2018-05-14T09:40:02-05:00 2017-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2016-07-01 510103684 CHRISTIANA CARE HEALTH SERVICES INC % VICE PRESIDENT'S OFFICE CHRI 3026237201 PO BOX 2653 WILMINGTON DE 198050653 THOMAS L CORRIGAN EXECUTIVE VP & CFO 3026237201 2018-05-10 true ANTONIO C RUSSO P00858539 2673303000 2018-05-09 2016 2022-09-23 18:48:47Z JANICE NEVIN MD 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 2186306484 false X WWW.CHRISTIANACARE.ORG X 1965 DE OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. 19 17 10728 1245 4232754 30666972 35304559 1345427552 1396421550 44952105 71183909 282318321 294090298 1703364950 1797000316 472446 0 0 0 988848685 1044935974 0 0 0 525613730 538565296 1514934861 1583501270 188430089 213499046 2713743603 2946500848 752404970 615628909 1961338633 2330871939 X WE 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. false false 476456714 0 304618281 PROVISION 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. 78640690 0 149223881 LABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2017, 3,367,140 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 349. 264101919 0 379370835 OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2017, 39,155 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 299. 470076424 0 855434377 1289275747 true true false true false false false false true true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 507 0 true 10728 true true true false false false false false false false false false X 19 17 false false false false false true true true true false false true true true true true true true true false PA X VICE PRESIDENT'S OFFICE 3026237202 200 HYGEIA DRIVE NEWARK DE 197132049 X BRIAN E BURGESS MD MEMBER, VICE CHAIR 1.0 1.0 X X 0 0 0 BETTY J CAFFO PHD MEMBER 1.0 1.0 X 0 0 0 CARROLL M CARPENTER MEMBER- THRU 11/2016 1.0 1.0 X 0 0 0 JOHN R COCHRAN III MEMBER- THRU 11/2016 1.0 1.0 X 0 0 0 DONEENE DAMON ESQ CHAIRMAN OF THE BOARD 1.0 1.0 X X 0 0 0 TARA D ELLIOTT ESQ MEMBER 1.0 1.0 X 0 0 0 JAMES HOPKINS MD MEMBER 40.0 1.0 X 498994 0 37599 ERIC T JOHNSON MD MEMBER 1.0 1.0 X 9169 0 568 W DONALD JOHNSON MEMBER- THRU 11/2016 1.0 1.0 X 0 0 0 PAUL KANIEFSKI MEMBER 1.0 1.0 X 0 0 0 ANDREW M LUBIN MEMBER 1.0 1.0 X 0 0 0 LOLITA A LOPEZ MEMBER 1.0 1.0 X 0 0 0 NICHOLAS M MARSINI JR MEMBER 1.0 1.0 X 0 0 0 KATHLEEN FUREY MCDONOUGH ESQ MEMBER 1.0 1.0 X 0 0 0 MICHAEL R MILLER MEMBER 1.0 1.0 X 0 0 0 JOHN M MURRAY II MEMBER 1.0 1.0 X 0 0 0 JANICE E NEVIN MD PRESIDENT & CEO 40.0 1.0 X X 1409666 0 138008 SKIP PENNELLA MEMBER 1.0 1.0 X 0 0 0 GARY M PFEIFFER MEMBER- THRU 11/2016 1.0 1.0 X 0 0 0 THEODORE G PLUSH MEMBER 1.0 1.0 X 0 0 0 LEO RAISIS MD MEMBER 1.0 1.0 X 0 0 0 GEORGIANNA RILEY MEMBER 1.0 1.0 X 0 0 0 PENELOPE T SARIDAKIS MEMBER 1.0 1.0 X 0 0 0 FRED C SEARS II MEMBER- THRU 11/2016 1.0 1.0 X 0 0 0 WILFRED B SHERK MEMBER- THRU 11/2016 1.0 1.0 X 0 0 0 JANICE TILDON-BURTON MD MEMBER- THRU 11/2016 1.0 1.0 X 0 0 0 THOMAS L CORRIGAN EXECUTIVE VP AND CFO 40.0 1.0 X 1360695 0 45229 BRENDA K PIERCE ESQ SECRETARY OF THE CORP 40.0 3.0 X 384610 0 57935 AUDREY VAN LUVEN SENIOR VP & CHIEF HR OFFICER 40.0 0.0 X 686118 0 69365 KENNETH SILVERSTEIN CHIEF CLINICAL OFFICER 40.0 0.0 X 745798 0 96917 RICHARD CUMING CHIEF NURSING EXECUTIVE 40.0 0.0 X 151612 0 20797 MICHAEL EPPEHIMER CHIEF OP. 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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 4B RECONCILIATION 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 4B RECONCILIATION 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) ============= true true X true X false false true false false 15563944 15563944 0.00980 239729308 204685735 35043573 0.02210 255293252 204685735 50607517 0.03190 45 67787 9351959 4667498 4684461 0.00300 6 2226 47666667 11473221 36193446 0.02290 3 20412273 13094679 7317594 0.00460 5 453542 453542 0.00030 59 70013 77884441 29235398 48649043 0.03080 59 70013 333177693 233921133 99256560 0.06270 3 136170 136170 0.00010 1 1214 1214 0.00000 1 9784 9784 0.00000 5 147168 147168 0.00010 true 48439495 4843950 472824337 554888792 -82064455 X true true 2 1 CHRISTIANA HOSPITAL 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 www.christianacare.org LICENSE #HSPTL-002 X X X X X A 2 WILMINGTON HOSPITAL 501 WEST 14TH STREET WILMINGTON DE 19801 www.christianacare.org LICENSE #HSPTL-001 X X X X X A A-CHRISTIANA AND WILMINGTON HOSPITALS 12 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 200. 0. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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. -------------------- 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/. X true true X X X X X false true false false false false false true false THOMAS L CORRIGAN EXECUTIVE VP AND CFO 677458 0 243743 0 439494 0 24572 0 20657 0 1405924 0 0 0 ROBERT LASKOWSKI FORMER PRESIDENT & CEO 0 0 0 0 388187 0 7347 0 0 0 395534 0 0 0 JAMES HOPKINS MD MEMBER 439494 0 59500 0 0 0 23247 0 14352 0 536593 0 0 0 DIANE TALAREK FORMER SR VP PATIENT CARE SVCS 36659 0 0 0 240294 0 17130 0 2032 0 296115 0 0 0 MICHAEL BANBURY MD CHIEF, CARDIAC SURGERY 854612 0 106408 0 13305 0 25797 0 20774 0 1020896 0 0 0 BRENDA K PIERCE ESQ SECRETARY OF THE CORP 297701 0 86909 0 0 0 43778 0 14157 0 442545 0 0 0 AUDREY VAN LUVEN SENIOR VP & CHIEF HR OFFICER 369675 0 136314 0 180129 0 62384 0 6981 0 755483 0 0 0 JANICE E NEVIN MD PRESIDENT & CEO 944626 0 464369 0 671 0 124618 0 13390 0 1547674 0 0 0 TIMOTHY GARDNER MD MEDICAL DIRECTOR, HVIS 636189 0 183007 0 39597 0 25797 0 14157 0 898747 0 0 0 NICHOLAS PETRELLI MD MEDICAL DIRECTOR, CANCER 557857 0 161777 0 33359 0 25797 0 21502 0 800292 0 0 0 PAUL DAVIS PHYSICIAN 670733 0 101369 0 0 0 23247 0 22657 0 818006 0 0 0 KENNETH SILVERSTEIN CHIEF CLINICAL OFFICER 547002 0 198796 0 0 0 76260 0 20657 0 842715 0 0 0 KERT ANZILOTTI CHIEF MED. OFFICER- ACUTE CARE 546780 0 159497 0 0 0 58797 0 20657 0 785731 0 0 0 RICHARD CUMING CHIEF NURSING EXECUTIVE 151612 0 0 0 0 0 15567 0 5230 0 172409 0 0 0 MICHAEL EPPEHIMER CHIEF OP. OFFICER - MED GROUP 282237 0 82504 0 13024 0 41073 0 21697 0 440535 0 0 0 SHARON KURFUERST CHIEF OP. OFFICER - HEALTH SVC 279921 0 82498 0 0 0 41072 0 20657 0 424148 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A DETAIL 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 4B SUPPLEMENTAL 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 7 PROVISION 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. A DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008 510272458 246388NVO 2008-11-20 80000000 REFINANCE SERIES 2004 & MED BLDG false false false B DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A 510272458 246388EQ5 2010-11-04 74491341 CONSTRUCTION OF HOSPITAL false false false C DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010 510272458 246388QPO 2010-11-04 127195000 CONSTRUCTION OF HOSPITAL false false false A 2320000 0 80000000 0 0 0 774850 0 0 19062025 60163125 0 2006 true false true true B 15360000 0 74956804 0 0 0 879197 0 0 74077607 0 0 2014 false false true true C 5415000 0 128314967 0 0 0 684318 0 0 127630649 0 0 2014 false false true true A false false false true true 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false true true 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false true true 0.00000 0.00000 0.00000 false false 0.00000 false true A false true true false 0 false 0 false true B false true false false 0 false 0 false true C false true true false 0 false 0 false true A true B true C true FORM 990, SCHEDULE K, PART II, LINE 3 FOR 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. -------------------- FORM 990, PART III, LINE 4D DETAIL 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 21 DETAIL 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,B GOVERNING 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 11 FORM 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 12C CONFLICT 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 15 COMPENSATION 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 19 GOVERNANCE, 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 9 DETAIL 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 ============ CHRISTIANA CARE CAMPUS REALTY LLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE 0 0 CCHS CHRISTIANA CARE QUALITY PARTNERS LLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -839237 0 CCHS CHRISTIANA CARE QUALITY PARTNERS ACOLLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -372795 0 CCHS CHRISTIANA CARE CARE LINK LLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -2516069 0 CCHS CHRISTIANA CARE HEALTH SYSTEM INC 501 WEST 14TH STREET WILMINGTON DE 19801 521479538 FUNDRAISING DE 501(c)(3) 7 NA false CHRISTIANA CARE HLTH INITIATIVES INC 200 HYGEIA DRIVE SUITE 2300 NEWARK DE 19713 510295186 OUTPATIENT SV DE 501(c)(3) 10 CCHS SYSTEM false CHRISTIANA CARE HOME HEALTH & COM SRVCS 1 READS WAY NEW CASTLE DE 19720 510064334 HOME HLTHCARE DE 501(c)(3) 7 CCHS SYSTEM false THE DE CTR FOR MAT FETAL MED OF CC INC 200 HYGEIA DRIVE NEWARK DE 19713 205891272 HEALTHCARE DE CCHS C CORP 54083 2156677 1.00000 true CHRISTIANA CARE HEALTH PLANS 200 HYGEIA DRIVE OFFICE 2524 NEWARK DE 19713 510352728 INSURANCE DE CCHS SYSTEM C CORP false true false true false false false false false false true true false true true true true true true false THE DE CTR FOR MAT FETAL MED OF CC INC A,O 519182 FMV DIRECT 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.