CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-03
IRS object ID: 202011559349300836
Schema version: 2018v3.3
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 O
Schedule R
Affiliated Group Attachment

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-03T13:55:30-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	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 VICE PRESIDENT'S OFFICE	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3026237201	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	2020-06-03	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	2020-06-03	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.35.117	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320201555000003	FederalOriginalSubmissionId
Federal Original Submission Id	2020-06-03	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	CFCED273F45E15359E1AD418F281705A5641D1F2	AtSubmissionCreationDeviceId
At Submission Filing Device Id	1165BB5F41A71AB0D781DA876A823BF1466164C1	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-06 18:47:13Z	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	$2,472,196,143	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	12638	TotalEmployeeCnt
Total Volunteers	1048	TotalVolunteersCnt
Total Gross UBI	$4,794,053	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,698,446	PYContributionsGrantsAmt
CY Contributions Grants	$24,577,838	CYContributionsGrantsAmt
PY Program Service Revenue	$1,371,432,728	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,003,698,183	CYProgramServiceRevenueAmt
PY Investment Income	$62,409,870	PYInvestmentIncomeAmt
CY Investment Income	$81,965,865	CYInvestmentIncomeAmt
PY Other Revenue	$227,054,451	PYOtherRevenueAmt
CY Other Revenue	$1,841,287	CYOtherRevenueAmt
PY Total Revenue	$1,683,595,495	PYTotalRevenueAmt
CY Total Revenue	$2,112,083,173	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	$1,101,167,332	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,197,510,102	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$415,593,042	PYOtherExpensesAmt
CY Other Expenses	$714,773,175	CYOtherExpensesAmt
PY Total Expenses	$1,516,760,374	PYTotalExpensesAmt
CY Total Expenses	$1,912,283,277	CYTotalExpensesAmt
PY Revenues Less Expenses	$166,835,121	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$199,799,896	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,230,957,055	TotalAssetsBOYAmt
Total Assets EOY	$3,539,982,993	TotalAssetsEOYAmt
Total Liabilities BOY	$652,910,048	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$794,893,093	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,578,047,007	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,745,089,900	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE SERVE OUR NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH, IN THE COMMUNITY, IN OUR PHYSICIAN PRACTICES AND IN OUR HOSPITALS. WE SERVE TOGETHER AS ONE TEAM, GUIDED BY OUR VALUES, EXCELLENCE AND LOVE, TO BE A CATALYST FOR A HEALTHIER COMMUNITY. WE SHARE A COMMITMENT TO EXCELLENCE AT CHRISTIANA CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$495,859,395	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$347,157,766	RevenueAmt
Desc	PROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. APPROXIMATELY 2,667 FULL TIME EQUIVALENT ("FTE") NURSES ARE EMPLOYED WITH 305,124 PATIENT DAYS RECORDED DURING FISCAL 2019. THE HOSPITALS OFFER A FULL SCOPE OF SERVICES WITH THE NEEDS OF THE POPULATION SERVED WITHOUT REGARD TO AGE, RACE OR ECONOMIC CIRCUMSTANCES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$184,390,104	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$315,400,460	RevenueAmt
Desc	PHARMACY-PROVIDED PHARMACY SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2019, 6,563,795 DOSES WERE PERFORMED WITH AN APPROXIMATE FTE COUNT OF 235.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$261,601,597	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$380,199,241	RevenueAmt
Desc	OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2019, 37,390 OPERATIONS WERE PERFORMED, REQUIRING AN APPROXIMATE FTE COUNT OF 610.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$711,050,937	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$961,108,074	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,652,902,033	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	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	469	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	12638	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	false	InvestmentInJointVentureInd
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 VICE PRESIDENT'S OFFICE	PersonNm
Phone	3026237202	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 HYGEIA DRIVE	AddressLine1Txt
City	NEWARK	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	197132049	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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BETTY J CAFFO PHD
MEMBER, VICE CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
DONEENE DAMON ESQ
CHAIRMAN OF THE BOARD	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
JAMES HOPKINS MD
MEMBER	40.0	1.0	Yes (X)		$518,096	$0	$36,345
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 FUREY MCDONOUGH ESQ
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
PHYLLIS ADAMS
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
JOHN M MURRAY II
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
JANICE E NEVIN MD
PRESIDENT & CEO	40.0	1.0	Yes (X)	Yes (X)	$1,752,791	$0	$183,205
SKIP PENNELLA
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
THEODORE G PLUSH
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
CAROL COUGHENOUR
MEMBER THRU 11/2018	1.0	1.0	Yes (X)		$0	$0	$0
MARK TURNER
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
JOSEPH BENNETT MD
MEMBER	1.0	1.0	Yes (X)		$536,461	$0	$38,641
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
PENELOPE T SARIDAKIS
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
BRENDA K PIERCE ESQ
FORMER SECRETARY OF CORP	40.0	3.0		Yes (X)	$456,942	$0	$28,056
KENNETH SILVERSTEIN
EXECUTIVE VICE PRESIDENT	40.0	0.0		Yes (X)	$860,490	$0	$103,873
JENNIFER L SCHWARTZ ESQ
SECRETARY OF CORP	40.0	1.0		Yes (X)	$269,761	$0	$26,634
ROB MCMURRAY
CFO, TREASURER & ASS'T SEC'Y	40.0	1.0		Yes (X)	$404,190	$0	$66,550
RICHARD CUMING
CHIEF NURSING EXECUTIVE	40.0	0.0			$565,448	$0	$75,596	Yes (X)
MICHAEL EPPEHIMER
CHIEF OP. OFFICER - MED GROUP	40.0	0.0			$424,579	$0	$61,233	Yes (X)
SHARON KURFUERST
CHIEF OP. OFFICER - HEALTH SVC	40.0	0.0			$423,030	$0	$75,407	Yes (X)
NEIL JASANI
CHIEF PEOPLE OFFICER	40.0	0.0			$588,697	$0	$85,291	Yes (X)
PAUL DAVIS
PHYSICIAN	40.0	0.0			$858,641	$0	$41,792		Yes (X)
KIRK GARRATT
MEDICAL DIRECTOR HVIS	40.0	0.0			$791,500	$0	$29,917		Yes (X)
RAY BLACKWELL
CHIEF CARDIAC SURGERY	40.0	0.0			$783,250	$0	$43,167		Yes (X)
BRIAN GALINAT MD
CHIEF ORTHOPAEDIC SURGERY	40.0	0.0			$777,361	$0	$35,609		Yes (X)
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER	40.0	0.0			$773,410	$0	$36,345		Yes (X)
THOMAS L CORRIGAN
FORMER EXECUTIVE VP AND CFO	0.0	0.0			$891,896	$0	$36,138			Yes (X)
AUDREY VAN LUVEN
FORMER SR VP&CHIEF HR OFFICER	0.0	0.0			$459,434	$0	$7,961			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,135,977	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,011,760	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1925	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SKANSKA USA BUILDING
518 EAST TOWNSHIP LINE RD	BLUE BELL	PA	19422	CONSTRUCTION SRVCS	$55,650,275
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	631959156	SOFTWARE SRVCS	$28,085,271
WHITING TURNER CONTRACTING
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION SRVCS	$11,917,225
CONSTRUCTION SERVICES GROUP LLC
1630 WEST CHESTER PIKE	WEST CHESTER	PA	19382	CONSTRUCTION SRVCS	$7,289,789
MILESTONE CONSTRUCTION LLC
4 MILL PARK COURT	NEWARK	DE	19713	CONSTRUCTION SRVCS	$6,522,308

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	271	CntrctRcvdGreaterThan100KCnt
Fundraising	$134,315	FundraisingAmt
Related Organizations	$7,466,644	RelatedOrganizationsAmt
Government Grants	$15,862,558	GovernmentGrantsAmt
All Other Contributions	$1,114,321	AllOtherContributionsAmt
Total Contributions	$24,577,838	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	$1,960,861,879	$1,960,861,879
OTHER REVENUES	900099	$42,836,304	$18,348,622	$4,794,053	$19,693,629

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,003,698,183	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,997,187	TotalRevenueColumnAmt
Exclusion	$38,997,187	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	$1,937,237	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,775,245	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$161,992	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$161,992	TotalRevenueColumnAmt
Exclusion	$161,992	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$401,306,403	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$358,337,725	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$42,968,678	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,968,678	TotalRevenueColumnAmt
Exclusion	$42,968,678	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$22,400	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$134,315	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,400	TotalRevenueColumnAmt
Exclusion	$22,400	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$8,180	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,180	TotalRevenueColumnAmt
Exclusion	$8,180	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	$1,481,357	$1,481,357
MEANINGFUL USE	110000	$167,358		$167,358

Field	Value	IRS element (for citing)
Other Revenue Total	$1,648,715	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,112,083,173	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,979,377,859	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,794,053	UnrelatedBusinessRevenueAmt
Exclusion	$103,333,423	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	$10,499,004	TotalAmt
Program Services	$8,967,590	ProgramServicesAmt
Management And General	$1,531,414	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	$916,417,724	TotalAmt
Program Services	$782,746,515	ProgramServicesAmt
Management And General	$133,671,209	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$63,926,898	TotalAmt
Program Services	$54,602,345	ProgramServicesAmt
Management And General	$9,324,553	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$144,303,142	TotalAmt
Program Services	$123,254,689	ProgramServicesAmt
Management And General	$21,048,453	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$62,363,334	TotalAmt
Program Services	$53,266,847	ProgramServicesAmt
Management And General	$9,096,487	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	$2,045,330	TotalAmt
Program Services	$1,672,227	ProgramServicesAmt
Management And General	$373,103	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$564,248	TotalAmt
Program Services	$461,319	ProgramServicesAmt
Management And General	$102,929	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$218,022	TotalAmt
Program Services	$178,251	ProgramServicesAmt
Management And General	$39,771	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	$6,013,976	TotalAmt
Management And General	$6,013,976	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,139,511	TotalAmt
Program Services	$11,560,221	ProgramServicesAmt
Management And General	$2,579,290	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,065,678	TotalAmt
Program Services	$4,959,194	ProgramServicesAmt
Management And General	$1,106,484	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,777,957	TotalAmt
Program Services	$6,359,124	ProgramServicesAmt
Management And General	$1,418,833	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$50,348,461	TotalAmt
Program Services	$41,164,037	ProgramServicesAmt
Management And General	$9,184,424	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,321,728	TotalAmt
Program Services	$14,161,947	ProgramServicesAmt
Management And General	$3,159,781	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,836,091	TotalAmt
Program Services	$3,136,322	ProgramServicesAmt
Management And General	$699,769	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	$6,106,979	TotalAmt
Program Services	$4,992,961	ProgramServicesAmt
Management And General	$1,114,018	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,621,366	TotalAmt
Program Services	$2,960,767	ProgramServicesAmt
Management And General	$660,599	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$100,188,776	TotalAmt
Program Services	$75,058,300	ProgramServicesAmt
Management And General	$25,130,476	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$21,953,832	TotalAmt
Program Services	$17,949,076	ProgramServicesAmt
Management And General	$4,004,756	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$314,932,095	$314,932,095
OTHER SUPPLIES AND SERVICES	$159,639,125	$130,518,206	$29,120,919

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,912,283,277	TotalAmt
Program Services	$1,652,902,033	ProgramServicesAmt
Management And General	$259,381,244	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	$108,699,985	BOYAmt
EOY	$100,496,164	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$184,648,494	BOYAmt
EOY	$188,510,758	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	$284,783,184	BOYAmt
EOY	$304,981,613	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	$27,443,400	BOYAmt
EOY	$32,314,006	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,186,017,452	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,285,542,568	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$765,914,737	BOYAmt
EOY	$900,474,884	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,610,796,948	BOYAmt
EOY	$1,436,059,434	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$46,132,195	BOYAmt
EOY	$283,790,024	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	$201,522,307	BOYAmt
EOY	$292,340,305	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,230,957,055	BOYAmt
EOY	$3,539,982,993	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$260,031,427	BOYAmt
EOY	$299,293,072	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	$248,557,244	BOYAmt
EOY	$240,452,898	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	$144,321,377	BOYAmt
EOY	$255,147,123	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$652,910,048	BOYAmt
EOY	$794,893,093	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,519,255,609	BOYAmt
EOY	$2,683,788,381	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,596,700	BOYAmt
EOY	$30,659,164	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,194,698	BOYAmt
EOY	$30,642,355	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,578,047,007	BOYAmt
EOY	$2,745,089,900	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,230,957,055	BOYAmt
EOY	$3,539,982,993	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$199,799,896	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$20,669,679	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$53,426,682	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	$42,304,655	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$30,666,972	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,304,559	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$22,698,446	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,577,838	CurrentTaxYearAmt
Total	$155,552,470	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	$42,304,655	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$30,666,972	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,304,559	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$22,698,446	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,577,838	CurrentTaxYearAmt
Total	$155,552,470	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$155,552,470	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,534,737	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$20,364,397	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$26,315,630	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$32,254,956	CurrentTaxYearMinus1YearAmt
Current Tax Year	$40,934,424	CurrentTaxYearAmt
Total	$139,404,144	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	$1,688,651	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,691,088	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,705,750	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,686,211	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,481,357	CurrentTaxYearAmt
Total	$8,253,057	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$303,209,671	TotalSupportAmt
Gross Receipts Rltd Activities	$9,124,166,861	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.51302	PublicSupportCY170Pct
Public Support PY170	0.56113	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

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$218,022	FilingOrganizationsTotalAmt
Affiliated Group Total	$218,022	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$218,022	FilingOrganizationsTotalAmt
Affiliated Group Total	$218,022	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,912,065,255	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,968,943,188	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,912,283,277	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,969,161,210	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	$237,095	CurrentYearMinus3Amt
Current Year Minus2	$174,335	CurrentYearMinus2Amt
Current Year Minus1	$198,652	CurrentYearMinus1Amt
Current Year	$218,022	CurrentYearAmt
Total	$828,104	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.44590	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.31710	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.23700	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

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	$1,370,019,209	OtherCostOrOtherBasisAmt
Depreciation	$728,383,989	DepreciationAmt
Book Value	$641,635,220	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,537,783	OtherCostOrOtherBasisAmt
Depreciation	$6,061,004	DepreciationAmt
Book Value	$476,779	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$739,494,814	OtherCostOrOtherBasisAmt
Depreciation	$526,572,508	DepreciationAmt
Book Value	$212,922,306	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,423,880	OtherCostOrOtherBasisAmt
Depreciation	$24,525,067	DepreciationAmt
Book Value	$5,898,813	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$900,474,884	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER SECURITIES	Desc
Book Value	$283,790,024	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$283,790,024	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
CONSTRUCTION IN PROGRESS	$202,331,902
DUE FROM AFFILIATES	$13,949,996
OTHER ASSETS	$35,601,514
OTHER RECEIVABLES	$40,456,893

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$292,340,305	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION AND POST RETIREMENT BENEFITS	$86,467,144
INSURANCE LIABILITIES	$15,890,345
OTHER LIABILITIES	$152,789,634

Field	Value	IRS element (for citing)
Total Liability	$255,147,123	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART V, LINES 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 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 MAINTENANCE, AND PROGRAM SUPPORT. --------------------	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$75,851,973	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$75,851,973	SubtotalSpentAmt
Total Spent	$75,851,973	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	SCHEDULE F, PART II	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	EVENING OF HOPE	Event1Nm
Gross Receipts Event1	$156,715	GrossReceiptsEvent1Amt
Charitable Contri Event1	$134,315	CharitableContriEvent1Amt
Gross Revenue Event1	$22,400	GrossRevenueEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$156,715	GrossReceiptsTotalAmt
Charitable Contributions Tot	$134,315	CharitableContributionsTotAmt
Gross Revenue Total Events	$22,400	GrossRevenueTotalEventsAmt
Net Income Summary	$22,400	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE G, PART II, EVENT #1	FormAndLineReferenceDesc
Explanation	DETAIL OF FUNDRAISING EVENTS THE EXPENSES ASSOCIATED WITH THE EVENING OF HOPE FUNDRAISING EVENT WERE RECORDED DIRECTLY BY A RELATED PARTY. --------------------	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	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,134,519	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,134,519	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$258,388,746	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$241,406,576	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,982,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$273,523,265	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$241,406,576	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,116,689	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	58	ActivitiesOrProgramsCnt
Persons Served	66480	PersonsServedCnt
Total Community Benefit Expns	$9,461,092	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,257,133	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,203,895	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	10	PersonsServedCnt
Total Community Benefit Expns	$79,698,938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,759,808	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,939,130	NetCommunityBenefitExpnsAmt
Total Expense	0.03550	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$19,353,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,850,355	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,503,221	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$413,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$413,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	70	ActivitiesOrProgramsCnt
Persons Served	66490	PersonsServedCnt
Total Community Benefit Expns	$108,926,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,867,296	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,059,395	NetCommunityBenefitExpnsAmt
Total Expense	0.04240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	70	ActivitiesOrProgramsCnt
Persons Served	66490	PersonsServedCnt
Total Community Benefit Expns	$382,450,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$269,273,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$113,176,084	NetCommunityBenefitExpnsAmt
Total Expense	0.05920	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$320,376	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$320,376	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$60,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,000	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,033,261	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,033,261	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$93,091	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93,091	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,506,728	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,506,728	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$62,680,662	BadDebtExpenseAmt
Bad Debt Expense Attributable	$8,789,324	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$489,040,997	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$591,145,063	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$102,104,066	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B LINE 5 (INPUT FROM COMMUNITY)	TO LEARN FROM THE COMMUNITIES WE SERVE, 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. 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 ALSO WERE 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 UNSURPRISINGLY, ALL BUT ACCESS TO DENTAL AND PRIMARY CARE WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS IN THE 2018 CHNA. ISSUES LIKE POVERTY, VIOLENCE, AND INFANT MORTALITY ARE NOT ONES THAT CAN BE RESOLVED QUICKLY. IN THE 2018 CHNA, CHRISTIANACARE ALSO IDENTIFIED TRANSPORTATION, HOUSING, AND EMPLOYMENT AS SIGNIFICANT NEEDS, BUT DETERMINED THAT IT WAS NOT ABLE TO ADDRESS THESE NEEDS GIVEN A LACK OF EXPERTISE AND INFRASTRUCTURE. WHILE WE CONTINUE TO ACKNOWLEDGE THAT ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS TO SOME EXTENT OUTSIDE OF OUR SCOPE OF EXPERTISE; WE HAVE ADVANCED OUR ORGANIZATIONAL CAPACITY TO SUPPORT A SOCIAL CARE FRAMEWORK AND MADE A COMMITMENT TO PARTNERING WITH COMMUNITY ORGANIZATIONS THAT DO ADDRESS THESE AREAS. IN SUPPORT OF THAT COMMITMENT, CHRISTIANACARE'S OFFICE OF HEALTH EQUITY DESIGNED THE COMMUNITY INVESTMENT FUND IN PARTNERSHIP WITH CHRISTIANACARE'S FINANCE DEPARTMENT IN FY 2019. THE FUND SUPPORTS PARTNERSHIPS TO BUILD THE COMMUNITY'S COLLECTIVE CAPACITY TO ADDRESS SOCIAL, BEHAVIORAL AND ENVIRONMENTAL FACTORS THAT IMPACT HEALTH. RECIPIENT COMMUNITY ORGANIZATIONS ARE SELECTED BASED ON THE QUALITY OF THEIR PROPOSALS AND IMPLEMENTATION PLANS, AND ON THE ALIGNMENT OF THEIR PROPOSALS WITH THE KEY PRIORITIES OF CHRISTIANACARE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN. IN FY 2020, NEARLY $2,000,000 IN FUNDING WAS GIVEN TO 32 COMMUNITY ORGANIZATIONS ACROSS THE STATE. THE FOLLOWING ARE BRIEF HIGHLIGHTS OF SOME KEY PROGRAMS AND INITIATIVES THAT CHRISTIANACARE HAS UNDERTAKEN TO ADDRESS THE AREAS OF NEED IDENTIFIED IN THE CHNA. PLEASE SEE THE CHRISTIANACARE CHIP AT HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/ FOR A COMPLETE DESCRIPTION OF HOW CHRISTIANACARE IS ADDRESSING THE IDENTIFIED AREAS OF NEED. 1. SOCIAL DETERMINANTS OF HEALTH CHRISTIANACARE UNDERTOOK EXCITING AND INNOVATIVE PARTNERSHIPS TO ADDRESS POVERTY AND SOCIAL DETERMINANTS OF HEALTH DURING THIS FISCAL YEAR. IN MARCH 2019, CHRISTIANACARE GAVE A GIFT OF $1,000,000 TO PURPOSE BUILT COMMUNITIES' REACH RIVERSIDE COMMUNITY DEVELOPMENT INITIATIVE. THIS INITIATIVE IS A COMMUNITY-LED REVITALIZATION PROJECT IN ONE OF WILMINGTON'S OLDEST AND MOST UNDERSERVED NEIGHBORHOODS. CHRISTIANACARE'S GIFT WILL FUND COMMUNITY HEALTH AND WELLNESS OUTREACH AND EDUCATION, FACILITIES AND RESOURCES FOR TEEN PROGRAMS AND ACTIVITIES, SUPPORT FOR SENIORS AND CHILDREN, TRANSPORTATION, AND PROGRAMS TO SUPPORT ECONOMIC OPPORTUNITY AND MOBILITY THROUGH WORKFORCE DEVELOPMENT AND FINANCIAL HEALTH PROGRAMS. CHRISTIANACARE'S CHIEF HEALTH EQUITY OFFICER, BETTINA TWEARDY RIVEROS, ALSO SERVES ON THE REACH RIVERSIDE BOARD OF DIRECTORS, AND CO-CHAIRS THE HEALTH, WELLNESS & SAFETY COMMITTEE ENSURING THAT CHRISTIANACARE WILL SERVE THIS COMMUNITY AS A PARTNER IN ITS HEALTH. CHRISTIANACARE ALSO ENGAGED UNITE US TO DEVELOP A CARE-COORDINATION NETWORK, UNITE DELAWARE, THAT CONNECTS SOCIAL SERVICES AND CLINICAL CARE PROVIDERS ACROSS THE STATE. WITH THIS ONLINE NETWORK, ANY HEALTH CARE PROVIDER OR SOCIAL SERVICE AGENCY CAN HELP AN INDIVIDUAL ADDRESS THE DIVERSE NEEDS THEY MAY HAVE. THIS TOOL HAS THE POTENTIAL TO REVOLUTIONIZE THE WAY SOCIAL SERVICE AND HEALTH CARE ORGANIZATIONS WORK TOGETHER IN DELAWARE. IT ENABLES OUR COMMUNITY TO TAKE ADVANTAGE OF EXISTING RESOURCES AND BETTER UNDERSTAND AREAS THAT NEED ADDITIONAL RESOURCES OR INVESTMENT. WE ARE INVESTING IN THIS NETWORK BECAUSE WE EXPECT THIS NETWORK TO IMPROVE COORDINATION AMONG COMMUNITY ORGANIZATIONS AND HEALTH CARE PROVIDERS, AND BECAUSE IT WILL PROVIDE VALUABLE INFORMATION ABOUT HOW THE NEEDS OF DELAWAREANS ARE BEING MET OR UNMET WHICH WILL ALSO SERVE TO INFORM OUR COMMUNITY INVESTMENT. ANOTHER COMPREHENSIVE WAY IN WHICH CHRISTIANACARE ADDRESSES SOCIAL DETERMINANTS OF HEALTH IS THE DELAWARE MEDICAL LEGAL PARTNERSHIP (MLP) CREATED IN PARTNERSHIP WITH DELAWARE'S COMMUNITY LEGAL AID SOCIETY, INC. ("CLASI"). THE MLP PROVIDES FREE, CIVIL LEGAL SERVICES TO LOW-INCOME PATIENTS, ADULTS AND CHILDREN, WHO ARE FACING LEGAL MATTERS OR NEEDS THAT MAY NEGATIVELY IMPACT THEIR HEALTH OR LEGAL MATTERS OR NEEDS WHICH MAY HAVE BEEN CREATED OR AGGRAVATED BY A PERSON'S HEALTH ISSUES. SOME OF THE MATTERS ADDRESSED THROUGH THIS PROGRAM ARE SAFE HOUSING, PREVENTION OF SUBSIDIZED AND PUBLIC HOUSING EVICTIONS, ASSISTANCE OBTAINING OR PRESERVING INCOME MAINTENANCE AND GOVERNMENT BENEFITS, ACCESS TO SOCIAL SERVICES, APPROPRIATE EDUCATIONAL SERVICES, HEALTH INSURANCE AND ACCESS TO HEALTH CARE. CLASI ATTORNEYS ARE LOCATED ON-SITE AT THE WILMINGTON HOSPITAL AND ARE INTEGRATED INTO HEALTH CARE TEAMS. DURING THIS FISCAL YEAR, THE OFFICE OF HEALTH EQUITY AGGRESSIVELY PROMOTED THIS PROGRAM THROUGHOUT THE SYSTEM TO ENSURE THAT STAFF WERE AWARE OF THIS PROGRAM AND COULD REFER INDIVIDUALS IN NEED THIS SERVICE. THE NUMBER OF THOSE REFERRED INCREASED BY OVER 50% DUE TO THOSE EFFORTS. CHRISTIANACARE IS ALSO ADDRESSING SOCIAL DETERMINANTS OF HEALTH THROUGH ITS COMMITMENT TO A COMMUNITY HEALTH WORKERS (CHW) PROGRAM. AS RECENTLY AS 2017, CHRISTIANA CARE DID NOT EMPLOY ANY CHWS AND BY THE TIME OF THIS WRITING, THERE ARE 16 FULL-TIME CHWS, AND WE EXPECT THAT NUMBER TO INCREASE TO 20. CHWS ARE TRAINED LAYPEOPLE WHO HELP PATIENTS ADDRESS THEIR SOCIAL NEEDS WITH THE EXPECTATION THAT IF SOCIAL NEEDS ARE MET, PATIENTS CAN MORE EFFECTIVELY ADDRESS THEIR HEALTH NEEDS. THEY ARE EMBEDDED IN THE FOLLOWING LOCATIONS THROUGHOUT THE CHRISTIANACARE SYSTEM: WOMEN'S HEALTH, SCHOOL-BASED HEALTH CENTERS, PRIMARY CARE AND OUR CARE-COORDINATION COMMUNITY TEAM. THERE IS ALSO A CHW COMMITTED TO HELPING PATIENTS ADDRESS FOOD INSECURITY. FOOD INSECURITY CHRISTIANACARE ADDRESSES FOOD INSECURITY WITH ITS PRODUCE RX PROGRAM CREATED IN 2017 IN PARTNERSHIP WITH URBAN ACRES PRODUCE, A COMMUNITY RUN LLC FOUNDED TO ADDRESS THE LACK OF CONVENIENT ACCESS TO HEALTHY FOODS IN LOW INCOME SECTIONS OF WILMINGTON. ELIGIBLE PREGNANT AND POST-PARTUM WOMEN AS WELL AS INDIVIDUALS DIAGNOSED WITH HYPERTENSION OR DIABETES ARE GIVEN "PRESCRIPTIONSVOUCHERS WHICH THEY EXCHANGE FOR PRODUCE AT ONE OF THE URBAN ACRES PRODUCE FARM STANDS. WITH CHRISTIANACARE SUPPORT, URBAN ACRES PRODUCE OPERATES FARM STANDS AT SIX LOCATIONS THROUGHOUT WILMINGTON INCLUDING A SENIOR CENTER, WESTSIDE FAMILY HEALTHCARE CENTER, AND THE WILMINGTON HOSPITAL. AN ADDITIONAL FARM STAND IS LOCATED AT THE CHRISTIANA HOSPITAL. THESE FARM STANDS ARE PRESENT IN EACH LOCATION FOR A SET NUMBER OF HOURS ON A SET DAY, AND ANYONE, NOT ONLY THOSE WITH PRESCRIPTIONS, IS ABLE TO VISIT THE FARM STANDS AND PURCHASE AFFORDABLE PRODUCE. CHRISTIANACARE'S PARTNERSHIP WITH URBAN ACRES PRODUCE DEMONSTRATES ITS COMMITMENT TO COMPREHENSIVE COMMUNITY EFFORTS. URBAN ACRES PRODUCE WORKS TO NOT ONLY ENSURE COMMUNITIES HAVE ACCESS TO AFFORDABLE PRODUCE, IT ALSO STRIVES TO DO SO IN A WAY THAT CREATES JOB OPPORTUNITIES. ANOTHER FOOD INSECURITY INITIATIVE CHRISTIANACARE UNDERTOOK THIS FISCAL YEAR WAS THE ESTABLISHMENT OF THE WILMINGTON HOSPITAL FOOD PANTRY IN EARLY 2019 IN PARTNERSHIP WITH THE FOOD BANK OF DELAWARE. THIS FOOD PANTRY SERVES OUTPATIENTS OF WILMINGTON HOSPITAL, THE CENTER FOR SPECIAL HEALTH CARE NEEDS, INDEPENDENCE AT HOME, AND CAREVIO COMMUNITY. IF A PATIENT IS FOOD INSECURE, THEY WILL BE PROVIDED WITH A BOX OF NON-PERISHABLE FOOD IMMEDIATELY. THESE PATIENTS ALSO RECEIVE INFORMATION ABOUT COMMUNITY-BASED FOOD OPTIONS FOR CONTINUING SUPPORT. AFTER ONE YEAR OF OPERATION, DATA-INFORMED DETERMINATIONS WILL BE MADE ABOUT ANY NEEDED CHANGES TO THE PROGRAM, AND THE INFORMATION SECURED FROM THIS PROGRAM WILL ALSO BE USED TO INFORM OTHER FOOD INSECURITY INITIATIVES WHICH WE EXPECT TO DEVELOP DURING FISCAL YEAR 2020. HOUSING DURING FISCAL YEAR 2019, CHRISTIANACARE FOCUSED ON RESEARCHING TRANSITIONAL HOUSING MODELS THAT PROVIDE WRAPAROUND SERVICES FOR PEOPLE WITH COMPLEX HEALTH NEEDS. CHRISTIANACARE ENTERED INTO PARTNERSHIPS WITH FRIENDSHIP HOUSE AND ATTACK ADDICTION RESPECTIVELY TO PROVIDE FINANCIAL SUPPORT FOR THESE ORGANIZATIONS' TRANSITIONAL HOUSING FOR HOMELESS INDIVIDUALS AND INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDER. IN FISCAL YEAR 2020, WE ALSO EXPECT TO DEVELOP A PROCESS FOR REFERRING APPROPRIATE PATIENTS TO THESE ORGANIZATIONS FOR TRANSITIONAL HOUSING. CHRISTIANACARE ALSO ENTERED INTO THE EARLY STAGES OF A PARTNERSHIP WITH HABITAT FOR HUMANITY NEW CASTLE COUNTY TO PROVIDE CRITICAL REPAIRS AND SAFETY MODIFICATIONS TO LOW-INCOME PATIENTS THAT ARE HOMEOWNERS RETURNING FROM THE HOSPITAL. CHRISTIANACARE'S INDEPENDENCE AT HOME PROGRAM AND GOOD NEIGHBORS HOME REPAIR ALSO BEGAN WO
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 SYSTEM (CCHS) DID PREPARE 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 (COSTING METHODOLOGY USED) THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. --------------------
PART III, SECTION A, LINE 2 (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 NEW ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- 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 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. ALL SUBSEQUENT STATEMENTS PROVIDE THE PATIENTS WITH AN OPPORTUNITY TO CALL OUR CUSTOMER SERVICES DEPARTMENT IF THEY ARE UNABLE TO MAKE PAYMENT IN FULL. IF A PATIENT QUALIFIES FOR A CHARITABLE ADJUSTMENT, THEY ARE EXTENDED THE COURTESY OF AN AUTOMATIC ADJUSTMENT TO THEIR BILLS FOR THE NEXT YEAR 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, INSTEAD, WE VIEWED IT AS 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. DURING THIS REPORTING YEAR, OUR COMMITMENT TO LISTENING TO OUR PATIENTS AND COMMUNITIES HAS BEEN MADE EVIDENT THROUGH THE INITIATIVES WE HAVE UNDERTAKEN SUCH AS THE COMMUNITY HEALTH WORKER PROGRAM, THE REACH RIVERSIDE INITIATIVE, AND UNITE DELAWARE. THESE INITIATIVES WILL NOT SUCCEED IF WE DO NOT ENGAGE WITH OUR PATIENTS AND COMMUNITY MEMBERS TO UNDERSTAND THEIR NEEDS AND THE IMPACT OF THOSE NEEDS ON THEIR HEALTH. IF, FOR EXAMPLE, A PATIENT TELLS THEIR COMMUNITY HEALTH WORKER THAT THEY CANNOT THINK ABOUT MAKING CHANGES TO THEIR DIET UNTIL THEY RESUME THEIR SOCIAL SECURITY BENEFITS, THEN THE COMMUNITY HEALTH WORKER WILL WORK WITH THEM TO RESUME THOSE BENEFITS AND ADDRESS THEIR DIET WHEN THAT IS RESOLVED AND THE PATIENT IS READY. THROUGH THIS MODEL, WE ARE NOT SIMPLY PRESCRIBING, WE ARE WORKING CLOSELY WITH THE PATIENT TO ADDRESS THE BARRIERS THEY IDENTIFY AS BEING IN THE WAY OF GOOD HEALTH THEREBY SETTING THEM UP FOR MORE SUCCESS. THE REACH RIVERSIDE INITIATIVE RELIES ON RESIDENT ENGAGEMENT TO REVITALIZE THE RIVERSIDE NEIGHBORHOOD. WE INVESTED BECAUSE WE BELIEVE THE COMMUNITY SHOULD DETERMINE ITS FUTURE, AND WE WANTED TO HELP EMPOWER THEM TO DO SO BY PARTNERING AROUND THEIR HEALTH NEEDS. FINALLY, THE USE OF UNITE DELAWARE REQUIRES COMMUNICATION AMONG COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS. THROUGH UNITE DELAWARE, CHRISTIANACARE HAS ACCESS TO DATA ON WHAT SOCIAL SERVICES ARE THE MOST REQUESTED WITHIN OUR COMMUNITIES, AND OF THOSE, WHICH ONES ARE MET OR UNMET. THIS DATA REPRESENTS THE VOICE OF OUR COMMUNITIES, AN EXPRESSION OF THEIR NEEDS. UNDERSTANDING THOSE GAPS WILL HELP GUIDE OUR COMMUNITY INVESTMENT. CHRISTIANACARE'S GREATER WILMINGTON COMMUNITY PARTNERSHIP 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. CHRISTIANA CARE'S VICE PRESIDENT OF COMMUNITY HEALTH AND ENGAGEMENT ALSO CO-CHAIRS THE DRUG OVERDOSE FATALITY REVIEW COMMISSION WHICH IS OF VITAL IMPORTANCE IN OUR STATE. IN 2018, DELAWARE MOVED INTO THE POSITION OF HAVING THE SECOND HIGHEST OVERDOSE DEATH RATE AMONG THE STATES. 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 CARE'S 18 SBHCS ACROSS NEW CASTLE COUNTY, WHILE ALSO BUILDING AWARENESS TO THE VARIETY OF SERVICES EACH CENTER PROVIDES FOR ADOLESCENTS IN A HIGH SCHOOL SETTING. A GROUP OF STAKEHOLDERS WERE ASKED TO SERVE ON THE SBHC CAB INCLUDING PARENTS/GUARDIANS, TEACHERS AND SCHOOL ADMINISTRATION, CLINICIANS, COMMUNITY PROVIDERS, AND RESEARCHERS. THE SBHC CAB MEETINGS WERE DESIGNED TO GIVE THESE STAKEHOLDERS A PLATFORM FOR EQUAL INPUT. THROUGH A COMMUNITY-BASED PARTICIPATORY RESEARCH FRAMEWORK, THIS PROJECT WAS RESPONSIBLE FOR IDENTIFYING CRITICAL BARRIERS TO CARE - FOR BOTH IN-SCHOOL AND OUT-OF-SCHOOL SETTINGS. BECAUSE SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE IDENTIFIED AS AN AREA OF NEED IN OUR 2016 AND 2019 CHNAS, WE ARE UNDERTAKING A NUMBER OF INITIATIVES, DESCRIBED IN THE PREVIOUS SECTION, TO ADDRESS THEM. WE ALSO RECOGNIZE THAT IN ORDER TO IMPROVE PATIENT HEALTH THERE IS A NEED TO IDENTIFY AND ADDRESS INDIVIDUAL PATIENTS' SDOH. FOR EXAMPLE, A PATIENT'S FREQUENT VISITS TO THE EMERGENCY DEPARTMENT FOR HYPERGLYCEMIA REFLECTS POORLY MANAGED DIABETES. IT COULD BE ASSUMED THIS IS DUE TO WILLFUL NONCOMPLIANCE, BUT IT MIGHT INSTEAD BE DUE TO FOOD INSECURITY THAT LIMITS THE PATIENTS' ABILITY TO CONSISTENTLY OBTAIN APPROPRIATE FOODS TO CONTROL THEIR DIABETES. THIS IS IMPORTANT TO KNOW AS IT WILL GUIDE THE INTERVENTION TO IMPROVE THE PATIENT'S HEALTH. 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. AN IMPORTANT FIRST STEP TO ADDRESSING PATIENTS' SDOH IS TO SCREEN PATIENTS FOR THESE SOCIAL NEEDS IN CLINICAL SETTINGS. CHRISTIANACARE DEVELOPED ITS SYSTEMWIDE STANDARDIZED SDOH SCREENING TOOL BY HAVING KEY STAKEHOLDERS ACROSS THE HEALTH SYSTEM, FROM PROVIDERS AND NURSES, TO INFORMATION TECHNOLOGY ANALYSTS, EPIDEMIOLOGISTS AND RESEARCHES, REVIEW THE EXISTING AND VALIDATED SCREENING TOOLS. AFTER WORKGROUP MEETINGS AND IN-DEPTH DISCUSSIONS, THE STAKEHOLDERS IDENTIFIED SIX PRIORITY DOMAINS: 1) PERSONAL FINANCE, 2) FOOD INSECURITY, 3) HOUSING INSTABILITY, 4) TRANSPORTATION, 5) INTERPERSONAL VIOLENCE, AND 6) HEALTH LITERACY. THE CHRISTIANACARE SDOH WORKING GROUP THEN COMPILED A LIST OF VALIDATED QUESTIONS FROM THE VARIOUS EXISTING TOOLS AND CAME TO A CONSENSUS ON 9 RECOMMENDED SDOH SCREENING QUESTIONS AND ONE EXTRA QUESTION ADDRESSING URGENT NEEDS. DURING THE END OF THIS REPORTING PERIOD, SELECTED DEPARTMENTS WITHIN CHRISTIANACARE BEGAN A TARGETED USE OF THE SDOH SCREENING TOOL. THE UTILIZATION OF THE SDOH SCREENING TOOL IS A CLEAR DEMONSTRATION OF OUR DESIRE TO GIVE OUR PATIENTS THE OPPORTUNITY TO TELL US WHAT THEIR NEEDS ARE. MOST IMPORTANTLY, IF THEY STATE A NEED, THAT NEED WILL BE ADDRESSED BY CONNECTING THE PATIENT TO THE APPROPRIATE COMMUNITY RESOURCES. LEARNING THE PATIENTS' SOCIAL NEEDS PROVIDES DATA THAT WILL INFORM INVESTMENT AND INITIATIVES, BUT THE SDOH WORKING GROUP FELT STRONGLY THAT IF PATIENTS ARE GOING TO BE ASKED PERSONAL QUESTIONS AND DEMONSTRATE THEIR TRUST IN US BY ANSWERING THEM HONESTLY, WE HAD TO PROVIDE SOME ASSISTANCE ADDRESSING THESE NEEDS OR WE SHOULD NOT ASK THE QUESTION. THESE ARE JUST SOME OF THE PARTNERSHIPS AND INITIATIVES CHRISTIANACARE HAS UNDERTAKEN TO LEARN FROM ITS COMMUNITY ABOUT ITS HEALTH NEEDS. WE EXPECT TO CONTINUE TO LEARN FROM OUR NEIGHBORS AND ALWAYS SEEK NEW WAYS TO CONNECT WITH THEM. --------------------
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 PATIENT'S ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON CHRISTIANACARE'S WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL -ASSISTANCE/, AND IN PAMPHLETS THROUGHOUT CHRISTIANACARE FACILITIES, INCLUDING CHRISTIANACARE'S OUTPATIENT PRACTICES. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE IN SPANISH, CANTONESE, AND MANDARIN WHICH ARE THE LANGUAGES MOST SPOKEN IN CHRISTIANACARE'S 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/FINANCIAL -ASSISTANCE/. CHRISTIANACARE'S 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)	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 COUNTY'S 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 CARE'S 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)	CHRISTIANACARE'S 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 COMMUNITY'S UNINSURED AND UNDERINSURED POPULATION ALONG WITH A SUBSTANTIAL PORTION OF THE STATE'S MEDICAID POPULATION. IN DEMONSTRATION OF OUR COMMITMENT TO SERVING OUR NEIGHBORS, IN JULY 2019, CHRISTIANACARE ENTERED INTO AGREEMENTS WITH DELAWARE'S TWO LARGEST MEDICAID PAYORS TO WORK WITH BENEFICIARIES IN POPULATION HEALTH CONTRACTS. AT CHRISTIANACARE, WE ARE KEENLY AWARE OF THE IMPORTANCE OF OUR COMMITMENT TO THE HEALTH OF OUR COMMUNITIES. EACH YEAR, CHRISTIANACARE'S WILMINGTON HOSPITAL HEALTH CENTER ATTRACTS APPROXIMATELY 75,000 PATIENT VISITS. A SIGNIFICANT NUMBER WHEN YOU CONSIDER THE ENTIRE POPULATION OF NEW CASTLE COUNTY IS 556,000 INDIVIDUALS. CHRISTIANACARE ALSO PROVIDES SERVICES THAT DELAWAREANS CANNOT FIND ELSEWHERE IN THE STATE SUCH AS KIDNEY TRANSPLANT, AN EPILEPSY MONITORING UNIT, AND A COMPREHENSIVE PAIN CENTER, LAUNCHED DURING THIS REPORTING PERIOD, WHICH OFFERS EFFECTIVE, NON-OPIOID PAIN TREATMENT STRATEGIES FOR INDIVIDUALS WITH ACUTE AND CHRONIC PAIN. CHRISTIANACARE'S 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 SUCH AS CYSTIC FIBROSIS, HEMOPHILIA, AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 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 NEWLY CREATED 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 ON THE CHRISTIANACARE CAMPUS. DURING THIS REPORTING PERIOD, CHRISTIANACARE SCIENTISTS IN THE HELEN F. GRAHAM CANCER CENTER & RESEARCH INSTITUTE FOUND THAT THE CRISPR-CAS9 GENE EDITING SYSTEM MAY BE ABLE TO DELETE A GENE IN CANCER TUMORS THAT LEADS TO THE TUMOR DEVELOPING A RESISTANCE TO CHEMOTHERAPIES USED TO TREAT LUNG CANCER. THE FOCUS OF THIS STUDY WAS TO DETERMINE HOW CRISPR AND CHEMOTHERAPY CAN BE USED TOGETHER TO EFFECTIVELY COMBAT CANCER. CHRISTIANACARE'S CENTER FOR TRANSLATIONAL CANCER RESEARCH ALSO RECEIVED A NEARLY $1 MILLION GRANT FROM THE LISA DEAN MOSELEY FOUNDATION IN EARLY 2019 TO FURTHER STEM CELL RESEARCH INTO THE ORIGINS OF COLON CANCER. WITH THIS THREE-YEAR GRANT, CHRISTIANACARE SCIENTISTS WILL BUILD ON THEIR DISCOVERY THAT STEM CELL OVERPOPULATION DRIVES CANCER DEVELOPMENT AND GROWTH IN THE COLON. OUR EXPECTATION IS THAT THIS WORK WILL CONTRIBUTE TO THE DEVELOPMENT OF TARGETED AND MORE EFFECTIVE CANCER TREATMENT STRATEGIES. THESE ARE BUT TWO EXAMPLES OF THE EXCITING AND INNOVATIVE WORK HAPPENING AT CHRISTIANACARE TO SERVE ITS PATIENTS, AND THE BROADER POPULATION, WITH POTENTIAL BREAKTHROUGHS AND MODELS TO BE EMULATED. 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 PRACTICE AND POLICY SOLUTIONS THAT IMPROVE THE EXPERIENCE, EFFICIENCY AND EFFECTIVENESS OF HEALTH CARE FOR PATIENTS AND PROVIDERS ALIKE. CHRISTIANACARE'S GOVERNING BODY, ITS BOARD OF DIRECTORS, IS COMPRISED OF PERSONS WHO RESIDE IN ITS PRIMARY SERVICE AREA, AND MOST OF THE BOARD MEMBERS ARE NOT EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF CHRISTIANACARE. AS DESCRIBED IN THE CHNA AND CHIP, CHRISTIANACARE FINANCIALLY SUPPORTS IMPROVEMENTS IN ACCESSING CARE, COMMUNITY OUTREACH, IMPROVING THE CARE AND OVERALL HEALTH OF OUR NEIGHBORS, AND CONTINUING TO SUPPORT MEDICAL EDUCATION AND RESEARCH. 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. CAREVIO'S 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. SINCE JANUARY 2016, THE COMMUNITY TEAM HAS ASSISTED MORE THAN 900 PEOPLE, WITH OVER 9,200 PERSONAL INTERVENTIONS. THEY ACHIEVED A 35% REDUCTION IN EMERGENCY DEPARTMENT USE AND A 25% REDUCTION IN HOSPITAL STAYS. 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. EACH DAY, CHRISTIANACARE CONNECTS WITH ITS NEIGHBORS IN THEIR NEIGHBORHOODS AT PLAY STREETS WILMINGTON EVENTS, AT CHAT & CHEWS HELD IN COMMUNITY CENTERS WHERE PARENTS ARE OFFERED PARENTING EDUCATION AND LUNCH, IN THEIR HOMES FOLLOWING AN OPIOID OVERDOSE WITH ENCOURAGEMENT TO SEEK TREATMENT, IN CLASSROOMS THROUGHOUT THE STATE WHERE STUDENTS ARE TAUGHT HOW TO PREVENT INJURIES AND THE REAL IMPACT OF VIOLENCE, AND AT FARM STANDS THROUGHOUT THE CITY OF WILMINGTON. CHRISTIANACARE IS FOCUSED ON PROVIDING THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT PLACE. WE ARE COMMITTED TO MAKING GOOD HEALTH ACCESSIBLE FOR EVERYONE, AND WE KNOW THIS MEANS MEETING PEOPLE WHERE THEY ARE WHICH IS OFTEN OUT IN THE COMMUNITY, OUTSIDE OF THE HOSPITAL OR THE PRIMARY CARE OFFICE. CHRISTIANACARE ALSO WORKS TO IMPROVE THE HEALTH OF ITS COMMUNITIES BY DIRECTLY ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THROUGH THE HARRINGTON VALUE INSTITUTE PARTNERSHIP COMMUNITY FUND WHICH WAS ESTABLISHED IN 2015 TO FOSTER PARTNERSHIPS BETWEEN THE COMMUNITY, CHRISTIANACARE, AND CHRISTIANACARE'S VALUE INSTITUTE. THE PURPOSE OF THE HARRINGTON VALUE INSTITUTE COMMUNITY PARTNERSHIP FUND IS TO SUPPORT RESEARCH AND PROGRAM DEVELOPMENT IN THE AREAS OF POPULATION HEALTH TO ADDRESS COMMUNITY NEEDS, SUCH AS PROVIDING CARE FOR THE DISADVANTAGED OR UNDERSERVED AND REDUCING DISPARITIES IN HEALTH. THE HARRINGTON VALUE INSTITUTE COMMUNITY PARTNERSHIP FUND WILL SUPPORT PROJECTS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND CLINICAL OUTCOMES. THE DELAWARE MEDICAL LEGAL PARTNERSHIP AND THE SCHOOL-BASED HEALTH CENTER COMMUNITY ADVISORY BOARD DISCUSSED IN PREVIOUS SECTIONS WERE HARRINGTON FUND AWARDEES. IN FISCAL YEAR 2020, EIGHT ORGANIZATIONS RECEIVED GRANTS THROUGH THE HARRINGTON VALUE INSTITUTE COMMUNITY PARTNERSHIP FUND. COMBINED GRANT FUNDS WERE APPROXIMATELY $375,000. THE HARRINGTON VALUE INSTITUTE COMMUNITY PARTNERSHIP FUND ALSO OFFERS A 12-MONTH EXPERIENTIAL TRAINING PROGRAM DESIGNED TO SUPPORT UNDER-REPRESENTED MINORITY, PRE-MED STUDENTS FROM DELAWARE WHO HAVE GRADUATED FROM COLLEGE AND ARE INTERESTED IN PURSUING CLINICAL AND TRANSLATIONAL RESEARCH CAREERS. 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 CHRISTIANACARE'S COMMUNITY PROGRAMS SINCE IT BEGAN SERVING ADOLESCENTS IN 1985 AND EXPANDED TO SERVE ELEMENTARY STUDENTS IN 1991. CHRISTIANACARE IS ALSO A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 260 MEDICAL-DENTAL RESI
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 IS THE CORPORATE HEADQUARTERS FOR THE HEALTH SYSTEM AND 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. --------------------
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/. --------------------

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	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
THOMAS L CORRIGAN
FORMER EXECUTIVE VP AND CFO	$375,782	$0	$244,258	$0	$271,856	$0	$27,211	$0	$8,927	$0	$928,034	$0	$0	$0
JAMES HOPKINS MD
MEMBER	$421,096	$0	$85,000	$0	$12,000	$0	$27,211	$0	$9,134	$0	$554,441	$0	$0	$0
BRENDA K PIERCE ESQ
FORMER SECRETARY OF CORP	$162,761	$0	$80,000	$0	$214,181	$0	$24,349	$0	$3,707	$0	$484,998	$0	$0	$0
AUDREY VAN LUVEN
FORMER SR VP&CHIEF HR OFFICER	$0	$0	$262,129	$0	$197,305	$0	$7,961	$0	$0	$0	$467,395	$0	$0	$0
JANICE E NEVIN MD
PRESIDENT & CEO	$1,084,695	$0	$606,867	$0	$61,229	$0	$172,471	$0	$10,734	$0	$1,935,996	$0	$0	$0
PAUL DAVIS
PHYSICIAN	$745,991	$0	$112,650	$0	$0	$0	$25,836	$0	$15,956	$0	$900,433	$0	$0	$0
KENNETH SILVERSTEIN
EXECUTIVE VICE PRESIDENT	$636,806	$0	$223,684	$0	$0	$0	$87,917	$0	$15,956	$0	$964,363	$0	$0	$0
KIRK GARRATT
MEDICAL DIRECTOR HVIS	$594,866	$0	$138,457	$0	$58,177	$0	$24,461	$0	$5,456	$0	$821,417	$0	$0	$0
RAY BLACKWELL
CHIEF CARDIAC SURGERY	$694,674	$0	$88,576	$0	$0	$0	$27,211	$0	$15,956	$0	$826,417	$0	$0	$0
RICHARD CUMING
CHIEF NURSING EXECUTIVE	$417,393	$0	$148,055	$0	$0	$0	$66,462	$0	$9,134	$0	$641,044	$0	$0	$0
MICHAEL EPPEHIMER
CHIEF OP. OFFICER - MED GROUP	$328,385	$0	$91,375	$0	$4,819	$0	$45,277	$0	$15,956	$0	$485,812	$0	$0	$0
SHARON KURFUERST
CHIEF OP. OFFICER - HEALTH SVC	$332,113	$0	$90,917	$0	$0	$0	$59,451	$0	$15,956	$0	$498,437	$0	$0	$0
JOSEPH BENNETT MD
MEMBER	$464,658	$0	$33,303	$0	$38,500	$0	$24,461	$0	$14,180	$0	$575,102	$0	$0	$0
BRIAN GALINAT MD
CHIEF ORTHOPAEDIC SURGERY	$319,626	$0	$92,336	$0	$365,399	$0	$27,211	$0	$8,398	$0	$812,970	$0	$0	$0
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER	$579,243	$0	$162,037	$0	$32,130	$0	$27,211	$0	$9,134	$0	$809,755	$0	$0	$0
NEIL JASANI
CHIEF PEOPLE OFFICER	$432,504	$0	$156,193	$0	$0	$0	$69,335	$0	$15,956	$0	$673,988	$0	$0	$0
JENNIFER L SCHWARTZ ESQ
SECRETARY OF CORP	$184,761	$0	$85,000	$0	$0	$0	$18,374	$0	$8,260	$0	$296,395	$0	$0	$0
ROB MCMURRAY
CFO, TREASURER & ASS'T SEC'Y	$333,074	$0	$62,299	$0	$8,817	$0	$50,594	$0	$15,956	$0	$470,740	$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 4A	DETAIL OF SEVERANCE PAYMENTS AUDREY VAN LUVEN RECEIVED A SEVERANCE DISTRIBUTION OF $197,305 DURING THE 2018 CALENDAR YEAR. BRIAN GALINAT RECEIVED A SEVERANCE DISTRIBUTION OF $142,056 DURING THE 2018 CALENDAR YEAR. -------------------- FORM 990, SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED PLAN PARTICIPATION CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: THOMAS L. CORRIGAN- $69,293 BRIAN GALINAT- $27,701 KIRK GARRATT, MD- $35,758 JANICE E. NEVIN, MD- NO DISTRIBUTION NICHOLAS PETRELLI- $34,476 BRENDA PIERCE- $27,701 --------------------
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 (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008
A	510272458	246388NVO	2008-11-20	$80,000,000	REFINANCE SERIES 2004 & MED BLDG	false	false	false
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A
B	510272458	246388EQ5	2010-11-04	$74,491,341	CONSTRUCTION OF HOSPITAL	false	false	false
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010
C	510272458	246388QPO	2010-11-04	$127,295,000	CONSTRUCTION OF HOSPITAL	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,210,000	$0	$80,000,000	$0	$0	$0	$774,850	$0	$0	$19,062,025	$60,163,125	$0	2006	Yes (true)	false	Yes (true)	Yes (true)
B	$15,360,000	$0	$74,956,804	$0	$0	$0	$879,197	$0	$0	$74,077,607	$0	$0	2014	false	false	Yes (true)	Yes (true)
C	$16,620,000	$0	$128,314,967	$0	$0	$0	$684,318	$0	$0	$127,630,649	$0	$0	2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE K, PART II, LINE 3	FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $465,463 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,119,967 IN INVESTMENT EARNINGS. --------------------
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMNS A, B, AND C	AN ARBITRAGE REBATE AND YIELD RESTRICTION COMPLIANCE ANALYSIS WAS COMPLETED BY THE PFM GROUP FOR THE DELAWARE HEALTH FACILITIES AUTHORITY 2008 BONDS ON NOVEMBER 19, 2018 AND THE DELAWARE HEALTH FACILITIES AUTHORITY 2010 BONDS ON NOVEMBER 4, 2015.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 260 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 11,300 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 CHRISTIANACARE'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2018 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2019 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2018 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. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST. 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 C, LINE 19	GOVERNANCE, MANAGEMENT, & DISCLOSURE THE FORM 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF CHRISTIANACARE 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 XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN PENSION AND POSTRETIREMENT LIABILITIES $ (55,800,442) CHANGE IN NET ASSETS OF THE SYSTEM 2,046,972 OTHER 326,788 ----------- TOTAL $ (53,426,682) ===========

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	CCHS
CHRISTIANA CARE QUALITY PARTNERS LLC
501 WEST 14TH STREET	WILMINGTON	DE	19801	510103684	SUPPORT SRVCS	DE	-$212,391	$0	CCHS
CHRISTIANA CARE QUALITY PARTNERS ACOLLC
501 WEST 14TH STREET	WILMINGTON	DE	19801	510103684	SUPPORT SRVCS	DE	-$1,365,073	$906	CCHS
CHRISTIANA CARE CARE LINK LLC
501 WEST 14TH STREET	WILMINGTON	DE	19801	510103684	SUPPORT SRVCS	DE	-$4,037,204	$334,044	CCHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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	CCHS SYSTEM	false
CHRISTIANA CARE HOME HEALTH & COM SRVCS
1 READS WAY	NEW CASTLE	DE	19720	510064334	HOME HLTHCARE	DE	501(c)(3)	7	CCHS SYSTEM	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 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	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
THE DE CTR FOR MAT FETAL MED OF CC INC
200 HYGEIA DRIVE	NEWARK	DE	19713	205891272	HEALTHCARE	DE	CCHS	C CORP	$45,187	$2,751,756	1.00000	Yes (true)
CHRISTIANA CARE HEALTH PLANS
200 HYGEIA DRIVE OFFICE 2524	NEWARK	DE	19713	510352728	INSURANCE	DE	CCHS SYSTEM	C CORP				false
CHRISTIANA CARE DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	816359549	DEF COMP PLAN	DE	CC HEALTH SRVCS	TRUST				Yes (true)
CHRISTIANA CARE EXEC DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	357048822	DEF COMP PLAN	DE	CC HEALTH SRVCS	TRUST				Yes (true)
CARE ASSOCIATES DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	357048714	DEF COMP PLAN	DE	CC HEALTH SRVCS	TRUST				Yes (true)
CHRISTIANA CARE INSURANCE CO LTD
				981489490	SELF-INSURANCE		CC HEALTH SRVCS	C-CORP	-$8,388	$52,297,605	1.00000	Yes (true)	PO BOX 1159 878 W BAY RD	GRAND CAYMAN	CJ	KY1-1102	CJ

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	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
THE DE CTR FOR MAT FETAL MED OF CC INC
A,O	$514,255	FMV
CHRISTIANA CARE INSURANCE CO LTD
R	$36,534,378	FMV
CHRISTIANA CARE HEALTH SYSTEM
CJMNO	$7,987,631	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 $ 3,441,481 CHRISTIANA CARE HEALTH SERVICES 218,022 1,912,065,255 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 47,145,997 CHRISTIANA CARE HEALTH INITIATIVES NONE 6,290,453 ------------ -------------- TOTAL $ 218,022 $ 1,968,943,188 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2019. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2018.	MeduimExplanationTxt