CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202541359349310804
Schema version: 2023v6.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T13:23:39-04:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PwC US Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510103684	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTIANA CARE HEALTH SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SR VP'S OFFICE	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3024282426	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE NW3-100	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT MCMURRAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3026237202	PhoneNum
Signature	2025-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum
Preparation	2025-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JANICE NEVIN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,853,495,541	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTIANACARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	14540	TotalEmployeeCnt
Total Volunteers	489	TotalVolunteersCnt
Total Gross UBI	$1,498,234	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$53,965,055	PYContributionsGrantsAmt
CY Contributions Grants	$42,127,253	CYContributionsGrantsAmt
PY Program Service Revenue	$2,567,645,527	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,755,633,267	CYProgramServiceRevenueAmt
PY Investment Income	$60,054,269	PYInvestmentIncomeAmt
CY Investment Income	$236,160,355	CYInvestmentIncomeAmt
PY Other Revenue	$16,332,229	PYOtherRevenueAmt
CY Other Revenue	$16,965,085	CYOtherRevenueAmt
PY Total Revenue	$2,697,997,080	PYTotalRevenueAmt
CY Total Revenue	$3,050,885,960	CYTotalRevenueAmt
PY Grants And Similar Paid	$516,250	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,861,240	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,555,860,667	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,614,928,394	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,031,979,043	PYOtherExpensesAmt
CY Other Expenses	$1,050,215,401	CYOtherExpensesAmt
PY Total Expenses	$2,588,355,960	PYTotalExpensesAmt
CY Total Expenses	$2,667,005,035	CYTotalExpensesAmt
PY Revenues Less Expenses	$109,641,120	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$383,880,925	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,483,979,485	TotalAssetsBOYAmt
Total Assets EOY	$4,817,293,499	TotalAssetsEOYAmt
Total Liabilities BOY	$1,106,827,681	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,158,781,143	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,377,151,804	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,658,512,356	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE AND EQUITABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,282,840,360	ExpenseAmt
Grant	$1,854,240	GrantAmt
Revenue	$2,765,367,462	RevenueAmt
Desc	AS PART OF ITS MISSION OF SERVICE, THE HOSPITALS AND MEDICAL STAFF OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") OFFER A FULL RANGE OF HEALTH SERVICES TO ADDRESS THE NEEDS OF ITS LOCAL COMMUNITIES. THIS INCLUDES THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF THE STATE OF DELAWARE, NORTHERN MARYLAND, SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSEY, WITHOUT REGARD TO THE PATIENTS' RACE, GENDER, ETHNICITY, AGE, DISABILITY, RELIGION, OR ABILITY TO PAY. DURING FISCAL 2023, THE HOSPITALS OF CCHS RECORDED 402,555 PATIENT DAYS, 56,359 ADMISSIONS, 192,088 EMERGENCY DEPARTMENT VISITS, AND THE BIRTHS OF 6,325 BABIES. ADDITIONALLY, CCHS'S MEDICAL GROUP ENGAGED WITH PATIENTS DURING A TOTAL OF 292,658 PRIMARY CARE VISITS. DURING THE FISCAL YEAR, CCHS PROVIDED $52,130,184 OF UNCOMPENSATED AND UNREIMBURSED CARE, AND ENGAGED IN A VARIETY OF OTHER ACTIVITIES TO SUPPORT AND ASSIST THE LOCAL COMMUNITIES THAT ARE MORE FULLY DISCUSSED IN SCHEDULE H.	Desc
Total Program Service Expenses	$2,282,840,360	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	366	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	14540	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SR VP'S OFFICE	PersonNm
Phone	3024282441	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE AVENUE NORTH	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JANICE E NEVIN MD
PRESIDENT & CEO	43.0	2.0	Yes (X)	Yes (X)	$2,755,490	$0	$7,228
SHARON KURFUERST
FORMER COO	0.0	0.0			$1,311,367	$0	$3,168	Yes (X)
RICHARD CUMING
CHIEF OPERATING OFFICER	44.0	1.0			$1,173,074	$0	$68,494		Yes (X)
RAY A BLACKWELL MD
CHIEF OF CARDIAC SURGERY	45.0	0.0			$1,211,524	$0	$20,878			Yes (X)
RANDALL GABORIAULT
CHIEF DIGITAL & INFO. OFFICER	45.0	0.0			$1,125,990	$0	$94,186		Yes (X)
KENNETH SILVERSTEIN MD
FORMER CHIEF PHYSICIAN EXEC	0.0	0.0			$1,126,586	$0	$2,850	Yes (X)
ROBERT MCMURRAY
CFO, TREAS. & ASS'T SECRETARY	36.0	9.0		Yes (X)	$1,040,419	$0	$88,327
DANIEL ROBB MD
PHYSICIAN, CARDIAC SURGEON	45.0	0.0			$1,022,687	$0	$12,506			Yes (X)
JENNIFER L SCHWARTZ ESQ
CORPORATE SECRETARY	35.0	10.0		Yes (X)	$926,687	$0	$80,121
NEIL JASANI MD
CHIEF PEOPLE OFFICER	45.0	0.0			$981,129	$0	$20,878		Yes (X)
KIRK N GARRATT MD
MED. DIR. CTR FOR H/V HEALTH	45.0	0.0			$976,760	$0	$12,104			Yes (X)
VINAY K GHEYI
CHAIR DEPARTMENT RADIOLOGY	45.0	0.0			$974,300	$0	$13,910			Yes (X)
KERT ANZILOTTI JR MD
INTERIM PRESIDENT	45.0	0.0			$907,418	$0	$80,787		Yes (X)
LISA MAXWELL MD
PRESIDENT, CC MEDICAL GROUP	45.0	0.0			$919,693	$0	$20,878		Yes (X)
NICHOLAS J PETRELLI MD
MED. DIR, CCHS CANCER PROGRAM	45.0	0.0			$909,743	$0	$12,506			Yes (X)
BETTINA TWEARDY-RIVEROS
CHIEF HEALTH EQUITY OFFICER	45.0	0.0			$780,074	$0	$66,272		Yes (X)
FREDERIC T HARAD MD
DIRECTOR	45.0	0.0	Yes (X)		$752,407	$0	$12,506
BARBARA ALBANI MD
DIRECTOR - AS OF 01/24	45.0	0.0	Yes (X)		$721,170	$0	$0
VINAY MAHESHWARI MD
DIRECTOR	45.0	0.0	Yes (X)		$613,808	$0	$20,878
BARRY NIZIOLEK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CHRISTINE SAUERS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DAVID B STRATTON ESQ
CHAIR - THRU 12/23	44.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
DWIGHT D THOMEY ESQ
DIRECTOR - THRU 12/23	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
JULIE TOPKIS NASON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KATHY JANVIER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
LOLITA A LOPEZ
CHAIR - AS OF 01/24	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LOSSIE FREEMAN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MORGAN MILLER MLIS
DIRECTOR - AS OF 01/24	1.0	0.0	Yes (X)		$0	$0	$0
PAWAN RASTOGI MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
RITA LANDGRAF
DIRECTOR - AS OF 01/24	0.0	0.0	Yes (X)		$0	$0	$0
SALVATORE CHIP ROSSIE
DIRECTOR - THRU 12/23	1.0	0.0	Yes (X)		$0	$0	$0
TOM MOORE
VICE CHAIR - AS OF 01/24	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$20,230,326	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$638,477	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3518	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	631959156	IT SERVICES	$27,221,920
GENERAL HEALTHCARE RESOURCES
2250 HICKORY ROAD STE 240	PLYMOUTH MEETING	PA	19462	TEMP. STAFFING SRVCS	$16,999,659
ANESTHESIA SERVICES PA
100 WEST COMMONS BLVD STE 400	NEW CASTLE	DE	19720	ANESTHESIA SERVICES	$14,349,192
CONSTRUCTION SERVICES GROUP LLC
1630 WEST CHESTER PIKE	WEST CHESTER PA	DE	19382	CONSTRUCTION SRVCS	$13,698,676
ERNST YOUNG LLP
PO BOX 640382	PITTSBURGH	PA	152640382	CONSULTING SRVCS	$10,376,097

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	337	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$9,471	FederatedCampaignsAmt
Fundraising	$141,751	FundraisingAmt
Related Organizations	$2,955,695	RelatedOrganizationsAmt
Government Grants	$36,741,376	GovernmentGrantsAmt
All Other Contributions	$2,278,960	AllOtherContributionsAmt
Noncash Contributions	$142,903	NoncashContributionsAmt
Total Contributions	$42,127,253	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PROGRAM SERVICE REVENUES	622110	$2,686,086,673	$2,686,086,673	$0	$0
OTHER REVENUES	900099	$69,546,594	$63,818,551	$1,498,234	$4,229,809

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,755,633,267	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,219,169	TotalRevenueColumnAmt
Exclusion	$71,219,169	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,508,369	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,508,369	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,508,369	TotalRevenueColumnAmt
Exclusion	$5,508,369	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$969,203,319	SecuritiesAmt
Other	-$1,652,552	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$802,609,581	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$166,593,738	SecuritiesAmt
Other	-$1,652,552	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$164,941,186	TotalRevenueColumnAmt
Exclusion	$164,941,186	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$17,738	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$141,751	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,738	TotalRevenueColumnAmt
Exclusion	$17,738	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MAINTENANCE FEES	531390	$1,704,783	$0	$0	$1,704,783
AFFILIATE REVENUES	900099	$9,734,195	$9,734,195	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$11,438,978	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,050,885,960	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,759,639,419	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,498,234	UnrelatedBusinessRevenueAmt
Exclusion	$247,621,054	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,861,240	TotalAmt
Program Services	$1,861,240	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$15,178,595	TotalAmt
Program Services	$12,798,782	ProgramServicesAmt
Management And General	$2,379,813	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,252,443,799	TotalAmt
Program Services	$1,056,076,366	ProgramServicesAmt
Management And General	$196,367,433	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$79,249,174	TotalAmt
Program Services	$66,823,900	ProgramServicesAmt
Management And General	$12,425,274	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$179,392,604	TotalAmt
Program Services	$151,266,100	ProgramServicesAmt
Management And General	$28,126,504	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$88,664,222	TotalAmt
Program Services	$74,762,787	ProgramServicesAmt
Management And General	$13,901,435	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$21,517,461	TotalAmt
Program Services	$16,855,532	ProgramServicesAmt
Management And General	$4,661,929	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,065,352	TotalAmt
Program Services	$4,751,245	ProgramServicesAmt
Management And General	$1,314,107	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$444,513	TotalAmt
Program Services	$348,206	ProgramServicesAmt
Management And General	$96,307	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$422,633	TotalAmt
Program Services	$331,067	ProgramServicesAmt
Management And General	$91,566	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$6,434,027	TotalAmt
Management And General	$6,434,027	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,148,858	TotalAmt
Program Services	$34,583,657	ProgramServicesAmt
Management And General	$9,565,201	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,703,332	TotalAmt
Program Services	$5,251,002	ProgramServicesAmt
Management And General	$1,452,330	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,095,872	TotalAmt
Program Services	$4,775,153	ProgramServicesAmt
Management And General	$1,320,719	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$75,279,050	TotalAmt
Program Services	$58,969,245	ProgramServicesAmt
Management And General	$16,309,805	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$87,447	TotalAmt
Program Services	$68,501	ProgramServicesAmt
Management And General	$18,946	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$45,223,456	TotalAmt
Program Services	$35,425,435	ProgramServicesAmt
Management And General	$9,798,021	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,057,053	TotalAmt
Program Services	$2,394,718	ProgramServicesAmt
Management And General	$662,335	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,281,634	TotalAmt
Program Services	$1,003,958	ProgramServicesAmt
Management And General	$277,676	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,458,612	TotalAmt
Program Services	$6,951,961	ProgramServicesAmt
Management And General	$1,506,651	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$118,544,262	TotalAmt
Program Services	$88,441,488	ProgramServicesAmt
Management And General	$30,102,774	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$30,839,123	TotalAmt
Program Services	$24,157,582	ProgramServicesAmt
Management And General	$6,681,541	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$489,757,416	$489,757,416	$0	$0
OTHER SUPPLIES AND SERVICES	$185,855,300	$145,185,019	$40,670,281	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,667,005,035	TotalAmt
Program Services	$2,282,840,360	ProgramServicesAmt
Management And General	$384,164,675	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,272	BOYAmt
EOY	$13,272	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$269,688,680	BOYAmt
EOY	$295,480,916	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$421,401,431	BOYAmt
EOY	$537,742,510	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$49,504,179	BOYAmt
EOY	$48,445,848	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$27,951,704	BOYAmt
EOY	$30,153,319	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,870,783,346	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,831,759,564	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,067,277,741	BOYAmt
EOY	$1,039,023,782	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,672,961,947	BOYAmt
EOY	$1,915,847,561	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$491,444,744	BOYAmt
EOY	$437,767,095	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,015,805	BOYAmt
EOY	$1,015,805	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$482,719,982	BOYAmt
EOY	$511,803,391	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,483,979,485	BOYAmt
EOY	$4,817,293,499	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$446,857,675	BOYAmt
EOY	$449,538,491	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$298,936,087	BOYAmt
EOY	$291,699,694	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$361,033,919	BOYAmt
EOY	$417,542,958	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,106,827,681	BOYAmt
EOY	$1,158,781,143	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,317,366,405	BOYAmt
EOY	$3,593,169,230	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,785,399	BOYAmt
EOY	$65,343,126	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,377,151,804	BOYAmt
EOY	$3,658,512,356	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,483,979,485	BOYAmt
EOY	$4,817,293,499	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$383,880,925	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$85,758,988	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$188,279,361	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$80,735,115	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$128,076,121	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,095,263	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$53,965,055	CurrentTaxYearMinus1YearAmt
Current Tax Year	$42,127,253	CurrentTaxYearAmt
Total	$347,998,807	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$80,735,115	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$128,076,121	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,095,263	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$53,965,055	CurrentTaxYearMinus1YearAmt
Current Tax Year	$42,127,253	CurrentTaxYearAmt
Total	$347,998,807	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$347,998,807	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$38,348,773	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$34,285,085	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$42,693,278	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$55,003,321	CurrentTaxYearMinus1YearAmt
Current Tax Year	$76,727,538	CurrentTaxYearAmt
Total	$247,057,995	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,515,817	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,583,245	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,524,457	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,625,074	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,704,783	CurrentTaxYearAmt
Total	$7,953,376	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$603,010,178	TotalSupportAmt
Gross Receipts Rltd Activities	$11,772,482,091	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.57710	PublicSupportCY170Pct
Public Support PY170	0.60142	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$422,633	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$422,633	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(G)	FormAndLineReferenceDesc
Explanation	DETAIL OF LOBBYING ACTIVITIES CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAY ENGAGE IN LOBBYING ACTIVITIES AS PERMITTED UNDER APPLICABLE FEDERAL AND STATE LAWS, INCLUDING EFFORTS TO INFLUENCE LEGISLATION OR PUBLIC POLICY RELEVANT TO ITS MISSION AND OPERATIONS. IN ADDITION, CCHS IS A MEMBER OF VARIOUS TRADE AND PROFESSIONAL ASSOCIATIONS. ANNUAL MEMBERSHIP DUES ARE PAID TO THESE ORGANIZATIONS, AND IN SOME CASES, A PORTION OF SUCH DUES HAS BEEN DESIGNATED BY THE RESPECTIVE ASSOCIATIONS AS ALLOCABLE TO LOBBYING AND ADVOCACY EFFORTS. THESE AMOUNTS HAVE BEEN IDENTIFIED IN ACCORDANCE WITH INFORMATION PROVIDED BY THE RESPECTIVE ORGANIZATIONS AND ARE NOT DIRECTLY CONTROLLED BY CCHS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,228,178	BeginningYearBalanceAmt
Contributions	$809,537	ContributionsAmt
Investment Earnings Or Losses	$4,928,139	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,256,646	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$62,709,208	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$58,310,687	BeginningYearBalanceAmt
Contributions	$732,143	ContributionsAmt
Investment Earnings Or Losses	$3,560,384	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,375,036	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$59,228,178	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,569,307	BeginningYearBalanceAmt
Contributions	$669,502	ContributionsAmt
Investment Earnings Or Losses	-$6,744,573	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,183,549	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$58,310,687	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$62,232,483	BeginningYearBalanceAmt
Contributions	$993,569	ContributionsAmt
Investment Earnings Or Losses	$9,205,113	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,861,858	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$68,569,307	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$67,336,850	BeginningYearBalanceAmt
Contributions	$1,520,182	ContributionsAmt
Investment Earnings Or Losses	$2,545,562	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$9,170,111	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$62,232,483	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.35950	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.41590	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.22460	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,739,798	OtherCostOrOtherBasisAmt
Book Value	$32,739,798	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,801,186,301	OtherCostOrOtherBasisAmt
Depreciation	$1,024,715,409	DepreciationAmt
Book Value	$776,470,892	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,457,859	OtherCostOrOtherBasisAmt
Depreciation	$14,587,692	DepreciationAmt
Book Value	$22,870,167	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$959,029,169	OtherCostOrOtherBasisAmt
Depreciation	$760,693,863	DepreciationAmt
Book Value	$198,335,306	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,370,219	OtherCostOrOtherBasisAmt
Depreciation	$31,762,600	DepreciationAmt
Book Value	$8,607,619	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,039,023,782	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER SECURITIES	Desc
Book Value	$437,767,095	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$437,767,095	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
CONSTRUCTION IN PROGRESS	$51,056,920
DUE FROM AFFILIATES	$198,427,340
OTHER ASSETS	$121,943,137
OTHER RECEIVABLES	$43,689,826
SUBSIDIARY INVESTMENT	$96,686,168

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$511,803,391	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION & POST RETIREMENT BENEFIT	$192,249,760
INSURANCE LIABILITIES	$14,158,018
OTHER LIABILITIES	$211,135,180

Field	Value	IRS element (for citing)
Total Liability	$417,542,958	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART V, LINE 3A & 4	FormAndLineReferenceDesc
Explanation	DETAIL OF ENDOWMENT FUNDS THE ORGANIZATION'S BOARD DESIGNATED ENDOWMENTS ARE INTENDED TO COVER ANNUAL INCREMENTAL OPERATING EXPENSES OF THE HEALTH SERVICES' TRANSITIONAL CANCER RESEARCH, VALUE INSTITUTE, AND INFANT MORTALITY. THE ORGANIZATION'S PERMANENT ENDOWMENT CONSISTS OF APPROXIMATELY TWENTY SEVEN DONOR RESTRICTED ENDOWMENT FUNDS USED FOR A VARIETY OF PURPOSES, INCLUDING SALARY AND PROGRAM SUPPORT. THE ORGANIZATION'S PURPOSE AND TIME RESTRICTED NET ASSETS ARE RESTRICTED FOR INDIGENT CARE, BUILDING AND MAINTENANCE, AND PROGRAM SUPPORT. --------------------	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$174,876,372	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$174,876,372	SubtotalSpentAmt
Total Spent	$174,876,372	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE F, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DETAIL OF SUB-CONTRACTS IN FURTHERANCE OF ITS RESEARCH ACTIVITIES, THE ORGANIZATION MAY MAKE SUB-CONTRACTS TO FOREIGN INSTITUTIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE ORGANIZATION. THE ORGANIZATION DOES NOT CATEGORIZE ANY SUCH SUB-CONTRACTS AS GRANTS FOR FORM 990, SCHEDULE F, PARTS II AND III PURPOSES.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FY24 HFGCC 5K	Event1Nm
Gross Receipts Event1	$96,658	GrossReceiptsEvent1Amt
Charitable Contri Event1	$85,950	CharitableContriEvent1Amt
Gross Revenue Event1	$10,708	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$0	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$0	OtherDirectExpensesEvent1Amt
Event2	FY25 HFGCC 5K	Event2Nm
Gross Receipts Event2	$62,832	GrossReceiptsEvent2Amt
Charitable Contri Event2	$55,802	CharitableContriEvent2Amt
Gross Revenue Event2	$7,030	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$0	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$0	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Other Events	$0	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$159,490	GrossReceiptsTotalAmt
Charitable Contributions Tot	$141,752	CharitableContributionsTotAmt
Gross Revenue Total Events	$17,738	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$0	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$0	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$0	DirectExpenseSummaryEventsAmt
Net Income Summary	$17,738	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE G, PART II	FormAndLineReferenceDesc
Explanation	DETAIL OF FUNDRAISING EVENTS EXPENSES RELATED TO THE HFGCC 5K EVENTS WERE RECORDED DIRECTLY BY CHRISTIANA CARE HEALTH SYSTEM, INC., THE SOLE MEMBER OF THIS ORGANIZATION.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,686,977	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,686,977	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$342,674,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$323,658,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,016,174	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$359,361,776	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$323,658,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,703,151	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	17459	PersonsServedCnt
Total Community Benefit Expns	$17,942,366	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,285,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,656,582	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	134	PersonsServedCnt
Total Community Benefit Expns	$100,114,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,956,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,157,734	NetCommunityBenefitExpnsAmt
Total Expense	0.03120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	27509	PersonsServedCnt
Total Community Benefit Expns	$269,932,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$192,828,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,104,777	NetCommunityBenefitExpnsAmt
Total Expense	0.02890	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$19,256,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,017,691	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,238,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	292	PersonsServedCnt
Total Community Benefit Expns	$1,775,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,775,365	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	59	ActivitiesOrProgramsCnt
Persons Served	45394	PersonsServedCnt
Total Community Benefit Expns	$409,020,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$228,087,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,932,837	NetCommunityBenefitExpnsAmt
Total Expense	0.06780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	59	ActivitiesOrProgramsCnt
Persons Served	45394	PersonsServedCnt
Total Community Benefit Expns	$768,382,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$551,746,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$216,635,988	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,400	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$90,423	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,423	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$105,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,000	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,013	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,013	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$238,145	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$238,145	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$461,981	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$461,981	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$71,170,791	BadDebtExpenseAmt
Bad Debt Expense Attributable	$493,718	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$532,781,855	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$605,350,289	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$72,568,434	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHRISTIANA HOSPITAL
1	4755 OGLETOWN-STANTON ROAD	NEWARK	DE	19718	www.christianacare.org	LICENSE #HSPTL-002	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WILMINGTON HOSPITAL
2	501 WEST 14TH STREET	WILMINGTON	DE	19801	www.christianacare.org	LICENSE #HSPTL-001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A-CHRISTIANA AND WILMINGTON HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5 (INPUT FROM COMMUNITY)	CHRISTIANACARE WELCOMES THE TASK OF UNDERTAKING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS IT ALLOWS US ANOTHER OPPORTUNITY TO LEARN FROM OUR NEIGHBORS. THIRTY-FIVE INDIVIDUALS WHO REPRESENTED DELAWARE HEALTH AND SOCIAL SERVICES, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESSES, HEALTHCARE PROVIDERS, AND SCHOOL SYSTEMS AS WELL AS LOCAL POLICYMAKERS PARTICIPATED IN FOUR VIRTUAL COMMUNITY STAKEHOLDER MEETINGS. AT EACH MEETING, DATA WERE PRESENTED INCLUDING A SUMMARY OF UNFAVORABLE COMMUNITY HEALTH INDICATORS. PARTICIPANTS WERE ASKED TO PROVIDE FEEDBACK ON THE SECONDARY DATA ANALYSIS AND IDENTIFY COMMUNITY HEALTH ISSUES THAT WERE MISSING FROM THE DATA. TO CONCLUDE, ALL PARTICIPANTS WERE ASKED TO COMPLETE AN ONLINE SURVEY AND TO IDENTIFY THREE TO FIVE COMMUNITY HEALTH ISSUES THEY CONSIDER TO BE MOST SIGNIFICANT. 110 STUDENTS AT WILLIAM PENN HIGH SCHOOL IN NEW CASTLE ALSO RECEIVED THE PRESENTATION OF SECONDARY DATA DURING THEIR HEALTH CLASSES AND EACH PARTICIPANT IDENTIFIED THREE TO FIVE HEALTH ISSUES THEY FELT TO BE THE MOST SIGNIFICANT. IN ADDITION TO THE COMMUNITY MEETINGS, INTERVIEWS WITH THE CABINET SECRETARY AND DEPUTY SECRETARY FOR DELAWARE HEALTH AND SOCIAL SERVICES AND THE DIRECTOR FOR THE DELAWARE DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH WERE CONDUCTED TO GAIN THEIR EXPERTISE ON THE HEALTH CHALLENGES OF OUR COMMUNITY. FINALLY, FORTY-FIVE CHRISTIANACARE CAREGIVERS FROM DIVERSE DEPARTMENTS PARTICIPATED IN TWO VIRTUAL MEETINGS. THEIR PERSPECTIVES FROM SERVING THE COMMUNITY ALSO PROVIDED INSIGHT INTO OUR COMMUNITY'S CHALLENGES AND SUCCESSES. CHRISTIANACARE CONTRACTED WITH VERIT HEALTHCARE CONSULTING, LLC (VERIT) TO COMPLETE ITS 2022 CHNA. IN COOPERATION WITH CHRISTIANACARE'S OFFICE OF HEALTH EQUITY, VERIT CONDUCTED THE RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW, AND ANALYSIS, TO DEVELOP THE CHNA. -------------------- PART V, SECTION B, LINE 6 (JOINT CHNA) CHRISTIANACARE'S TWO HOSPITAL FACILITIES IN DELAWARE, CHRISTIANA HOSPITAL AND WILMINGTON HOSPITAL, JOINTLY CONDUCTED THEIR CHNA. -------------------- PART V, SECTION B, LINE 7 (CHNA PUBLIC AVAILABILITY) YES. CHRISTIANACARE'S CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY-HEALT H-NEEDS-ASSESSMENT/ PAPER COPIES ARE ALSO AVAILABLE UPON REQUEST. -------------------- PART V, LINES 8 AND 9 YES. CHRISTIANACARE ADOPTED ITS COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) ON SEPTEMBER 19, 2022. -------------------- PART V, SECTION B, LINE 10 (IMP. PLAN PUBLIC AVAILABILITY) CHRISTIANACARE'S CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY-HEALT H-IMPLEMENTATION-PLAN/ PAPER COPIES OF THE CHIP ARE ALSO AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST. ----------------------------------------
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA)	IN CHRISTIANACARE'S 2022 CHNA, THE FOLLOWING WERE IDENTIFIED AS THE COMMUNITY'S MOST SIGNIFICANT NEEDS: . ACCESS TO HEALTH SERVICES . CHRONIC HEALTH CONDITIONS . MATERNAL AND CHILD HEALTH . MENTAL HEALTH AND SUBSTANCE USE DISORDERS . SOCIAL DRIVERS OF HEALTH . VIOLENT CRIME CHRISTIANACARE IS ADDRESSING ALL THESE SIGNIFICANT AREAS OF NEED. AS DESCRIBED PREVIOUSLY, 110 HIGH-SCHOOL AGED STUDENTS ALSO IDENTIFIED THE MOST SIGNIFICANT HEALTH NEEDS OF THEIR COMMUNITY. THE SIGNIFICANT AREAS OF NEED THE STUDENTS IDENTIFIED MIRRORED THE NEEDS SELECTED BY THE PARTICIPATING ADULTS, BUT WITH TWO ADDITIONAL SIGNIFICANT AREAS OF NEED IDENTIFIED BY MANY OF THE STUDENTS: SEXUALLY TRANSMITTED INFECTIONS AND SMOKING, TOBACCO, AND VAPE PRODUCT USE. CHRISTIANACARE ADDRESSES BOTH THESE AREAS IN OUR SCHOOL-BASED HEALTH CENTERS AND ALLIANCE FOR ADOLESCENT PREGNANCY PREVENTION (AAPP) PROGRAMMING. WHILE WE WILL NOT PRIORITIZE THE TWO ADDITIONAL TEEN-IDENTIFIED SIGNIFICANT AREAS OF NEED, WE WILL CONTINUE TO ADDRESS THEM THROUGH DIRECT INTERACTION WITH STUDENTS IN THE SCHOOL-BASED HEALTH CENTERS AND THROUGH AAPP PROGRAMMING. ACCESS TO HEALTH SERVICES: MOBILE HEALTH SERVICES IN JUNE 2022, CHRISTIANACARE INTRODUCED ITS TWO MOBILE HEALTH SERVICES VANS SUPPORTED BY A $1 MILLION INVESTMENT FROM BARCLAYS AS PART OF ITS COVID-19 COMMUNITY AID PACKAGE. CHRISTIANACARE USES THE VANS TO SERVE PATIENTS WHO NEED SAME DAY CARE AND THOSE WITHOUT A DOCTOR. WITHIN THE VANS, PATIENTS MAY RECEIVE ADULT CARE, WOMEN'S HEALTH, PEDIATRICS, VACCINES, AND MORE. RECEIVING CARE IS NOT A ONE-TIME EVENT, BUT THE START OF A PRIMARY AND SPECIALTY CARE RELATIONSHIP. CHRISTIANACARE HAS PARTNERED WITH COMMUNITY ORGANIZATIONS TO LOCATE THE VANS WHERE THEY ARE NEEDED AND ENCOURAGE COMMUNITY MEMBERS TO TAKE ADVANTAGE OF THE SERVICES OFFERED ON THE VANS. INFY2024, WE EXPANDED TO OFFERING MOBILE HEALTH SERVICES AT 7 ACCESS POINTS LOCATED AT THE FOLLOWING ORGANIZATIONS IN WILMINGTON: EZION FAIR BAPTIST CHURCH, CHRISTIAN GROWTH MINISTRY, EMPOWERMENT CENTER, AND KINGSWOOD COMMUNITY CENTER, AS WELL AS ROSE HILL COMMUNITY CENTER IN NEW CASTLE AND THE CLAYMONT COMMUNITY CENTER IN CLAYMONT. EACH OF THOSE ORGANIZATIONS ARE LOCATED WITHIN COMMUNITIES WITH SIGNIFICANT NEEDS. ADDITIONALLY, THE VAN IS ALSO LOCATED EACH WEEK ACROSS FROM CHRISTIANACARE'S WILMINGTON HOSPITAL CAMPUS. ONCE A MONTH, ONE OF THE VANS IS ALSO LOCATED AT AREAS OF NEED DOWNSTATE AT THE MODERN MATURITY CENTER AND FRIENDSHIP HOUSE OF KENT COUNTY IN DOVER AND THE MARKET STREET PARK IN LAUREL. IN FY2024, THERE WERE 364 PATIENTS VISITS ON THE VANS, INCLUDING 78 NEW PATIENTS. THIS WAS MORE THAN DOUBLE THE NUMBER OF PATIENT VISITS ON THE VANS IN FY2023. SCHOOL BASED HEALTH CENTERS CHRISTIANACARE ALSO OPERATES 26 SCHOOL-BASED HEALTH CENTERS (SBHCS) THROUGHOUT NEW CASTLE COUNTY IN ELEMENTARY, MIDDLE, AND HIGH SCHOOLS. IN FY2024, CHRISTIANACARE BEGAN OPERATING AN ADDITIONAL THREE SBHCS. THE CONVENIENCE PROVIDED BY SBHCS ALONG WITH THE OPPORTUNITY TO ADDRESS HEALTH ISSUES AT THE EARLIEST AND MOST PREVENTABLE STAGES NOT ONLY SUPPORTS ACCESS TO CARE, BUT ALSO HEALTH EQUITY. IN FY2024, OUR SBHCS HAD 27,509 STUDENT VISITS. DENTAL SERVICES ACCESSING DENTAL SERVICES IS CHALLENGING FOR MANY COMMUNITY MEMBERS IN NEW CASTLE COUNTY AND THE STATE. FOR DECADES, CHRISTIANACARE'S DENTAL CLINIC HAS PROVIDED COMPREHENSIVE CARE, INCLUDING ORAL SURGERY, RESTORATIVE DENTISTRY, ENDODONTICS, PERIODONTICS, PEDIATRIC DENTISTRY, PROSTHETICS, IMPLANTS, AND ORAL MEDICINE FOR THE UNINSURED AND UNDERINSURED INDIVIDUALS. CHRISTIANACARE IS A REGIONAL REFERRAL CENTER FOR DELAWARE AND SURROUNDING STATES, AS WELL AS A MAJOR PROVIDER OF PRIMARY MEDICAL AND DENTAL CARE. IN ADDITION TO THE GENERAL PRACTICE DENTISTRY RESIDENCY, THE DEPARTMENT ALSO OFFERS A FULLY ACCREDITED ORAL AND MAXILLOFACIAL SURGERY RESIDENCY PROGRAM. EVERY FRIDAY, THE DENTAL CLINIC SERVES UNINSURED AND MEDICAID PEDIATRIC PATIENTS. FEES AT THE CLINIC ARE KEPT AT A REDUCED LEVEL AND ONLY MEDICAID IS ACCEPTED. PATIENTS ARE SEEN AT THIS CLINIC BY DENTAL RESIDENTS AND VOLUNTEER AND EMPLOYED DOCTORS. THE RESIDENTS SERVING THE DENTAL CLINIC ALSO PROVIDE DENTAL SERVICE IN THE COMMUNITY THROUGH ROTATIONS AT AFFILIATED DENTAL CLINICS AT WESTSIDE FAMILY HEALTHCARE, A FEDERALLY QUALIFIED HEALTH CENTER, AND DELAWARE TECHNICAL COMMUNITY COLLEGE. IN FY2024, THERE WERE 12558 VISITS TO THE DENTAL CLINIC AND ORAL SURGERY RESIDENT CLINIC. FURTHER, THE DENTAL CLINIC HAS BEEN FOCUSED ON INTERNAL IMPROVEMENTS TO INCREASE ACCESS AND BETTER SERVE THE COMMUNITY BY ADDING POSITIONS TO SUPPORT CLINIC GROWTH, IMPROVING SCHEDULING TO OPTIMIZE CASE MIX AND APPOINTMENT AVAILABILITY, AND COMMITTING TO SEEING TRAUMA PATIENTS WITHIN SEVEN DAYS.
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA-CONT.)	NEW CASTLE COUNTY HOPE CENTER SINCE 2021, CHRISTIANACARE HAS OPERATED AN ON-SITE PRIMARY CARE OFFICE AT THE NEW CASTLE COUNTY HOPE CENTER, A FORMER HOTEL REPURPOSED TO SERVE AS AN EMERGENCY SHELTER FOR FAMILIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS. SERVICES INCLUDE ACUTE ILLNESS MANAGEMENT, CHRONIC DISEASE MANAGEMENT, PRENATAL CARE, PEDIATRIC AND NEWBORN CARE, AND CONTRACEPTIVE MANAGEMENT. SINCE 2023, CHRISTIANACARE HAS ALSO OPERATED A MEDICAL RESPITE PROGRAM ENCOMPASSING THIRTY-SIX ROOMS AT THE HOPE CENTER FOR PATIENTS WHOSE COMPLEX ILLNESSES MAKE THEM INELIGIBLE FOR RESIDING AT A STANDARD HOUSING SHELTER. THIS PROGRAM ALLOWS PATIENTS WITHOUT STABLE HOUSING TO RECEIVE CARE IN THE COMMUNITY INSTEAD OF REMAINING IN OUR HOSPITAL DUE TO THE LACK OF COMMUNITY OPTIONS FOR THEM. IN FY2024, FORTY-ONE PATIENTS WERE SERVED BY THIS PROGRAM. HEALTH GUIDES HEALTH GUIDES INCREASE ACCESS TO CARE BY CONNECTING PATIENTS TO HEALTH CARE SERVICES AND COMMUNITY RESOURCES AND ASSISTING IN HEALTH INSURANCE AND PRESCRIPTION ASSISTANCE ENROLLMENT AND FINANCIAL ASSISTANCE APPLICATIONS. THE HEALTH GUIDES ARE BASED IN THE WILMINGTON HOSPITAL AND AT TWO CHRISTIANACARE PRIMARY CARE PRACTICES. THE HEALTH GUIDES SERVING THE TWO PRACTICES ARE BI-LINGUAL TO BETTER SERVE THE NEEDS OF THOSE PATIENT POPULATIONS. THE HEALTH GUIDES ALSO ROUTINELY ATTEND COMMUNITY EVENTS TO PROVIDE THEIR SERVICES IN THE COMMUNITY. IN FY2024, THE HEALTH GUIDES HAD 4,273 PATIENT ENCOUNTERS AND ASSISTED PATIENTS IN APPLYING FOR A TOTAL OF $2,007,218 IN FINANCIAL ASSISTANCE. COMMUNITY HEALTH WORKERS (CHWS) CHWS CONNECT PATIENTS TO CARE, THEY WORK TO ADDRESS PATIENTS' SOCIAL NEEDS, AND THEY HELP PATIENTS IDENTIFY AND ACHIEVE PATIENT CENTERED GOALS. ADDITIONALLY, CHRISTIANACARE'S CHWS ATTEND COMMUNITY EVENTS TO PROVIDE INFORMATION ABOUT OUR PROGRAMS, COMPLETE SOCIAL DETERMINANTS OF HEALTH SCREENING, AND PROVIDE REFERRALS TO RESOURCES IN THE COMMUNITY. CHWS ARE VALUABLE MEMBERS OF A PATIENT'S CARE TEAM BECAUSE OUR CAREGIVERS RECOGNIZE THE OUTSIZED ROLE A PATIENT'S SOCIAL NEEDS HAS ON THEIR HEALTH. CHRISTIANACARE UTILIZES CHWS TO ADDRESS EACH OF OUR PRIORITIZED AREAS OF NEED AS WILL BE EXPLAINED IN FURTHER DETAIL IN THE RELEVANT SECTIONS. CHRISTIANACARE HAS EMBEDDED CHWS WITHIN THE NEW CASTLE COUNTY HOPE CENTER AND CHRISTIANACARE SBHCS. THE HOPE CENTER CHW WORKS WITH THE PATIENTS IN THE MEDICAL RESPITE BED PROGRAM (41 PATIENTS IN FY2024) TO CLOSE CARE GAPS AND ADDRESS THE SOCIAL DRIVERS OF HEALTH THAT ARE IMPACTING THOSE PATIENTS' HEALTH AND WELL-BEING. CHRISTIANACARE HAS ALSO EMBEDDED CHWS IN 22 OF OUR SBHC TO SERVE STUDENTS AND THEIR FAMILIES BY CONNECTING THEM TO MEDICAL SERVICES AND COMMUNITY RESOURCES. IN FY2024, 670 STUDENTS WERE ASSISTED BY THE SBHC CHWS. IN FY2024, A SBHC CHW WORKED WITH A HIGH-SCHOOL STUDENT WHO RELOCATED TO DELAWARE FROM ANOTHER COUNTRY. THE CHW CONNECTED THAT STUDENT TO A PRIMARY CARE PROVIDER, EYE CARE, AND MEDICAID. THE STUDENT WAS ALSO INTERESTED IN LEARNING MORE ABOUT COLLEGE AND GETTING A SUMMER JOB. THE CHW PROVIDED THE STUDENT WITH COLLEGE RESOURCES AND INFORMATION AND SHARED A JOB OPPORTUNITY SHE THOUGHT MIGHT BE OF INTEREST TO THE STUDENT. THE STUDENT SUCCESSFULLY APPLIED FOR THE JOB AND WAS THRILLED TO GET IT. WHILE EVERY STUDENT HAS UNIQUE NEEDS, THIS IS AN EXAMPLE OF HOW OUR CHWS PROVIDE COMPREHENSIVE SUPPORT TO HELP INDIVIDUALS MEET ANY GOAL THEY HAVE REGARDLESS OF WHETHER IT IS DIRECTLY RELATED TO HEALTH. CHRISTIANACARE'S HELEN F. GRAHAM CANCER CENTER DEPLOYS A TEAM OF CHWS TO PROVIDE EDUCATION IN THE COMMUNITY ON CANCER SCREENING AND PREVENTION. THESE CHWS ARE FOCUSED ON PROVIDING EDUCATION IN A CULTURALLY APPROPRIATE WAY AND ENSURING THAT INDIVIDUALS ARE CONNECTED TO AND RECEIVE SCREENING THROUGH RESOURCES LIKE SCREENING FOR LIFE, A STATE SPONSORED PROGRAM WHICH HELPS ELIGIBLE ADULTS PAY FOR CANCER SCREENINGS. IN FY2024, THESE CHWS PROVIDED INFORMATION AND EDUCATION TO OVER 9,000 INDIVIDUALS AT APPROXIMATELY 140 COMMUNITY EVENTS.
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA-CONT.)	CHRONIC HEALTH CONDITIONS: FOOD INSECURITY PROGRAMS FOOD INSECURITY IS ASSOCIATED WITH WORSENING CHRONIC DISEASE OUTCOMES AND DIFFICULTIES ADHERING TO A HEALTHY DIET. TO ADDRESS FOOD INSECURITY AND ITS IMPACT ON CHRONIC DISEASE, CHRISTIANACARE LAUNCHED THE DELAWARE FOOD FARMACY (DFF), A 6-MONTH FOOD AS MEDICINE CHW PROGRAM IN PRIMARY CARE FOR PATIENTS WITH CHRONIC CONDITIONS AND FOOD INSECURITY. PATIENTS RECEIVE WEEKLY MEDICALLY TAILORED GROCERIES, AND CHWS ASSIST PATIENTS WITH GOAL SETTING AND IMPROVING DIETARY KNOWLEDGE AND CULINARY SKILLS. IN FY2024, CHRISTIANACARE ENROLLED 87 PARTICIPANTS IN THE PROGRAM, AND PROVIDED FOOD FOR 224 COMMUNITY MEMBERS AS THE ENTIRE HOUSEHOLDS OF THE PARTICIPANTS ARE PROVIDED FOOD. 63% OF THE PARTICIPANTS LIVE IN THE ZIP CODES WE DEFINED AS HIGH RISK IN OUR 2022 CHNA. IN JANUARY 2024, CHRISTIANACARE EXPANDED THE DFF INTO WOMEN'S HEALTH. THIS PROGRAM WILL BE DISCUSSED IN MORE DETAIL IN THE MATERNAL AND CHILD HEALTH SECTION. CHRISTIANACARE ALSO CREATED THE HEALTHY FOOD DELIVERY PROGRAM AS AN INTERVENTION FOR PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND ARE DIAGNOSED WITH DIABETES, HYPERTENSION, AND/OR CONGESTIVE HEART FAILURE. BI-WEEKLY MEDICALLY TAILORED GROCERIES ARE DELIVERED TO PATIENTS' HOMES BY PARTNERING ORGANIZATION HUNGRY HARVEST. IN FY2024, CHRISTIANACARE ENROLLED 24 PARTICIPANTS AND SERVED 56 COMMUNITY MEMBERS. 67% OF THE PARTICIPANTS LIVE IN THE HIGH-RISK ZIP CODES DEFINED BY OUR 2022 CHNA. IN FY2024, A PATIENT IN HER EARLY 70S AND SUFFERING FROM MULTIPLE CHRONIC CONDITIONS ENROLLED IN CHRISTIANACARE'S PRIMARY CARE DFF. SINCE HER PARTICIPATION IN THE PROGRAM, SHE HAS BEEN EATING HEALTHY FOODS MORE OFTEN AND USING THE DFF RECIPES PROVIDED BY HER CHW. SHE FEELS GOOD ABOUT HOW SHE HAS CHANGED HER DIET AND HAS BECOME MORE CONFIDENT. PRIMARY CARE AND WOMEN'S HEALTH CHW PROGRAMS CHRISTIANACARE CREATED ITS PRIMARY CARE CHW PROGRAM TO SERVE PATIENTS OF CHRISTIANACARE'S PRIMARY PRACTICES WHO HAVE MEDICAID, MEDICARE, OR ARE UNINSURED WITH DIABETES, HYPERTENSION, AND HIGH EMERGENCY DEPARTMENT UTILIZATION OR AT LEAST ONE INPATIENT STAY. THIS SIX-MONTH PROGRAM UTILIZES AN EVIDENCE-BASED APPROACH TO IMPROVE HEALTH OUTCOMES AND INCREASE HEALTH LITERACY. IN FY2024, CHRISTIANACARE ENROLLED 266 PATIENTS IN THIS PROGRAM. CHRISTIANACARE CREATED THE WOMEN'S HEALTH CHW PROGRAM TO TRANSFORM MATERNAL AND INFANT HEALTHCARE WITH A COMMITTED INVESTMENT TO ADDRESS THE SOCIAL DRIVERS OF HEALTH. PREGNANT AND POSTPARTUM PATIENTS WITH MEDICAID OR NO INSURANCE AND A CHRONIC DISEASE, MENTAL HEALTH AND/OR SUBSTANCE USE ISSUE(S), LATE/NO ENTRY TO PRENATAL CARE, HISTORY OF POOR BIRTH OUTCOMES, A BMI AT/ABOVE 30, AND/OR ARE AT-RISK FOR BIRTH DEFECTS ARE ELIGIBLE. IN FY2024, OUR CHWS WORKED WITH 121 PATIENTS WHO GRADUATED FROM THE PROGRAM. THE WOMEN'S HEALTH CHWS HELPED CONNECT THESE PATIENTS TO WIC AND OTHER STATE BENEFITS SUCH AS PURCHASE OF CARE, PROVIDED REFERRALS TO DIAPER BANKS, ASSISTED WITH TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS, AND HELPED PATIENTS ENGAGE IN WORKFORCE DEVELOPMENT PROGRAMS. WOMEN'S HEALTH CHW PROGRAM: MATERNAL AND CHILD HEALTH DELAWARE'S INFANT MORTALITY RATE HAS IMPROVED CONSIDERABLY IN THE LAST DECADE, BUT UNFORTUNATELY, RACIAL DISPARITIES IN MATERNAL AND INFANT MORTALITY PERSIST. CHRISTIANACARE CONTINUES TO UNDERTAKE AND LEAD TARGETED EFFORTS TO IMPROVE THESE DISPARATE OUTCOMES IN BOTH CLINICAL AND COMMUNITY SETTINGS. WE RECOGNIZE THAT REDUCING MATERNAL AND INFANT MORTALITY RATES, AND THE DISPARITIES WITHIN THOSE RATES, IS ONLY POSSIBLE WITH A COMPREHENSIVE APPROACH THAT CONSIDERS ALL THE NEEDS OF THE INDIVIDUAL. THIS IS WHY MANY OF OUR PROGRAMS FOCUSED ON MATERNAL AND CHILD HEALTH ADDRESS SOCIAL DRIVERS OF HEALTH. IT IS ALSO WHY CHRISTIANACARE UTILIZES DIGITAL TOOLS TO PROVIDE EXPECTANT PARENTS WITH INFORMATION ABOUT HEALTHY PREGNANCIES AND PROVIDES VIRTUAL CARE OPTIONS TO ENSURE INFORMATION, RESOURCES, AND CARE ARE ACCESSIBLE TO ALL PATIENTS. WE KNOW NOT EVERYONE CAN TAKE OFF WORK OR FIND TRANSPORTATION TO AN APPOINTMENT. AS DESCRIBED PREVIOUSLY, CHRISTIANACARE CREATED THE WOMEN'S HEALTH CHW PROGRAM TO TRANSFORM MATERNAL AND INFANT HEALTHCARE. WOMEN'S HEALTH CHWS ARE EMBEDDED THROUGHOUT CHRISTIANACARE'S WOMEN'S HEALTH SERVICES INCLUDING INPATIENT, OUTPATIENT, OBSTETRICS (OB) TRIAGE, AND THE NEONATAL INTENSIVE CARE UNIT (NICU). THESE CHWS PARTNER WITH PATIENTS TO PROVIDE CONNECTION TO NEEDED SOCIAL AND HEALTH RESOURCES TO ULTIMATELY IMPROVE HEALTH. HEALTHY BEGINNINGS AND HOME VISITING CHW PROGRAMS IN PARTNERSHIP WITH THE DELAWARE DIVISION OF PUBLIC HEALTH, CHRISTIANACARE HAS OFFERED BOTH THE HOME VISITING CHW (FORMERLY HEALTH AMBASSADORS) AND HEALTHY WOMEN HEALTHY BABY (HWHB) PROGRAMS FOR MORE THAN A DECADE. BOTH PROGRAMS WERE CREATED TO ADDRESS DELAWARE'S HIGH INFANT MORTALITY RATE. THE HOME VISITING CHW PROGRAM SERVES PREGNANT WOMEN AND FAMILIES WITH CHILDREN AGED 0 TO 5 IN TARGETED HIGH-RISK ZIP CODES TO CONNECT WOMEN AND YOUNG FAMILIES TO HEALTH CARE, SOCIAL SERVICES, HOME VISITING, AND EDUCATIONAL PROGRAMS. THEY ALSO PROMOTE KEY MATERNAL AND CHILD HEALTH MESSAGES INCLUDING THE BENEFITS OF BREASTFEEDING AND THE IMPORTANCE OF SAFE SLEEP. THE HWHB ENROLLS HIGH RISK WOMEN INTO PRECONCEPTION, PRENATAL, AND INTERCONCEPTION CARE. THIS PROGRAM HAS IMPACTED BIRTH OUTCOMES. HWHB ENROLLED INDIVIDUALS WERE 10% LESS LIKELY TO SMOKE DURING PREGNANCY; WERE 9% LESS LIKELY TO DELIVER A LOW-BIRTH-WEIGHT INFANT; AND WERE 15% LESS LIKELY TO DELIVER A PRETERM INFANT AS COMPARED TO WOMEN WITH SIMILAR RISKS FACTORS NOT ENROLLED WITH HWHB PROGRAMS. THE CURRENT STATE FUNDED PROGRAM, HWHB 3.0 HAS A STRONG EMPHASIS ON THE FOURTH TRIMESTER, THE 12-WEEK PERIOD AFTER THE BIRTH OF A BABY. THE CHRISTIANACARE HWHB HEALTHY BEGINNINGS TEAM IS ADDRESSING THIS CRITICAL AREA OF WOMEN'S HEALTHCARE WITH THE ADDITION OF A BILINGUAL POSTPARTUM HEALTH EDUCATOR. IN FY2024, THE HOME VISITING CHWS SERVED 134 INDIVIDUALS BY PROVIDING THEM WITH A VARIETY OF ESSENTIAL ITEMS NEEDED FOR INFANTS AND CHILDREN SUCH AS CLOTHING, DIAPERS, CAR SEATS, STROLLERS, PACK & PLAYS, AND FORMULA AS WELL AS NEEDED RESOURCES LIKE FOOD AND BUS PASSES AND REFERRALS TO HOME VISITING PROGRAMS. IN FY2024, HEALTHY BEGINNINGS ENROLLED 1,989 PATIENTS. OF THOSE PATIENTS, 59.7% WERE AFRICAN AMERICAN AND 61.3% LIVED IN A HIGH-RISK ZONE (19702, 19703, 19720, 19801, 19802, 19804, 19805, 19809, 19901, 19904, 19933, 19950, 19973). IN FY2024, THE HOME VISITING CHWS HELPED A TEENAGED MOTHER GET ESSENTIAL BABY ITEMS AND ENROLL IN THE NURSE FAMILY PARTNERSHIP, A COMMUNITY HEALTH ORGANIZATION WHICH PARTNERS THE FIRST-TIME MOTHER WITH A SPECIALLY TRAINED NURSE WHO MAKES HOME VISITS BEGINNING IN THE PREGNANCY AND THROUGH THE CHILD'S SECOND BIRTHDAY. THE MOTHER OF THE NEW TEENAGED MOTHER WAS WITHOUT A JOB AS WELL AND SO THE ENTIRE FAMILY WAS APPRECIATIVE OF THE SUPPORT.
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA-CONT.)	WOMEN'S HEALTH DELAWARE FOOD FARMACY IN JANUARY 2024, CHRISTIANACARE EXPANDED ITS DELAWARE FOOD FARMACY (DFF) PROGRAM INTO WOMEN'S HEALTH. THIS 6-TO-8-MONTH FOOD IS MEDICINE PROGRAM IS INTENDED TO IMPROVE HEALTH OUTCOMES AND REDUCE HOSPITAL UTILIZATION, AND TO ALLEVIATE FOOD INSECURITY AND IMPROVE DIETARY BEHAVIORS. LIKE THE PRIMARY CARE DFF, THE WOMEN'S HEALTH DFF PARTNERS WITH COMMUNITY ORGANIZATION, LUTHERAN COMMUNITY SERVICES, TO PROVIDE OUR PREGNANT PATIENTS AND THEIR FAMILY MEMBERS WITH APPROXIMATELY 22-42 WEEKS (DEPENDING ON GESTATIONAL AGE AT PROGRAM ENROLLMENT AND PREGNANCY LENGTH) OF MEDICALLY TAILORED GROCERIES THAT ARE HIGH IN MICRONUTRIENTS CRITICAL FOR A HEALTHY PREGNANCY. CHWS GUIDE PATIENTS AND THEIR FAMILIES THROUGH THE HEALTH, SOCIAL, AND COMMUNITY SERVICES SYSTEMS TO FOSTER HEALTH AND WELL-BEING. PATIENTS IN THE PROGRAM ALSO RECEIVE CULINARY EQUIPMENT AND TRAINING, EDUCATIONAL NUTRITION VIDEOS, AND RECIPES, AND CHWS WILL PROVIDE NUTRITION ASSESSMENT, EDUCATION, AND ONGOING SUPPORT FOR DIETARY BEHAVIOR CHANGES AND ACHIEVING GOALS FOR A HEALTHIER PREGNANCY. IN FY2024, CHRISTIANACARE ENROLLED 60 PARTICIPANTS AND 203 COMMUNITY MEMBERS WERE SERVED. 54% OF THE PARTICIPANTS LIVE IN HIGH-RISK ZIP CODES AS IDENTIFIED BY OUR 2022 CHNA. A TOTAL OF 27,620 MEALS WERE PROVIDED TO THESE PARTICIPANTS AND THEIR FAMILIES IN FY2024. OF THE PROGRAM, ONE PARTICIPANT SAID "I LOVE THIS PROGRAM. I FEEL LIKE IT HAS CHANGED EVERYTHING IN MY LIFE. IT TAUGHT ME HOW TO COOK HEALTHIER FOR MY PREGNANCY THAT WILL FOREVER STICK TO ME." PARTICIPATION IN STATE COALITIONS FOCUSED ON MATERNAL AND INFANT MORTALITY CHRISTIANACARE CAREGIVERS LEAD AND PARTICIPATE IN STATEWIDE COLLABORATIVE EFFORTS TO ADDRESS THE SYSTEMIC ISSUE OF MATERNAL AND INFANT MORTALITY. IN 2023, CHRISTIANACARE PEDIATRICIAN, PRISCILLA MPASI, WAS APPOINTED CHAIR OF THE DELAWARE HEALTHY MOTHER AND INFANT CONSORTIUM (DHMIC) BY THE GOVERNOR. THE MISSION OF DHMIC IS TO PROVIDE STATEWIDE LEADERSHIP AND COORDINATION OF EFFORTS TO REDUCE INFANT MORTALITY, DECREASE PRETERM BIRTH, DECREASE THE MATERNAL MORTALITY RATE, AND DECREASE DISPARITY RATES. CHRISTIANACARE CAREGIVERS ALSO SERVE ON DELAWARE'S MATERNAL MORTALITY REVIEW PANEL AND THE FETAL & INFANT MORTALITY REVIEW (FIMR). BOTH PANELS SERVE TO EXAMINE INDIVIDUAL DEATHS TO CONSIDER THE PUBLIC HEALTH AND CLINICAL INTERVENTIONS AS WELL AS SYSTEMIC CHANGE THAT COULD REDUCE THE NUMBER OF DEATHS. ALLIANCE FOR ADOLESCENTS PREGNANCY PREVENTION FINALLY, SINCE 1995, THE STATE OF DELAWARE HAS ALSO PROVIDED CHRISTIANACARE WITH A GRANT TO OPERATE THE ALLIANCE FOR ADOLESCENTS PREGNANCY PREVENTION (AAPP). AAPP PROVIDES DELAWARE YOUTH WITH SKILLS AND INFORMATION TO HELP AVOID OR REDUCE INVOLVEMENT IN HIGH-RISK BEHAVIORS, PARTICULARLY HIGH-RISK SEXUAL BEHAVIORS, AND TO PROMOTE POSITIVE YOUTH DEVELOPMENT. IN FY24, CHRISTIANACARE CAREGIVERS EDUCATED 1,268 YOUTH FROM THIRTY SCHOOLS THROUGHOUT DELAWARE. OF THE YOUTH EDUCATED, MORE THAN 65% WERE FROM HIGH-RISK AREAS AS IDENTIFIED BY OUR 2022 CHNA. CHRISTIANACARE'S AAPP TEAM WAS ALSO ABLE TO PURCHASE AND DISTRIBUTE HYGIENE PRODUCTS TO ALL STUDENTS. MENTAL HEALTH AND SUBSTANCE USE DISORDERS: MENTAL HEALTH AND SUBSTANCE USE DISORDERS HAVE BEEN IDENTIFIED AS A SIGNIFICANT AREA OF NEED BY OUR COMMUNITY IN EVERY CHNA CHRISTIANACARE HAS COMPLETED. OVER THE PAST SEVERAL YEARS, CHRISTIANACARE HAS UNDERTAKEN A VARIETY OF INITIATIVES TO RESPOND TO THAT NEED BY EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES IN CLINICAL AND COMMUNITY SETTINGS INCLUDING EMBEDDED BEHAVIORAL HEALTH CARE MODELS. BEHAVIORAL HEALTH CHW PROGRAM CHRISTIANACARE CREATED THE BEHAVIORAL HEALTH CHW PROGRAM TO SERVE ADULTS AND CHILDREN AND ADOLESCENTS PARTICIPATING IN OUTPATIENT BEHAVIORAL HEALTH SERVICES AND PROJECT RECOVERY, AN OUTPATIENT PROGRAM OFFERING TREATMENT FOR SUBSTANCE USE DISORDER. PATIENTS WHO ARE ENGAGED WITH THOSE PRACTICES, RESIDING IN NEW CASTLE COUNTY, AND HAVE DISCUSSED AT LEAST ONE SOCIAL CARE OR COMMUNITY ENGAGEMENT GOAL ARE ELIGIBLE TO PARTICIPATE IN THE PROGRAM. IN FY2024, 118 PATIENTS PARTICIPATED IN THIS PROGRAM INCLUDING 39 FAMILIES OF YOUTH RECEIVING OUTPATIENT BEHAVIORAL HEALTH SERVICES.
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA-CONT.)	PROJECT ENGAGE CHRISTIANACARE'S PROJECT ENGAGE IS AN EARLY INTERVENTION AND REFERRAL TO SUBSTANCE USE DISORDER TREATMENT PROGRAM. PROJECT ENGAGE EMPLOYS PEERS IN RECOVERY TO ENGAGE WITH INPATIENTS AND PATIENTS IN THE EMERGENCY DEPARTMENT WHO ARE STRUGGLING WITH SUBSTANCE USE DISORDER. THE PEERS USE MOTIVATIONAL INTERVIEWING TO EMPOWER EACH PATIENT IN THE DECISION-MAKING PROCESS, ASSISTING THEM TO TAKE THE CRITICAL FIRST STEP TO SEEK HELP FOR THE SUBSTANCE USE DISORDER. PEERS CONNECT THESE PATIENTS TO TREATMENT PROGRAMS AND OTHER COMMUNITY RESOURCES. IN FY24, PROJECT ENGAGE PEERS HAD A TOTAL OF 2,940 ENGAGEMENTS WITH PATIENTS AND MADE 1,781 REFERRALS TO TREATMENT. POLICE DEPARTMENT PARTNERSHIPS SINCE 2021, CHRISTIANACARE'S CENTER FOR COMMUNITY HEALTH AND EMPOWERMENT HAS PARTNERED WITH THE NEW CASTLE COUNTY POLICE DEPARTMENT (NCCPD) TO DIVERT INDIVIDUALS AWAY FROM THE CRIMINAL JUSTICE SYSTEM AND EMERGENCY DEPARTMENTS WHEN APPROPRIATE AND CONNECT INDIVIDUALS TO CARE IN THE COMMUNITY. SERVING WITH THE POLICE IN A CO-RESPONDER MODEL, CHRISTIANACARE MENTAL HEALTH PROFESSIONALS RESPOND TO 911 CALLS AND OFFICER REFERRALS WHEN MENTAL ILLNESS IS BELIEVED TO BE A PRIMARY FACTOR FOR POLICE INVOLVEMENT. ADDITIONAL CHRISTIANACARE CAREGIVERS SUPPORT THE NCCPD'S HERO HELP PROGRAM WHICH ADDRESSES SUBSTANCE USE DISORDER BY SUPPORTING THOSE SEEKING TREATMENT. THESE CAREGIVERS RESPOND TO NON-FATAL OVERDOSES, PROVIDE OUTREACH IN THE COMMUNITY, WORK WITH INDIVIDUALS TO DEVISE A TREATMENT PLAN, OBTAIN TREATMENT, PROVIDE ONGOING MANAGEMENT, AND ADDRESS ANY NEEDS INDIVIDUALS MAY HAVE THAT SERVE AS BARRIERS TO OBTAINING TREATMENT. IN MARCH 2024, CHRISTIANACARE LAUNCHED A NEW POLICE PARTNERSHIP WITH THE WILMINGTON POLICE DEPARTMENT, THE WILMINGTON PARTNERS IN CARE PROGRAM. LIKE THE NCCPD PARTNERSHIP, THIS PROGRAM UTILIZES A CO-RESPONDER MODEL WHICH PAIRS TRAINED MENTAL HEALTH CLINICIANS WITH POLICE OFFICERS WHO RESPOND AS A TEAM TO CALLS FOR SERVICE AND CONDUCT PROACTIVE OUTREACH. IN DECEMBER 2024, CHRISTIANACARE ALSO BEGAN A NEW PARTNERSHIP WITH THE NEWARK POLICE DEPARTMENT. THESE PARTNERSHIPS PROVIDE INTERVENTIONS FOR COMMUNITY MEMBERS WHO MAY NOT HAVE ACCESS TO THE BEHAVIORAL HEALTH SERVICES THEY NEED. IT ALSO PROVIDES MUCH NEEDED SUPPORT TO THE POLICE WHO ARE ROUTINELY CONFRONTED WITH BEHAVIORAL HEALTH NEEDS OF COMMUNITY MEMBERS. COMMUNITY SUBSTANCE OVERDOSE SUPPORT (SOS) CHRISTIANACARE'S COMMUNITY SUBSTANCE OVERDOSE SUPPORT (SOS), CREATED IN PARTNERSHIP WITH NEW CASTLE COUNTY, PROVIDES OUTREACH TO INDIVIDUALS WITH SUBSTANCE USE DISORDER (SUD) LIVING IN NEW CASTLE COUNTY. SOS ACCEPTS SELF-REFERRALS, INTERNAL REFERRALS FOR CHRISTIANACARE PATIENTS, AND NEW CASTLE COUNTY EMS REFERRALS OF INDIVIDUALS THEY HAVE REVIVED WITH NALOXONE, THE OPIOID OVERDOSE REVERSING MEDICATION, AND TAKEN TO ONE OF CHRISTIANACARE'S EMERGENCY DEPARTMENTS. SOS GOES TO INDIVIDUALS' HOMES OR OTHER COMMUNITY LOCATIONS AND USES MOTIVATIONAL INTERVIEWING TECHNIQUES TO ENCOURAGE THE INDIVIDUAL TO ENTER SUBSTANCE USE DISORDER TREATMENT. THE SOS TEAM WILL HELP THE PATIENT ADDRESS ANY BARRIERS TO TREATMENT AND ASSIST THEM WITH ENROLLING IN TREATMENT. IN FY24, THE SOS TEAM SUCCESSFULLY CONTACTED 482 INDIVIDUALS TO OFFER ASSISTANCE IN ENROLLING IN TREATMENT AND ADDRESSING ANY OTHER NEEDS. OF THOSE INDIVIDUALS, 70 AGREED TO TREATMENT, A SUCCESS RATE OF 14.52%. THE SOS TEAM ALSO DISTRIBUTED 20 NARCAN KITS THROUGHOUT THE YEAR. WHILE CONDUCTING COMMUNITY OUTREACH ONE DAY DURING FY2024, THE SOS TEAM ENCOUNTERED AN INDIVIDUAL ON THE STREET WHO WAS EXPERIENCING AN OVERDOSE. THE SOS TEAM SUCCESSFULLY ADMINISTERED NARCAN AND THE EFFECTS OF THE OVERDOSE WERE REVERSED. FINALLY, IN 2024, CHRISTIANACARE'S FAMILY MEDICAL RESIDENCY PROGRAM RECEIVED THE WELLNESS HERO AWARD IN THE 2024 LT. GOVERNOR'S WELLNESS LEADERSHIP CHALLENGE. THE AWARD WAS A RECOGNITION OF THE COMPREHENSIVE PROGRAM CHRISTIANACARE DESIGNED TO ADDRESS THE PRESSING NEED FOR BEHAVIORAL HEALTH SERVICES IN DELAWARE. CHRISTIANACARE'S FAMILY MEDICINE RESIDENCY ESTABLISHED THE SUBSTANCE USE DISORDER TREATMENT PROGRAM IN 2020 TO IDENTIFY AND PROVIDE TARGETED SUBSTANCE ABUSE TREATMENT TO PATIENTS AND TO TRAIN FUTURE PROVIDERS IN THE SPECIFIC AND UNIQUE ISSUES THAT PATIENTS WITH ADDICTION OFTEN FACE IN PRIMARY CARE SETTINGS. PATIENTS IDENTIFIED FOR THE PROGRAM THROUGH CHRISTIANACARE HOSPITALS AND EMERGENCY DEPARTMENTS ARE CONNECTED WITH THE FAMILY MEDICINE DEPARTMENT TO ENCOURAGE THEIR ENROLLMENT INTO PRIMARY CARE. THE PROGRAM ALSO PROVIDES VITAL SOCIAL SUPPORT FOR THESE PATIENTS. THIS PROGRAM HAS LED TO MULTIPLE PATIENTS' CHRONIC MEDICAL CONDITIONS BEING STABILIZED, THE IDENTIFICATION AND TREATMENT OF A PATIENT WITH BLADDER CANCER, AND THE CURE OF 26 CASES OF HEPATITIS C.
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA-CONT.)	VIOLENCE: HOSPITAL BASED VIOLENCE INTERVENTION PROGRAM (HVIP) IN RECOGNITION OF VIOLENCE AS A PUBLIC HEALTH ISSUE, CHRISTIANACARE LAUNCHED A HOSPITAL BASED VIOLENCE INTERVENTION PROGRAM (HVIP) IN FEBRUARY 2021 TO SUPPORT PATIENTS IMPACTED BY COMMUNITY VIOLENCE POST-DISCHARGE TO REDUCE RECIDIVISM OF NEW AND RECURRING INJURIES. THE HVIP EMPLOYS CHWS WHO ACTIVELY FOLLOW PATIENTS AND ASSIST IN A MAGNITUDE OF SERVICES POST-DISCHARGE INCLUDING FOLLOW-UP CARE, CONNECTION TO COMMUNITY RESOURCES, ADDRESSING SOCIAL CARE NEEDS, AND IDENTIFYING AND ACHIEVING PATIENT CENTERED GOALS AND OUTCOMES. IN FY2024, CHRISTIANACARE ENROLLED 83 PATIENTS IN HVIP. IN JANUARY 2024, CHRISTIANACARE ALSO ENTERED INTO AN AGREEMENT WITH NEMOURS CHILDREN'S HOSPITAL, DELAWARE TO ALLOW CHILDREN, FOURTEEN YEARS OF AGE AND OLDER, THE OPPORTUNITY TO ALSO PARTICIPATE IN CHRISTIANACARE'S HVIP. THIS COLLABORATION WAS UNDERTAKEN WITH THE GOAL OF PROVIDING THESE CHILDREN, IMPACTED BY VIOLENCE, WITH COMPREHENSIVE CARE AND SUPPORT TO ATTAIN THE MOST POSITIVE OUTCOME POSSIBLE. TRAUMA DEPARTMENT COMMUNITY EDUCATION THE TRAUMA DEPARTMENT IS ALSO ADDRESSING VIOLENCE THROUGH EDUCATION. IN FY2024, THE TRAUMA DEPARTMENT PROVIDED 54 STOP THE BLEED TRAININGS TO 856 INDIVIDUALS AT CHRISTIANACARE CAMPUSES, SCHOOLS, AND COMMUNITY CENTERS THROUGHOUT DELAWARE. STOP THE BLEED IS A NATIONAL AWARENESS CAMPAIGN THAT EMPOWERS BYSTANDERS WITH THE KNOWLEDGE AND TOOLS THEY NEED TO RECOGNIZE AND STOP LIFE-THREATENING BLEEDING. THE TRAUMA DEPARTMENT ALSO MAKES AVAILABLE FREE GUN LOCKS TO PROMOTE THE SAFE STORAGE OF GUNS. CHRISTIANACARE IS THE ONLY ADULT LEVEL 1 TRAUMA CENTER IN DELAWARE AND TREATS OVER 200 GUNSHOT WOUND PATIENTS A YEAR. SOCIAL DRIVERS OF HEALTH: SOCIAL CARE CONNECTION CENTER CHRISTIANACARE IS COMMITTED TO THE STRATEGY OF ADDRESSING SOCIAL DRIVERS OF HEALTH (SDOH) TO IMPROVE HEALTH OUTCOMES. CHRISTIANACARE DEVELOPED AND ADMINISTERS AN SDOH SCREENING INSTRUMENT TO ADMINISTER TO PATIENTS. IT IS HELPFUL TO KNOW THE CHALLENGES OUR PATIENTS FACE TO BETTER SERVE THEM AND WE STRIVE TO ADDRESS THOSE NEEDS THROUGH INTERNAL RESOURCES AND REFERRALS TO COMMUNITY RESOURCES. IN THE SPRING OF 2023, CHRISTIANACARE LAUNCHED THE SOCIAL CARE CONNECTION CENTER WHICH SERVES AS THE UMBRELLA ORGANIZATION FOR OUR MEDICAID ENGAGEMENT CHWS, AMBULATORY CARE CONNECTORS, AND ACUTE CARE CONNECTORS. THE MEDICAID ENGAGEMENT TEAM CONSISTS OF CHWS THAT OUTREACH TO PATIENTS THAT HAVE BEEN NEWLY ASSIGNED OR ATTRIBUTED TO CHRISTIANACARE TO ADDRESS SOCIAL CARE NEEDS AND CONNECT THEM WITH PRIMARY CARE APPOINTMENTS. TO CONNECT WITH PATIENTS, THESE CHWS EMPLOY MULTIPLE METHODS TO ATTEMPT TO ENGAGE PATIENTS INCLUDING GOING TO THE PATIENT'S HOMES. THE CHWS WERE ABLE TO DIRECTLY ENGAGE OR CONFIRM MEMBER ENGAGEMENT WITH THE SYSTEM OF 1039 (53%) OUT OF THE 1964 NEW MEMBERS ASSIGNED OR ATTRIBUTED TO CHRISTIANACARE DURING FY2024. IN FY2024, CHRISTIANACARE SCREENED 12,227 PATIENTS IN PRIMARY CARE PRACTICES THROUGH TONIC, A SELF-ADMINISTERED SDOH SCREENING. OF THOSE, 3587 (29%) INDICATED AT LEAST ONE SOCIAL CARE NEED. POSITIVE SCREENINGS WERE SENT TO THE AMBULATORY CARE CONNECTORS FOR SOCIAL CARE SUPPORT. ACUTE CARE CONNECTORS (ACCS) PERFORM SDOH SCREENING AT THE BEDSIDE AND ADDRESS SOCIAL CARE NEEDS THAT MAY INCREASE THE POSSIBILITY FOR READMISSION. ACCS ARE HIGHLY COLLABORATIVE AND BRIDGE THE CARE PATIENTS RECEIVE IN THE HOSPITAL WITH COMMUNITY SUPPORT AND RESOURCES. ACUTE CARE CONNECTORS SCREENED 12,144 ADMITTED PATIENTS IN OUR TWO HOSPITALS IN DELAWARE. UNITE DELAWARE CHRISTIANACARE PARTNERED WITH UNITE US TO LAUNCH AN ELECTRONIC CARE COORDINATION NETWORK, UNITE DELAWARE, IN 2019. THE UNITE DELAWARE NETWORK CONNECTS SOCIAL SERVICES AND CLINICAL CARE PROVIDERS ACROSS THE STATE. WITH THIS NETWORK, ANY HEALTHCARE PROVIDER OR COMMUNITY ORGANIZATION CAN HELP AN INDIVIDUAL ADDRESS THEIR NEEDS BY SENDING AN ELECTRONIC REFERRAL ON THE PATIENT'S BEHALF TO THE APPROPRIATE ORGANIZATION. THE SENDER OF THAT REFERRAL WILL BE ABLE TO TRACK WHETHER THE NEED WAS MET OR NOT AND TAKE ADDITIONAL ACTION IF NEEDED. CHRISTIANACARE FUNDS THE UNITE DELAWARE PLATFORM TO HELP DELAWAREANS THROUGHOUT THE STATE ADDRESS THEIR NEEDS. THERE IS ALSO NO COST TO THE COMMUNITY-BASED ORGANIZATIONS THAT PARTICIPATE IN THE NETWORK AND SO OUR HOPE IS THAT THE NETWORK ALSO PROVIDES BENEFIT TO THEM. IN FY2024, CHRISTIANACARE CAREGIVERS CONNECTED 3,622 INDIVIDUALS TO THE UNITE DELAWARE PLATFORM AND SENT 8,173 REFERRALS ON THEIR BEHALF TO COMMUNITY ORGANIZATIONS. CHRISTIANACARE DEPARTMENTS AND PROGRAMS RECEIVED 1,402 REFERRALS FOR ASSISTANCE. ROUNDTRIP IN 2020, CHRISTIANACARE PARTNERED WITH ROUNDTRIP TO PROVIDE TRANSPORTATION TO MEDICAL SERVICES FOR PATIENTS WHO HAVE A TRANSPORTATION BARRIER. INITIALLY PILOTED IN TWO DEPARTMENTS, IN FY22, THE DEPARTMENTS UTILIZING ROUNDTRIP EXPANDED CONSIDERABLY AND THERE ARE NOW MORE THAN 20 PARTICIPATING PROGRAMS AND DEPARTMENTS USING ROUNDTRIP TO SERVE PATIENTS WITH TRANSPORTATION BARRIERS. OUR EXPECTATION IS THAT PROVIDING TRANSPORTATION WILL IMPROVE PATIENT HEALTH AND REDUCE HOSPITAL UTILIZATION. IN FY24, 14,273 RIDES WERE PROVIDED TO PATIENTS.
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA-CONT.)	MEDICAL LEGAL PARTNERSHIP SINCE 2015, CHRISTIANACARE HAS PARTNERED WITH THE DELAWARE COMMUNITY LEGAL AID SOCIETY, INC. (CLASI) TO OFFER THE MEDICAL LEGAL PARTNERSHIP (MLP). THE MLP ASSISTS PRIMARY CARE PATIENTS WHO ARE AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL (FPL) WITH THE MITIGATION OF CIVIL LEGAL HARDSHIPS. LAST YEAR, CHRISTIANACARE INCREASED THE INCOME ELIGIBILITY LEVEL FROM 200% OF THE FPL TO ALIGN WITH OUR FINANCIAL ASSISTANCE POLICY. PATIENTS RECEIVE ASSISTANCE FROM THE MLP TO AVOID EVICTION, SUCCESSFULLY REINSTATE BENEFITS, RECEIVE ACCOMMODATION FROM EMPLOYERS AND SCHOOLS, AND FILE PROTECTION FROM ABUSE (PFA) ORDERS AMONG OTHER CIVIL NEEDS. IN FY2024, A TOTAL OF 80 NEW LEGAL MATTERS FOR 62 NEW UNIQUE CLIENTS WERE ADDRESSED. IN FY2024, A PATIENT WHO WAS PREGNANT AND HAVING ISSUES WITH HER EMPLOYER WAS REFERRED TO THE MLP. DUE TO A HEALTH ISSUE DURING HER PREGNANCY, THE PATIENT HAD USED ALL HER PAID LEAVE AND WAS FORCED TO TAKE UNPAID TIME OFF FOR HER MEDICAL APPOINTMENTS AND RECOVERY. THE PATIENT'S EMPLOYER WAS NOT HONORING ANY ACCOMMODATION IN HER NEED FOR TIME AND WAS PLANNING TO DEMOTE THE PATIENT WITH A REDUCTION IN PAY AND BENEFITS. CLASI REPRESENTED THE PATIENT IN OUT-OF-COURT NEGOTIATIONS REGARDING HER EMPLOYMENT AND SUCCESSFULLY ASSERTED HER RIGHTS. THE PATIENT WAS ABLE TO MAINTAIN HER EMPLOYMENT AND BENEFITS INCLUDING A STEP-UP SALARY INCREASE FOR THE NEXT CONTRACT CYCLE AND PAID MATERNITY LEAVE FOR THE BIRTH OF HER CHILD. THE CLASI ATTORNEY ALSO PROVIDED GUIDANCE ON HOW TO DOCUMENT ANY ISSUES THE PATIENT MAY ENCOUNTER UPON HER RETURN TO WORK. COMMUNITY INVESTMENT FUND IN DECEMBER 2019, CHRISTIANACARE LAUNCHED THE COMMUNITY INVESTMENT FUND TO DEEPEN OUR CONNECTION AND INVESTMENT IN OUR COMMUNITIES. SINCE 2019, CHRISTIANACARE'S COMMUNITY INVESTMENT FUND HAS PROVIDED MORE THAN $5.6 MILLION TO 64 ORGANIZATIONS ADDRESSING SOCIAL, BEHAVIORAL, AND ENVIRONMENTAL HEALTH FACTORS SHAPING COMMUNITY HEALTH. IN FY2024, CHRISTIANACARE GAVE OVER $1 MILLION IN COMMUNITY INVESTMENT FUNDS TO 17 COMMUNITY ORGANIZATIONS TO SUPPORT THEIR WORK ADDRESSING FOOD ACCESS, HOUSING INSECURITY, AND ENVIRONMENTAL HEALTH. ADDITIONALLY, CHRISTIANACARE CONTINUED TO PROVIDE FUNDING TO SUPPORT THE DELAWARE COALITION AGAINST DOMESTIC VIOLENCE DOMESTIC VIOLENCE CHW PROGRAM, THE UNITED WAY OF DELAWARE 211 PROGRAM, AND DELAWARE TECHNICAL COMMUNITY COLLEGE FOOD PANTRIES WHICH HELP FEED THEIR FOOD INSECURE STUDENTS. IN FY2024, CHRISTIANACARE ALSO DEVELOPED AND LAUNCHED AN AGING IN PLACE PROGRAM WITH AN INVESTMENT OF $300,000 IN PARTNERSHIP WITH GOOD NEIGHBORS HOME REPAIR AND HABITAT FOR HUMANITY OF NEW CASTLE COUNTY. CHRISTIANACARE CAREGIVERS REFER LOW-INCOME SENIORS AND ADULTS LIVING IN NEW CASTLE COUNTY WITH DISABILITIES TO THESE ORGANIZATIONS TO RECEIVE FREE HOME REPAIR OR MODIFICATION TO PREVENT SLIPS, TRIPS, AND FALLS SO THAT THEY MAY CONTINUE TO LIVE SAFELY IN THEIR HOMES AND AVOID VISITS TO THE EMERGENCY DEPARTMENT. IN-KIND DONATIONS IN ADDITION TO PROVIDING FUNDING TO COMMUNITY ORGANIZATIONS, CHRISTIANACARE ALSO PROVIDES IN-KIND DONATIONS TO ASSIST COMMUNITY ORGANIZATIONS AND REDUCE THE WASTE WE GENERATE. CHRISTIANACARE CAREGIVERS ESTABLISHED A MEDICAL SUPPLY DONATION PROGRAM TO DONATE UNUSED MEDICAL SUPPLIES TO PROJECT C.U.R.E., AN ORGANIZATION THAT PROVIDES MEDICAL SUPPLIES AND EQUIPMENT TO HOSPITALS AND CLINICS IN THE UNDER-DEVELOPED WORLD. EXPIRED SUPPLIES ARE GIVEN TO LOCAL SCHOOLS, LIKE DELAWARE TECHNICAL COMMUNITY COLLEGE TO PROVIDE TRAINING OPPORTUNITIES FOR STUDENTS. IN 2023, CHRISTIANACARE'S SUSTAINABILITY INITIATIVES RESULTED IN THE DIVERSION OF 6,722 POUNDS OF MEDICAL WASTE FROM LANDFILLS. BOTH CAFETERIAS IN OUR NEWARK AND WILMINGTON CAMPUSES ALSO DONATED FOOD TO THE SUNDAY BREAKFAST MISSION, AN EMERGENCY SHELTER FOR MEN, WOMEN, AND CHILDREN IN WILMINGTON. --------------------
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 15% IS APPLIED TO ALL UNINSURED PATIENT ACCOUNTS REGARDLESS OF INCOME. PATIENTS WITH INCOME IN EXCESS OF 400% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE A 15% 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/US/EN/VISIT-US/FOR-PATIENTS/FINANCIAL-ASSISTANC E-PROGRAM-SUMMARY/FINANCIAL-ASSISTANCE-PROGRAM --------------------
PART V, SECTION B, LINE 20 (ADDITIONAL EFFORTS MADE BEFORE AN ECA)	CHRISTIANA CARE HEALTH SERVICES COMMUNICATES IN WRITING ABOUT COLLECTION PLACEMENT AND THE FINANCIAL ASSISTANCE POLICY. --------------------
PART V, SECTION B, LINE 22 (CHARGES FOR FAP-ELIGIBLE INDIVIDUALS)	FAP-ELIGIBLE INDIVIDUALS (THOSE WITH INCOME LESS THAN 400% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES. --------------------

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/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 AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) THE AMOUNT OF BAD DEBTS (IMPLICIT PRICE CONCESSIONS) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY WAS CALCULATED BASED UPON THE NUMBER OF PRESUMED CHARITY-CARE ELIGIBLE PATIENTS WHO DID NOT COMPLETE THE FAP PAPERWORK DURING THE YEAR. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND ON PAGE 13 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. --------------------
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 CHRISTIANACARE AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, CHRISTIANACARE 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 CHRISTIANACARE 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) CHRISTIANACARE 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 GROSS INCOME THRESHOLD FOR THIS CHARITABLE ADJUSTMENT IS 400% 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 15% SELF PAY DISCOUNT. PATIENTS MAY ALSO 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. FOR ALL SUBSEQUENT STATEMENTS, PATIENTS HAVE 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 AND FOR ONE YEAR PRIOR TO THE DATE A PATIENT'S APPLICATION IS APPROVED. 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 AND MAINTAINS A MONTHLY PAYMENT ARRANGEMENT. --------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)	MANY OF THE WAYS IN WHICH CHRISTIANACARE ASSESSES THE HEALTH NEEDS OF OUR COMMUNITY HAVE BEEN DESCRIBED. A SYSTEM WIDE SDOH SCREENING INSTRUMENT WAS IMPLEMENTED TO LEARN DIRECTLY FROM OUR PATIENTS ABOUT THEIR CHALLENGES, AND WE PARTNERED WITH UNITE US TO LAUNCH UNITE DELAWARE IN THE STATE TO PROVIDE A TOOL TO ADDRESS OUR PATIENTS' NEEDS AS WELL AS INSIGHT INTO THE NEEDS OF DELAWAREANS. IN FY2024, THE MOST REFERRED NEEDS ON UNITE DELAWARE WERE FOOD ASSISTANCE, HOUSING AND SHELTER, UTILITIES, BENEFITS NAVIGATION, AND TRANSPORTATION. THE PARTNERSHIPS CHRISTIANACARE HAS DEVELOPED WITH COMMUNITY ORGANIZATIONS TO ADDRESS PATIENTS' SOCIAL NEEDS LIKE OUR AGING IN PLACE PROGRAM AND OUR DELAWARE FOOD FARMACY, ALSO OFFER US INSIGHT INTO COMMUNITY CHALLENGES. FURTHER, THE COMMUNITY INVESTMENT FUND PROVIDES US WITH THE OPPORTUNITY TO LEARN FROM COMMUNITY-BASED ORGANIZATIONS. IN FY2024, 74 ORGANIZATIONS APPLIED FOR FUNDING. WHILE NOT EVERY ORGANIZATION WAS AWARDED FUNDING, EVERY APPLICATION WAS REVIEWED AND EACH ONE PROVIDED INFORMATION ABOUT COMMUNITY NEED, THE WAYS IN WHICH ORGANIZATIONS ARE WORKING TO ADDRESS THOSE NEEDS, AND HOW THE NEED MAY SURPASS WHAT IS OFFERED TO ADDRESS IT. PARTICIPATION BY CHRISTIANACARE LEADERS ON COMMUNITY BOARDS AND COMMITTEES ALSO PROVIDES INSIGHT INTO COMMUNITY NEEDS. THE DELAWARE HEALTHY MOTHER AND INFANT CONSORTIUM, THE VISION COALITION OF DELAWARE, THE REACH RIVERSIDE BOARD, THE DELAWARE BUSINESS ROUNDTABLE EDUCATION COMMITTEE, THE WILMINGTON ALLIANCE, AND LITERACY DELAWARE, AMONG OTHER ORGANIZATIONS, ARE ALL SERVED BY CHRISTIANACARE CAREGIVERS. --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)	CHRISTIANACARE'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON OUR WEBSITE: https://christianacare.org/patients/financial-assistance-program/. THE FINANCIAL ASSISTANCE PROGRAM, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE ALSO AVAILABLE IN SPANISH, CANTONESE, AND MANDARIN WHICH ARE THE MOST SPOKEN LANGUAGES BESIDES ENGLISH. THE FINANCIAL ASSISTANCE PROGRAM IS PUBLICIZED THROUGH PAMPHLETS, SIGNAGE, ONLINE NOTICES ON THE CHRISTIANACARE WEBSITE, AND IN-PATIENT SERVICE AREAS. THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND WHO INDICATE THEIR INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES AT INTAKE OR DISCHARGE. ALL STATEMENTS INCLUDE VERBIAGE THAT DIRECTS PATIENTS TO OUR WEBSITE OR CUSTOMER SERVICE TO LEARN MORE ABOUT OUR FINANCIAL ASSISTANCE POLICY. TRANSLATION ASSISTANCE BY PHONE TO COMPLETE NECESSARY FORMS FOR ANYONE NOT PROFICIENT IN READING, WRITING, OR SPEAKING ENGLISH IS ALSO AVAILABLE MONDAY THROUGH FRIDAY FROM 9 A.M. TO 4 P.M. PATIENTS MAY ALSO CALL PATIENT FINANCIAL SERVICES TO REQUEST INFORMATION AND AN APPLICATION AND TO TALK CONFIDENTIALLY ABOUT THEIR SITUATION. IF CHRISTIANACARE DETERMINES THAT THE PATIENT MAY QUALIFY FOR OTHER COVERAGE, FINANCIAL COUNSELING IS PROVIDED TO ASSIST PATIENTS TO APPLY FOR THE AVAILABLE COVERAGE. CHRISTIANACARE'S FINANCIAL ASSISTANCE POLICY WEBPAGE AND PLAIN LANGUAGE SUMMARY ALSO INCLUDES CONTACT INFORMATION OF STATE AND FEDERAL HEALTH INSURANCE RESOURCES FOR THOSE WHO ARE UNINSURED. AS DESCRIBED PREVIOUSLY, CHRISTIANACARE'S HEALTH GUIDES ARE ALSO AVAILABLE TO HELP PATIENTS OVERCOME FINANCIAL BARRIERS. THEY ASSIST PATIENTS IN COMPLETING THE CHRISTIANACARE APPLICATION FOR FINANCIAL ASSISTANCE AS WELL AS ENROLL IN HEALTH INSURANCE OR APPLY FOR PRESCRIPTION ASSISTANCE OR MEDICAID, TO NAME JUST A FEW EXAMPLES. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)	CHRISTIANACARE IS ONE OF THE LARGEST PROVIDERS IN THE MID-ATLANTIC REGION, SERVING ALL OF DELAWARE AND PARTS OF PENNSYLVANIA, MARYLAND, AND NEW JERSEY. DUE TO THE HIGH PERCENTAGE OF NEW CASTLE COUNTY RESIDENTS AMONG THOSE DISCHARGED FROM CHRISTIANACARE'S TWO DELAWARE HOSPITALS, WE IDENTIFIED NEW CASTLE COUNTY AS OUR SERVICE AREA WITHIN THE 2022 CHNA. IN FY2023, 77.3% OF OUR HOSPITAL DISCHARGES WERE FOR NEW CASTLE COUNTY RESIDENTS. IN 2024, THE POPULATION OF NEW CASTLE COUNTY WAS 581,444 AND IT IS PROJECTED TO GROW BY 3.3% IN THE NEXT DECADE. THE 65 AND OLDER POPULATION IS EXPECTED TO GROW BY 20.2% IN THE NEXT DECADE WHILE AGE GROUPS UNDER 29 YEARS OF AGE ARE EXPECTED TO DECLINE. DUE TO THE CONSIDERABLE VARIATION AMONG SOCIOECONOMIC CONDITIONS IN NEW CASTLE COUNTY, THE 2022 CHNA ASSESSED COMMUNITY HEALTH NEEDS IN TWO GEOGRAPHIC AREAS OF NEW CASTLE COUNTY: "COMMUNITY 1" (ZIP CODES 19801, 19802, 19804, 19805, AND 19720) AND "COMMUNITY 2" (ALL OTHER NEW CASTLE COUNTY ZIP CODES). IN 2023, COMMUNITY 1 ACCOUNTED FOR 30.7% OF CHRISTIANACARE DISCHARGES AND COMMUNITY 2 ACCOUNTED FOR 46.6% OF CHRISTIANACARE DISCHARGES. THE OVERALL POVERTY RATE IN NEW CASTLE COUNTY HAS BEEN BELOW DELAWARE AND U.S. AVERAGES; HOWEVER, RATES FOR BLACK AND FOR HISPANIC COUNTY RESIDENTS HAVE BEEN SUBSTANTIALLY HIGHER THAN RATES FOR WHITE RESIDENTS. THE POVERTY RATE IN COMMUNITY 1 HAS BEEN MORE THAN DOUBLE THE RATE FOR COMMUNITY 2 (16.5% COMPARED TO 8.1%). IN COMMUNITY 1, APPROXIMATELY 44.3% OF THE POPULATION IDENTIFIES AS BLACK; IN COMMUNITY 2, 17.7% OF THE POPULATION IDENTIFIES AS BLACK. APPROXIMATELY 15.9% OF THE OVERALL POPULATION IN COMMUNITY 1 IDENTIFIES AS HISPANIC; IN COMMUNITY 2, 8.8% OF THE POPULATION IDENTIFIES AS BLACK. IN NEW CASTLE COUNTY, LOW-INCOME CENSUS TRACTS AND FOOD DESERTS ARE MOST PREVALENT IN NEWARK, WILMINGTON, AND THROUGHOUT COMMUNITY 1. THE AREA DEPRIVATION INDEX (ADI), WHICH RANKS NEIGHBORHOODS BY SOCIOECONOMIC DISADVANTAGE ALSO RANKS CENSUS TRACTS IN COMMUNITY 1 AS HAVING CONSIDERABLE DISADVANTAGE RELATED TO FACTORS LIKE HOUSING, INCOME, EDUCATION, AND EMPLOYMENT. --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	CHRISTIANACARE IS CENTERED ON IMPROVING HEALTH OUTCOMES, MAKING HIGH-QUALITY CARE MORE ACCESSIBLE, AND LOWERING HEALTH CARE COSTS. GUIDED BY OUR VALUES, LOVE AND EXCELLENCE, CHRISTIANACARE IS FOCUSED ON MEETING THE NEEDS OF OUR COMMUNITY. CHRISTIANACARE HAS AN EXTENSIVE NETWORK OF PRIMARY CARE AND OUTPATIENT SERVICES, HOME HEALTH CARE, URGENT CARE CENTERS, THREE HOSPITALS (1,200 BEDS), A FREESTANDING EMERGENCY DEPARTMENT, A 24/7 PEDIATRIC CARE CENTER, THE ONLY LEVEL I TRAUMA CENTER AND THE ONLY HIGH-RISK DELIVERING HOSPITAL IN DELAWARE OFFERING A LEVEL III NEONATAL INTENSIVE CARE UNIT, A COMPREHENSIVE STROKE CENTER, REGIONAL CENTERS OF EXCELLENCE IN HEART AND VASCULAR CARE, CANCER CARE, AND WOMEN'S HEALTH, AND THE GENE EDITING INSTITUTE. CHRISTIANACARE IS ALSO ONE OF THE LARGEST COMMUNITY-BASED TEACHING HOSPITALS CONDUCTING RESEARCH IN THE UNITED STATES. CHRISTIANACARE WAS ONE OF THE FIRST HOSPITALS IN THE UNITED STATES TO ESTABLISH AN EMBEDDED RESEARCH INSTITUTE, THE INSTITUTE FOR RESEARCH ON EQUITY AND COMMUNITY HEALTH. THIS EMBEDDED RESEARCH INSTITUTE CONDUCTS APPLIED RESEARCH FOCUSED ON ISSUES OF EQUITY AND COMMUNITY HEALTH, POPULATION HEALTH, AND VIRTUAL HEALTH, AS WELL AS TRAINING THE NEXT GENERATION OF CLINICAL SCIENTISTS WITH THE GOAL TO BRIDGE THE GAP BETWEEN CLINICAL AND TRANSLATIONAL RESEARCH, ADVANCEMENTS IN THE QUALITY OF CARE, AND IMPROVED HEALTH OUTCOMES FOR ALL. CHRISTIANACARE IS ALSO COMMITTED TO PROVIDING AFFORDABLE AND VALUE-BASED CARE. CHRISTIANACARE IS A FOUNDING PARTNER IN EBRIGHTHEALTH ACO, AN ACCOUNTABLE CARE ORGANIZATION THAT SERVES 27,000 REGIONAL MEDICARE BENEFICIARIES FROM DELAWARE, PENNSYLVANIA, AND MARYLAND. CHRISTIANACARE'S CAREVIO PROVIDES THE CARE COORDINATION FOR THIS INITIATIVE. CAREVIO HARNESSES AN INFORMATION TECHNOLOGY PLATFORM THAT IDENTIFIES THE PATIENTS WHO ARE AT HIGHEST RISK AND WHO HAVE SIGNIFICANT CARE NEEDS, INCLUDING THOSE WHO DO NOT REGULARLY ACCESS PRIMARY CARE AND PREVENTIVE SERVICES. IN PERFORMANCE YEAR 2023, THE EBRIGHTHEALTH ACO REDUCED HEALTH CARE SPENDING BY APPROXIMATELY $2.4 MILLION AND EARNED A QUALITY SCORE OF 88.4%. THE CUMULATIVE AMOUNT SAVED IS $56 MILLION. IN 2021, CHRISTIANACARE ALSO LAUNCHED ONE OF THE FIRST MEDICAID ACOS IN THE STATE, DELAWARE MEDICAID QUALITY PARTNERS ACO. IN 2023, CHRISTIANACARE'S ACO REDUCED HEALTH CARE SPENDING BY $6.2 MILLION WHILE IMPROVING CARE FOR NEARLY 30,000 MEDICAID BENEFICIARIES IN DELAWARE, INCLUDING APPROXIMATELY 8,000 CHILDREN. THIS SUCCESS IS A DEMONSTRATION THAT WE CAN IMPROVE HEALTH WHILE ALSO HELPING THE STATE REDUCE HEALTH CARE COSTS BY DELIVERING CARE THAT EMPHASIZES PREVENTATIVE CARE AND PROACTIVE MANAGEMENT OF HEALTH CONDITIONS. AS THE LARGEST PRIVATE EMPLOYER IN DELAWARE, CHRISTIANACARE ALSO STRIVES TO BE A LEADER AMONG OTHER BUSINESSES AND ORGANIZATIONS. . CHRISTIANACARE PLEDGED COMMITMENT TO THE WHITE HOUSE/HHS HEALTH SECTOR CLIMATE PLEDGE. CHRISTIANACARE IS TAKING ACTION TO REDUCE ITS GREENHOUSE GAS EMISSIONS BY 50% BY 2030 AND ACHIEVE NET ZERO EMISSIONS BY 2050. . CHRISTIANACARE HAS INSTITUTED A SUPPLIER DIVERSITY PROGRAM TO PROVIDE EQUAL ACCESS TO PROCUREMENT OPPORTUNITIES FOR DIVERSE AND SMALL BUSINESSES TO ASSIST AND MEET OUR HEALTHCARE SYSTEM GOALS. WE PROVIDE RESOURCES AND MENTORSHIP, ASSIST WITH CAPACITY BUILDING, AND OFFER OUTREACH PROGRAMS SO THAT WE CAN WORK WITH COMPANIES THAT HELP CONTRIBUTE TO THE ECONOMY AND COMMUNITIES WE SERVE. . IN 2020, CHRISTIANACARE BEGAN OFFERING 12 WEEKS OF PAID PARENTAL LEAVE FOR ITS CAREGIVERS. . IN 2019, CHRISTIANACARE INCREASED ITS MINIMUM WAGE TO $15 AN HOUR. . IN 2019, CHRISTIANACARE INSTITUTED A COMMUNITY SERVICE BENEFIT TO ITS CAREGIVERS THAT PROVIDES PAID COMMUNITY SERVICE TIME, IN ADDITION TO THEIR PAID TIME OFF, TO VOLUNTEER AT CHARITABLE, NON-PROFIT ORGANIZATIONS. IN FY2024, 1,439 HOURS WERE SPENT IN COMMUNITY SERVICE AT A COST OF APPROXIMATELY $104,000 TO CHRISTIANACARE. AS CHRISTIANACARE CONTINUES TO ADAPT AND INNOVATE TO ENSURE WE ARE EQUIPPED TO OPERATE WITHIN THE EVER-CHANGING LANDSCAPE OF HEALTH CARE, WE WILL ALWAYS BE GUIDED BY OUR MISSION OF SERVICE AND OUR VALUES OF EXCELLENCE AND LOVE. OUR MOST IMPORTANT PARTNERSHIP IS WITH OUR NEIGHBORS WE SERVE.
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT)	IN JUNE 2024, THE STATE OF DELAWARE SIGNED INTO LAW A REQUIREMENT FOR DELAWARE HOSPITALS TO SUBMIT A COMMUNITY BENEFIT REPORT. A STATE COMMUNITY BENEFIT REPORT IS ALSO FILED IN MARYLAND FOR CHRISTIANACARE'S UNION HOSPITAL LOCATED IN ELKTON, MARYLAND. --------------------
PART II, DESCRIPTION OF TABLE: COMMUNITY BUILDING ACTIVITIES	IN FY2024, THE ECONOMIC DEVELOPMENT ACTIVITIES CHRISTIANACARE UNDERTOOK WERE PARTICIPATION ON COMMUNITY ORGANIZATION BOARDS AND LEADERSHIP TEAMS AS WELL AS CASH DONATIONS TO THOSE COMMUNITY ORGANIZATIONS. CHRISTIANACARE'S CHIEF HEALTH EQUITY AND PUBLIC AFFAIRS OFFICER SERVES AS CHAIR OF THE VISION COALITION, A PUBLIC PRIVATE PARTNERSHIP COMPOSED OF A BROAD RANGE OF DELAWAREANS WORKING TOGETHER TO IMPROVE DELAWARE PUBLIC EDUCATION, AND AS A MEMBER OF THE DELAWARE BUSINESS ROUNDTABLE EDUCATION COMMITTEE (DBREC): A NONPROFIT ORGANIZATION THAT AIMS TO IMPROVE PUBLIC EDUCATION BY AGGREGATING AND ALIGNING THE RESOURCES OF ROUNDTABLE MEMBERS AND OTHER BUSINESS LEADERS. CHRISTIANACARE ALSO PROVIDED $40,000 IN FUNDING TO SUPPORT DBREC'S MISSION. CHRISTIANACARE'S WILMINGTON CAMPUS EXECUTIVE DIRECTOR SERVES AS VICE CHAIR ON THE EXECUTIVE BOARD OF THE WILMINGTON ALLIANCE: A NONPROFIT ORGANIZATION THAT PARTNERS WITH COMMUNITY, CIVIC, AND BUSINESS LEADERS TO PRIORITIZE THE CITY'S HIGHEST NEEDS TO DRIVE ECONOMIC OPPORTUNITY AND SOCIAL VITALITY. CHRISTIANACARE ALSO PROVIDED WILMINGTON ALLIANCE WITH $45,000 IN FUNDING TO SUPPORT THEIR MISSION. CHRISTIANACARE'S CEO ALSO SERVED ON THE EXECUTIVE COMMITTEE OF THE DELAWARE BUSINESS ROUNDTABLE BOARD WHOSE MISSION IS TO ENHANCE THE QUALITY OF LIFE IN DELAWARE BY PROMOTING COMMERCE, JOB CREATION, AND SELECT PUBLIC POLICY ISSUES. IN THE COMMUNITY BUILDING CATEGORY OF COMMUNITY SUPPORT, WE REPORTED CHRISTIANACARE'S $105,000 CONTRIBUTION TO DELAWARE COLLEGE SCHOLARS WHICH SERVES TO PREPARE HIGH-ACHIEVING, UNDER-RESOURCED DELAWARE PUBLIC HIGH SCHOOL SCHOLARS ACADEMICALLY AND SOCIALLY FOR SUCCESSFULLY APPLYING TO, SUCCEEDING IN, AND GRADUATING FROM FOUR-YEAR COLLEGES AND UNIVERSITIES. IN THE COMMUNITY BUILDING CATEGORY OF COALITION BUILDING, WE REPORTED THE TIME SPENT BY OUR CHIEF PUBLIC AFFAIRS AND CHIEF HEALTH EQUITY OFFICER PARTICIPATING ON THE PURPOSE-BUILT COMMUNITIES' REACH RIVERSIDE COMMUNITY DEVELOPMENT INITIATIVE BOARD OF DIRECTORS AND AS CHAIR OF THE GOVERNANCE COMMITTEE. IN 2019, CHRISTIANACARE CONTRIBUTED $1 MILLION TO THIS INITIATIVE TO REVITALIZE THE RIVERSIDE NEIGHBORHOOD IN WILMINGTON. IN THE COMMUNITY BUILDING CATEGORY OF HOUSING AND PHYSICAL IMPROVEMENTS, WE REPORTED OUR $14,400 CONTRIBUTION TO THE WILMINGTON NEIGHBORHOOD CONSERVANCY LAND BANK TO PURCHASE UPGRADED SECURITY CAMERAS TO BE PLACED AT NORTH HARRISON STREET IN WILMINGTON. THE CAMERAS ARE INTENDED TO DECREASE CRIMINAL ACTIVITY AND ENABLE RESIDENTS TO FEEL MORE SECURE. SAFETY IS A BASIC NEED THAT CONTRIBUTES TO IMPROVED COMMUNITY HEALTH. FINALLY, CHRISTIANACARE INVESTS CONSIDERABLY IN WORKFORCE DEVELOPMENT. OUR WORKFORCE DEVELOPMENT INITIATIVES SERVE TO BOTH INFLUENCE THE NEXT GENERATION OF HEALTHCARE WORKERS TO UNDERSTAND THE BARRIERS TO GOOD HEALTH PATIENTS MAY FACE AND DEVELOP A WORKFORCE THAT REFLECTS OUR COMMUNITY. CHRISTIANACARE IS IN THE 3RD YEAR OF ITS 5-YEAR COMMITMENT OF $500,000 TO AWARD MERIT-BASED SCHOLARSHIPS OF $12,500 TO TEN SCHOLARS PER YEAR, PER STUDENT, TO ATTEND AN HBCU. THE FOCUS OF THE SCHOLARSHIP PROGRAM ARE MINORITY SCHOLARS PURSUING A FIELD OF STUDY IN HEALTH CARE. THESE SCHOLARS ALSO HAVE THE OPPORTUNITY TO PARTICIPATE IN AN INTERNSHIP PROGRAM AT CHRISTIANACARE. CHRISTIANACARE'S CENTER FOR COMMUNITY HEALTH AND EMPOWERMENT OFFERS YOUTH PROGRAMMING THAT EXPOSES THE PARTICIPANTS, OR SCHOLARS AS WE REFER TO THEM, TO POTENTIAL CAREERS IN THE HEALTH FIELD AND PROVIDES THEM WITH THE SKILLS AND EXPERIENCE TO SUPPORT THEIR DEVELOPMENT INTO YOUNG ADULTS EVEN IF THEY CHOOSE TO TAKE A DIFFERENT PATH. IN FY2024, THE FOLLOWING PROGRAMS WERE OFFERED: BACK 2 BASICS: BACK 2 BASICS IS A FREE, IMMERSIVE PROGRAM DESIGNED FOR HIGH SCHOOL SCHOLARS, OFFERING THEM A UNIQUE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS. THROUGH A CASE STUDY APPROACH, PARTICIPANTS WILL GAIN INSIGHT INTO THE PATIENT EXPERIENCE AND UNDERSTAND THE COLLABORATIVE EFFORTS INVOLVED IN PROVIDING CARE. THIS HANDS-ON EXPERIENCE ALLOWS SCHOLARS TO SEE FIRSTHAND HOW VARIOUS HEALTHCARE PROFESSIONALS CONTRIBUTE TO PATIENT WELL-BEING. IN FY2024, THE PROGRAM HAD A TOTAL OF 39 PARTICIPANTS. BRANDYWINE LIFESAVERS PROGRAM: CHRISTIANACARE PARTNERED WITH THE BRANDYWINE LIFESAVERS PROGRAM, DEVELOPED BY BRANDYWINE SCHOOL DISTRICT NURSES, TO CREATE A PIPELINE FOR MIDDLE AND HIGH SCHOOL SCHOLARS TO BE INTRODUCED TO POSSIBLE CAREERS IN HEALTH CARE, SPECIFICALLY NURSING. THE BRANDYWINE LIFESAVERS PROGRAM HOSTED A TOTAL OF 50 MIDDLE AND HIGH SCHOLARS WHO ATTENDED AN INFORMATIONAL SESSION AT CHRISTIANACARE'S NEWARK CAMPUS TO LEARN DIRECTLY FROM NURSES ABOUT THEIR ROLES. CO-OP PROGRAMS: THE CO-OP PROGRAM OFFERS SCHOLARS IN THE NEW CASTLE COUNTY VOCATIONAL TECHNICAL SCHOOL DISTRICT THE OPPORTUNITY TO FULFILL THEIR COOPERATIVE EMPLOYMENT REQUIREMENTS. DESIGNED FOR HIGH SCHOOL SENIORS, THIS PROGRAM PROVIDES A PART-TIME, PAID WORK EXPERIENCE. THE CO-OP PLACEMENTS ARE SPECIFICALLY AVAILABLE TO SCHOLARS ENROLLED IN THE HEALTH SERVICES SHOPS WITHIN THE SCHOOL DISTRICT, GIVING THEM VALUABLE HANDS-ON EXPERIENCE IN THE HEALTHCARE FIELD. IN FY2024, THE PROGRAM HAD A TOTAL OF 15 PARTICIPANTS WHO WORKED IN THE CHRISTIANACARE PATIENT ESCORT SERVICE LINE. HEALTH CAREER COLLABORATIVE: THE HEALTH CAREER COLLABORATIVE PROGRAM, SERVING SCHOLARS FROM WILLIAM PENN HIGH SCHOOL, IS DESIGNED TO SUPPORT YOUTH FROM COMMUNITIES UNDERREPRESENTED IN MEDICINE, HELPING THEM GRADUATE FROM HIGH SCHOOL, PURSUE POST-SECONDARY EDUCATION, IMPROVE HEALTH LITERACY, AND EXPLORE CAREERS IN HEALTHCARE. THROUGH MENTORSHIP, AN ENGAGING HEALTH CURRICULUM, AND EXPOSURE TO VARIOUS HEALTH CAREERS, THE PROGRAM EMPOWERS HIGH SCHOOL SCHOLARS TO IDENTIFY AND ADDRESS THE MOST PRESSING HEALTH NEEDS IN THEIR COMMUNITIES. SCHOLARS ARE ALSO GIVEN THE OPPORTUNITY TO PLAN AND IMPLEMENT COMMUNITY-BASED HEALTH PROMOTION ACTIVITIES, PROVIDING THEM WITH HANDS-ON EXPERIENCE WHILE EXPLORING DIVERSE HEALTH-RELATED CAREER PATHWAYS. IN FY2024, THE PROGRAM HAD A TOTAL OF 12 PARTICIPANTS. HEALTH IMPACTS: THE HEALTH IMPACTS PROGRAM IS DESIGNED TO CONNECT SCHOLARS WITH CAREER OPPORTUNITIES AND PATHWAYS IN HEALTHCARE. THIS 3-PHASE PROGRAM PROVIDES EXPOSURE TO A WIDE RANGE OF HEALTHCARE CAREERS WHILE FOCUSING ON ESSENTIAL SKILLS SUCH AS COMMUNICATION, TIME MANAGEMENT, AND RELATIONSHIP BUILDING. THROUGHOUT THE PROGRAM, SCHOLARS WILL GAIN VALUABLE INSIGHTS INTO THE HEALTHCARE INDUSTRY, WITH A STRONG EMPHASIS ON DEVELOPING EMPLOYABILITY SKILLS. UPON SUCCESSFUL COMPLETION OF PHASE 1, SCHOLARS WILL BE MATCHED WITH A WORK-BASED LEARNING ASSIGNMENT WITHIN THE HEALTH SYSTEM. THE GOAL IS FOR SCHOLARS TO APPLY THE SKILLS THEY'VE ACQUIRED DURING THE PROGRAM TO SECURE AND MAINTAIN A PART-TIME POSITION WITHIN THE HEALTHCARE SYSTEM DURING PHASE 2. PHASE 3 WILL CULMINATE IN AN OFFICIAL JOB OFFER, EITHER FULL-TIME OR PART-TIME, WITHIN THE ORGANIZATION. IN FY2024, A TOTAL OF 27 SCHOLARS WERE REGISTERED IN THE PROGRAM, 9 COMPLETED THE PROGRAM, AND 1 SCHOLAR WAS HIRED BY CHRISTIANACARE. NURSING CAREER COLLABORATIVE: THIS PROGRAM WAS DEVELOPED TO SERVE AS A PATHWAY TO NURSING FOR HIGH SCHOOL SCHOLARS FROM WILLIAM PENN HIGH SCHOOL'S ALLIED HEALTH PROGRAM. THROUGH THE NURSING CAREER COLLABORATIVE, SCHOLARS ARE EDUCATED AND EXPOSED TO THE FIELD AND FUNDAMENTALS OF NURSING. THE PROGRAM IS 6 SESSIONS IN LENGTH- 3 SESSIONS AT WILLIAM PENN HIGH SCHOOL AND 3 SESSIONS AT CHRISTIANACARE'S NEWARK CAMPUS. ON THEIR LAST DAY OF THE PROGRAM, SCHOLARS ALSO HAVE AN OPPORTUNITY TO SHADOW ON A UNIT WITH A NURSE. IN FY2024, 20 SCHOLARS COMPLETED THIS PROGRAM. WORK BASED LEARNING (NURSING/SURGICAL SERVICES): THIS PROGRAM IS DESIGNED TO INCREASE SCHOLAR AWARENESS ABOUT SURGICAL SERVICE CAREERS, THROUGH REAL WORLD WORKPLACE OBSERVATION AND ENGAGEMENT WITH HEALTHCARE PROFESSIONALS. SCHOLARS EXPLORE A VARIETY OF OCCUPATIONS WITHIN THE SURGICAL SETTING, SCOPE OF ROLES/RESPONSIBILITIES, ESSENTIAL SKILLS, AND EDUCATIONAL REQUIREMENTS AND PATHWAYS. PARTICIPANTS ARE SENIORS AT APPOQUINIMINK HIGH SCHOOL AND MIDDLETOWN HIGH SCHOOL AND ENROLLED IN THE SCHOOL OF HEALTH SCIENCE PATHWAY OR ENROLLED IN THE ODESSA HIGH SCHOOL ALLIED HEALTH PROGRAM. SCHOLARS PARTICIPATING IN CHRISTIANACARE'S SURGICAL SERVICE WORK BASED LEARNING EXPERIENCE MUST ATTEND ALL HOSPITAL PROGRAM DATES AND FIVE (5) BACK 2 BASICS VIRTUAL SESSIONS TOTALING 40 HOURS TOWARD THEIR SENIOR CAPSTONE PROJECT. IN FY2024, 6 SCHOLARS COMPLETED THIS PROGRAM.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
DCF HEALTHY COMMUNITIES DELAWARE LLC
100 W 10TH ST	WILMINGTON	DE	19801	854094666	501(c)(3)	$25,000	GENERAL SUPPORT
HABITAT FOR HUMANITY OF NEW CASTLE COUNTY
1920 HUTTON ST	WILMINGTON	DE	19802	510294138	501(c)(3)	$200,000	GENERAL SUPPORT
DELAWARE HUMANITIES COUNCIL INC
100 W 10TH ST	WILMINGTON	DE	19801	510212681	501(c)(3)	$13,761	GENERAL SUPPORT
DELAWARE CENTER FOR JUSTICE
100 W 10TH ST	WILMINGTON	DE	19801	510064323	501(c)(3)	$75,000	GENERAL SUPPORT
THE RESURRECTION CENTER
3301 N MARKET ST	WILMINGTON	DE	19802	237317318	501(c)(3)	$21,532	GENERAL SUPPORT
HEALTHY FOOD FOR HEALTHY KIDS INC
221 W 10TH ST	WILMINGTON	DE	19801	300444914	501(c)(3)	$24,465	GENERAL SUPPORT
CORNERSTONE WEST COMMUNITY DEVELOPMENT CORPORATION
710 N LINCOLN ST	WILMINGTON	DE	19805	510387484	501(c)(3)	$66,500	GENERAL SUPPORT
BAYSIDE COMMUNITY NETWORK INC
1290 W PULASKI HIGHWAY	ELKTON	MD	21921	521139792	501(c)(3)	$70,000	GENERAL SUPPORT
PROJECT NEW START INC
4601 CONCORD PIKE	WILMINGTON	DE	19803	472300080	501(c)(3)	$75,000	GENERAL SUPPORT
AIDS DELAWARE INC
100 W 10TH ST	WILMINGTON	DE	19801	222805481	501(c)(3)	$25,000	GENERAL SUPPORT
YWCA DELAWARE INC
100 W 10TH ST	WILMINGTON	DE	19801	510064344	501(c)(3)	$70,310	GENERAL SUPPORT
ST PATRICK'S CENTER INC
107 E 14TH ST	WILMINGTON	DE	19801	510120169	501(c)(3)	$75,000	GENERAL SUPPORT
SUSSEX COUNTY HABITAT FOR HUMANITY
PO BOX 759	GEORGETOWN	DE	19947	510334057	501(c)(3)	$75,000	GENERAL SUPPORT
GOOD NEIGHBORS INC
224 E STREET RD	KENNETT SQUARE	PA	19348	113839742	501(c)(3)	$75,000	GENERAL SUPPORT
DELAWARE INTERFAITH POWER & LIGHT
PO BOX 7881	WILMINGTON	DE	19803	453593450	501(c)(3)	$55,900	GENERAL SUPPORT
YMCA OF DELAWARE
100 W 1OTH ST	WILMINGTON	DE	19801	510065748	501(c)(3)	$75,000	GENERAL SUPPORT
DEEP ROOTS INC
PO BOX 113	EARLEVILLE	MD	21919	455115992	501(c)(3)	$69,747	GENERAL SUPPORT
GREEN BERET PROJECT INC
494 FAWN HAVEN WALK	DOVER	DE	19901	821215032	501(c)(3)	$75,000	GENERAL SUPPORT
CHILDREN & FAMILIES FIRST
555 JUSTISON ST	WILMINGTON	DE	19801	510065731	501(c)(3)	$75,000	GENERAL SUPPORT
DELAWARE BUSINESS ROUNDTABLE EDUCATION COMMITTEE
100 W 10TH ST	WILMINGTON	DE	19801	562364584	501(c)(3)	$40,000	GENERAL SUPPORT
DELAWARE COALITION AGAINST DOMESTIC VIOLENCE
100 W 10TH ST	WILMINGTON	DE	19801	510354794	501(c)(3)	$100,000	GENERAL SUPPORT
WILMINGTON NEIGHBORHOOD CONSERVANCY LAND BANK
321 E 11TH STREET	WILMINGTON	DE	19801	811773249	501(c)(3)	$14,400	GENERAL SUPPORT
DELAWARE COLLEGE SCHOLARS
PO BOX 392	WILMINGTON	DE	19801	824608572	501(c)(3)	$105,000	GENERAL SUPPORT
WILMINGTON ALLIANCE INC
100 W 10TH ST	WILMINGTON	DE	19801	510347680	501(c)(3)	$45,000	GENERAL SUPPORT
HBCU WEEK FOUNDATION INC
1022 COLEMAN STREET	WILMINGTON	DE	19805	851276996	501(c)(3)	$132,625	GENERAL SUPPORT
UNITED WAY OF DELAWARE
625 N ORANGE STREET	WILMINGTON	DE	19801	510073399	501(c)(3)	$100,000	GENERAL SUPPORT
DELAWARE TECHNICAL & COMMUNITY COLLEGE
300 N ORANGE STREET	WILMINGTON	DE	19801	510246178	501(c)(3)	$75,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	27	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS ALL FUNDING REQUIRES APPROVAL. PRIOR TO PROVIDING ANY FUNDS, CCHS CONFIRMS THAT THE RECIPIENT ORGANIZATION IS TAX EXEMPT AND REQUIRES THE SUBMISSION OF A PROPOSAL FOR HOW THE FUNDING WILL BE UTILIZED. CCHS RETAINS THE RIGHT TO REQUEST DETAIL REGARDING THE ORGANIZATION'S UTILIZATION OF THE FUNDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARBARA ALBANI MD
DIRECTOR - AS OF 01/24	$598,709	$0	$77,522	$0	$44,939	$0	$0	$0	$0	$0	$721,170	$0	$0	$0
BETTINA TWEARDY-RIVEROS
CHIEF HEALTH EQUITY OFFICER	$522,965	$0	$201,108	$0	$56,001	$0	$45,394	$0	$20,878	$0	$846,346	$0	$0	$0
DANIEL ROBB MD
PHYSICIAN, CARDIAC SURGEON	$902,520	$0	$116,142	$0	$4,025	$0	$0	$0	$12,506	$0	$1,035,193	$0	$0	$0
FREDERIC T HARAD MD
DIRECTOR	$597,122	$0	$78,318	$0	$76,967	$0	$0	$0	$12,506	$0	$764,913	$0	$0	$0
JANICE E NEVIN MD
PRESIDENT & CEO	$1,581,016	$0	$725,400	$0	$449,074	$0	$0	$0	$7,228	$0	$2,762,718	$0	$0	$0
JENNIFER L SCHWARTZ ESQ
CORPORATE SECRETARY	$695,351	$0	$207,032	$0	$24,304	$0	$59,243	$0	$20,878	$0	$1,006,808	$0	$0	$0
KENNETH SILVERSTEIN MD
FORMER CHIEF PHYSICIAN EXEC	$202,031	$0	$133,633	$0	$790,922	$0	$0	$0	$2,850	$0	$1,129,436	$0	$0	$0
KERT ANZILOTTI JR MD
INTERIM PRESIDENT	$637,470	$0	$147,354	$0	$122,594	$0	$59,909	$0	$20,878	$0	$988,205	$0	$0	$0
KIRK N GARRATT MD
MED. DIR. CTR FOR H/V HEALTH	$822,576	$0	$142,607	$0	$11,577	$0	$0	$0	$12,104	$0	$988,864	$0	$0	$0
LISA MAXWELL MD
PRESIDENT, CC MEDICAL GROUP	$613,121	$0	$193,051	$0	$113,521	$0	$0	$0	$20,878	$0	$940,571	$0	$0	$0
NEIL JASANI MD
CHIEF PEOPLE OFFICER	$669,573	$0	$203,522	$0	$108,034	$0	$0	$0	$20,878	$0	$1,002,007	$0	$0	$0
NICHOLAS J PETRELLI MD
MED. DIR, CCHS CANCER PROGRAM	$768,565	$0	$133,243	$0	$7,935	$0	$0	$0	$12,506	$0	$922,249	$0	$0	$0
RANDALL GABORIAULT
CHIEF DIGITAL & INFO. OFFICER	$703,693	$0	$203,327	$0	$218,970	$0	$73,308	$0	$20,878	$0	$1,220,176	$0	$0	$0
RAY A BLACKWELL MD
CHIEF OF CARDIAC SURGERY	$1,065,357	$0	$129,627	$0	$16,540	$0	$0	$0	$20,878	$0	$1,232,402	$0	$0	$0
RICHARD CUMING
CHIEF OPERATING OFFICER	$762,616	$0	$246,171	$0	$164,287	$0	$55,988	$0	$12,506	$0	$1,241,568	$0	$42,001	$0
ROBERT MCMURRAY
CFO, TREAS. & ASS'T SECRETARY	$753,010	$0	$228,558	$0	$58,851	$0	$68,103	$0	$20,224	$0	$1,128,746	$0	$23,384	$0
SHARON KURFUERST
FORMER COO	$196,269	$0	$129,822	$0	$985,276	$0	$0	$0	$3,168	$0	$1,314,535	$0	$178,205	$0
VINAY K GHEYI
CHAIR DEPARTMENT RADIOLOGY	$788,000	$0	$136,613	$0	$49,687	$0	$0	$0	$13,910	$0	$988,210	$0	$0	$0
VINAY MAHESHWARI MD
DIRECTOR	$521,429	$0	$87,628	$0	$4,751	$0	$0	$0	$20,878	$0	$634,686	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 3	TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHOD DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. --------------------
FORM 990, SCHEDULE J, PART I, LINE 4A	DETAIL OF SEVERANCE PAYMENTS SHARON KURFUERST (FORMER CHIEF OPERATING OFFICER) RECEIVED A SEVERANCE PAYMENT OF $532,730 DURING THE YEAR. KENNETH SILVERSTEIN (FORMER PRESIDENT, CC MEDICAL GROUP) RECEIVED A SEVERANCE PAYMENT OF $548,370 DURING THE YEAR. ---------------
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: RICHARD CUMING, RN- $64,591 RANDALL GABORIAULT- $67,715 SHARON T. KURFUERST- $263,888 ROBERT MCMURRAY- $30,765 JANICE E. NEVIN, MD- $209,034 KENNETH SILVERSTEIN, MD- $79,136 KERT ANZILOTTI- $54,111 NEIL JASANI- $55,987 VINAY GHEYI- $41,640 LISA C. MAXWELL, MD- NO DISTRIBUTION JENNIFER L. SCHWARTZ, ESQ.- NO DISTRIBUTION BETTINA TWEARDY-RIVEROS- NO DISTRIBUTION --------------------
FORM 990, SCHEDULE J, PART I, LINE 7	PROVISION OF NON-FIXED PAYMENTS CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. ALL OFFICER/TRUSTEE COMPENSATION ARRANGEMENTS, INCLUDING THE PAYMENT OF DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES, ARE DETERMINED BY THE SYSTEM BOARD. PAYMENTS MADE TO ANY DISQUALIFIED PERSON ARE APPROVED BY THE COMPENSATION COMMITTEE OF SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. --------------------

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DELAWARE HLTH FACILITIES AUTHORITY SERIES 2020A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	510272458	BondIssuerEIN
CUSIP	246388TQ5	CUSIPNum
Bond Issued	2020-02-11	BondIssuedDt
Issue Price	$247,255,000	IssuePriceAmt
Purpose	REFUND SERIES 2008 & 2010	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$280,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$305,483,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,324,976	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$145,360,019	CapitalExpendituresAmt
Other Spent Proceeds	$157,798,005	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2021	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE K, PART I

ADDITIONAL INFORMATION REGARDING TAX-EXEMPT BONDS THE DELAWARE HEALTH FACILITIES AUTHORITY SERIES 2020A BOND WAS ISSUED TO CHRISTIANA CARE HEALTH SYSTEM, INC. (EIN:52-1479538), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE ALL BOND PROCEEDS WERE ALLOCATED TO CHRISTIANA CARE HEALTH SERVICES, INC., THIS BOND HAS BEEN REPORTED ON THIS ORGANIZATION'S FORM 990, SCHEDULE K. HOWEVER, CHRISTIANA CARE HEALTH SYSTEM, INC. REMAINS AS THE PRIMARY OBLIGOR OF THE BOND. -------------------- FORM 990, SCHEDULE K, PART II, LINE 3 ADDITIONAL INFORMATION REGARDING PROCEEDS OF ISSUE FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2020A, THE TOTAL PROCEEDS OF THE ISSUE REPORTED INCLUDES INVESTMENT EARNINGS. -------------------- FORM 990, SCHEDULE K, PART II, LINE 5 ADDITIONAL INFORMATION REGARDING CAPITALIZED INTEREST FROM PROCEEDS ALTHOUGH CCHS CAPITALIZES INTEREST FOR BOOK PURPOSES, BOND PROCEEDS ARE NOT USED TO PAY INTEREST AND ARE THEREFORE NOT REPORTED ON PART II, LINE 5. --------------------

FORM 990, SCHEDULE K, PART IV

ADDITIONAL INFORMATION REGARDING ARBITRAGE REBATE CCHS RECEIVED ITS 5-YEAR ARBITRAGE COMPLIANCE REPORT ON 2/14/2025. THIS REPORT IS FINAL.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$142,903	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	ADDITIONAL INFORMATION REGARDING SECURITIES REPORTED CHRISTIANA CARE HEALTH SERVICES, INC. REPORTS THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINES 6 & 7A,7B	GOVERNING BODY AND MANAGEMENT CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). THE SYSTEM BOARD ELECTS DIRECTORS OF CCHS AT ITS ANNUAL MEETING. 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 CHRISTIANA CARE'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW. THE FINAL 2023 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2024 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2023 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 CAREGIVER RESOURCE CENTER ON THE EMPLOYEE PORTAL. 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. 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 OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") ESTABLISHES CCHS'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE SYSTEM 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 B, LINE 16B	JOINT VENTURE ARRANGEMENTS ALTHOUGH THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY IN PLACE REGARDING PARTICIPATION IN JOINT VENTURE RELATIONSHIPS, WHEN ANY SUCH RELATIONSHIPS ARE CONSIDERED, THEY ARE FIRST REVIEWED AND EVALUATED BY MANAGEMENT OFFICIALS IN CONJUNCTION WITH PWC US TAX LLP --------------------
FORM 990, PART VI, SECTION C, LINE 19	GOVERNANCE, MANAGEMENT, & DISCLOSURE THE GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. --------------------
FORM 990, PART X	BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION. --------------------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN PENSION AND POST RETIREMENT LIABILITIES $ (29,308,906) CHANGE IN NET ASSET OF SYSTEM 261,007 OTHER CHANGES (159,231,462) ----------- TOTAL $ (188,279,361)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIANA CARE CAMPUS REALTY LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	SUPPORT SRVCS	DE	$0	$0	CCH SERVICES
CHRISTIANA CARE QUALITY PARTNERS ACOLLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	474102953	SUPPORT SRVCS	DE	$1,978,118	$2,274,319	CCH SERVICES
CHRISTIANA CARE CARE LINK LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	SUPPORT SRVCS	DE	$5,747,066	$9,420,404	CCH SERVICES
CHRISTIANA CARE CTR FOR VIRTUAL HLTH LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	862155365	SUPPORT SRVCS	DE	$330,192	$6,982,398	CCH SERVICES
CHRISTIANA CARE NEIGHBORHOOD HOSPITALS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	HLTHCARE SVCS	DE	-$137,805	$357,510	CCH SERVICES
CHRISTIANA CARE AMBULATORY SURG CTR LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	AMB SURG CTR	DE	-$19,638	$600	CCH SERVICES

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHRISTIANA CARE HEALTH SYSTEM
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521479538	FUNDRAISING	DE	501(C)(3)	7	NA	false
CHRISTIANA CARE HEALTH INITIATIVES
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510295186	OUTPATIENT SV	DE	501(C)(3)	10	CCH SYSTEM	false
CHRISTIANA CARE HOME HEALTH & COM SRVCS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510064334	HOME HLTHCARE	DE	501(C)(3)	7	CCH SYSTEM	Yes (true)
UNION HOSPITAL OF CECIL COUNTY FDN
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794552	FUNDRAISING	MD	501(C)(3)	7	AFFINITY	Yes (true)
UNION HOSPITAL OF CECIL COUNTY INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	520607945	HLTHCARE SVCS	MD	501(C)(3)	3	AFFINITY	Yes (true)
UNION HOSPITAL OF CECIL COUNTY HLTH SVCS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794553	PROPERTY MGMT	MD	501(C)(3)	10	AFFINITY	Yes (true)
UNION HOSPITAL OF CECIL COUNTY ONCOLOGY
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	812662359	HEALTHCARE	MD	501(C)(3)	3	AFFINITY	Yes (true)
AFFINITY HEALTH ALLIANCE INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794697	MANAGEMENT	DE	501(C)(3)	12B, II	CCH SERVICES	Yes (true)
CHRISTIANA CARE WEST GROVE INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	883155785	HEALTHCARE	PA	501(C)(3)	12A, 1	CCH SERVICES	Yes (true)
CHRISTIANA CARE GENE EDITING INSTITUTE
40000 NEXUS DR NW3-100	WILMINGTON	DE	19803	883110655	HEALTHCARE	DE	501(C)(3)	PENDING	CCH SYSTEM	false
CHRISTIANA CARE PENNSYLVANIA INC
400O NEXUS DRIVE NW3-100	WILMINGTON	DE	19803	992607716	HEALTHCARE	PA	501(C)(3)	PENDING	CCH SYSTEM	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CHRISTIANA CARE GO HEALTH URGENT CARE L
5555 GLENRIDGE CONNECTOR SUITE 700	ATLANTA	GA	30342	843657727	URGENT CARE SRVCS	DE	CCH SERVICES	RELATED	$68,377	$20,472,583	false	$0	false	0.50100
CLINERGY LLC
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	852698063	GROUP PURCHASING	DE	CCH SERVICES	RELATED	$114,228	$543,224	false	$0	false	0.79800
LEEWARD HEALTH LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803	883132477	MED ADV RISK SHAR	DE	CCH SYSTEM						false
CHRISTIANA CARE EMERGENCY PHYSICIANS LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803	933393372	HEALTH SRVCS	DE	CCH SERVICES	RELATED	-$5,400,769	-$5,400,769	false	$0	false	0.85000
CHRISTIANA CARE EMERUS LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803	934258269	HEALTH SRVCS	DE	CCH SERVICES	RELATED	$0	$0	false	$0	false	0.51000
CHRISTIANA CARE EMERUS NEIGHBORHOOD HOSP
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803		HEALTH SRVCS	DE	CC EMERUS LLC						false
CHRISTIANACARE ATLAS JV LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803		HEALTH SRVCS	DE	CC AMB SURG CTR						false
SOUTHERN CHESTER COUNTY MOB I
1015 W BALTIMORE PIKE	WEST GROVE	PA	19390	232200841	MOB	PA	CC WEST GROVE						false
SOUTHERN CHESTER COUNTY MED II
1015 W BALTIMORE PIKE	WEST GROVE	PA	19390	232468569	MOB	PA	CC WEST GROVE						false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
THE DE CTR FOR MAT FETAL MED OF CC INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	205891272	HEALTHCARE	DE	CCH SERVICES	C CORP	-$35,350	$7,312,673	1.00000	false
CHRISTIANA CARE HEALTH PLANS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510352728	INSURANCE	DE	CCH SYSTEM	C CORP	-$11,646	$79,004	1.00000	false
CHRISTIANA CARE DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	816359549	DEF COMP PLAN	DE	CCH SERVICES	TRUST	$0	$0	1.00000	Yes (true)
CHRISTIANA CARE EXEC DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	357048822	DEF COMP PLAN	DE	CCH SERVICES	TRUST	$0	$0	1.00000	Yes (true)
CARE ASSOCIATES DEFERRED COMP PLAN
4755 OGLETWON STANTON RD	NEWARK	DE	19718	357048714	DEF COMP PLAN	DE	CCH SERVICES	TRUST	$0	$0	1.00000	Yes (true)
CHRISTIANA CARE INSURANCE CO LTD
				981489490	SELF-INSURANCE		CCH SERVICES	C CORP	$3,124,398	$100,788,035	1.00000	Yes (true)	PO BOX 1159 878 W BAY RD	GRAND CAYMAN	CJ	KY1-1102	CJ
UNION HOSPITAL OF CECIL COUNTY VENTURES
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521793691	MEDICAL SERVICES	MD	AFFINITY	C CORP	$2,180,430	$6,298,265	1.00000	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
UNION HOSPITAL OF CECIL COUNTY INC
ADOQR	$37,841,545	FMV
CHRISTIANA CARE GO HEALTH URGENT CARE LLC
ADJPQ	$40,043,740	FMV
THE DE CTR FOR MAT FETAL MED OF CC INC
J,M,O	$1,036,484	FMV
CHRISTIANA CARE INSURANCE CO LTD
Q,R	$52,237,661	FMV
AFFINITY HEALTH ALLIANCE INC
R,S	$2,801,313	FMV
CHRISTIANA CARE HOME HEALTH & COMM SERVICES
ADOQR	$4,892,589	FMV
CHRISTIANA CARE WEST GROVE
O	$4,656,805	FMV
CHRISTIANA CARE EMERGENCY PHYSICIANS
N,O,Q	$4,204,380	FMV