2021-05-14T07:29:40-05:00 2020-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2019-07-01 510103684 CHRISTIANA CARE HEALTH SERVICES INC % SR VP'S OFFICE CHRI 3024282426 PO BOX 2653 WILMINGTON DE 198050653 ROBERT M MCMURRAY CFO 3026237202 2021-05-11 true ANTONIO C RUSSO P00858539 2673303000 2021-05-10 2019 2022-09-23 18:48:47Z JANICE NEVIN MD 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 2534537242 false X WWW.CHRISTIANACARE.ORG X 1965 DE OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. 20 17 13171 1048 5076292 24577838 80735115 2003698183 1885207044 81965865 102844109 1841287 13395684 2112083173 2082181952 0 0 0 0 1197510102 1255954196 0 0 0 714773175 747739423 1912283277 2003693619 199799896 78488333 3539982993 4179624084 794893093 1298158505 2745089900 2881465579 X 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. false false 526837901 0 311977627 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. 198652002 0 341295429 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. 245884303 0 318079974 OPERATING ROOM - PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2020, 31,695 OPERATIONS WERE PERFORMED, REQUIRING AN APPORXIMATE FTE COUNT OF 572. 675175044 0 923708330 1646549250 true true false true false false false false true true true false true true false false true false false true false false false true false true true false false true true false false false false false false false false false true true false false false true true true true false false true 444 0 true 13171 true true true false false false false false false false false false true false X 20 17 true false false false false true true true true false false true true true true true true true true true false PA X SR VP'S OFFICE 3024282426 4000 NEXUS DR STE NW3-117 WILMINGTON DE 19803 X JANICE E NEVIN MD PRESIDENT & CEO 40.0 1.0 X X 1819720 0 181059 KENNETH SILVERSTEIN MD EXECUTIVE VICE PRESIDENT 40.0 1.0 X 896030 0 99746 GERARD J FULDA MD CHAIRMAN, DEPT OF SURGERY 40.0 0.0 X 929144 0 37186 KIRK GARRATT MD MEDICAL DIRECTOR HVIS 40.0 0.0 X 857010 0 22842 PAUL DAVIS MD CARDIAC SURGEON 40.0 0.0 X 830360 0 35786 RAY BLACKWELL MD CHIEF, CARDIAC SURGERY 40.0 0.0 X 819141 0 37186 RANDALL GABORIAULT CHIEF INFORMATION OFFICER 40.0 0.0 X 754505 0 89287 NICHOLAS PETRELLI MD MEDICAL DIRECTOR, CANCER 40.0 0.0 X 797966 0 29890 ROB MCMURRAY CFO, TREASURER & ASS'T SEC'Y 40.0 1.0 X 659676 0 80186 FREDERIC T HARAD MD MEMBER 40.0 1.0 X 688273 0 35786 NEIL JASANI MD CHIEF PEOPLE OFFICER 40.0 0.0 X 631901 0 80589 JOSEPH BENNETT MD MEMBER 40.0 1.0 X 650162 0 34386 RICHARD CUMING CHIEF NURSING EXECUTIVE 40.0 1.0 X 609697 0 70302 JENNIFER L SCHWARTZ ESQ CORPORATE SECRETARY 40.0 1.0 X 564895 0 71886 SHARON KURFUERST CHIEF OP. 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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. -------------------- Central America and the Caribbean Investments 113168542 113168542 113168542 true false true false false false FORM 990, SCHEDULE F, PART I, LINE 2 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. CELEB OF HOPE 116147 88903 27244 GOLF CLASSIC 99382 99382 0 0 0 0 215529 188285 27244 27244 FORM 990, SCHEDULE G, PART II 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. true true X true X false false false false 21600914 21600914 0.01080 260246581 235412577 24834004 0.01240 281847495 235412577 46434918 0.02320 58 52893 11011894 2749957 8261937 0.00410 6 45 69878817 12509330 57369484 0.02860 1 16708413 13599378 3109035 0.00160 7 2303141 2303141 0.00110 72 52938 99902265 28858665 71043597 0.03540 72 52938 381749760 264271242 117478515 0.05860 1 711060 711060 0.00040 2 322660 322660 0.00020 1 166496 166496 0.00010 3 86110 86110 0.00000 2 100625 100625 0.00010 9 1386951 1386951 0.00080 true 64870940 3118875 467999433 578864555 -110865122 X true true 2 1 CHRISTIANA HOSPITAL 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 www.christianacare.org LICENSE #HSPTL-002 X X X X X A 2 WILMINGTON HOSPITAL 501 WEST 14TH STREET WILMINGTON DE 19801 www.christianacare.org LICENSE #HSPTL-001 X X X X X A A-CHRISTIANA AND WILMINGTON HOSPITALS 12 false false true X X X X X X X X X 18 true true true true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 200. 0. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B LINE 5 (INPUT FROM COMMUNITY) 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. -------------------- 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. -------------------- X true true X X X X X false true false false false false false true false JAMES HOPKINS MD MEMBER THRU 11/2019 416874 0 85000 0 9721 0 19600 0 10240 0 541435 0 0 0 JANICE E NEVIN MD PRESIDENT & CEO 1126190 0 625073 0 68457 0 169269 0 11790 0 2000779 0 66537 0 PAUL DAVIS MD CARDIAC SURGEON 745872 0 84488 0 0 0 18200 0 17586 0 866146 0 0 0 KENNETH SILVERSTEIN MD EXECUTIVE VICE PRESIDENT 665636 0 230394 0 0 0 82160 0 17586 0 995776 0 0 0 RANDALL GABORIAULT CHIEF INFORMATION OFFICER 542640 0 187076 0 24789 0 71271 0 18016 0 843792 0 28826 0 RICHARD CUMING CHIEF NURSING EXECUTIVE 444015 0 165682 0 0 0 60062 0 10240 0 679999 0 0 0 MICHAEL EPPEHIMER PRESIDENT, MEDICAL GROUP 335512 0 95944 0 0 0 38614 0 17586 0 487656 0 0 0 SHARON KURFUERST CHIEF OP. OFFICER - HEALTH SVC 369411 0 132269 0 0 0 56064 0 17586 0 575330 0 0 0 JOSEPH BENNETT MD MEMBER 540259 0 81038 0 28865 0 16800 0 17586 0 684548 0 0 0 NICHOLAS PETRELLI MD MEDICAL DIRECTOR, CANCER 596626 0 166900 0 34440 0 19650 0 10240 0 827856 0 0 0 NEIL JASANI MD CHIEF PEOPLE OFFICER 451773 0 160966 0 19162 0 63003 0 17586 0 712490 0 24372 0 JENNIFER L SCHWARTZ ESQ CORPORATE SECRETARY 408048 0 156847 0 0 0 54300 0 17586 0 636781 0 0 0 KIRK GARRATT MD MEDICAL DIRECTOR HVIS 638562 0 178631 0 39817 0 16800 0 6042 0 879852 0 0 0 RAY BLACKWELL MD CHIEF, CARDIAC SURGERY 700701 0 118440 0 0 0 19600 0 17586 0 856327 0 0 0 GERARD J FULDA MD CHAIRMAN, DEPT OF SURGERY 570038 0 159462 0 199644 0 19600 0 17586 0 966330 0 170576 0 FREDERIC T HARAD MD MEMBER 580273 0 87000 0 21000 0 18200 0 17586 0 724059 0 0 0 ROB MCMURRAY CFO, TREASURER & ASS'T SEC'Y 486132 0 173544 0 0 0 62600 0 17586 0 739862 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A DETAIL REGARDING BENEFITS PROVIDED SOCIAL CLUB DUES CCHS PROVIDES A SOCIAL CLUB MEMBERSHIP TO BE USED BY THE PRESIDENT IN CONNECTION WITH THEIR DUTIES. THE PRESIDENT IS RESPONSIBLE FOR AND TAXED ON ANY PERSONAL USE OF SUCH CLUB MEMBERSHIP. -------------------- FORM 990, SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED PLAN PARTICIPATION CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: 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. A DELAWARE HLTH FACILITIES AUTHORITY SERIES 2020A 510272458 246388TQ5 2020-02-11 247255000 REFUND SERIES 2008 & 2010 false false false A 0 157570000 305419858 0 0 0 2324976 0 0 95495924 227984 49800974 true false true true A false false false false 0 false false false true A false false false true false false 0 false 0 false true A true FORM 990, SCHEDULE K, PART I ADDITIONAL INFORMATION REGARDING TAX-EXEMPT BONDS THE DELAWARE HEALTH FACILITIES AUTHORITY SERIES 2020A BOND WAS ISSUED TO CHRISTIANA CARE HEALTH SYSTEM, INC. (EIN:52-1479538), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE ALL BOND PROCEEDS WERE ALLOCATED TO CHRISTIANA CARE HEALTH SERVICES, INC., THIS BOND HAS BEEN REPORTED ON THIS ORGANIZATION'S FORM 990, SCHEDULE K. HOWEVER, CHRISTIANA CARE HEALTH SYSTEM, INC. REMAINS AS THE PRIMARY OBLIGOR OF THE BOND. -------------------- FORM 990, SCHEDULE K, PART II, LINE 3 ADDITIONAL INFORMATION REGARDING PROCEEDS OF ISSUE FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2020A, THE TOTAL PROCEEDS OF THE ISSUE REPORTED INCLUDES $150,413 IN INVESTMENT EARNINGS. -------------------- NEUROSCIENCES II EXTRA SPACE LLC TRUSTEE IS > 35% OWNER 217508 LEASE false X 9 347341 FMV false false false SCHEDULE M, PART I, COLUMN (B) ADDITIONAL INFORMATION REGARDING SECURITIES REPORTED CHRISTIANA CARE HEALTH SERVICES, INC. REPORTS THE NUMBER OF CONTRIBUTORS IN PART I, COLUMN (B). 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 =========== 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 -736817 0 CCH SERVICES CHRISTIANA CARE QUALITY PARTNERS ACOLLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -1763252 0 CCH SERVICES CHRISTIANA CARE CARE LINK LLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -3737137 239838 CCH SERVICES 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 true 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 true 0.51000 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 -329435 5649334 1.00000 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 true CHRISTIANA CARE EXEC DEFERRED COMP PLAN 4755 OGLETOWN STANTON RD NEWARK DE 19718 357048822 DEF COMP PLAN DE CCH SERVICES TRUST true CARE ASSOCIATES DEFERRED COMP PLAN 4755 OGLETWON STANTON RD NEWARK DE 19718 357048714 DEF COMP PLAN DE CCH SERVICES TRUST true CHRISTIANA CARE INSURANCE CO LTD PO BOX 1159 878 W BAY RD GRAND CAYMAN CJ KY1-1102 981489490 SELF-INSURANCE CJ CCH SERVICES C CORP 1243977 53177289 1.00000 true 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 true false true true false false true false false true true true true true true true true true true UNION HOSPITAL OF CECIL COUNTY INC O 592288 FMV CHRISTIANACARE GOHEALTH URGENT CARE LLC ADGJR 4465348 FMV THE DE CTR FOR MAT FETAL MED OF CC INC K,O 518308 FMV CHRISTIANA CARE INSURANCE CO LTD Q,R 29274115 FMV 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.