF THOSE INTERVIEWED HAD SPECIAL AND EXPERTISE KNOWLEDGE OF THE COMMUNITIES THEY SERVE, CHRISTIANA CARE WANTED TO ENSURE COMMUNITY MEMBERS HAD A VOICE IN THE CHNA AS WELL. FIFTY-FIVE INDIVIDUALS VISITING THE NEW CASTLE FARMERS MARKET COMPLETED THE SURVEY. CHRISTIANA CARE CONTINUES TO COMMUNICATE WITH COMMUNITY MEMBERS AND STAKEHOLDERS TO ENSURE COMMUNITIES NEEDS ARE KNOWN AND ADDRESSED. AN EXAMPLE OF CHRISTIANA CARES COMMUNITY OUTREACH EFFORTS WOULD BE THE GREATER WILMINGTON COMMUNITY PARTNERSHIP. THIS PARTNERSHIP BEGAN IN 2012, WHEN CHRISTIANA CARE AND A SMALL GROUP OF REPRESENTATIVES FROM EMERGENCY SHELTERS CAME TOGETHER TO DISCUSS THE INDIVIDUALS WHO WERE GOING TO THE WILMINGTON EMERGENCY DEPARTMENT FOR NON-MEDICAL NEEDS, WHEN A SHELTER MAY HAVE SERVED THEM BETTER. AT THE INITIAL MEETINGS, IT WAS RECOGNIZED THAT THE SHELTERS ALL KEPT THE SAME HOURS, AND SO THE EMERGENCY DEPARTMENT, OPEN SEVEN DAYS A WEEK FOR 24 HOURS A DAY, WAS A DRAW. AS A RESULT OF THESE DISCUSSIONS, THE SHELTERS WORKED ON EXPANDING THEIR HOURS IN COORDINATION WITH EACH OTHER SO THERE WOULD NOT BE LONG STRETCHES OF TIME WHEN THE EMERGENCY DEPARTMENT WAS THE ONLY OPTION FOR INDIVIDUALS WHO NEEDED SHELTER. THE GREATER WILMINGTON COMMUNITY PARTNERSHIP HAS NOW EXPANDED TO MORE THAN SIXTY ORGANIZATIONS INCLUDING SHELTERS, FOOD AND CLOTHING BANKS, FAITH-BASED AGENCIES, AND CITY AND STATE SERVICE AGENCIES. CHRISTIANA CARE HOSTS THESE MEETINGS IN ITS WILMINGTON HOSPITAL, AND IT CONTINUES TO KEEP CHRISTIANA CARE AND ITS COMMUNITY PARTNERS AWARE OF WHAT IS HAPPENING IN COMMUNITIES AND ENABLES COLLABORATION. CHRISTIANA CARE ALSO ROUTINELY CONDUCTS SURVEYS AT COMMUNITY HEALTH FAIRS AND EVENTS TO RECEIVE FEEDBACK FROM COMMUNITY MEMBERS, AND SEEKS OUT INPUT FROM COMMUNITY MEMBERS, PRIMARY CARE PROVIDERS, SPECIALISTS, AND PAYERS TO GET A BROADER SENSE OF COMMUNITY NEEDS. FINALLY, CHRISTIANA CARE ALSO MONITORS NATIONAL DATA AND TRENDS IN HEALTHCARE TO PREPARE FOR ISSUES THAT MAY HAVE AN IMPACT IN OUR STATE, AND TO DETERMINE IF THERE ARE PROGRAMS IN OTHER STATES OR COMMUNITIES THAT WOULD BE HELPFUL WITHIN THE COMMUNITIES WE SERVE. -------------------- PART V, SECTION B, LINE 6 (JOINT CHNA) CHRISTIANA CARES TWO HOSPITAL FACILITIES, CHRISTIANA AND WILMINGTON HOSPITALS, JOINTLY CONDUCTED THEIR CHNA. -------------------- PART V, SECTION B, LINE 7, 8 & 10 (CHNA & IMPLEMENTATION PLAN PUBLIC AVAILABILITY) CHRISTIANA CARES CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/. CHRISTIANA CARES CHNA IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. CHRISTIANA CARE'S COMMUNITY HEALTH IMPLEMENTATION PLAN ("CHIP") WAS ADOPTED ON OR BEFORE THE 15TH DAY OF THE 5TH MONTH AFTER JUNE 30, 2016, AS ALLOWED UNDER THE IRS SECTION 501(R) REGULATIONS. CHRISTIANA CARES CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/. THE CHIP IS ALSO AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST. --------------------
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)CHRISTIANA CARE IS CONTINUING TO SUPPORT THE INITIATIVES IDENTIFIED IN OUR 2017-2019 CHIP WHICH ADDRESS THE FOUR AREAS OF NEED IDENTIFIED IN THE 2016 CHNA: POVERTY, MENTAL HEALTH AND SUBSTANCE USE DISORDER, VIOLENCE AND PUBLIC SAFETY, AND WOMEN AND CHILDRENS HEALTH. CHRISTIANA CARE STRIVES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH ITS WORK IN THESE AREAS EVEN THOUGH THESE ARE NOT THE TRADITIONAL UNDERTAKINGS OF HOSPITALS. HOWEVER, THERE WAS SIGNIFICANT NEED IDENTIFIED IN THE CHNA IN THE AREAS OF TRANSPORTATION, HOUSING, AND EMPLOYMENT WHICH ARE SOCIAL DETERMINANTS OF HEALTH THAT CHRISTIANA CARE, AT THIS TIME, WILL NOT BE ABLE TO ADDRESS THROUGH ITS OWN INITIATIVES GIVEN A LACK OF EXPERTISE AND INFRASTRUCTURE. NEVERTHELESS, CHRISTIANA CARE WILL SEEK TO ADDRESS THESE AREAS IN COMMUNITY PARTNERSHIPS WHEN POSSIBLE. AS EXAMPLES OF SUCH PARTNERSHIPS, CHRISTIANA CARE IS A PARTNER WITH DELAWARE PATHWAYS, A STATE-WIDE INITIATIVE LED BY THE DEPARTMENTS OF LABOR AND EDUCATION WHICH SEEKS TO ENGAGE YOUTH IN CAREER EXPLORATION AND TRAINING THROUGH INDUSTRY-BASED CAREER PATHWAYS, AND WITH JOBS FOR DELAWARE GRADUATES WHICH IS ANOTHER STATE-WIDE INITIATIVE AND NATIONALLY REPLICATED MODEL THAT WORKS TO SIMULTANEOUSLY ADDRESS DELAWARES UNEMPLOYMENT AND DROPOUT RATES. MORE THAN 60,000 YOUNG PEOPLE HAVE PARTICIPATED IN JOBS FOR DELAWARE GRADUATES PROGRAM SINCE ITS INCEPTION IN 1978. THE FOLLOWING ARE BRIEF HIGHLIGHTS OF SOME KEY PROGRAMS AND INITIATIVES THAT CHRISTIANA CARE HAS UNDERTAKEN TO ADDRESS THE AREAS OF NEED IDENTIFIED IN THE CHNA. PLEASE SEE THE CHRISTIANA CARE CHIP AT HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/ FOR A COMPLETE DESCRIPTION OF HOW CHRISTIANA CARE IS ADDRESSING THE IDENTIFIED AREAS OF NEED. 1. PREVALENCE OF POVERTY CHRISTIANA CARES INITIATIVES IN THIS AREA OF NEED SEEK TO ADDRESS THE FOLLOWING: POVERTY AND SOCIAL DETERMINANTS OF HEALTH, FOOD INSECURITY, AFFORDABILITY OF CARE, AND HOUSING, EMPLOYMENT, AND JOB SECURITY. PROGRAMS AND INITIATIVES INCLUDE THE FOLLOWING: POPULATION HEALTH INITIATIVE: CHRISTIANA CARE IS WORKING TO ADDRESS POVERTY AND SOCIAL DETERMINANTS OF HEALTH IN PARTNERSHIP WITH OTHER ANCHOR INSTITUTIONS. NEIGHBORHOODS IN THE CITY OF WILMINGTON WITH VULNERABLE POPULATIONS WITHOUT ACCESS TO OPPORTUNITY AND FINANCIAL RESOURCES, AND ESPECIALLY THOSE NEIGHBORHOODS WITH HIGHER RISKS OF PREMATURE BIRTH AND INFANT MORTALITY, ARE THE FOCUS OF THIS INITIATIVE. CAMP FRESH (FRESH RESOURCES EVERYONE SHOULD HAVE): CAMP FRESH SERVES YOUTH WHO ATTEND A NUMBER OF HIGH SCHOOLS ACROSS NEW CASTLE COUNTY. THE MAJORITY OF THE TEENS IN THE PROGRAM ARE LIVING IN FEDERALLY RECOGNIZED HIGH-RISK ZIP CODES, INCLUDING 19801, 19802, 19805 AND 19720. THE CAMP, WHICH WAS CREATED IN JUNE OF 2007, IS A YEAR-ROUND HEALTH EDUCATION AND ADVOCACY PROGRAM, AND IT PROVIDES A VARIETY OF WELLNESS AND LEARNING-DRIVEN OPPORTUNITIES FOR YOUNG PEOPLE WHO ARE ENROLLED IN MEDICAID. CAMP FRESH PROMOTES IMPROVED NUTRITION AND MENTAL HEALTH, INCREASED PHYSICAL ACTIVITY, AWARENESS OF SEXUAL HEALTH RISKS AND IDENTIFYING OPPORTUNITIES FOR PERSONAL, ACADEMIC AND PROFESSIONAL GROWTH. CAMP FRESH ALSO HOLDS EVENTS SUCH AS PARENT RESOURCE NIGHT, STRESS MANAGEMENT, AND THE CAMP FRESH FINALE. DURING THIS REPORTING YEAR, MORE THAN 450 PEOPLE ATTENDED THESE EVENTS. REACH OUT AND FEED: THE PEDIATRIC PRACTICE PROGRAM AT WILMINGTON HOSPITAL OFFERS EMERGENCY FOOD PACKAGES TO FAMILIES WITH FOOD INSECURITY IF THE PARENTS ANSWER YES TO THE QUESTION OF WHETHER THEY WORRIED ABOUT RUNNING OUT OF FOOD BEFORE THEY HAD THE MONEY TO BUY MORE OR WHETHER THEY DID HAVE FOOD THAT RAN OUT AND THEY DID NOT HAVE THE MONEY TO BUY MORE. FAMILIES ARE ALSO GIVEN INFORMATION ABOUT LOCAL FOOD PANTRIES TO MEET FUTURE NEED. THIS PROGRAM WAS MADE POSSIBLE THROUGH CHRISTIANA CARES PARTNERSHIP WITH THE FOOD BANK OF DELAWARE AND KIWANIS CLUB OF WILMINGTON. FOOD INSECURITY IS A CONCERN WITHIN THE CITY OF WILMINGTON DUE TO THE HIGH PERCENTAGE OF LOW-INCOME FAMILIES, AND ITS SIGNIFICANT CONSEQUENCES FOR CHILDRENS HEALTH. ACCORDING TO THE AMERICAN ACADEMY OF PEDIATRICS, CHILDREN WHO LIVE IN HOUSEHOLDS WITH FOOD INSECURITY GET SICK MORE OFTEN, RECOVER MORE SLOWLY FROM ILLNESS, HAVE POORER OVERALL HEALTH, AND ARE HOSPITALIZED MORE FREQUENTLY. CHRISTIANA CARE IS ALSO EXPANDING ITS EFFORTS TO COMBAT FOOD INSECURITY WITH ITS COMMUNITY PARTNERS THROUGH INNOVATIVE PROGRAMS LIKE PRODUCE PRESCRIPTIONS, AND HELPING TO ESTABLISH SEASONAL PRODUCE FARM STANDS IN LOW-INCOME NEIGHBORHOODS THROUGHOUT THE CITY OF WILMINGTON. DELAWARE MEDICAL-LEGAL PARTNERSHIP: CHRISTIANA CARE HAS PARTNERED WITH DELAWARE'S COMMUNITY LEGAL AID SOCIETY, INC. ("CLASI") TO PROVIDE FREE, CIVIL LEGAL SERVICES TO LOW-INCOME PATIENTS, ADULTS AND CHILDREN, WHO ARE FACING LEGAL MATTERS OR NEEDS THAT MAY NEGATIVELY IMPACT THEIR HEALTH OR LEGAL MATTERS OR NEEDS WHICH MAY HAVE BEEN CREATED OR AGGRAVATED BY A PERSONS HEALTH ISSUES. SOME OF THE MATTERS ADDRESSED THROUGH THIS PROGRAM ARE SAFE HOUSING, PREVENTION OF SUBSIDIZED AND PUBLIC HOUSING EVICTIONS, ASSISTANCE OBTAINING OR PRESERVING INCOME MAINTENANCE AND GOVERNMENT BENEFITS, ACCESS TO SOCIAL SERVICES, APPROPRIATE EDUCATIONAL SERVICES, HEALTH INSURANCE AND ACCESS TO HEALTH CARE. CLASI ATTORNEYS ARE LOCATED ON-SITE AT THE WILMINGTON HOSPITAL AND ARE INTEGRATED INTO HEALTH CARE TEAMS. HEALTH GUIDES: HEALTH GUIDES PROVIDE UNINSURED PATIENTS WITH LINKAGES TO QUALITY, AFFORDABLE HEALTHCARE. CHRISTIANA CARE'S HEALTH GUIDES ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE PROCESS AND HELP PATIENTS NAVIGATE THE HEALTHCARE SYSTEM THROUGH PERSONAL INTERACTION, HEALTH RISK ASSESSMENT, AND IDENTIFICATION OF BARRIERS TO CARE. HEALTH GUIDES ALSO HOST EDUCATION SESSIONS TO EDUCATE THE COMMUNITY ON HOW TO USE THEIR INSURANCE. DURING THIS REPORTING YEAR, HEALTH GUIDES ASSISTED 2,457 INDIVIDUALS. SCHOOL-BASED WELLNESS CENTERS ("SBHC"): CHRISTIANA CARE OPERATES SIXTEEN SBHCS IN NEW CASTLE IN PARTNERSHIP WITH SCHOOL DISTRICTS AND THE DELAWARE DIVISION OF PUBLIC HEALTH, DEPARTMENT OF HEALTH AND SOCIAL SERVICES. SBHCS PROVIDE COMPREHENSIVE MEDICAL AND MENTAL HEALTH CARE, TREATMENT, AND HEALTH EDUCATION TO PROMOTE A HEALTHY LIFESTYLE, AND SBHCS ARE LOCATED IN SCHOOLS TO ENSURE EASE OF ACCESS FOR STUDENTS SO THEY CAN AVOID THE BARRIERS OF TRANSPORTATION, INCONVENIENT APPOINTMENT TIMES, OR WORRIES ABOUT COST AND CONFIDENTIALITY. DURING THIS REPORTING YEAR, 24,074 STUDENTS WERE SERVED. 2. MENTAL HEALTH AND SUBSTANCE USE DISORDER CHRISTIANA CARE SEEKS TO ADDRESS THIS AREA OF NEED THROUGH INITIATIVES INTENDED TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, INCLUDING MORE EARLY INTERVENTIONS TO ADDRESS MENTAL HEALTH ISSUES, AND PROVIDE SUBSTANCE USE DISORDER TREATMENT AND EDUCATION IN THE COMMUNITIES OF NEW CASTLE COUNTY. CHRISTIANA CARE IS CONTINUING ITS EFFORT TO INTEGRATE BEHAVIORAL HEALTH WITH PRIMARY CARE WHICH WILL SERVE TO IMPROVE ACCESS FOR BEHAVIORAL HEALTH SERVICES FOR THOSE INDIVIDUALS WHO PRESENT WITH BEHAVIORAL HEALTH PROBLEMS AS PART OF THEIR UNIQUE MEDICAL CONCERNS. INTEGRATION WILL ALLOW FOR WHOLE PERSON CARE AND IMPROVED OUTCOMES. PROGRAMS AND INITIATIVES INCLUDE THE FOLLOWING: PERINATAL MENTAL HEALTH PROGRAM: THROUGH THE CENTER FOR WOMENS EMOTIONAL WELLNESS, CHRISTIANA CARE OFFERS A COMPREHENSIVE PROGRAM TO WOMEN WITH PERINATAL MOOD DISORDER AND/OR PERINATAL ANXIETY DURING PREGNANCY AND AFTER DELIVERY. THE PROGRAM INCLUDES COUNSELING FOR THE MOTHERS OF NEWBORNS AND THEIR FAMILIES, MEDICATION CONSULTATION, AND MANAGEMENT AND COLLABORATION WITH PHYSICIANS TO CREATE A CARE PLAN FOR THE MOTHER AND HER FAMILY. WOMEN WHO HAVE A HISTORY OF MENTAL ILLNESS AND ARE PLANNING TO BECOME PREGNANT MAY ALSO RECEIVE COUNSELING. ADOLESCENT AND ADULT BRIDGE PROGRAMS: FOR ADOLESCENTS AGE 12 AND OLDER WHO ARE EXPERIENCING BEHAVIORAL HEALTH ISSUES, CHRISTIANA CARE PROVIDES RAPID ACCESS TO INDIVIDUALIZED EVALUATION, CARE PLANNING, AND THERAPY. ADOLESCENTS MAY ALSO RECEIVE ASSISTANCE TRANSITIONING BACK TO SCHOOL AFTER THERAPY. FREE GROUP THERAPY SESSIONS FOR MIDDLE AND HIGH SCHOOL STUDENTS IN AREAS SUCH AS ANXIETY AND MOOD DISORDERS, BULLYING, SUBSTANCE USE DISORDER, AND SCHOOL BASED ANXIETY ARE ALSO OFFERED. THE ADULT BRIDGE PROGRAM ALSO PROVIDES RAPID ACCESS TO ADULTS NEEDING MENTAL HEALTH EVALUATION, CARE PLANNING, AND COGNITIVE-BEHAVIORAL THERAPY. THIS PROGRAM ADDRESSES ANXIETY, DEPRESSION, RELATIONSHIP CONFLICTS, STRESS, AND OTHER COMMON BEHAVIORAL HEALTH ISSUES. FOR BOTH ADULTS AND ADOLESCENTS, CHRISTIANA CARE SEEKS TO ENSURE THAT BEHAVIORAL HEALTH ISSUES ARE ADDRESSED IMMEDIATELY, AND CAN CONTINUE TO MAINTAIN GOOD MENTAL HEALTH. PROJECT ENGAGE: PROJECT ENGAGE IS AN INNOVATIVE EARLY INTERVENTION AND REFERRAL TO SUBSTANCE USE DISORDER TREATMENT PROGRAM DESIGNED TO HELP HOSPITAL PATIENTS WHO MAY BE STRUGGLING WITH ALCOHOL OR DRUG USE. PROJECT ENGAGE COLLABORATES WITH HOSPITAL STAFF TO IDENTIFY AND CONNECT PATIENTS WITH COMMUNITY-BASED SUBSTANCE USE DISORDER TREATMENT PROGRAMS A
PART V, SECTION B, LINE 13 (ELIGIBILITY FOR PROVIDING DISCOUNTED CARE)FEDERAL POVERTY GUIDELINES ARE NOT USED TO DETERMINE DISCOUNTED CARE. A SELF-PAY DISCOUNT OF 10% IS APPLIED TO ALL UNINSURED PATIENT ACCOUNTS REGARDLESS OF INCOME. PATIENTS WITH INCOME IN EXCESS OF 200% WILL ONLY RECEIVE A 10% DISCOUNT. --------------------
PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY)A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://christianacare.org/patients/financial-assistance-program/ --------------------
PART V, SECTION B, LINE 22D, OTHER (CHARGES FOR FAP-ELIGIBLE INDIVIDUALS)FAP-ELIGIBLE INDIVIDUALS (THOSE WITH INCOME LESS THAN 200% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES. --------------------

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C (DES. OF ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE)CHRISTIANA CARE HEALTH SERVICES, INC.("CHRISTIANA CARE"HEALTH SERVICES") HAS A SELF PAY DISCOUNT PERCENTAGE OF 10% THAT IS APPLIED TO ALL UNINSURED PATIENTS' ACCOUNTS, REGARDLESS OF THE PERSON'S ABILITY TO PAY. THIS DISCOUNT PERCENTAGE IS COMPARABLE TO THAT WHICH IS EXTENDED TO OUR MANAGED CARE COMPANIES. -------------------- PART I, LINE 6A (COMMUNITY BENEFIT ANNUAL REPORT INFORMATION) CHRISTIANA CARE HEALTH SYSTEM (CCHS) DID PREPARE A COMMUNITY HEALTH NEEDS ASSESSMENT AND A COMMUNITY HEALTH IMPLEMENTATION PLAN DURING THE FY2016 TAX YEAR. BOTH DOCUMENTS ARE AVAILABLE AT THE FOLLOWING LINK ON THE CCHS WEBSITE: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/ -------------------- PART I, LINE 7 (COSTING METHODOLOGY USED) THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. --------------------
PART III, SECTION A, LINE 2 (BAD DEBT EXPENSE)THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE). -------------------- PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE FOOTNOTE) THE TEXT OF THE ORGANIZATION'S BAD DEBT EXPENSE FOOTNOTE CAN BE FOUND ON PAGE 26 (FOOTNOTE #13) OF THE ELECTRONICALLY ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTIANA CARE HEALTH SERVICES, INC. --------------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF CHRISTIANA CARE AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, CHRISTIANA CARE PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY CHRISTIANA CARE TO PROVIDE SUCH SERVICES. AS A RESULT, CHRISTIANA CARE VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION B, LINE 9B (COLLECTION PRACTICES) CHRISTIANA CARE HAS A FINANCIAL ASSISTANCE POLICY THAT IDENTIFIES THE CIRCUMSTANCES FOR WHICH A RESPONSIBLE PARTY WOULD BE EXTENDED A 100% ADJUSTMENT ON ALL MEDICAL BILLS. THE INCOME THRESHOLD FOR THIS CHARITABLE ADJUSTMENT IS 200% OF THE FEDERAL POVERTY LEVEL AND IT IS BASED ON THE NUMBER OF DEPENDENTS IN THE HOUSEHOLD. THE FINANCIAL ASSISTANCE POLICY FURTHER EXPLAINS THAT ANY UNINSURED PATIENT WHO FAILS TO QUALIFY FOR FINANCIAL ASSISTANCE WOULD BE GRANTED A 10% SELF PAY DISCOUNT. IT ALSO REVEALS A PATIENT'S ABILITY TO ESTABLISH INTEREST-FREE MONTHLY PAYMENT ARRANGEMENTS FOR ANY OUTSTANDING BALANCE THAT IS NOT COVERED BY A THIRD PARTY PAYER. AS PART OF THE SELF PAY DUNNING PROCESS, CHRISTIANA CARE MAKES UNINSURED PATIENTS AWARE OF THE FINANCIAL ASSISTANCE PROGRAM WITH THE RELEASE OF OUR FIRST STATEMENT. ALL SUBSEQUENT STATEMENTS PROVIDE THE PATIENTS WITH AN OPPORTUNITY TO CALL OUR CUSTOMER SERVICES DEPARTMENT IF THEY ARE UNABLE TO MAKE PAYMENT IN FULL. IF A PATIENT QUALIFIES FOR A CHARITABLE ADJUSTMENT, THEY ARE EXTENDED THE COURTESY OF AN AUTOMATIC ADJUSTMENT TO THEIR BILLS FOR THE NEXT YEAR. PATIENTS WOULD NEED TO REAPPLY FOR CHARITABLE CONSIDERATION AFTER THE ONE YEAR HAS LAPSED. ALL COLLECTION ACTIONS WOULD CEASE ONCE A PATIENT IS DEEMED ELIGIBLE FOR CHARITY OR ONCE A PATIENT ESTABLISHES A MONTHLY PAYMENT ARRANGEMENT. --------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)CHRISTIANA CARE CONDUCTED ITS CHNA IN FISCAL YEAR 2016 IN ACCORDANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AND SECTION 501(R) OF THE INTERNAL REVENUE CODE. THE CHNA INFORMED THE DEVELOPMENT OF CHRISTIANA CARES 2017-2019 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). BOTH THE CHNA AND THE CHIP ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/. TO COMPLETE THE CHNA, CHRISTIANA CARE CONTRACTED WITH COMMUNITY HEALTH ADVISORS, LLC (HEREINAFTER REFERRED TO JOINTLY AS "CHRISTIANA CARE" IN THE DESCRIPTIONS OF THE CHNA PROCESS) TO ASSIST WITH RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW AND ANALYSIS, AND DEVELOPMENT OF THE CHNA. CHRISTIANA CARE ALSO CONSIDERED SEVERAL SECONDARY DATA SOURCES, IDENTIFIED IN THE CHNA, TO ENSURE KEY DEMOGRAPHIC TRENDS AND DATA ON SOCIAL DETERMINANTS OF HEALTH FURTHER INFORMED OUR FINDINGS. CHRISTIANA CARES COMMITMENT TO COMMUNITY ENGAGEMENT IS REFLECTED IN THE CHNA THROUGH ITS COLLECTION AND REVIEW OF PRIMARY DATA. CHRISTIANA CARE CONDUCTED THIRTY-FOUR COMMUNITY STAKEHOLDERS AND LEADERS INTERVIEWS (THE LIST OF THESE INDIVIDUALS IS INCLUDED IN THE CHNA). IN ADDITION TO THOSE INTERVIEWS, CHRISTIANA CARE ALSO CONDUCTED A SURVEY OF FIFTY-FIVE COMMUNITY MEMBERS IN FEBRUARY 2016 AT THE NEW CASTLE COUNTY FARMERS MARKET. THE SURVEY ASKED FOR COMMUNITY MEMBER INPUT ON THE TOP FIVE "HEALTH ISSUES" FACING THE COMMUNITY AND THE TOP FIVE "HEALTH-RELATED ISSUES" FACING THE COMMUNITY. ONCE THE INITIAL DATA COLLECTION, SURVEYS, AND INTERVIEWS WERE COMPLETED, CHRISTIANA CARE ASKED KEY COMMUNITY STAKEHOLDERS AND MEMBERS OF THE CHRISTIANA CARE LEADERSHIP TEAM TO PRIORITIZE THE SIGNIFICANT HEALTH NEEDS BASED ON THE ISSUES IDENTIFIED IN THE COMMUNITY SURVEYS. AS A RESULT, THE FOLLOWING WERE IDENTIFIED IN THE CHNA AS "PRIORITIZED SIGNIFICANT HEALTH NEEDS": 1. PREVALENCE OF POVERTY AND OTHER FACTORS INCLUDING FOOD INSECURITY, HOUSING, AFFORDABILITY OF CARE, AND EMPLOYMENT/JOB SECURITY 2. MENTAL HEALTH AND SUBSTANCE USE DISORDER 3. VIOLENCE AND PUBLIC SAFETY 4. WOMEN AND CHILDRENS HEALTH, ESPECIALLY, PRECONCEPTION HEALTH, PRENATAL CARE, AND INFANT MORTALITY THE CHNA REVIEWED THE EXISTING CHRISTIANA CARE PROGRAMS AND OTHER COMMUNITY RESOURCES THAT ADDRESSED THE FOUR AREAS OF PRIORITY HEALTH NEEDS, AND IT ALSO DISCUSSED THE ACTIONS CHRISTIANA CARE HAD UNDERTAKEN TO ADDRESS THE PREVIOUSLY REPORTED PRIORITY HEALTH NEEDS WHICH INCLUDED NEW MODELS OF CARE AND ENHANCED MENTAL HEALTH SERVICES. THE CHRISTIANA CARE BOARD OF DIRECTORS APPROVED THE CHNA IN ITS MAY 2016 BOARD MEETING. THE CHNA AND THE IDENTIFIED AREAS OF PRIORITY HEALTH NEEDS INFORMED THE DEVELOPMENT OF CHRISTIANA CARES 2017-2019 CHIP. THE FOLLOWING IS A BRIEF SUMMARY OF THE ACTION ITEMS OUTLINED IN THE CHIP, AND AVAILABLE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/. PREVALENCE OF POVERTY: CHRISTIANA CARE WILL CONTINUE TO SUPPORT COLLABORATION ACROSS SECTORS AND WITH OTHER HEALTH SYSTEMS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. MENTAL HEALTH AND SUBSTANCE USE DISORDER: CHRISTIANA CARE WILL CONTINUE ITS ONGOING BEHAVIORAL HEALTH AND PRIMARY CARE INTEGRATION EFFORTS AND CONTINUE TO SUPPORT IMPROVED ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT AND PREVENTION SERVICES. VIOLENCE AND PUBLIC SAFETY: CHRISTIANA CARE WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT ENTITIES AT ALL LEVELS TO ADDRESS THE VIOLENCE AND PUBLIC SAFETY ISSUES FACING DELAWARE, WITH FOCUS ON THE EPIDEMIC OF GUN VIOLENCE IN THE CITY OF WILMINGTON. CHRISTIANA CARE WILL USE ITS OUTREACH PROGRAMS THAT INCORPORATE INNOVATIVE EDUCATIONAL TOOLS TO WORK TO PREVENT VIOLENCE. WOMENS AND CHILDRENS HEALTH: CHRISTIANA CARE WILL INCREASE PRECONCEPTION HEALTH AND PRE-NATAL CARE FOR PREGNANT WOMEN, ATTEMPT TO REDUCE THE UNINTENDED PREGNANCY AND PREMATURE BIRTH RATES, AND SEEK TO REDUCE INFANT MORTALITY. ADDITIONAL PROGRAM INFORMATION IS AVAILABLE IN THE CHNA AND CHIP, AS WELL AS IN PART V OF THIS SCHEDULE H. ------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)CHRISTIANA CARE FULFILLS ITS MISSION OF SERVING ITS NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH REGARDLESS OF ABILITY TO PAY. IN KEEPING WITH THAT MISSION, AND AS STATED IN CHRISTIANA CARES CHIP, CHRISTIANA CARE REVISED ITS FINANCIAL ASSISTANCE POLICY TO PROVIDE RELIEF TO INDIVIDUALS IMPACTED BY THE HIGH COST OF HEALTHCARE. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON CHRISTIANA CARES WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL -ASSISTANCE/, AND IN PAMPHLETS THROUGHOUT CHRISTIANA CARE FACILITIES, INCLUDING CHRISTIANA CARES OUTPATIENT PRACTICES. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE IN SPANISH, CANTONESE, AND MANDARIN WHICH ARE THE LANGUAGES MOST SPOKEN IN OUR SERVICE AREA BESIDES ENGLISH. TRANSLATION ASSISTANCE TO COMPLETE THE NECESSARY FORMS IS AVAILABLE FOR ANYONE NOT PROFICIENT IN READING, WRITING, OR SPEAKING ENGLISH. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IS ALSO AVAILABLE ON OUR WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/. CHRISTIANA CARES FINANCIAL ASSISTANCE POLICY APPLIES TO ALL MEDICALLY NECESSARY SERVICES, INCLUDING THE HOSPITAL INPATIENT, OUTPATIENT, AND EMERGENCY DEPARTMENT SERVICES THAT ARE BILLED BY CHRISTIANA CARE, AS WELL AS ALL SERVICES RENDERED BY CHRISTIANA CARE PHYSICIANS INCLUDING DENTAL SERVICES THAT REQUIRE HOSPITALIZATION. MEDICALLY NECESSARY SERVICES ARE PROVIDED AT NO CHARGE TO INDIVIDUALS WHOSE HOUSEHOLD INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL AND WHO MEET OTHER FINANCIAL ASSISTANCE PROGRAM REQUIREMENTS FOR ELIGIBILITY. UNINSURED INDIVIDUALS WITH A HOUSEHOLD INCOME GREATER THAN 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR A STANDARD DISCOUNT OF 10%. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)CHRISTIANA CARES PRIMARY SERVICE AREA IS IN NEW CASTLE COUNTY, DELAWARE. THE MAJORITY OF CHRISTIANA CARES PATIENTS, APPROXIMATELY 80%, RESIDE IN NEW CASTLE COUNTY. THE STATE POVERTY RATE IS 12%, WHILE THE POVERTY RATE IN NEW CASTLE COUNTY IS 11%. HOWEVER, WITHIN NEW CASTLE COUNTY IN THE CITY OF WILMINGTON, 26% OF RESIDENTS ARE LIVING AT OR BELOW THE POVERTY LEVEL. THE RACIAL/ETHNIC COMPOSITION OF NEW CASTLE COUNTY IS PREDOMINATELY WHITE/CAUCASIAN WITH APPROXIMATELY 25% OF ITS SERVICE POPULATION AS AFRICAN-AMERICAN NON-HISPANIC, 10% AS HISPANIC, AND 5% ASIAN. MORE DETAILED INFORMATION ON THE DEMOGRAPHICS OF CHRISTIANA CARES SERVICE AREA POPULATION CAN BE FOUND WITHIN ITS CHNA AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/ --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)CHRISTIANA CARES MISSION IS TO SERVE OUR NEIGHBORS AS RESPECTFUL, CARING, PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, AFFORDABLE, SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. WE ARE COMMITTED TO FULFILLING OUR MISSION OF SERVICE TO OUR NEIGHBORS, AND AS THE LARGEST HEALTH CARE PROVIDER IN THE STATE, WHICH HAS NO SAFETY NET OR PUBLIC HOSPITAL; WE SERVE A SIGNIFICANT PORTION OF THE COMMUNITYS UNINSURED AND UNDERINSURED POPULATION ALONG WITH A SUBSTANTIAL PORTION OF THE STATES MEDICAID POPULATION. EACH YEAR, CHRISTIANA CARES WILMINGTON HOSPITAL HEALTH CENTER ALONE ATTRACTS MORE THAN 70,000 PATIENT VISITS, AND SO WE ARE KEENLY AWARE OF THE IMPORTANCE OF THE COMMITMENT WE HAVE TO THE HEALTH OF OUR COMMUNITIES. CHRISTIANA CARE ALSO PROVIDES SERVICES THAT DELAWAREANS CANNOT FIND ELSEWHERE IN THE STATE. AS ONE EXAMPLE, CHRISTIANA CARES KIDNEY TRANSPLANT PROGRAM IS DELAWARES ONLY ADULT TRANSPLANT PROGRAM, AND MORE THAN 250 PATIENTS HAVE BEEN TRANSPLANTED IN THE DECADE THE PROGRAM HAS BEEN IN OPERATION. THE PROGRAM ALSO OFFERS A LOCATION DOWNSTATE IN MILFORD FOR PATIENTS WHO ARE AWAITING TRANSPLANT. CHRISTIANA CARES HELEN F. GRAHAM CANCER CENTER AND RESEARCH INSTITUTE, WHICH SERVES THE MAJORITY OF THE CANCER PATIENTS RESIDING IN DELAWARE, ENROLLS 21% OF PATIENTS IN CLINICAL TRIALS, FAR ABOVE THE NATIONAL AVERAGE. SIGNIFICANT RESEARCH IS ALSO HAPPENING ON THE CHRISTIANA CARE CAMPUS. CHRISTIANA CARES GENE EDITING INSTITUTE, WHICH IS A PART OF THE HELEN F. GRAHAM CANCER CENTER AND RESEARCH INSTITUTE, HAS DEVELOPED A POTENTIALLY BREAKTHROUGH CRISPR GENE-EDITING TOOL WHICH COULD ALLOW RESEARCHERS TO TAKE FRAGMENTS OF DNA EXTRACTED FROM HUMAN CELLS, PUT THEM INTO A TEST TUBE, AND QUICKLY AND PRECISELY ENGINEER MULTIPLE CHANGES TO THE GENETIC CODE. THIS MEANS THAT GENETIC MUTATIONS FOUND IN THE TUMORS OF INDIVIDUAL CANCER PATIENTS COULD BE REPLICATED AND STUDIED, ALLOWING FOR A MORE TARGETED TREATMENT STRATEGY. CHRISTIANA CARES GOVERNING BODY, ITS BOARD OF DIRECTORS, IS COMPRISED OF PERSONS WHO RESIDE IN ITS PRIMARY SERVICE AREA, AND MOST OF THE BOARD MEMBERS ARE NOT EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF CHRISTIANA CARE. CHRISTIANA CARE ALSO HAS AN ADVISORY COUNCIL TO THE BOARD ON COMMUNITY ENGAGEMENT TO SUPPORT OPEN DIALOGUE ON THE NEEDS OF THE COMMUNITY. AS DESCRIBED IN THE CHNA AND CHIP, CHRISTIANA CARE APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN ACCESS TO CARE, COMMUNITY OUTREACH, IMPROVING THE CARE AND OVERALL HEALTH OF OUR NEIGHBORS, AND CONTINUING TO SUPPORT MEDICAL EDUCATION AND RESEARCH. ONE OF THE MOST SIGNIFICANT AND INNOVATIVE WAYS CHRISTIANA CARE IS SERVING ITS COMMUNITY IS THROUGH CARELINK CARE NOW, A PATIENT-CENTERED CARE COORDINATION SERVICE. CHRISTIANA CARE PARTNERS WITH APPROXIMATELY 300 PRIMARY CARE PHYSICIANS TO CHANGE THE WAY CARE IS DELIVERED TO 104,000 MEDICARE BENEFICIARIES AND HEALTH PLAN MEMBERS. CARELINK CARE NOW STRIVES TO ACHIEVE BETTER QUALITY AND CARE AT A LOWER COST TO THE PATIENT THROUGH HARNESSING AN INFORMATION TECHNOLOGY PLATFORM THAT INTEGRATES ALL AVAILABLE SOURCES OF A PERSONS HEALTH DATA ADMISSIONS AND EMERGENCY DEPARTMENT VISIT INFORMATION, LAB RESULTS, PHARMACEUTICAL USE DATA AND PHYSICIAN VISITS INTO CARE COORDINATION SOFTWARE THAT SUPPORTS AN INTERDISCIPLINARY TEAM IN PROVIDING COORDINATED CARE SERVICES TO PROVIDERS AND THEIR PATIENTS. CARELINK CARE NOW IS ABLE TO IDENTIFY THE HIGHEST RISK POPULATIONS THROUGH ITS PREDICTIVE ANALYTIC CAPABILITIES AND REACH OUT TO INDIVIDUALS IN REAL TIME TO ENSURE THEY GET THE HEALTH SERVICES THEY NEED. CARELINK CARENOW ALSO SUPPORTS PATIENTS THROUGH PARTICIPATION IN THE CENTERS FOR MEDICARE AND MEDICAID SERVICES BUNDLED PAYMENT FOR CARE IMPROVEMENT PROJECT. PATIENTS REPRESENT SEVERAL SURGICAL AND MEDICAL POPULATIONS. THROUGH BUNDLES, CHRISTIANA CARE TAKES RESPONSIBILITY FOR THE FINANCIAL AND CLINICAL OUTCOMES OF MEDICARE PATIENTS IN EPISODES OF CARE, INCLUDING ACUTE IN-PATIENT STAYS, POST-ACUTE CARE, AND ALL RELATED SERVICES UP TO 90 DAYS OF HOSPITAL DISCHARGE. THE RESULTS ARE IMPRESSIVE. BUNDLED CARE INCREASED THE NUMBER OF PATIENTS HAVING ELECTIVE JOINT REPLACEMENT WHO WERE DISCHARGED TO THEIR HOMES WITH SELF-CARE OR HOME CARE BY 30%, IT REDUCED PATIENTS TRANSFERRED TO SKILLED NURSING FACILITIES AFTER TOTAL JOINT REPLACEMENT BY MORE THAN 62%, AND CREATED A 30% REDUCTION IN READMISSIONS AFTER 90 DAYS. EVERY DAY, CHRISTIANA CARE REACHES OUT TO ITS NEIGHBORS IN THEIR COMMUNITIES THROUGH OUR HEALTH GUIDES, WHO PROVIDE LINKS TO QUALITY AFFORDABLE HEALTHCARE TO UNINSURED PATIENTS; OUR HEALTH AMBASSADORS WHO CONNECT WITH WOMEN IN COMMUNITIES WHERE THERE IS A HIGH RISK FOR INFANT MORTALITY TO ENSURE THEY RECEIVE CARE AND ACCESS TO RESOURCES; OUR BLOOD PRESSURE AMBASSADORS, WHO INCREASE AWARENESS OF HIGH BLOOD PRESSURE IN AFRICAN-AMERICAN COMMUNITIES; OUR PEER ENGAGEMENT SPECIALISTS WHO SEEK A REACHABLE MOMENT WITH THOSE RECOVERING FROM AN OVERDOSE WITHIN THE HOSPITAL TO ENCOURAGE THEM TO TAKE THE FIRST STEPS TOWARDS CONFRONTING THEIR SUBSTANCE USE DISORDER; AND OUR VIOLENCE PREVENTION COORDINATOR TALKS WITH TEENS ABOUT THE REAL IMPACT OF VIOLENCE ON THEM AND THEIR FAMILIES. THESE ARE BUT A FEW EXAMPLES OF HOW CHRISTIANA SERVES ITS NEIGHBORS. OTHER EXAMPLES OF THE INNOVATIVE WAYS IN WHICH CHRISTIANA CARE WORKS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY ARE DESCRIBED IN MORE DETAIL IN THE CHNA AND CHIP, AS WELL AS IN SECTIONS B AND C OF THIS NARRATIVE. CHRISTIANA CARE ALSO WORKS TO IMPROVE THE HEALTH OF ITS COMMUNITIES BY DIRECTLY ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THROUGH THE CHARLES J. HARRINGTON FUND WHICH WAS MADE POSSIBLE THROUGH A $13 MILLION BOARD DESIGNATED FUND TO ADVANCE SCHOLARSHIP AND SUPPORT INNOVATIVE PROJECTS THAT HELP REDUCE HEALTH CARE DISPARITIES FOR THE UNDERSERVED AND DISADVANTAGED POPULATIONS THROUGHOUT OUR SERVICE AREA. ONE COMPONENT OF THE FUND, KNOWN AS THE HARRINGTON VALUE INSTITUTE COMMUNITY PARTNERSHIP FUND ("HARRINGTON FUND"), SUPPORTS NEW OR EXISTING INNOVATIVE COMMUNITY PROGRAMS THAT TARGET ONE OR MORE SOCIAL DETERMINANTS OF HEALTH AND INCLUDE BOTH A COMMUNITY FOCUS AND A CLINICAL OUTCOME. IN JUNE 2016, CHRISTIANA CARE ANNOUNCED HARRINGTON FUND AWARDS TO THREE PROJECTS. THESE PROJECTS WERE: 1. DELAWARE MEDICAL ORDERS FOR SCOPE OF TREATMENT (DMOST) IMPLEMENTATION, EDUCATION, AND RESEARCH: DR. JOHN GOODILL, CHRISTIANA CARES DIRECTOR OF PALLIATIVE CARE, IN PARTNERSHIP WITH THE DELAWARE ACADEMY OF MEDICINE AND DELAWARE PUBLIC HEALTH ASSOCIATION WILL LAUNCH AN INITIAL PAPER FORM WHICH WILL FACILITATE END OF LIFE CONVERSATIONS AND DOCUMENT DECISIONS. ULTIMATELY, A STATEWIDE ELECTRONIC REGISTRY FOR THE INFORMATION COLLECTED ON THE FORM WILL BE CREATED THROUGH THIS PROJECT TO ENSURE DELAWAREANS GET THE CARE THEY WANT AT THE END OF THEIR LIVES. 2. READING INTERVENTION READING CORPS PROGRAM: THE WILMINGTON BASED READING ASSIST INSTITUTE PROVIDES EARLY INTERVENTION FOR MORE FIRST THROUGH THIRD GRADE STUDENTS IN LOW-INCOME AND LOW-PERFORMING PUBLIC ELEMENTARY SCHOOLS WHO SUFFER FROM LANGUAGE-BASED LEARNING DISABILITIES, AND WHO ARE READING AT OR BELOW THE 25TH PERCENTILE. WE KNOW THAT NOT BEING ABLE TO READ WILL HAVE A SIGNIFICANTLY NEGATIVE IMPACT ON AN INDIVIDUALS LIFE AND HEALTH. NOT BEING ABLE TO READ A PRESCRIPTION OR CARE INSTRUCTIONS AFTER SURGERY WILL HAVE AN OBVIOUS IMPACT ON HEALTH, BUT ILLITERACY IS LIKELY TO HINDER A PERSONS EMPLOYABILITY WHICH WE KNOW WILL ALSO HAVE A NEGATIVE IMPACT ON HEALTH. 3. HEALTHY LATINA FAMILIES: IMPROVING ACCESS AND CARE. LAUNCHED IN 2012, THE PROMOTORAS FOR HEALTHY FAMILY PROGRAM STRATEGICALLY EMBEDS SPECIALLY TRAINED HISPANIC, SPANISH-SPEAKING HEALTH ADVOCATES AND RESOURCES KNOWN AS PROMOTORAS THROUGHOUT LATINA COMMUNITIES TO PROVIDE HEALTH OUTREACH AND EDUCATION, ELIMINATE BARRIERS TO CARE, AND LINK MEMBERS OF THE HISPANIC COMMUNITY WITH MEDICAL HOMES. CHRISTIANA CARE ALSO SUPPORTS THE FIRST STATE SCHOOL LOCATED IN THE WILMINGTON HOSPITAL IN PARTNERSHIP WITH THE RED CLAY CONSOLIDATED SCHOOL DISTRICT AND THE DELAWARE DEPARTMENT OF EDUCATION. CHILDREN AND ADOLESCENTS IN KINDERGARTEN THROUGH TWELFTH GRADE, WHO WOULD TYPICALLY BE HOMEBOUND WITH SERIOUS ILLNESSES, HAVE THE OPPORTUNITY TO ATTEND SCHOOL WITH THEIR PEERS WHILE RECEIVING NECESSARY MEDICAL TREATMENT. THIS PROGRAM IS ONLY ONE OF THREE IN OPERATION NATIONWIDE, AND IT HAS BEEN A STAPLE OF CHRISTIANA CARES COMMUNITY PROGRAMS SINCE IT BEGAN SERVING ADOLESCENTS IN 1985 AND EXPANDED TO SERVE ELEMENTARY STUDENTS IN 1991. CHRISTIANA CARES HOME VISIT PROGRAM IS ANOTHER EXAMPLE OF CHRISTIANA CARE SERVING PATIENTS IN A WAY THAT ALLOWS PATIENTS TO GET THE CARE THEY NEED DELIVERED IN A WAY THAT BEST SUITS THEM. THROUGH THIS PROGRAM, DOCTORS, PHYSICIAN ASSISTANTS, SOCIAL WORKERS, AND NURSE PRACTITIONERS VISIT PATIENTS WHO ARE HOMEBOUND TO ENSURE THAT THESE INDIVIDUALS HAVE ASSISTANCE IN FACING THEIR MEDICAL, EMOTIONAL, AND SOCIAL CHALLENGES. FINALLY, CHRISTIANA CARE IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MOR
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH A 1,618 MEMBER MEDICAL-DENTAL STAFF AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS. MAJOR FACILITIES INCLUDE: -CHRISTIANA HOSPITAL-STANTON CAMPUS: LOCATED IN NEWARK, DELAWARE, THIS CAMPUS IS HOME TO THE 906 BED CHRISTIANA HOSPITAL, THE CHRISTIANA CARE CENTER FOR HEART & VASCULAR HEALTH, THE HELEN F. GRAHAM CANCER CENTER & RESEARCH INSTITUTE, THE CHRISTIANA CARE BREAST CENTER, THE CHRISTIANA SURGICENTER, AND THE JOHN H. AMMON MEDICAL EDUCATION CENTER. CHRISTIANA HOSPITAL IS ALSO THE STATES ONLY HIGH RISK DELIVERY HOSPITAL FEATURING A LEVEL III NEONATAL INTENSIVE CARE UNIT. CHRISTIANA HOSPITAL IS ALSO A LEVEL I TRAUMA CENTER. -WILMINGTON HOSPITAL CAMPUS: LOCATED IN THE HEART OF THE CITY OF WILMINGTON, THIS CAMPUS IS THE CORPORATE HEADQUARTERS FOR THE HEALTH SYSTEM AND INCLUDES THE 290 BED WILMINGTON HOSPITAL, THE ROCCO A. ABESSINIO FAMILY WILMINGTON HOSPITAL HEALTH CENTER, THE CENTER FOR REHABILITATION, THE CENTER FOR ADVANCED JOINT REPLACEMENT, THE WILMINGTON ANNEX, THE SWANK MEMORY CENTER, THE FIRST STATE SCHOOL, AND THE ROXANA CANNON ARSHT SURGICENTER. WILMINGTON HOSPITAL IS A LEVEL III TRAUMA CENTER. - MIDDLETOWN EMERGENCY DEPARTMENT: CHRISTIANA CARE FACILITIES ALSO INCLUDE AN EMERGENCY DEPARTMENT FACILITY IN MIDDLETOWN, DELAWARE, THAT SERVES THE MIDDLETOWN, ODESSA AND TOWNSEND, DELAWARE POPULATIONS ON A 24-7 BASIS. THE FACILITY CONTAINS 18 TREATMENT ROOMS, AND IS AVAILABLE TO SERVE MANY OF THE FREQUENT EMERGENCY CARE NEEDS OF THE LOCAL COMMUNITY. --------------------
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT)DELAWARE DOES NOT REQUIRE THE FILING OF A COMMUNITY BENEFIT REPORT. NEVERTHELESS, CHRISTIANA CARE HAS ESTABLISHED A COMMUNITY BENEFIT DEDICATED SECTION ON ITS WEBSITE WHERE THE CHNA AND CHIP CAN BE FOUND, ALONG WITH ARTICLES ABOUT CHRISTIANA CARES COMMUNITY BENEFIT INITIATIVES AND STORES. THIS GROWING COLLECTION OF STORIES CAN BE ACCESSED AT: HTTPS://NEWS.CHRISTIANACARE.ORG/CATEGORY/IN-THE-COMMUNITY/COMMUNITY- BENEFIT/.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS L CORRIGAN
EXECUTIVE VP AND CFO$677,458$0$243,743$0$439,494$0$24,572$0$20,657$0$1,405,924$0$0$0
ROBERT LASKOWSKI
FORMER PRESIDENT & CEO$0$0$0$0$388,187$0$7,347$0$0$0$395,534$0$0$0
JAMES HOPKINS MD
MEMBER$439,494$0$59,500$0$0$0$23,247$0$14,352$0$536,593$0$0$0
DIANE TALAREK
FORMER SR VP PATIENT CARE SVCS$36,659$0$0$0$240,294$0$17,130$0$2,032$0$296,115$0$0$0
MICHAEL BANBURY MD
CHIEF, CARDIAC SURGERY$854,612$0$106,408$0$13,305$0$25,797$0$20,774$0$1,020,896$0$0$0
BRENDA K PIERCE ESQ
SECRETARY OF THE CORP$297,701$0$86,909$0$0$0$43,778$0$14,157$0$442,545$0$0$0
AUDREY VAN LUVEN
SENIOR VP & CHIEF HR OFFICER$369,675$0$136,314$0$180,129$0$62,384$0$6,981$0$755,483$0$0$0
JANICE E NEVIN MD
PRESIDENT & CEO$944,626$0$464,369$0$671$0$124,618$0$13,390$0$1,547,674$0$0$0
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS$636,189$0$183,007$0$39,597$0$25,797$0$14,157$0$898,747$0$0$0
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER$557,857$0$161,777$0$33,359$0$25,797$0$21,502$0$800,292$0$0$0
PAUL DAVIS
PHYSICIAN$670,733$0$101,369$0$0$0$23,247$0$22,657$0$818,006$0$0$0
KENNETH SILVERSTEIN
CHIEF CLINICAL OFFICER$547,002$0$198,796$0$0$0$76,260$0$20,657$0$842,715$0$0$0
KERT ANZILOTTI
CHIEF MED. OFFICER- ACUTE CARE$546,780$0$159,497$0$0$0$58,797$0$20,657$0$785,731$0$0$0
RICHARD CUMING
CHIEF NURSING EXECUTIVE$151,612$0$0$0$0$0$15,567$0$5,230$0$172,409$0$0$0
MICHAEL EPPEHIMER
CHIEF OP. OFFICER - MED GROUP$282,237$0$82,504$0$13,024$0$41,073$0$21,697$0$440,535$0$0$0
SHARON KURFUERST
CHIEF OP. OFFICER - HEALTH SVC$279,921$0$82,498$0$0$0$41,072$0$20,657$0$424,148$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1ADETAIL REGARDING BENEFITS PROVIDED SOCIAL CLUB DUES CCHS PROVIDES A SOCIAL CLUB MEMBERSHIP TO BE USED BY THE PRESIDENT IN CONNECTION WITH THEIR DUTIES. THE PRESIDENT IS RESPONSIBLE FOR AND TAXED ON ANY PERSONAL USE OF SUCH CLUB MEMBERSHIP. --------------------
FORM 990, SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED PLAN PARTICIPATION CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: THOMAS L. CORRIGAN- $65,000 TIMOTHY GARDNER, MD- $37,866 ROBERT J. LASKOWSKI, MD- NO DISTRIBUTION JANICE NEVIN MD- NO DISTRIBUTION BRENDA K. PIERCE, ESQ.- NO DISTRIBUTION NICHOLAS PETRELLI- $33,471 DIANE TALAREK- $81,695 AUDREY VAN LUVEN- NO DISTRIBUTION --------------------
FORM 990, SCHEDULE J, PART I, LINE 7PROVISION OF NON-FIXED PAYMENTS CCHS PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE CCHS COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008
A510272458246388NVO2008-11-20$80,000,000REFINANCE SERIES 2004 & MED BLDGfalsefalsefalse
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A
B510272458246388EQ52010-11-04$74,491,341CONSTRUCTION OF HOSPITALfalsefalsefalse
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010
C510272458246388QPO2010-11-04$127,195,000CONSTRUCTION OF HOSPITALfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,320,000$0$80,000,000$0$0$0$774,850$0$0$19,062,025$60,163,125$02006Yes (true)falseYes (true)Yes (true)
B$15,360,000$0$74,956,804$0$0$0$879,197$0$0$74,077,607$0$02014falsefalseYes (true)Yes (true)
C$5,415,000$0$128,314,967$0$0$0$684,318$0$0$127,630,649$0$02014falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalseYes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
BfalsefalsefalseYes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
CfalsefalsefalseYes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalse0falseYes (true)
0
CfalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE K, PART II, LINE 3FormAndLineReferenceDesc
ExplanationFOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $465,463 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,119,967 IN INVESTMENT EARNINGS. --------------------ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4DDETAIL OF OTHER PROGRAM SERVICES CHRISTIANA CARE HEALTH SERVICES ("CCHS"), HEADQUARTERED IN WILMINGTON, DELAWARE, IS ONE OF THE COUNTRY'S LARGEST HEALTH CARE PROVIDERS AND IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS. CHRISTIANA CARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDIOLOGY, CANCER AND WOMEN'S HEALTH SERVICES. THE SYSTEM FEATURES A LEVEL 3 NEONATAL INTENSIVE CARE UNIT, THE ONLY DELIVERING HOSPITAL IN THE STATE TO OFFER THIS LEVEL OF CARE FOR NEWBORNS. CHRISTIANA CARE HEALTH SERVICES IS ALSO HOME TO DELAWARE'S ONLY LEVEL 1 TRAUMA CENTER, THE ONLY OF ITS KIND BETWEEN PHILADELPHIA AND BALTIMORE. A NOT-FOR-PROFIT, NON-SECTARIAN HEALTH SYSTEM, CHRISTIANA CARE INCLUDES TWO HOSPITALS WITH MORE THAN 1,100 PATIENT BEDS, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. WITH MORE THAN 10,700 EMPLOYEES, CHRISTIANA CARE IS THE LARGEST PRIVATE EMPLOYER IN DELAWARE AND ONE OF THE LARGEST EMPLOYERS IN THE PHILADELPHIA REGION. --------------------
FORM 990, PART IV, LINE 21DETAIL OF SUBAWARDS IN FURTHERANCE OF ITS MEDICAL RESEARCH ACTIVITIES, CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAKES SUB-AWARDS TO OTHER INSTITUTIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO CCHS. CCHS DOES NOT CATEGORIZE THESE SUB-AWARDS AS GRANTS OR ASSISTANCE FOR FORM 990 REPORTING, SINCE THE RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR CCHS AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF CCHS. DURING THE YEAR ENDED JUNE 30, 2017, CCHS MADE SUB-AWARD PAYMENTS TO 3 RECIPIENTS TOTALING $70,618. --------------------
FORM 990, PART VI, SECTION A, LINE 7A,BGOVERNING BODY AND MANAGEMENT THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"), AT IT'S ANNUAL MEETING IN NOVEMBER, ELECTS DIRECTORS OF CCHS. THE ANNUAL OPERATING BUDGET OF CCHS IS APPROVED BY THE CCHS BOARD, THE SYSTEM FINANCE COMMITTEE AND THE SYSTEM BOARD. --------------------
FORM 990, PART VI, SECTION B, LINE 11FORM 990 REVIEW PROCESS INFORMATION RELATED TO CCHS' FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2016 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2017 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2016 FORM 990 VIA ITS BOARD OF DIRECTOR'S PORTAL. ------------------
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE SUPERVISORY POLICY MANUAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR MANAGERS WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXISTS. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. --------------------
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS ESTABLISHES CHRISTIANA CARE'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. --------------------
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE, MANAGEMENT, & DISCLOSURE THE FORM 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF CCHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEB THROUGH DIGITAL ASSURANCE CERTIFICATION ("DAC"). -------------------- FORM 990, PART X BALANCE SHEET CERTAIN PRIOR YEAR BALANCE SHEET AMOUNTS HAVE BEEN RECLASSIFIED TO CONFORM TO THE CURRENT YEAR AUDITED FINANCIAL STATEMENT PRESENTATION. --------------------
FORM 990, PART XI, LINE 9DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN PENSION AND POSTRETIREMENT LIABILITIES $ 78,838,864 TRANSFER FROM AFFILIATE 1,900,000 BENEFICIAL INTEREST IN SYSTEM (11,092,511) OTHER 114,745 ----------- TOTAL $ 69,761,098 ============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIANA CARE CAMPUS REALTY LLC
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE$0$0CCHS
CHRISTIANA CARE QUALITY PARTNERS LLC
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE-$839,237$0CCHS
CHRISTIANA CARE QUALITY PARTNERS ACOLLC
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE-$372,795$0CCHS
CHRISTIANA CARE CARE LINK LLC
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE-$2,516,069$0CCHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHRISTIANA CARE HEALTH SYSTEM INC
501 WEST 14TH STREETWILMINGTONDE19801521479538FUNDRAISINGDE501(c)(3)7NAfalse
CHRISTIANA CARE HLTH INITIATIVES INC
200 HYGEIA DRIVE SUITE 2300NEWARKDE19713510295186OUTPATIENT SVDE501(c)(3)10CCHS SYSTEMfalse
CHRISTIANA CARE HOME HEALTH & COM SRVCS
1 READS WAYNEW CASTLEDE19720510064334HOME HLTHCAREDE501(c)(3)7CCHS SYSTEMfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
THE DE CTR FOR MAT FETAL MED OF CC INC
200 HYGEIA DRIVENEWARKDE19713205891272HEALTHCAREDECCHSC CORP$54,083$2,156,6771.00000Yes (true)
CHRISTIANA CARE HEALTH PLANS
200 HYGEIA DRIVE OFFICE 2524NEWARKDE19713510352728INSURANCEDECCHS SYSTEMC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE DE CTR FOR MAT FETAL MED OF CC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeA,OTransactionTypeTxt
Involved$519,182InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Affiliated Group Attachment AffiliatedGroupAttachment

FieldValueIRS element (for citing)
Meduim ExplanationDIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ _______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 3,410,412 CHRISTIANA CARE HEALTH SERVICES 174,335 1,583,326,935 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 48,367,268 CHRISTIANA CARE HEALTH INITIATIVES NONE 1,143,105 ------------ -------------- TOTAL $ 174,335 $ 1,636,247,720 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2017. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2016.MeduimExplanationTxt