CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-14
- IRS object ID
- 202111349349301501
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
- Affiliated Group Attachment
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-14T07:29:40-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers 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 | 2019-07-01 | 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 | PO BOX 2653 | AddressLine1Txt |
| City | WILMINGTON | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198050653 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT M MCMURRAY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3026237202 | PhoneNum |
| Signature | 2021-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANTONIO C RUSSO | PreparerPersonNm |
| PTIN | P00858539 | PTIN |
| Phone | 2673303000 | PhoneNum |
| Preparation | 2021-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | 4755 OGLETOWN-STANTON ROAD | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19718 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,534,537,242 | 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 | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 13171 | TotalEmployeeCnt |
| Total Volunteers | 1048 | TotalVolunteersCnt |
| Total Gross UBI | $5,076,292 | TotalGrossUBIAmt |
| PY Contributions Grants | $24,577,838 | PYContributionsGrantsAmt |
| CY Contributions Grants | $80,735,115 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,003,698,183 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,885,207,044 | CYProgramServiceRevenueAmt |
| PY Investment Income | $81,965,865 | PYInvestmentIncomeAmt |
| CY Investment Income | $102,844,109 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,841,287 | PYOtherRevenueAmt |
| CY Other Revenue | $13,395,684 | CYOtherRevenueAmt |
| PY Total Revenue | $2,112,083,173 | PYTotalRevenueAmt |
| CY Total Revenue | $2,082,181,952 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,197,510,102 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,255,954,196 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $714,773,175 | PYOtherExpensesAmt |
| CY Other Expenses | $747,739,423 | CYOtherExpensesAmt |
| PY Total Expenses | $1,912,283,277 | PYTotalExpensesAmt |
| CY Total Expenses | $2,003,693,619 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $199,799,896 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $78,488,333 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,539,982,993 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,179,624,084 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $794,893,093 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,298,158,505 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,745,089,900 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,881,465,579 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE SERVE OUR NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $526,837,901 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $311,977,627 | RevenueAmt |
| Desc | PROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. APPROXIMATELY 2,625 FULL TIME EQUIVALENT ("FTE") NURSES ARE EMPLOYED WITH 303,458 PATIENT DAYS RECORDED DURING FISCAL 2020. THE HOSPITALS OFFER A FULL SCOPE OF SERVICES WITH THE NEED OF THE POPULATION SERVED WITOUT REGARD TO AGE, RACE OR ECONOMIC CIRCUMSTANCES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $198,652,002 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $341,295,429 | RevenueAmt |
| Desc | PHARMACY - PROVIDED PHARMACY SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2020, 6,262,328 DOSES WERE PERFORMED WITH AN APPROXIMATE FTE COUNT OF 240. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $245,884,303 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $318,079,974 | RevenueAmt |
| Desc | OPERATING ROOM - PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2020, 31,695 OPERATIONS WERE PERFORMED, REQUIRING AN APPORXIMATE FTE COUNT OF 572. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $675,175,044 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $923,708,330 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,646,549,250 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| 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 | false | 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 | Yes (true) | 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 | 444 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 13171 | 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 | false | QuidProQuoContributionsInd |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | 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 | 3024282426 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 NEXUS DR STE NW3-117 | 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 (36 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JANICE E NEVIN MD | |||||||||
| PRESIDENT & CEO | 40.0 | 1.0 | Yes (X) | Yes (X) | $1,819,720 | $0 | $181,059 | ||
| KENNETH SILVERSTEIN MD | |||||||||
| EXECUTIVE VICE PRESIDENT | 40.0 | 1.0 | Yes (X) | $896,030 | $0 | $99,746 | |||
| GERARD J FULDA MD | |||||||||
| CHAIRMAN, DEPT OF SURGERY | 40.0 | 0.0 | $929,144 | $0 | $37,186 | Yes (X) | |||
| KIRK GARRATT MD | |||||||||
| MEDICAL DIRECTOR HVIS | 40.0 | 0.0 | $857,010 | $0 | $22,842 | Yes (X) | |||
| PAUL DAVIS MD | |||||||||
| CARDIAC SURGEON | 40.0 | 0.0 | $830,360 | $0 | $35,786 | Yes (X) | |||
| RAY BLACKWELL MD | |||||||||
| CHIEF, CARDIAC SURGERY | 40.0 | 0.0 | $819,141 | $0 | $37,186 | Yes (X) | |||
| RANDALL GABORIAULT | |||||||||
| CHIEF INFORMATION OFFICER | 40.0 | 0.0 | $754,505 | $0 | $89,287 | Yes (X) | |||
| NICHOLAS PETRELLI MD | |||||||||
| MEDICAL DIRECTOR, CANCER | 40.0 | 0.0 | $797,966 | $0 | $29,890 | Yes (X) | |||
| ROB MCMURRAY | |||||||||
| CFO, TREASURER & ASS'T SEC'Y | 40.0 | 1.0 | Yes (X) | $659,676 | $0 | $80,186 | |||
| FREDERIC T HARAD MD | |||||||||
| MEMBER | 40.0 | 1.0 | Yes (X) | $688,273 | $0 | $35,786 | |||
| NEIL JASANI MD | |||||||||
| CHIEF PEOPLE OFFICER | 40.0 | 0.0 | $631,901 | $0 | $80,589 | Yes (X) | |||
| JOSEPH BENNETT MD | |||||||||
| MEMBER | 40.0 | 1.0 | Yes (X) | $650,162 | $0 | $34,386 | |||
| RICHARD CUMING | |||||||||
| CHIEF NURSING EXECUTIVE | 40.0 | 1.0 | $609,697 | $0 | $70,302 | Yes (X) | |||
| JENNIFER L SCHWARTZ ESQ | |||||||||
| CORPORATE SECRETARY | 40.0 | 1.0 | Yes (X) | $564,895 | $0 | $71,886 | |||
| SHARON KURFUERST | |||||||||
| CHIEF OP. OFFICER - HEALTH SVC | 40.0 | 0.0 | $501,680 | $0 | $73,650 | Yes (X) | |||
| JAMES HOPKINS MD | |||||||||
| MEMBER THRU 11/2019 | 40.0 | 1.0 | Yes (X) | $511,595 | $0 | $29,840 | |||
| MICHAEL EPPEHIMER | |||||||||
| PRESIDENT, MEDICAL GROUP | 40.0 | 0.0 | $431,456 | $0 | $56,200 | Yes (X) | |||
| BETTY J CAFFO PHD | |||||||||
| MEMBER, VICE CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DONEENE DAMON ESQ | |||||||||
| MEMBER, CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TARA D ELLIOTT ESQ | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ERIC T JOHNSON MD | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL KANIEFSKI | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW M LUBIN | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| LOLITA A LOPEZ | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| NICHOLAS M MARSINI JR | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KATHLEEN F MCDONOUGH ESQ | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN M MURRAY II | |||||||||
| MEMBER THRU 11/2019 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| SKIP PENNELLA | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| THEODORE G PLUSH | |||||||||
| MEMBER THRU 11/2019 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PENELOPE T SARIDAKIS | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE FOUTRAKIS | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID B STRATTON ESQ | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PHYLLIS ADAMS | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK TURNER | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MEGAN GREENBERG ESQ | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RAYMOND W HAMM JR | |||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,953,211 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,065,807 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2193 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| SKANSKA USA BUILDING | |||||
| 518 EAST TOWNSHIP LINE RD | BLUE BELL | PA | 19422 | CONSTRUCTION SRVCS | $68,028,752 |
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 631959156 | SOFTWARE SERVICES | $33,726,601 |
| WHITING TURNER CONTRACTING | |||||
| PO BOX 17596 | BALTIMORE | MD | 21297 | CONSTRUCTION SRVCS | $14,308,293 |
| WAX COMPANY | |||||
| 261 NE 1ST STREET SUITE 600 | MIAMI | FL | 33132 | ADVERTISING SERVICES | $5,088,079 |
| CONSTRUCTION SERVICES GROUP LLC | |||||
| 1630 WEST CHESTER PIKE | WEST CHESTER | PA | 19382 | CONSTRUCTION SRVCS | $4,741,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 330 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $188,285 | FundraisingAmt |
| Related Organizations | $5,726,179 | RelatedOrganizationsAmt |
| Government Grants | $73,280,993 | GovernmentGrantsAmt |
| All Other Contributions | $1,539,658 | AllOtherContributionsAmt |
| Noncash Contributions | $347,341 | NoncashContributionsAmt |
| Total Contributions | $80,735,115 | 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 | $1,851,733,336 | $1,851,733,336 | ||
| OTHER REVENUES | 900099 | $33,473,708 | $18,203,322 | $5,076,292 | $10,194,094 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,885,207,044 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,323,222 | TotalRevenueColumnAmt |
| Exclusion | $36,323,222 | 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 | $2,025,551 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,025,551 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,025,551 | TotalRevenueColumnAmt |
| Exclusion | $2,025,551 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $518,876,176 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $447,978,876 | SecuritiesAmt |
| Other | $4,376,414 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $70,897,300 | SecuritiesAmt |
| Other | -$4,376,414 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,520,887 | TotalRevenueColumnAmt |
| Exclusion | $66,520,887 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $27,244 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $188,285 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,244 | TotalRevenueColumnAmt |
| Exclusion | $27,244 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $11,538 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,538 | TotalRevenueColumnAmt |
| Exclusion | $11,538 | ExclusionAmt |
| 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 | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| MAINTENANCE FEES | 531390 | $1,477,035 | $1,477,035 | |
| AFFILIATE REVENUE | 900099 | $9,854,316 | $9,854,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,331,351 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,082,181,952 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,879,790,974 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,076,292 | UnrelatedBusinessRevenueAmt |
| Exclusion | $116,579,571 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $12,858,684 | TotalAmt |
| Program Services | $10,700,372 | ProgramServicesAmt |
| Management And General | $2,158,312 | ManagementAndGeneralAmt |
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 | $961,323,479 | TotalAmt |
| Program Services | $799,966,667 | ProgramServicesAmt |
| Management And General | $161,356,812 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,064,586 | TotalAmt |
| Program Services | $55,807,888 | ProgramServicesAmt |
| Management And General | $11,256,698 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,557,789 | TotalAmt |
| Program Services | $123,622,570 | ProgramServicesAmt |
| Management And General | $24,935,219 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,149,658 | TotalAmt |
| Program Services | $55,046,530 | ProgramServicesAmt |
| Management And General | $11,103,128 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,944,054 | TotalAmt |
| Program Services | $2,105,255 | ProgramServicesAmt |
| Management And General | $838,799 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,032 | TotalAmt |
| Program Services | $368,293 | ProgramServicesAmt |
| Management And General | $146,739 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,460 | TotalAmt |
| Program Services | $164,799 | ProgramServicesAmt |
| Management And General | $65,661 | ManagementAndGeneralAmt |
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 | $5,662,278 | TotalAmt |
| Management And General | $5,662,278 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,475,344 | TotalAmt |
| Program Services | $11,066,220 | ProgramServicesAmt |
| Management And General | $4,409,124 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,065,337 | TotalAmt |
| Program Services | $5,052,332 | ProgramServicesAmt |
| Management And General | $2,013,005 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,454,861 | TotalAmt |
| Program Services | $6,045,963 | ProgramServicesAmt |
| Management And General | $2,408,898 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,734,455 | TotalAmt |
| Program Services | $39,854,995 | ProgramServicesAmt |
| Management And General | $15,879,460 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,643,983 | TotalAmt |
| Program Services | $11,186,812 | ProgramServicesAmt |
| Management And General | $4,457,171 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,829,206 | TotalAmt |
| Program Services | $2,023,129 | ProgramServicesAmt |
| Management And General | $806,077 | ManagementAndGeneralAmt |
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 | $4,794,478 | TotalAmt |
| Program Services | $3,428,470 | ProgramServicesAmt |
| Management And General | $1,366,008 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,463,784 | TotalAmt |
| Program Services | $4,622,169 | ProgramServicesAmt |
| Management And General | $1,841,615 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Management And General | $50,000 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,521,423 | TotalAmt |
| Program Services | $58,185,705 | ProgramServicesAmt |
| Management And General | $49,335,718 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,714,317 | TotalAmt |
| Program Services | $14,097,455 | ProgramServicesAmt |
| Management And General | $5,616,862 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $314,105,231 | $314,105,231 | |
| OTHER SUPPLIES AND SERVICES | $180,535,180 | $129,098,395 | $51,436,785 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,003,693,619 | TotalAmt |
| Program Services | $1,646,549,250 | ProgramServicesAmt |
| Management And General | $357,144,369 | 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 | $100,496,164 | BOYAmt |
| EOY | $456,095,574 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,510,758 | BOYAmt |
| EOY | $191,259,896 | 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 | $304,981,613 | BOYAmt |
| EOY | $261,604,063 | 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 | $32,314,006 | BOYAmt |
| EOY | $37,495,194 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,230,033 | BOYAmt |
| EOY | $22,701,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,483,102,820 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,389,539,250 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $900,474,884 | BOYAmt |
| EOY | $1,093,563,570 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,436,059,434 | BOYAmt |
| EOY | $1,374,617,289 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,790,024 | BOYAmt |
| EOY | $413,623,323 | 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 | $272,110,272 | BOYAmt |
| EOY | $327,647,426 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,539,982,993 | BOYAmt |
| EOY | $4,179,624,084 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,293,072 | BOYAmt |
| EOY | $326,959,055 | 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 | $240,452,898 | BOYAmt |
| EOY | $369,600,977 | 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 | $255,147,123 | BOYAmt |
| EOY | $601,598,473 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $794,893,093 | BOYAmt |
| EOY | $1,298,158,505 | 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 | $2,683,788,381 | BOYAmt |
| EOY | $2,820,861,635 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,301,519 | BOYAmt |
| EOY | $60,603,944 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,745,089,900 | BOYAmt |
| EOY | $2,881,465,579 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,539,982,993 | BOYAmt |
| EOY | $4,179,624,084 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $78,488,333 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $38,094,810 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $19,792,536 | 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 | $30,666,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,304,559 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,698,446 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,577,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,735,115 | CurrentTaxYearAmt |
| Total | $193,982,930 | 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 | $30,666,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,304,559 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,698,446 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,577,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,735,115 | CurrentTaxYearAmt |
| Total | $193,982,930 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $193,982,930 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,364,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,315,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,254,956 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,934,424 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,348,773 | CurrentTaxYearAmt |
| Total | $158,218,180 | 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 | $1,691,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,705,750 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,686,211 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,481,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,477,035 | CurrentTaxYearAmt |
| Total | $8,041,441 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $360,242,551 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,329,927,126 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.53848 | PublicSupportCY170Pct |
| Public Support PY170 | 0.51300 | 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) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $230,460 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $230,460 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $230,460 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $230,460 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $2,003,463,159 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $2,062,322,008 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $2,003,693,619 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $2,062,552,468 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $174,335 | CurrentYearMinus3Amt |
| Current Year Minus2 | $198,652 | CurrentYearMinus2Amt |
| Current Year Minus1 | $218,022 | CurrentYearMinus1Amt |
| Current Year | $230,460 | CurrentYearAmt |
| Total | $821,469 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $0 | CurrentYearMinus3Amt |
| Current Year Minus2 | $0 | CurrentYearMinus2Amt |
| Current Year Minus1 | $0 | CurrentYearMinus1Amt |
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
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 | $67,336,850 | BeginningYearBalanceAmt |
| Contributions | $1,520,182 | ContributionsAmt |
| Investment Earnings Or Losses | $2,545,562 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,170,111 | OtherExpendituresAmt |
| End Year Balance | $62,232,483 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $69,132,135 | BeginningYearBalanceAmt |
| Contributions | $518,673 | ContributionsAmt |
| Investment Earnings Or Losses | $1,845,561 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,159,519 | OtherExpendituresAmt |
| End Year Balance | $67,336,850 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $102,737,030 | BeginningYearBalanceAmt |
| Contributions | $1,197,900 | ContributionsAmt |
| Investment Earnings Or Losses | $7,177,549 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $41,980,344 | OtherExpendituresAmt |
| End Year Balance | $69,132,135 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $84,884,618 | BeginningYearBalanceAmt |
| Contributions | $11,443,636 | ContributionsAmt |
| Investment Earnings Or Losses | $6,597,077 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $188,301 | OtherExpendituresAmt |
| End Year Balance | $102,737,030 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $71,078,532 | BeginningYearBalanceAmt |
| Contributions | $15,000,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$278,006 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $915,908 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $84,884,618 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.44490 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.36750 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.18760 | 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 | $39,541,766 | OtherCostOrOtherBasisAmt |
| Book Value | $39,541,766 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,589,383,854 | OtherCostOrOtherBasisAmt |
| Depreciation | $779,957,247 | DepreciationAmt |
| Book Value | $809,426,607 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,972,160 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,373,848 | DepreciationAmt |
| Book Value | $3,598,312 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $808,128,360 | OtherCostOrOtherBasisAmt |
| Depreciation | $577,724,973 | DepreciationAmt |
| Book Value | $230,403,387 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,076,680 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,483,182 | DepreciationAmt |
| Book Value | $10,593,498 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,093,563,570 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER SECURITIES | Desc |
| Book Value | $413,623,323 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $413,623,323 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CONSTRUCTION IN PROGRESS | $77,060,721 |
| DUE FROM AFFILIATES | $20,737,575 |
| OTHER ASSETS | $34,239,083 |
| OTHER RECEIVABLES | $49,867,495 |
| ASSETS LIMITED TO USE | $49,854,384 |
| SUBSIDIARY INVESTMENT | $95,888,168 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $327,647,426 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION AND POST RETIREMENT BENEFIT | $188,481,797 |
| INSURANCE LIABILITIES | $18,854,704 |
| OTHER LIABILITIES | $155,885,216 |
| ADVANCES FROM THIRD PARTY PAYORS (MEDICARE ADVANCE) | $238,376,756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $601,598,473 | 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 THREE 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 MAINTANCE, 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 |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $113,168,542 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $113,168,542 | SubtotalSpentAmt |
| Total Spent | $113,168,542 | 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 | CELEB OF HOPE | Event1Nm |
| Gross Receipts Event1 | $116,147 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $88,903 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $27,244 | GrossRevenueEvent1Amt |
| Event2 | GOLF CLASSIC | Event2Nm |
| Gross Receipts Event2 | $99,382 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $99,382 | CharitableContriEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $0 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $0 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $215,529 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $188,285 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $27,244 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $27,244 | 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 THE EXPENSES ASSOCIATED WITH THE CELEBRATION OF HOPE FUNDRAISING EVENT WERE RECORDED DIRECTLY BY A RELATED PARTY. THE GOLF CLASSIC WAS A VIRTUAL EVENT. | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| 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 | $21,600,914 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,600,914 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $260,246,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $235,412,577 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,834,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $281,847,495 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $235,412,577 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,434,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 58 | ActivitiesOrProgramsCnt |
| Persons Served | 52893 | PersonsServedCnt |
| Total Community Benefit Expns | $11,011,894 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,749,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,261,937 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 45 | PersonsServedCnt |
| Total Community Benefit Expns | $69,878,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,509,330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,369,484 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $16,708,413 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,599,378 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,109,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,303,141 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,303,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 72 | ActivitiesOrProgramsCnt |
| Persons Served | 52938 | PersonsServedCnt |
| Total Community Benefit Expns | $99,902,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,858,665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,043,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 72 | ActivitiesOrProgramsCnt |
| Persons Served | 52938 | PersonsServedCnt |
| Total Community Benefit Expns | $381,749,760 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $264,271,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $117,478,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05860 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $711,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $711,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $322,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $322,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $166,496 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $166,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $86,110 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $100,625 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,625 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,386,951 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,386,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $64,870,940 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,118,875 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $467,999,433 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $578,864,555 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$110,865,122 | 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 | 18 | 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 | 19 | 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 | 200. | 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 |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B LINE 5 (INPUT FROM COMMUNITY) | CHRISTIANACARE WAS COMMITTED TO LEARNING FROM THE COMMUNITIES WE SERVE DURING THE PROCESS OF COMPLETING THE NEEDS ASSESSMENT. WE DID NOT CONSIDER THIS ASSESSMENT JUST A REQUIREMENT TO BE COMPLETED, BUT A NECESSARY CHECK TO ENSURE WE WERE LISTENING TO AND UNDERSTANDING OUR COMMUNITIES. CHRISTIANACARE HELD A SERIES OF COMMUNITY MEETINGS: FOUR MEETINGS OF 98 COMMUNITY STAKEHOLDERS; SIX MEETINGS OF 53 LOCAL TEENAGERS; AND TWO INTERNAL MEETINGS OF 13 CHRISTIANACARE STAFF MEMBERS TO INFORM THE NEEDS ASSESSMENT. THE COMMUNITY STAKEHOLDERS REPRESENTED LOCAL HEALTH DEPARTMENTS, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESSES, HEALTH CARE PROVIDERS, LOCAL POLICYMAKERS, PARKS AND RECREATION DEPARTMENTS, AND SCHOOL SYSTEMS; THE CHRISTIANACARE STAFF MEMBERS WERE THOSE WHO WORKED DIRECTLY WITH PATIENTS; AND THE TEENAGERS REPRESENTED SEVERAL AREAS ACROSS NEW CASTLE COUNTY, INCLUDING NEWARK, NEW CASTLE, WILMINGTON AND CLAYMONT. CHRISTIANACARE WAS PURPOSEFUL IN THE INCLUSION OF A BROAD ARRAY OF COMMUNITY VOICES AT THESE MEETINGS TO ENSURE A DIVERSITY OF VIEWPOINTS. THESE MEETINGS ALL BEGAN WITH A PRESENTATION OF PRELIMINARY SECONDARY COMMUNITY HEALTH DATA. PARTICIPANTS THEN WERE ASKED (A) TO IDENTIFY COMMUNITY HEALTH ISSUES THAT MAY NOT HAVE BEEN WELL MEASURED BY SECONDARY DATA AND (B) THROUGH A VOTING PROCESS, TO IDENTIFY WHICH NEEDS THEY BELIEVED WERE MOST SIGNIFICANT IN NEW CASTLE COUNTY. IN ADDITION TO THE ABOVE MEETINGS, AN INTERVIEW WAS CONDUCTED WITH AN ASSOCIATE DEPUTY DIRECTOR WITHIN THE DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES. DURING THAT INTERVIEW, SECONDARY DATA FINDINGS AND SIGNIFICANT NEEDS WERE ALSO DISCUSSED TO GET THE ASSOCIATE DEPUTY DIRECTOR'S PERSPECTIVE. CHRISTIANACARE CONTRACTED WITH VERIT HEALTHCARE CONSULTING, LLC (VERIT) TO COMPLETE ITS 2019 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, CHRISTIANA AND WILMINGTON HOSPITALS, JOINTLY CONDUCTED THEIR CHNA. -------------------- PART V, SECTION B, LINE 7 & 10 (CHNA & IMP. STRATEGY PUBLIC AVAILABILITY) CHRISTIANACARE'S CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/ CHRISTIANACARE'S CHNA IS ALSO AVAILABLE IN PAPER COPY TO THE PUBLIC UPON REQUEST. CHRISTIANACARE'S COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WAS ADOPTED ON OR BEFORE THE 15TH DAY OF THE 5TH MONTH AFTER JUNE 30, 2019, AS ALLOWED UNDER THE IRS SECTION 501(R) REGULATIONS. CHRISTIANACARE'S CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/ A PAPER COPY OF THE CHIP IS ALSO AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST. -------------------- |
| PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA) | IN THE MOST RECENT CHNA, FINALIZED IN JUNE 2019, CHRISTIANACARE IDENTIFIED THE COMMUNITY'S MOST SIGNIFICANT NEEDS AS: 1. SOCIAL DETERMINANTS OF HEALTH INCLUDING POVERTY, FOOD INSECURITY, HOUSING, AFFORDABILITY OF CARE, EDUCATION, AND EMPLOYMENT/JOB SECURITY 2. MENTAL HEALTH AND SUBSTANCE USE DISORDER 3. VIOLENCE AND PUBLIC SAFETY 4. MATERNAL AND CHILD HEALTH ESPECIALLY INFANT MORTALITY 5. ACCESS TO DENTAL AND PRIMARY CARE ALL BUT ACCESS TO DENTAL AND PRIMARY CARE WERE ALSO IDENTIFIED AS SIGNIFICANT HEALTH NEEDS IN THE 2016 CHNA. POVERTY, VIOLENCE, AND INFANT MORTALITY ARE INTRACTABLE ISSUES AND NOT ONES THAT WE CAN EXPECT TO TURN AROUND IN A FEW YEARS. IN THE 2016 CHNA, CHRISTIANACARE ALSO IDENTIFIED TRANSPORTATION, HOUSING, AND EMPLOYMENT AS SIGNIFICANT NEEDS, BUT DETERMINED THAT IT WAS NOT ABLE TO ADDRESS THESE NEEDS AT THAT TIME GIVEN A LACK OF EXPERTISE AND INFRASTRUCTURE. CHRISTIANACARE CONTINUES TO ACKNOWLEDGE THAT ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS OUTSIDE OF OUR EXPERTISE, BUT WE HAVE ADVANCED OUR ORGANIZATIONAL CAPACITY TO SUPPORT A SOCIAL CARE FRAMEWORK AND WE ARE NOW WORKING TO ADDRESS THESE ISSUES. IN FY 2019, CHRISTIANACARES OFFICE OF HEALTH EQUITY DESIGNED THE COMMUNITY INVESTMENT FUND IN PARTNERSHIP WITH CHRISTIANACARES FINANCE DEPARTMENT. IN THIS FISCAL YEAR, NEARLY $2,000,000 IN COMMUNITY INVESTMENT FUNDING WAS GIVEN TO 32 COMMUNITY ORGANIZATIONS ACROSS THE STATE. AS WE STATED IN OUR 2019-2022 IMPLEMENTATION PLAN, PARTNERSHIPS ARE FUNDAMENTAL TO POSITIVELY IMPACT OUR COMMUNITY AND IN THIS FISCAL YEAR, WE DEMONSTRATED OUR COMMITMENT TO THIS BELIEF. ALONG WITH THE COMMUNITY INVESTMENT FUNDING AND OTHER LONGSTANDING COMMUNITY PARTNERSHIPS, WE CONTINUED TO SUPPORT UNITE DELAWARE, A CARE-COORDINATION NETWORK THAT CONNECTS SOCIAL SERVICES AND CLINICAL CARE PROVIDERS ACROSS THE STATE, WE PARTNERED WITH ROUNDTRIP HEALTH TO ADDRESS TRANSPORTATION BARRIERS, AND WE BEGAN WORKING DIRECTLY WITH HOUSING PROVIDERS IN THE COUNTY TO SUPPORT NEW HOUSING INITIATIVES. DURING THIS FISCAL YEAR, WE WERE ALSO PLEASED TO PARTNER WITH THE STATES DEPARTMENT OF CORRECTIONS (DOC) TO SHARE OUR CLINICAL EXPERTISE. THE DOC, THROUGH ITS BUREAU OF CORRECTIONAL HEALTHCARE SERVICES, IS RESPONSIBLE FOR CONTRACTING MEDICAL AND BEHAVIORAL HEALTH SERVICES IN ALL ITS FACILITIES AND BEHAVIORAL HEALTH SERVICES PROVIDED TO INDIVIDUALS ON PROBATION AFTER THEIR RELEASE FROM INCARCERATION. THE DOC INITIATED AN INDEPENDENT REVIEW OF THOSE SERVICES TO OBTAIN RECOMMENDATIONS TO STRENGTHEN CLINICAL QUALITY, PATIENT SAFETY, AND DATA MANAGEMENT PRACTICES. GIVEN CHRISTIANACARES NATIONALLY RECOGNIZED CLINICAL QUALITY AND SAFETY EXPERTISE, AS WELL AS OUR DESIRE TO SERVE OUR NEIGHBORS, WE UNDERTOOK THIS REVIEW AT NO COST TO THE STATE. THE REVIEW BEGAN IN SEPTEMBER AND CONCLUDED AFTER SIX WEEKS. ON DECEMBER 5TH, CHRISTIANACARE SUBMITTED A WRITTEN REPORT TO THE DOC PROVIDING RECOMMENDATIONS ON OPPORTUNITIES TO ENHANCE CLINICAL QUALITY AND SAFETY BY ADOPTING BEST PRACTICES REGARDING WORKFLOW MANAGEMENT, DATA AND ANALYTICS MANAGEMENT AND SUPPORT. A DIVERSITY OF CHRISTIANACARE CAREGIVERS SPENT NEARLY 700 HOURS (AT A COST OF APPROXIMATELY $80,000) LEARNING ABOUT AND OBSERVING THE OPERATIONS OF THE BUREAU OF HEALTHCARE SERVICES TO THEN COMPILE WRITTEN RECOMMENDATIONS. THE REPORT IN ITS ENTIRETY CAN BE FOUND HERE: https://doc.delaware.gov/assets/documents/DOC_Healthcare_Quality_and_Safet y_Review_Report.pdf. THE CORONAVIRUS PANDEMIC DID NOT AFFECT OUR OPERATIONS UNTIL MARCH 2020, WHEN ONLY A QUARTER OF THE FISCAL YEAR REMAINED. NEVERTHELESS, WE ACTED QUICKLY TO RESPOND TO THE PANDEMIC WITHIN FY 2020. CHRISTIANACARE COLLABORATED WITH THE LATIN AMERICAN COMMUNITY CENTER (LACC) AND KINGSWOOD COMMUNITY CENTER TO OFFER COVID-19 TESTING WHICH CONTINUES TO THIS DAY. TESTING IS OFFERED AT BOTH LOCATIONS TWO DAYS A WEEK AT SET TIMES. BOTH COMMUNITY CENTERS ARE CENTRALLY LOCATED IN WILMINGTON AND SERVE UNDERSERVED MINORITY COMMUNITIES. CHRISTIANACARE CLINICAL AND COMMUNITY HEALTH TEAMS ARE ONSITE TO NOT ONLY TEST, BUT TO ALSO HELP SET UP APPOINTMENTS AND CONNECT THOSE BEING TESTED WITH KEY SOCIAL SERVICES. FOR THOSE TESTING POSITIVE, CONTINUED MONITORING IS OFFERED IN THEIR PREFERRED LANGUAGE. THESE TESTING LOCATIONS HAVE ALLOWED CHRISTIANACARE TO BRING CRITICAL CARE TO THE COMMUNITY TO SUPPORT THE POPULATION HEALTH FOCUSED GOALS OF KEEPING PEOPLE OUT OF THE HOSPITAL AND IN THEIR HOMES AND COMMUNITY. BETWEEN APRIL 15TH AND JUNE 29TH, 268 ADULTS WERE SEEN WITH 249 TESTED AT THE LACC. DURING THE MONTH OF JUNE, 11 JUVENILES WERE ALSO TESTED. BETWEEN APRIL 23RD AND JUNE 30TH, 264 ADULTS WERE SEEN WITH 223 TESTED AT THE KINGSWOOD COMMUNITY CENTER. AN ADDITIONAL 4 JUVENILES WERE TESTED AT THE KINGSWOOD COMMUNITY CENTER IN JUNE. BETWEEN MARCH 13TH AND JUNE 3RD, CHRISTIANACARE ALSO ORGANIZED AND CARRIED OUT 16 MOBILE TESTING EVENTS AT AN UNREIMBURSED COST OF JUST OVER $500,000. THESE EVENTS WERE HELD THROUGHOUT NEW CASTLE COUNTY AND ONE TESTING EVENT WAS ALSO HELD IN NEIGHBORING CECIL COUNTY, MARYLAND. AT A TIME WHEN TESTING WAS DIFFICULT TO OBTAIN, 3,526 INDIVIDUALS WERE ABLE TO BE TESTED AT THESE EVENTS. CHRISTIANACARE ENDED ITS MOBILE TESTING INITIATIVE ONCE THE STATE AND COUNTY WERE ABLE TO PROVIDE TESTING WITHIN OUR COMMUNITIES. AN EXAMPLE OF THE COMPREHENSIVE AND INCLUSIVE EFFORTS CHRISTIANACARE UNDERTOOK TO ADDRESS THE PANDEMIC WITHIN COMMUNITIES CAN BE FOUND WITHIN OUR LANGUAGE SERVICES DEPARTMENT. THE LANGUAGE SERVICES TEAM RESTRUCTURED TO PROVIDE REMOTE LANGUAGE INTERPRETING THROUGH A VIRTUAL CALL CENTER AND IMPLEMENTED SEVERAL INITIATIVES TO ENSURE INDIVIDUALS WOULD CONTINUE TO HAVE ACCESS TO INTERPRETATION. THESE INITIATIVES INCLUDED: - RE-DEPLOYMENT OF IPADS FROM LOCATIONS WITH LOW VOLUME TO HIGH ACUITY AREAS - IMPLEMENTATION OF WORKFLOWS TO PROVIDE VIDEO REMOTE INTERPRETATION (VRI) FOR ZOOM AND CERNER TELEHEALTH VISITS. - IMPLEMENTATION OF APP THAT CAN BE USED BY CLINICAL STAFF ON THEIR OWN IPHONES TO ACCESS VRI. - DEVELOPING REMOTE SERVICES FOR COMMUNITY SCREENING EVENTS THROUGH CELLULAR DEVICES WORN ON CAREGIVER ARMS. LANGUAGE SERVICES STAFF WERE ABLE TO PROVIDE REMOTE SERVICES FOR ON-SITE TESTING THROUGHOUT THE STATE WITH VRI. LANGUAGE SERVICES ALSO PROVIDED THE TRANSLATION FOR THE TWISTLE PLATFORM INTO SPANISH. TWISTLE IS A BI-DIRECTIONAL TEXTING APPLICATION THAT IS USED BY CHRISTIANACARES CAREVIO TO PROVIDE MONITORING FOR PATIENTS WHO HAVE RECEIVED A POSITIVE TEST FOR COVID-19. FINALLY, THE OFFICE OF HEALTH EQUITY AND LANGUAGE SERVICES COLLABORATED TO CREATE COVID-19 EDUCATION MATERIALS FOR SPECIAL POPULATIONS SUCH AS THE SPANISH SPEAKING POPULATION, LGBTQ POPULATION, AND THE DEAF COMMUNITY. A PARTNERSHIP WAS DEVELOPED WITH CHRISTIANACARES EXTERNAL AFFAIRS TO HAVE ALL EDUCATION MATERIALS TRANSLATED AND AVAILABLE IN SPANISH AND TO A LESSER EXTENT, MANDARIN. VIDEOS FROM INFECTION PREVENTION AND DR. JANICE NEVIN, PRESIDENT AND CEO, HAVE ALSO BEEN DUBBED. CHRISTIANACARE ALSO CREATED COVID-SPECIFIC EDUCATION IN RESPONSE TO THE PANDEMIC, INCLUDING: - COVID-19 INFORMATION, CONNECTION TO RESOURCES AND INFORMATION ON TESTING FOR STATEWIDE STAFF FROM HELP INITIATIVE, INC., A LOCAL COMMUNITY-BASED ORGANIZATION. THIS EDUCATION WAS CREATED IN COLLABORATION WITH NURSING EDUCATION. - THE COMMUNITY HEALTH DEPARTMENT HOSTED SEVERAL EDUCATIONAL SESSIONS FOR TEENS FROM THE WAREHOUSE, A TEEN-LED CO-WORKING AND SERVICE DELIVERY SPACE, WITH SESSIONS FOCUSED ON COVID-19 AND MENTAL HEALTH. - THE COMMUNITY HEALTH DEPARTMENT ALSO HOSTED REPRODUCTIVE HEALTH EDUCATION FOR THE 2020 PUBLIC ALLIES CLASS, WITH SPECIAL FOCUS ON COVID-19 AS A CONSIDERATION FOR REDUCING RISK FOR THOSE WHO REMAIN SEXUALLY ACTIVE. - THE COMMUNITY HEALTH DEPARTMENT ALSO SUPPORTED COLLEAGUES FROM THE OFFICE OF HEALTH EQUITY AND THE VALUE INSTITUTE TO PROVIDE EDUCATION FOR AND SUPPLIES TO AREA BARBER SHOPS AND BEAUTY SALONS. THE EDUCATION WAS FOCUSED ON HEALTH MESSAGING AND HOW TO MAINTAIN CLEANLINESS IN SHOPS AS THEY REOPEN. THE OFFICE OF HEALTH EQUITY AND THE VALUE INSTITUTE ALSO PROVIDED COVID-19 EDUCATION AND MENTAL HEALTH SUPPORTS FOR THE FAITH-BASED COMMUNITIES IN NEW CASTLE COUNTY. CHRISTIANACARE PHYSICIAN LEADERS LED AN INTERACTIVE SESSION WITH 61 AREA PASTORS AND MINISTERIAL STAFF ON COVID-19 BASICS AND TIPS TO LEAD CONGREGATIONS TO BETTER HEALTH OUTCOMES, WITH A FOCUS ON THE AFRICAN AMERICAN COMMUNITY. STARTING IN JUNE 2020, OFFICE OF HEALTH EQUITY PARTNERED WITH DR. RAYVANN KEE TO PROVIDE FOUR CLASSES FOR A MODULE ENTITLED "SUPPORTING MENTAL HEALTH THROUGH FAITH" IN WHICH HE DELIVERED CONTENT TO FAITH LEADERS AND THEIR STAFF ON (1) ADDRESSING THE STIGMA OF MENTAL HEALTH TREATMENT IN THE CHURCH, (2) SELF-CARE FOR FAITH LEADERS INCLUDING RECOGNIZING SIGNS WHEN ITS TIME TO GET HELP, (3) MANIFESTATIONS OF MENTAL ILLNESS AND STRATEGIES TO ADDRESS MENTAL ILLNESS AMONG PARISHIONERS, AND (4) ADDRESSING CRISIS SITUATIONS INCLUDING SUICIDALITY AND REPORTABLE ABUSE. IN APRIL 2020, CHRISTIANACARE ALSO RECEIVED A $714,000 G |
| 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 200% WILL ONLY 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/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL -ASSISTANCE/ -------------------- |
| 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 200% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES. -------------------- |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C (DES. OF ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE) | CHRISTIANA CARE HEALTH SERVICES, INC.("CHRISTIANACARE") HAS A SELF PAY DISCOUNT PERCENTAGE OF 15% THAT IS APPLIED TO ALL UNINSURED PATIENTS' ACCOUNTS, REGARDLESS OF THE PERSON'S ABILITY TO PAY. THIS DISCOUNT PERCENTAGE IS COMPARABLE TO THAT WHICH IS EXTENDED TO OUR MANAGED CARE COMPANIES. -------------------- PART I, LINE 6A (COMMUNITY BENEFIT ANNUAL REPORT INFORMATION) CHRISTIANACARE HEALTH PREPARED A COMMUNITY HEALTH NEEDS ASSESSMENT AND A COMMUNITY HEALTH IMPLEMENTATION PLAN DURING THE FY2019 TAX YEAR. BOTH DOCUMENTS ARE AVAILABLE AT THE FOLLOWING LINK ON THE CCHS WEBSITE: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/ -------------------- PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. AS A RESULT, THERE ARE NO BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX THAT NEED TO BE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES LISTED. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. -------------------- |
| PART III, SECTION A, LINE 2 (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 200% OF THE FEDERAL POVERTY LEVEL AND IT IS BASED ON THE NUMBER OF DEPENDENTS IN THE HOUSEHOLD. THE FINANCIAL ASSISTANCE POLICY FURTHER EXPLAINS THAT ANY UNINSURED PATIENT WHO FAILS TO QUALIFY FOR FINANCIAL ASSISTANCE WOULD BE GRANTED A 15% SELF PAY DISCOUNT. IT ALSO REVEALS A PATIENT'S ABILITY TO ESTABLISH INTEREST-FREE MONTHLY PAYMENT ARRANGEMENTS FOR ANY OUTSTANDING BALANCE THAT IS NOT COVERED BY A THIRD PARTY PAYER. AS PART OF THE SELF PAY DUNNING PROCESS, CHRISTIANA CARE MAKES UNINSURED PATIENTS AWARE OF THE FINANCIAL ASSISTANCE PROGRAM WITH THE RELEASE OF OUR FIRST STATEMENT. 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) | AT CHRISTIANACARE, WE ABIDE BY THE CHRISTIANACARE WAY: WE SERVE OUR NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. CHRISTIANACARE IS GUIDED BY ITS COMMITMENT TO PARTNERING WITH OUR NEIGHBORS TO BETTER UNDERSTAND THEIR NEEDS AND GOALS FOR HEALTH. UNDERTAKING THE 2019 CHNA WAS NOT SIMPLY AN IRS REQUIREMENT FOR US, BUT AN OPPORTUNITY TO LISTEN TO OUR NEIGHBORS. OUR NEIGHBORS ARE IN THE BEST POSITION TO TELL US WHAT THEIR HEALTH NEEDS ARE AND HOW WE CAN ASSIST THEM IN MEETING THOSE NEEDS. OUR IMPLEMENTATION PLAN WAS BUILT UPON THIS FOUNDATION. OUR ACTIONS MUST BE DIRECTED BY THE NEEDS OF THE COMMUNITY AND WHAT THEY WANT AS OPPOSED TO WHAT WE THINK THEY NEED OR WANT. LISTENING TO OUR NEIGHBORS AND PARTNERING WITH THEM TO ADDRESS THEIR CHALLENGES ARE STRATEGIES THAT CHRISTIANACARE WILL ALWAYS EMPLOY. THESE UNDERPIN ALL SUCCESSFUL INTERVENTIONS TO IMPROVE HEALTH, AND OUR WORK AND PARTNERSHIPS IN 2020 HAVE DEMONSTRATED THIS COMMITMENT. OUR COMMUNITY INVESTMENT FUND PROVIDED NEARLY $2,000,000 TO 32 COMMUNITY ORGANIZATIONS THAT DEVISED THEIR OWN PLANS TO ADDRESS AREAS OF NEED IN THEIR COMMUNITIES. WE DID NOT DICTATE WHAT THEY SHOULD DO BECAUSE THEY KNOW THEIR COMMUNITY BEST, AND OUR ROLE IS TO PROVIDE THEM WITH THE SUPPORT AND PARTNERSHIP HELPFUL TO MEET THEIR COMMUNITY GOALS AND IMPROVE THE HEALTH OF THE COMMUNITY. CHRISTIANACARES GREATER WILMINGTON COMMUNITY PARTNERSHIP, THE WILMINGTON CONSORTIUM, AND THE COMMUNITY ENGAGEMENT ADVISORY COUNCIL WERE FORMED TO HAVE DIRECT CONTACT WITH COMMUNITY LEADERS AND STAKEHOLDERS TO GAIN PERSPECTIVE AND GUIDANCE FROM THEM REGARDING OUR COMMUNITIES NEEDS. CHRISTIANACARE ALSO COLLABORATES WITH PARTNERS TO BETTER UNDERSTAND AND ADDRESS PRESSING HEALTH CONCERNS IN OUR STATE. AS DESCRIBED IN THE PREVIOUS SECTION, CHRISTIANACARE PARTICIPATES IN THE FETAL INFANT MORTALITY REVIEW AND THE DELAWARE HEALTHY MOTHER AND INFANT CONSORTIUM TO DECREASE THE INFANT MORTALITY RATE. CHRISTIANACARES CHIEF HEALTH EQUITY OFFICER IS THE CO-CHAIR OF THE RIVERSIDE HEALTH, WELLNESS, AND SAFETY COMMITTEE, AND CHRISTIANACARES VICE PRESIDENT OF COMMUNITY HEALTH AND ENGAGEMENT ALSO CO-CHAIRS THE DRUG OVERDOSE FATALITY REVIEW COMMISSION. AS DELAWARE CONTINUES TO LEAD THE NATION IN OVERDOSE DEATHS, THIS IS OF PARTICULAR IMPORTANCE. THIS FISCAL YEAR, AS DESCRIBED PREVIOUSLY, CHRISTIANACARE HAS ALSO TAKEN THE INNOVATIVE APPROACH TO PARTNER DIRECTLY WITH OUR COUNTY POLICE DEPARTMENT TO DIVERT INDIVIDUALS IN OUR COMMUNITIES SUFFERING FROM BEHAVIORAL HEALTH ISSUES FROM THE CRIMINAL JUSTICE SYSTEM AND INTO THE APPROPRIATE TREATMENT. MEMBERS OF THE TRAUMA TEAM ALSO PARTICIPATE IN THE DELAWARE COALITION FOR INJURY PREVENTION, SAFE KIDS DELAWARE, AND SAFE KIDS NEW CASTLE COUNTY TO CREATE PARTNERSHIPS AND INITIATIVES TO PREVENT INJURY AND UNDERSTAND THE NEEDS STATEWIDE. CHRISTIANACARE ALSO CREATED THE SCHOOL-BASED HEALTH CENTER COMMUNITY ADVISORY BOARD (SBHC CAB) TO PROVIDE GUIDANCE AND INPUT ON INCREASING THE VALUE AND REACH OF CHRISTIANA CARES SBHC, WHILE ALSO BUILDING AWARENESS TO THE VARIETY OF SERVICES EACH CENTER PROVIDES FOR ADOLESCENTS IN A HIGH SCHOOL SETTING. BECAUSE SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE IDENTIFIED AS AN AREA OF NEED IN OUR 2016 AND 2019 CHNAS, WE ARE UNDERTAKING MANY INITIATIVES, DESCRIBED IN THE PREVIOUS SECTION, TO ADDRESS THEM. WE ALSO RECOGNIZE THAT TO IMPROVE PATIENT HEALTH THERE IS A NEED TO IDENTIFY AND ADDRESS INDIVIDUAL PATIENTS SDOH. ADDRESSING PATIENTS SOCIAL NEEDS IN ADDITION TO PROVIDING CLINICAL CARE HAS BECOME A MAJOR PUBLIC HEALTH INITIATIVE AND IS A KEY COMPONENT OF OUR WORK AT CHRISTIANACARE TO CREATE AN INTEGRATED CLINICAL AND SOCIAL CARE FRAMEWORK. CHRISTIANACARE DEVELOPED ITS SYSTEMWIDE STANDARDIZED SDOH SCREENING TOOL THAT IS BEING UNIVERSALLY IMPLEMENTED THROUGHOUT CHRISTIANACARE. AS USE OF THE SCREENING TOOL IS EXPANDING, CHRISTIANACARE INTERNAL ACCESS TO UNITE DELAWARE IS ALSO INCREASING. THESE ARE TWO VITALLY CONNECTED INITIATIVES BECAUSE WE FEEL STRONGLY THAT IF A PATIENT DISCLOSES A NEED, EVEN IF OUTSIDE OF THE REALM OF HEALTHCARE, WE MUST BE PREPARED TO HELP THEM ADDRESS IT. UNITE DELAWARE ALLOWS US TO DO EXACTLY THAT THROUGH SOCIAL SERVICE REFERRALS TO A PLATFORM OF COMMUNITY-BASED ORGANIZATIONS. THESE ARE JUST SOME OF THE PARTNERSHIPS AND INITIATIVES CHRISTIANACARE HAS UNDERTAKEN TO LEARN FROM ITS COMMUNITY ABOUT ITS NEEDS. LISTENING TO OUR NEIGHBORS WILL BE AN ONGOING PRIVILEGE. -------------------- |
| PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE) | CHRISTIANACARE FULFILLS ITS MISSION OF SERVING ITS NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH REGARDLESS OF A PATIENTS ABILITY TO PAY. CHRISTIANACARES FINANCIAL ASSISTANCE POLICY IS DESIGNED TO PROVIDE RELIEF TO INDIVIDUALS IMPACTED BY THE HIGH COST OF HEALTHCARE. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON CHRISTIANACARES WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL -ASSISTANCE, AND IN PAMPHLETS THROUGHOUT CHRISTIANACARE FACILITIES, INCLUDING CHRISTIANACARES OUTPATIENT PRACTICES. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE IN SPANISH, CANTONESE, AND MANDARIN WHICH ARE THE LANGUAGES MOST SPOKEN IN CHRISTIANACARES SERVICE AREA BESIDES ENGLISH. TRANSLATION ASSISTANCE TO COMPLETE THE NECESSARY FORMS IS AVAILABLE FOR ANYONE NOT PROFICIENT IN READING, WRITING, OR SPEAKING ENGLISH. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IS ALSO AVAILABLE ON OUR WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM. CHRISTIANACARES FINANCIAL ASSISTANCE POLICY APPLIES TO ALL MEDICALLY NECESSARY SERVICES, INCLUDING THE HOSPITAL INPATIENT, OUTPATIENT, AND EMERGENCY DEPARTMENT SERVICES THAT ARE BILLED BY CHRISTIANACARE, AS WELL AS ALL SERVICES RENDERED BY CHRISTIANACARE PHYSICIANS INCLUDING DENTAL SERVICES THAT REQUIRE HOSPITALIZATION. MEDICALLY NECESSARY SERVICES ARE PROVIDED AT NO CHARGE TO INDIVIDUALS WHOSE HOUSEHOLD INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL AND WHO MEET OTHER FINANCIAL ASSISTANCE PROGRAM REQUIREMENTS FOR ELIGIBILITY. UNINSURED INDIVIDUALS WITH A HOUSEHOLD INCOME GREATER THAN 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR A STANDARD DISCOUNT OF 15%. IF AN INDIVIDUAL NEEDS ASSISTANCE IN OBTAINING FINANCIAL ASSISTANCE, BESIDES PATIENT FINANCIAL SERVICES REPRESENTATIVES, THE HEALTH GUIDES ARE ALSO AVAILABLE TO PROVIDE INFORMATION AND ASSIST. -------------------- |
| PART VI, LINE 4 (COMMUNITY INFORMATION) | WHILE CHRISTIANACARE PROVIDES SERVICES IN FOUR STATES, NEARLY 80% OF WILMINGTON AND CHRISTIANA HOSPITAL DISCHARGES ARE TO NEW CASTLE COUNTY, DELAWARE, AND SO WE CONSIDER THE CHRISTIANACARE COMMUNITY TO BE PRIMARILY NEW CASTLE COUNTY. THE POPULATION OF NEW CASTLE COUNTY REPRESENTS CONSIDERABLE VARIATION IN SOCIOECONOMIC STATUS. FOR EXAMPLE, THE POVERTY RATE IN ZIP CODE 19801 (WHERE WILMINGTON HOSPITAL IS LOCATED) IS APPROXIMATELY 37% AND THE POVERTY RATE IN ZIP CODE 19701 IS UNDER 5%. BECAUSE OF THAT VARIATION, THE 2019 CHNA ASSESSED COMMUNITY HEALTH NEEDS IN TWO GEOGRAPHIC AREAS: "COMMUNITY 1" (ZIP CODES 19801, 19802, 19804, 19805, AND 19720) AND "COMMUNITY 2" (ALL OTHER ZIP CODES). THE DISTINCTION WAS MADE BETWEEN THESE TWO COMMUNITIES TO ENSURE THAT THE BARRIERS TO HEALTH FACED BY COMMUNITY 1 WOULD NOT BE OVERLOOKED WHEN CONSIDERING NEW CASTLE COUNTY AS A WHOLE. THE TOTAL POPULATION OF NEW CASTLE COUNTY IN 2018 WAS APPROXIMATELY 556,000 PERSONS, WITH COMMUNITY 1 COMPRISED OF APPROXIMATELY 162,000 PERSONS, AND COMMUNITY 2 COMPRISED OF 394,000 PERSONS. THE COUNTYS POPULATION IS EXPECTED TO GROW 3.4 PERCENT FROM 2018 TO 2023; EVERY ZIP CODE IN NEW CASTLE COUNTY IS PROJECTED TO INCREASE IN POPULATION. THE POPULATION 65 YEARS OF AGE AND OLDER IS ANTICIPATED TO GROW AT A MUCH HIGHER RATE OF 19.2 PERCENT. NOTABLE DIFFERENCES BETWEEN COMMUNITY 1 AND COMMUNITY 2 INCLUDE THE FOLLOWING: - COMMUNITY 1 HAS A MUCH HIGHER PERCENT RACIAL/ETHNIC MINORITY THAN COMMUNITY 2. - THE PERCENT OF RESIDENTS IN POVERTY AND CONSIDERED LOW INCOME IN COMMUNITY 1 IS ABOUT DOUBLE THE PERCENT FOR COMMUNITY 2. - RESIDENTS OF COMMUNITY 1 ARE MORE LIKELY TO BE UNINSURED AND TO HAVE LIMITED ENGLISH PROFICIENCY. - HIGH SCHOOL GRADUATION RATES ALSO HAVE BEEN MUCH LOWER IN COMMUNITY 1 THAN IN COMMUNITY 2. MORE DETAILED INFORMATION ON THE DEMOGRAPHICS OF CHRISTIANA CARES SERVICE AREA POPULATION CAN BE FOUND WITHIN ITS CHNA AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY-HEALT H-NEEDS-ASSESSMENT. -------------------- |
| PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH) | CHRISTIANACARES MISSION IS TO SERVE OUR NEIGHBORS AS RESPECTFUL, CARING, PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, AFFORDABLE, SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. WE ARE COMMITTED TO FULFILLING OUR MISSION OF SERVICE TO OUR NEIGHBORS, AND AS THE LARGEST HEALTH CARE PROVIDER IN A STATE THAT HAS NO SAFETY NET OR PUBLIC HOSPITAL; WE SERVE A SIGNIFICANT PORTION OF THE COMMUNITYS UNINSURED AND UNDERINSURED POPULATION ALONG WITH A SUBSTANTIAL PORTION OF THE STATES MEDICAID POPULATION. IN DEMONSTRATION OF OUR COMMITMENT TO SERVING OUR NEIGHBORS, IN JULY 2019, CHRISTIANACARE ENTERED INTO AGREEMENTS WITH DELAWARES TWO LARGEST MEDICAID PAYORS TO WORK WITH BENEFICIARIES IN POPULATION HEALTH CONTRACTS. CHRISTIANACARE INCLUDES AN EXTENSIVE NETWORK OF OUTPATIENT SERVICES, HOME HEALTH CARE, URGENT CARE CENTERS, THREE HOSPITALS (1,299 BEDS), A LEVEL I TRAUMA CENTER AND A LEVEL III NEONATAL INTENSIVE CARE UNIT, A COMPREHENSIVE STROKE CENTER AND REGIONAL CENTERS OF EXCELLENCE IN HEART AND VASCULAR CARE, CANCER CARE AND WOMENS HEALTH. IT ALSO INCLUDES THE PIONEERING GENE EDITING INSTITUTE AND WAS RATED BY IDG COMPUTERWORLD AS ONE OF THE NATIONS BEST PLACES TO WORK IN IT. CHRISTIANACARE IS A NONPROFIT TEACHING HEALTH SYSTEM WITH MORE THAN 259 RESIDENTS AND FELLOWS. WE ARE CONTINUALLY RANKED BY US NEWS & WORLD REPORT AS A BEST HOSPITAL. WITH OUR UNIQUE, DATA-POWERED CARE COORDINATION SERVICE CAREVIO AND A FOCUS ON POPULATION HEALTH AND VALUE-BASED CARE, CHRISTIANACARE IS SHAPING THE FUTURE OF HEALTH CARE. IN FISCAL YEAR 2020, CHRISTIANACARE WAS ALSO THRILLED TO WELCOME UNION HOSPITAL, IN NEIGHBORING ELKTON, MARYLAND, INTO CHRISTIANACARE TO ENSURE AN EVEN GREATER IMPACT IN OUR REGION. CHRISTIANACARE ALSO PROVIDES SERVICES THAT DELAWAREANS CANNOT FIND ELSEWHERE IN THE STATE SUCH AS AN EPILEPSY MONITORING UNIT, A COMPREHENSIVE PAIN CENTER, WHICH OFFERS EFFECTIVE, NON-OPIOID PAIN TREATMENT STRATEGIES FOR INDIVIDUALS WITH ACUTE AND CHRONIC PAIN, KIDNEY TRANSPLANT, A LEVEL 2 PEDIATRIC EMERGENCY CARE FACILITY, CAR-T CELL THERAPY, A NEW BREAKTHROUGH TREATMENT FOR HIGHLY RESISTANT B-CELL BLOOD CANCERS, AND TRANSCRANIAL MAGNETIC STIMULATION TREATMENT. WHEN ANTIDEPRESSANT MEDICATION HAS NOT RELIEVED SYMPTOMS OR CAUSED INTOLERABLE SIDE EFFECTS, THIS NEW INNOVATIVE TREATMENT, OFFERED AT THE CENTER FOR COMPREHENSIVE BEHAVIORAL HEALTH CAN PROVIDE RELIEF. CHRISTIANACARES CENTER FOR SPECIAL HEALTH CARE NEEDS, BASED IN THE WILMINGTON HOSPITAL, IS THE ONLY CENTER IN THE AREA DEDICATED TO CARING FOR ADULTS AGED 18 AND OLDER WITH COMPLEX MEDICAL AND SOCIAL CONDITIONS WHICH ORIGINATED IN CHILDHOOD. THE CENTER FOR SPECIAL HEALTH CARE NEEDS HELPS PATIENTS AND THEIR FAMILIES WITH THE TRANSITION BETWEEN PEDIATRIC AND ADULT CARE BY PROVIDING THEM WITH ACCESSIBLE AND CONVENIENT CARE AND BY CONNECTING THEM WITH RESOURCES IN THE COMMUNITY. ENSURING THAT PATIENTS HAVE A POSITIVE TRANSITION FROM PEDIATRIC TO ADULT CARE IS IMPORTANT AS STUDIES HAVE SHOWN DECLINES IN HEALTH FOR CERTAIN DISEASES ONCE A PATIENT AGES OUT OF PEDIATRIC CARE. MUCH LIKE THE CENTER FOR SPECIAL HEALTH CARE NEEDS, THE CENTER FOR HOPE AND HEALING ALSO SEEKS TO SERVE PATIENTS WITH COMPLEX NEEDS IN A COMPREHENSIVE MANNER, WITH A FOCUS ON MENTAL HEALTH NEEDS AS A PRIMARY DIAGNOSIS. INDIVIDUALS AT THE CENTER FOR HOPE AND HEALING HAVE A TEAM OF SUPPORT THAT HELPS GET INDIVIDUALS STABILIZED AND THEN ADDRESS THEIR PHYSICAL, MENTAL, AND SOCIAL NEEDS. SIGNIFICANT RESEARCH IS ALSO HAPPENING AT CHRISTIANACARE. THE LISA DEAN MOSELY FOUNDATION AWARDED A $659,538 GRANT TO THE CAWLEY CENTER FOR TRANSLATIONAL BREAST CANCER RESEARCH AT THE HELEN F. GRAHAM CANCER CENTER & RESEARCH INSTITUTE TO FURTHER RESEARCH ON INFLAMMATION AS A DRIVER OF TRIPLE-NEGATIVE BREAST CANCER. THE THREE-YEAR GRANT WILL ENABLE THE CONTINUED INVESTIGATION OF THE ROLE OF CELLS IMMEDIATELY AROUND A TUMOR IN SPURRING GROWTH OF THE TRIPLE-NEGATIVE BREAST CANCER AND A POSSIBLE THERAPY FOR THIS PARTICULARLY DIFFICULT CANCER WHICH IS RESISTANT TO CURRENT THERAPIES AND HAS SIGNIFICANTLY WORSE OUTCOMES THAN OTHER FORMS OF BREAST CANCER. IT DISPROPORTIONATELY AFFECTS PREMENOPAUSAL WOMEN AND AFRICAN AMERICAN WOMEN. CHRISTIANACARES HELEN F. GRAHAM CANCER CENTER & RESEARCH INSTITUTE ALSO EARNED A $10.56 MILLION SIX-YEAR GRANT FROM THE NATIONAL CANCER INSTITUTE TO CONTINUE ITS PARTICIPATION IN THE NCIS COMMUNITY ONCOLOGY RESEARCH PROGRAM (NCORP). THE CHRISTIANA CARE NCORP INCLUDES AFFILIATE PROGRAMS AT BEEBE HEALTHCARE AND NANTICOKE HEALTH SERVICES IN SOUTHERN DELAWARE. NCORP IS AN ELITE NETWORK OF CANCER CENTERS ACROSS THE U.S. THAT BRINGS CANCER RESEARCH TO PEOPLE IN THEIR OWN COMMUNITIES. THE GRAHAM CANCER CENTER IS ONE OF ONLY 32 COMMUNITY SITES, 14 MINORITY/UNDERSERVED COMMUNITY SITES AND SEVEN BASIC RESEARCH SITES TO RECEIVE THESE LATEST GRANTS. THE NCORP AWARD BOLSTERS THE GRAHAM CANCER CENTERS CANCER CLINICAL TRIALS PROGRAM IN THE AREAS OF PREVENTION, SCREENING, SUPPORTIVE CARE AND SYMPTOM MANAGEMENT, SURVEILLANCE, QUALITY OF LIFE AND CARE DELIVERY. THE PROGRAM WILL ALSO PARTICIPATE IN CANCER TREATMENT AND IMAGING CLINICAL TRIALS CONDUCTED BY THE NCI NATIONAL CLINICAL TRIALS NETWORK. CHRISTIANACARE IS ALSO PROUD OF ITS VALUE INSTITUTE WHICH CONDUCTS REAL-WORLD RESEARCH ON PRESSING HEALTH CARE ISSUES. THE MISSION OF THE VALUE INSTITUTE IS TO DEVELOP, DELIVER, AND EVALUATE INNOVATIVE SOLUTIONS THAT ADVANCE CHRISTIANACARES GOALS IN HELPING OUR COMMUNITY ACHIEVE OPTIMAL HEALTH, IMPROVE EXCEPTIONAL EXPERIENCE, AND INCREASE ORGANIZATIONAL VITALITY. ALSO OFFERED THROUGH THE VALUE INSTITUTE IS THE HARRINGTON VALUE INSTITUTE TRANSLATIONAL RESEARCH INTERNSHIP. THIS INTERNSHIP IS A YEARLONG EXPERIENTIAL TRAINING PROGRAM DESIGNED SPECIFICALLY FOR RECENTLY GRADUATED PRE-MEDICINE STUDENTS INTERESTED IN PURSUING CLINICAL, TRANSLATIONAL RESEARCH CAREERS. ESTABLISHED IN 2015, THE HARRINGTON FUND CREATED A RESEARCH INTERNSHIP PROGRAM FOR STUDENTS FROM BACKGROUNDS UNDERREPRESENTED IN MEDICINE WITH THE GOAL OF ENCOURAGING THEM TO PURSUE CAREERS IN MEDICINE AND TRANSLATIONAL RESEARCH. BY ENGAGING STUDENTS IN TRANSLATIONAL RESEARCH, CLINICAL SHADOWING, A CURRICULUM RICH IN DIDACTICS AND PROFESSIONAL DEVELOPMENT, THE HARRINGTON VALUE INSTITUTE RESEARCH INTERNSHIP AIMS TO PREPARE INTERNS WITH THE FOUNDATION NECESSARY TO BECOME TOMORROWS LEADERS IN MEDICINE AND TRANSLATIONAL RESEARCH. PRIORITY IS GIVEN TO DELAWARE RESIDENTS, STUDENTS FROM BACKGROUNDS UNDERREPRESENTED IN MEDICINE, AND APPLICANTS WHO ATTEND/ATTENDED A DELAWARE COLLEGE/UNIVERSITY. CHRISTIANACARE INNOVATIVELY SERVES ITS COMMUNITY THROUGH CAREVIO, A CARE MANAGEMENT PROGRAM WHICH CURRENTLY MANAGES MORE THAN 100,000 LIVES. CAREVIO IS A ROBUST INFORMATION TECHNOLOGY PLATFORM THAT HARNESSES REAL-TIME HEALTH DATA FROM ALL AVAILABLE SOURCES. IT USES A PREDICTION ANALYTICS ENGINE TO COORDINATE CARE, IDENTIFY POPULATIONS MOST AT-RISK AND HELP PREVENT THE NEED FOR HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS THROUGH PREVENTIVE CARE AND, WHEN APPROPRIATE, HOME CARE. CAREVIO HAS MORE THAN 50 NURSE CARE COORDINATORS, SOCIAL WORKERS, CLINICAL PHARMACISTS, RESPIRATORY THERAPISTS AND MEDICAL DIRECTORS WHO CONNECT WITH PATIENTS BY PHONE, VIDEO, IN-PERSON VISITS, SECURE TEXTING AND E-MAIL TO HELP THEM MANAGE THEIR HEALTH CARE. CAREVIOS COMMUNITY TEAM, A SMALL GROUP OF DOCTORS, PHARMACISTS, NURSE CARE COORDINATORS AND SOCIAL WORKERS, FOCUSES ON REDUCING HOSPITAL AND EMERGENCY DEPARTMENT USE FOR PEOPLE WHO STRUGGLE WITH A COMBINATION OF SOCIAL BARRIERS TO HEALTH AND AT LEAST ONE POORLY CONTROLLED MEDICAL DIAGNOSIS. FOR FISCAL YEAR 2020 (JULY 1, 2019-JUNE 30, 2020), CAREVIOS CARE MANAGEMENT AND VIRTUAL HEALTH PROGRAMS HAVE REDUCED HEALTH CARE COSTS BY AN ESTIMATED $7 MILLION WHILE SIGNIFICANTLY REDUCING INPATIENT STAYS, READMISSIONS AND EMERGENCY DEPARTMENT VISITS. CHRISTIANACARE IS ALSO A FOUNDING PARTNER IN EBRIGHTHEALTH ACO, AN ACCOUNTABLE CARE ORGANIZATION THAT SERVES MORE THAN 45,000 REGIONAL MEDICARE BENEFICIARIES FROM DELAWARE, PENNSYLVANIA, AND MARYLAND. CAREVIO ALSO PROVIDES THE CARE COORDINATION FOR THIS INITIATIVE. CHRISTIANACARE SUPPORTS THE FIRST STATE SCHOOL LOCATED IN ITS WILMINGTON HOSPITAL IN PARTNERSHIP WITH THE RED CLAY CONSOLIDATED SCHOOL DISTRICT AND THE DELAWARE DEPARTMENT OF EDUCATION. CHILDREN AND ADOLESCENTS IN KINDERGARTEN THROUGH HIGH SCHOOL, WHO WOULD TYPICALLY BE HOMEBOUND WITH SERIOUS ILLNESSES LIKE DIABETES, SICKLE-CELL ANEMIA, SEVERE ASTHMA, CANCER, AND OTHER ILLNESSES HAVE THE OPPORTUNITY TO ATTEND SCHOOL WITH THEIR PEERS WHILE RECEIVING NEEDED MEDICAL TREATMENT. THIS PROGRAM IS ONLY ONE OF THREE IN OPERATION NATIONWIDE, AND IT HAS BEEN A STAPLE OF CHRISTIANACARES COMMUNITY PROGRAMS SINCE IT BEGAN SERVING ADOLESCENTS IN 1985 AND EXPANDED TO SERVE ELEMENTARY STUDENTS IN 1991. CHRISTIANACARE IS ALSO A MAJOR TEACHING HOSPITAL. CHRISTIANACARE PARTNERS WITH LEADING COLLEGES AND UNIVERSITIES IN THE REGION TO OFFER A ROBUST NURSING EDUCATION PROGRAM, AND WITH LOCAL TECHNICAL COLLEGES TO |
| PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) | CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH MORE THAN 1,600 MEDICAL-STAFF MEMBERS AND 260 MEDICAL-DENTAL RESIDENTS AND FELLOWS. MAJOR FACILITIES INCLUDE: - CHRISTIANA HOSPITAL-STANTON CAMPUS: LOCATED IN NEWARK, DELAWARE, THIS CAMPUS IS HOME TO THE 906 LICENSED BED CHRISTIANA HOSPITAL, THE CHRISTIANA CARE CENTER FOR HEART & VASCULAR HEALTH, THE HELEN F. GRAHAM CANCER CENTER & RESEARCH INSTITUTE, THE CHRISTIANA CARE BREAST CENTER, THE CHRISTIANA SURGICENTER, AND THE JOHN H. AMMON MEDICAL EDUCATION CENTER. CHRISTIANA HOSPITAL IS ALSO THE STATE'S ONLY HIGH RISK DELIVERY HOSPITAL FEATURING A LEVEL III NEONATAL INTENSIVE CARE UNIT. CHRISTIANA HOSPITAL IS ALSO A LEVEL I TRAUMA CENTER. - WILMINGTON HOSPITAL CAMPUS: LOCATED IN THE HEART OF THE CITY OF WILMINGTON, THIS CAMPUS INCLUDES THE 321 LICENSED BED WILMINGTON HOSPITAL, THE ROCCO A. ABESSINIO FAMILY WILMINGTON HOSPITAL HEALTH CENTER, THE CENTER FOR REHABILITATION, THE CENTER FOR ADVANCED JOINT REPLACEMENT, THE WILMINGTON ANNEX, THE SWANK MEMORY CENTER, THE FIRST STATE SCHOOL, AND THE ROXANA CANNON ARSHT SURGICENTER. WILMINGTON HOSPITAL IS A LEVEL III TRAUMA CENTER. - MIDDLETOWN EMERGENCY DEPARTMENT: CHRISTIANA CARE FACILITIES ALSO INCLUDE AN EMERGENCY DEPARTMENT FACILITY IN MIDDLETOWN, DELAWARE, THAT SERVES THE MIDDLETOWN, ODESSA AND TOWNSEND, DELAWARE POPULATIONS ON A 24-7 BASIS. THE FACILITY CONTAINS 18 TREATMENT ROOMS, AND IS AVAILABLE TO SERVE MANY OF THE FREQUENT EMERGENCY CARE NEEDS OF THE LOCAL COMMUNITY. - ON JANUARY 1, 2020, AFFINITY HEALTH ALLIANCE, INC. BECAME A MEMBER OF CHRISTIANA CARE. AFFINITY HEALTH ALLIANCE, INC. IS AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES A NUMBER OF HEALTHCARE RELATED ENTITIES, INCLUDING: UNION HOSPITAL OF CECIL COUNTY, INC., UNION HOSPITAL OF CECIL COUNTY FOUNDATION, INC., UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC., AND UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC. -------------------- |
| PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT) | DELAWARE DOES NOT REQUIRE THE FILING OF A COMMUNITY BENEFIT REPORT. IN THE INTEREST OF SHARING INFORMATION ABOUT ITS COMMUNITY BENEFIT WITH ITS NEIGHBORS, CHRISTIANACARE HAS ESTABLISHED A COMMUNITY BENEFIT DEDICATED SECTION ON ITS WEBSITE WHERE THE CHNA AND CHIP CAN BE FOUND, ALONG WITH ARTICLES ABOUT CHRISTIANACARE'S COMMUNITY BENEFIT INITIATIVES AND STORIES. THIS GROWING COLLECTION OF STORIES CAN BE ACCESSED AT: https://news.christianacare.org/category/in-the-community/community-benefi t. -------------------- |
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 |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES HOPKINS MD | ||||||||||||||
| MEMBER THRU 11/2019 | $416,874 | $0 | $85,000 | $0 | $9,721 | $0 | $19,600 | $0 | $10,240 | $0 | $541,435 | $0 | $0 | $0 |
| JANICE E NEVIN MD | ||||||||||||||
| PRESIDENT & CEO | $1,126,190 | $0 | $625,073 | $0 | $68,457 | $0 | $169,269 | $0 | $11,790 | $0 | $2,000,779 | $0 | $66,537 | $0 |
| PAUL DAVIS MD | ||||||||||||||
| CARDIAC SURGEON | $745,872 | $0 | $84,488 | $0 | $0 | $0 | $18,200 | $0 | $17,586 | $0 | $866,146 | $0 | $0 | $0 |
| KENNETH SILVERSTEIN MD | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $665,636 | $0 | $230,394 | $0 | $0 | $0 | $82,160 | $0 | $17,586 | $0 | $995,776 | $0 | $0 | $0 |
| RANDALL GABORIAULT | ||||||||||||||
| CHIEF INFORMATION OFFICER | $542,640 | $0 | $187,076 | $0 | $24,789 | $0 | $71,271 | $0 | $18,016 | $0 | $843,792 | $0 | $28,826 | $0 |
| RICHARD CUMING | ||||||||||||||
| CHIEF NURSING EXECUTIVE | $444,015 | $0 | $165,682 | $0 | $0 | $0 | $60,062 | $0 | $10,240 | $0 | $679,999 | $0 | $0 | $0 |
| MICHAEL EPPEHIMER | ||||||||||||||
| PRESIDENT, MEDICAL GROUP | $335,512 | $0 | $95,944 | $0 | $0 | $0 | $38,614 | $0 | $17,586 | $0 | $487,656 | $0 | $0 | $0 |
| SHARON KURFUERST | ||||||||||||||
| CHIEF OP. OFFICER - HEALTH SVC | $369,411 | $0 | $132,269 | $0 | $0 | $0 | $56,064 | $0 | $17,586 | $0 | $575,330 | $0 | $0 | $0 |
| JOSEPH BENNETT MD | ||||||||||||||
| MEMBER | $540,259 | $0 | $81,038 | $0 | $28,865 | $0 | $16,800 | $0 | $17,586 | $0 | $684,548 | $0 | $0 | $0 |
| NICHOLAS PETRELLI MD | ||||||||||||||
| MEDICAL DIRECTOR, CANCER | $596,626 | $0 | $166,900 | $0 | $34,440 | $0 | $19,650 | $0 | $10,240 | $0 | $827,856 | $0 | $0 | $0 |
| NEIL JASANI MD | ||||||||||||||
| CHIEF PEOPLE OFFICER | $451,773 | $0 | $160,966 | $0 | $19,162 | $0 | $63,003 | $0 | $17,586 | $0 | $712,490 | $0 | $24,372 | $0 |
| JENNIFER L SCHWARTZ ESQ | ||||||||||||||
| CORPORATE SECRETARY | $408,048 | $0 | $156,847 | $0 | $0 | $0 | $54,300 | $0 | $17,586 | $0 | $636,781 | $0 | $0 | $0 |
| KIRK GARRATT MD | ||||||||||||||
| MEDICAL DIRECTOR HVIS | $638,562 | $0 | $178,631 | $0 | $39,817 | $0 | $16,800 | $0 | $6,042 | $0 | $879,852 | $0 | $0 | $0 |
| RAY BLACKWELL MD | ||||||||||||||
| CHIEF, CARDIAC SURGERY | $700,701 | $0 | $118,440 | $0 | $0 | $0 | $19,600 | $0 | $17,586 | $0 | $856,327 | $0 | $0 | $0 |
| GERARD J FULDA MD | ||||||||||||||
| CHAIRMAN, DEPT OF SURGERY | $570,038 | $0 | $159,462 | $0 | $199,644 | $0 | $19,600 | $0 | $17,586 | $0 | $966,330 | $0 | $170,576 | $0 |
| FREDERIC T HARAD MD | ||||||||||||||
| MEMBER | $580,273 | $0 | $87,000 | $0 | $21,000 | $0 | $18,200 | $0 | $17,586 | $0 | $724,059 | $0 | $0 | $0 |
| ROB MCMURRAY | ||||||||||||||
| CFO, TREASURER & ASS'T SEC'Y | $486,132 | $0 | $173,544 | $0 | $0 | $0 | $62,600 | $0 | $17,586 | $0 | $739,862 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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 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: NICHOLAS PETRELLI- $35,511 KIRK GARRATT- $38,007 GERARD J. FULDA- $204,505 -------------------- |
| FORM 990, SCHEDULE J, PART I, LINE 7 | PROVISION OF NON-FIXED PAYMENTS CCHS PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE CCHS COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. |
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 | $0 | RetiredAmt |
| Bond Defeased | $157,570,000 | BondDefeasedAmt |
| Total Proceeds | $305,419,858 | 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 | $95,495,924 | CapitalExpendituresAmt |
| Other Spent Proceeds | $227,984 | OtherSpentProceedsAmt |
| Unspent | $49,800,974 | UnspentAmt |
| 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 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE K, PART I | FormAndLineReferenceDesc |
| Explanation | 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 $150,413 IN INVESTMENT EARNINGS. -------------------- | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NEUROSCIENCES II EXTRA SPACE LLC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | TRUSTEE IS > 35% OWNER | RelationshipDescriptionTxt |
| Transaction | $217,508 | TransactionAmt |
| Transaction | LEASE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
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 | 9 | ContributionCnt |
| Noncash Contributions Rpt F990 | $347,341 | 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 | false | 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 CONTRIBUTORS IN PART I, COLUMN (B). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4D | DETAIL OF OTHER PROGRAM SERVICES CHRISTIANACARE HEALTH SERVICES ("CCHS"), HEADQUARTERED IN WILMINGTON, DELAWARE, IS ONE OF THE COUNTRY'S LARGEST HEALTH CARE PROVIDERS AND IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 259 MEDICAL-DENTAL RESIDENTS AND FELLOWS. CHRISTIANACARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDIOLOGY, CANCER AND WOMEN'S HEALTH SERVICES. THE SYSTEM FEATURES A LEVEL 3 NEONATAL INTENSIVE CARE UNIT, THE ONLY DELIVERING HOSPITAL IN THE STATE TO OFFER THIS LEVEL OF CARE FOR NEWBORNS. CHRISTIANA CARE HEALTH SERVICES IS ALSO HOME TO DELAWARE'S ONLY LEVEL 1 TRAUMA CENTER, THE ONLY OF ITS KIND BETWEEN PHILADELPHIA AND BALTIMORE. A NOT-FOR-PROFIT, NON-SECTARIAN HEALTH SYSTEM, CHRISTIANACARE INCLUDES TWO HOSPITALS WITH MORE THAN 1,200 PATIENT BEDS, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. WITH MORE THAN 13,000 EMPLOYEES, CHRISTIANACARE IS THE LARGEST PRIVATE EMPLOYER IN DELAWARE AND ONE OF THE LARGEST EMPLOYERS IN THE PHILADELPHIA REGION. -------------------- |
| FORM 990, PART VI, SECTION A, LINE 2 | FAMILY AND BUSINESS RELATIONSHIPS GEORGE FOUTRAKIS, TRUSTEE, AND PAUL KANIEFSKI, TRUSTEE, HAVE A BUSINESS RELATIONSHIP. -------------------- |
| FORM 990, PART VI, SECTION A, LINE 7A,B | GOVERNING BODY AND MANAGEMENT THE BOARD OF DIRECTORS OF CHRISTIANACARE HEALTH SYSTEM, INC. ("SYSTEM"), SOLE MEMBER OF CHRISTIANACARE HEALTH SERVICES, INC. ("CCHS"), AT IT'S ANNUAL MEETING IN NOVEMBER, ELECTS DIRECTORS OF CHRISTIANACARE. THE ANNUAL OPERATING BUDGET OF CHRISTIANACARE IS APPROVED BY THE CHRISTIANACARE 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 PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2019 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2020 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2019 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 ESTABLISHES CHRISTIANACARE'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. -------------------- FORM 990, PART VI, SECTION 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 PRICEWATERHOUSECOOPERS LLP. -------------------- |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNANCE, MANAGEMENT, & DISCLOSURE THE FORM 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF CCHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEB THROUGH DIGITAL ASSURANCE CERTIFICATION ("DAC"). -------------------- FORM 990, PART X BEGINNING BALANCES 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 $(73,872,078) CONTRIBUTION ON ACQUISITION OF AFFINITY 95,788,168 CHANGE IN NET ASSET OF SYSTEM (748,005) LOSS ON DEBT RESTRUCTURING (1,375,549) ----------- TOTAL $ 19,792,536 =========== |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 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 | |||||||||
| 501 WEST 14TH STREET | WILMINGTON | DE | 19801 | 510103684 | SUPPORT SRVCS | DE | $0 | $0 | CCH SERVICES |
| CHRISTIANA CARE QUALITY PARTNERS LLC | |||||||||
| 501 WEST 14TH STREET | WILMINGTON | DE | 19801 | 510103684 | SUPPORT SRVCS | DE | -$736,817 | $0 | CCH SERVICES |
| CHRISTIANA CARE QUALITY PARTNERS ACOLLC | |||||||||
| 501 WEST 14TH STREET | WILMINGTON | DE | 19801 | 510103684 | SUPPORT SRVCS | DE | -$1,763,252 | $0 | CCH SERVICES |
| CHRISTIANA CARE CARE LINK LLC | |||||||||
| 501 WEST 14TH STREET | WILMINGTON | DE | 19801 | 510103684 | SUPPORT SRVCS | DE | -$3,737,137 | $239,838 | CCH SERVICES |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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 INC | ||||||||||
| 501 WEST 14TH STREET | WILMINGTON | DE | 19801 | 521479538 | FUNDRAISING | DE | 501(C)(3) | 7 | NA | false |
| CHRISTIANA CARE HLTH INITIATIVES INC | ||||||||||
| 200 HYGEIA DRIVE SUITE 2300 | NEWARK | DE | 19713 | 510295186 | OUTPATIENT SV | DE | 501(C)(3) | 10 | CCH SYSTEM | false |
| CHRISTIANA CARE HOME HEALTH & COM SRVCS | ||||||||||
| 4000 NEXUS DRIVE STE W2 | WILMINGTON | DE | 19803 | 510064334 | HOME HLTHCARE | DE | 501(C)(3) | 7 | CCH SYSTEM | false |
| UNION HOSPITAL OF CECIL COUNTY FOUNDATIO | ||||||||||
| 106 BOW STREET | ELKTON | MD | 21921 | 521794552 | FUNDRAISING | MD | 501(C)(3) | 7 | AFFINITY | false |
| UNION HOSPITAL OF CECIL COUNTY INC | ||||||||||
| 106 BOW STREET | ELKTON | MD | 21921 | 520607945 | HLTHCARE SVCS | MD | 501(C)(3) | 3 | AFFINITY | false |
| UNION HOSPITAL OF CECIL COUNTY HLTH SVCS | ||||||||||
| 106 BOW STREET | ELKTON | MD | 21921 | 521794553 | PROPERTY MGMT | MD | 501(C)(3) | 10 | AFFINITY | false |
| UNION HOSPITAL OF CECIL COUNTY ONCOLOGY | ||||||||||
| 106 BOW STREET | ELKTON | MD | 21921 | 812662359 | HLTHCARE SVCS | MD | 501(C)(3) | 3 | AFFINITY | false |
| AFFINITY HEALTH ALLIANCE INC | ||||||||||
| 106 BOW STREET | ELKTON | MD | 21921 | 521794697 | MANAGEMENT | MD | 501(C)(3) | 12B, II | CCH SERVICES | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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 | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIANACARE GOHEALTH URGENT CARE LLC | |||||||||||||
| 5555 GLENRIDGE CONNECTOR SUITE 700 | ATLANTA | GA | 30342 | 844061485 | URGENT CARE SRVCS | DE | CCH SERVICES | RELATED | $0 | $0 | false | false | 0.50100 |
| CHRISTIANACARE VALUE HEALTH JV LLC | |||||||||||||
| 11221 ROE AVENUE | LEAWOOD | KS | 66211 | 851100149 | AMBULATORY SRVCS | DE | CCH SERVICES | RELATED | $0 | $0 | false | Yes (true) | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 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 STE NW3-100 | WILMINGTON | DE | 19803 | 205891272 | HEALTHCARE | DE | CCH SERVICES | C CORP | -$329,435 | $5,649,334 | 1.00000 | Yes (true) | |||||
| CHRISTIANA CARE HEALTH PLANS | |||||||||||||||||
| 4000 NEXUS DR STE NW3-100 | WILMINGTON | DE | 19803 | 510352728 | INSURANCE | DE | CCH SYSTEM | C CORP | false | ||||||||
| CHRISTIANA CARE DEFERRED COMP PLAN | |||||||||||||||||
| 4755 OGLETOWN STANTON RD | NEWARK | DE | 19718 | 816359549 | DEF COMP PLAN | DE | CCH SERVICES | TRUST | Yes (true) | ||||||||
| CHRISTIANA CARE EXEC DEFERRED COMP PLAN | |||||||||||||||||
| 4755 OGLETOWN STANTON RD | NEWARK | DE | 19718 | 357048822 | DEF COMP PLAN | DE | CCH SERVICES | TRUST | Yes (true) | ||||||||
| CARE ASSOCIATES DEFERRED COMP PLAN | |||||||||||||||||
| 4755 OGLETWON STANTON RD | NEWARK | DE | 19718 | 357048714 | DEF COMP PLAN | DE | CCH SERVICES | TRUST | Yes (true) | ||||||||
| CHRISTIANA CARE INSURANCE CO LTD | |||||||||||||||||
| 981489490 | SELF-INSURANCE | CCH SERVICES | C CORP | $1,243,977 | $53,177,289 | 1.00000 | Yes (true) | PO BOX 1159 878 W BAY RD | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| CHRISTIANA CARE STRATEGIC INVESTMENTS | |||||||||||||||||
| 4000 NEXUS DR STE NW3-100 | WILMINGTON | DE | 19803 | 853348300 | STRATEGY | DE | CCH SYSTEM | C CORP | false | ||||||||
| UNION HOSPITAL OF CECIL COUNTY VENTURES | |||||||||||||||||
| 106 BOW STREET | ELKTON | MD | 21921 | 521793691 | MEDICAL SERVICES | MD | AFFINITY | C CORP | false | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | 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 (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UNION HOSPITAL OF CECIL COUNTY INC | ||
| O | $592,288 | FMV |
| CHRISTIANACARE GOHEALTH URGENT CARE LLC | ||
| ADGJR | $4,465,348 | FMV |
| THE DE CTR FOR MAT FETAL MED OF CC INC | ||
| K,O | $518,308 | FMV |
| CHRISTIANA CARE INSURANCE CO LTD | ||
| Q,R | $29,274,115 | FMV |
Affiliated Group Attachment AffiliatedGroupAttachment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Meduim Explanation | DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ _______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 5,731,909 CHRISTIANA CARE HEALTH SERVICES 230,460 2,003,463,159 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 45,156,304 CHRISTIANA CARE HEALTH INITIATIVES NONE 7,970,636 ------------ -------------- TOTAL $ 230,460 $2,062,322,008 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2020. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2019. | MeduimExplanationTxt |