CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201901349349301815
Schema version: 2017v2.3
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 G
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R
Affiliated Group Attachment

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T08:20:20-05:00	ReturnTs
Tax Period End	2018-06-30	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	2017-07-01	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	% 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	2019-05-09	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	2019-05-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.188.33	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320191345000020	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	CFCED273F45E15359E1AD418F281705A5641D1F2	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CFCED273F45E15359E1AD418F281705A5641D1F2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$2,196,906,965	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	19	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	11139	TotalEmployeeCnt
Total Volunteers	1145	TotalVolunteersCnt
Total Gross UBI	$3,836,153	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,055,505	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$35,304,559	PYContributionsGrantsAmt
CY Contributions Grants	$22,698,446	CYContributionsGrantsAmt
PY Program Service Revenue	$1,396,421,550	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,371,432,728	CYProgramServiceRevenueAmt
PY Investment Income	$71,183,909	PYInvestmentIncomeAmt
CY Investment Income	$62,409,870	CYInvestmentIncomeAmt
PY Other Revenue	$294,090,298	PYOtherRevenueAmt
CY Other Revenue	$227,054,451	CYOtherRevenueAmt
PY Total Revenue	$1,797,000,316	PYTotalRevenueAmt
CY Total Revenue	$1,683,595,495	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	$1,044,935,974	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,101,167,332	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$538,565,296	PYOtherExpensesAmt
CY Other Expenses	$415,593,042	CYOtherExpensesAmt
PY Total Expenses	$1,583,501,270	PYTotalExpensesAmt
CY Total Expenses	$1,516,760,374	CYTotalExpensesAmt
PY Revenues Less Expenses	$213,499,046	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$166,835,121	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,946,500,848	TotalAssetsBOYAmt
Total Assets EOY	$3,230,957,055	TotalAssetsEOYAmt
Total Liabilities BOY	$615,628,909	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$652,910,048	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,330,871,939	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,578,047,007	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	$494,226,316	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$325,854,630	RevenueAmt
Desc	PROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. 3,687 NURSES ARE EMPLOYED WITH 297,069 PATIENT DAYS RECORDED DURING FISCAL 2018. 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	$80,038,354	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$158,568,485	RevenueAmt
Desc	LABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2018, 3,526,157 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 344.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$261,693,602	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$377,721,895	RevenueAmt
Desc	OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2018, 37,634 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 285.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$346,330,730	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$734,335,250	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,182,289,002	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	false	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	false	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	484	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	11139	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	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	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

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
BRIAN E BURGESS MD
MEMBER, VICE CHAIR-THRU 11/17	1.0	1.0	Yes (X)	Yes (X)	$20,838	$0	$672
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)		$530,364	$0	$36,616
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
MICHAEL R MILLER
MEMBER- THRU 11/2017	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)	$1,601,691	$0	$149,409
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
LEO RAISIS MD
MEMBER- THRU 11/2017	1.0	1.0	Yes (X)		$0	$0	$0
GEORGIANNA RILEY
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
PENELOPE T SARIDAKIS
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
JOSEPH BENNETT MD
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
GEORGE FOUTRAKIS
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
DAVID B STRATTON ESQ
MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
THOMAS L CORRIGAN
EXECUTIVE VP AND CFO	40.0	1.0		Yes (X)	$1,025,589	$0	$44,713
BRENDA K PIERCE ESQ
SECRETARY OF CORP- THRU 6/18	40.0	3.0		Yes (X)	$418,542	$0	$56,436
JENNIFER L SCHWARTZ ESQ
SECRETARY OF CORP- AS OF 6/18	40.0	1.0		Yes (X)	$0	$0	$0
AUDREY VAN LUVEN
SR VP&CHIEF HR OFF. THRU 7/17	0.0	0.0			$602,768	$0	$30,331	Yes (X)
KENNETH SILVERSTEIN
CHIEF CLINICAL OFFICER	40.0	0.0			$821,109	$0	$102,447	Yes (X)
RICHARD CUMING
CHIEF NURSING EXECUTIVE	40.0	0.0			$539,180	$0	$64,086	Yes (X)
MICHAEL EPPEHIMER
CHIEF OP. OFFICER - MED GROUP	40.0	0.0			$533,555	$0	$61,364	Yes (X)
SHARON KURFUERST
CHIEF OP. OFFICER - HEALTH SVC	40.0	0.0			$546,766	$0	$62,715	Yes (X)
NEIL JASANI
CHIEF PEOPLE OFFICER	40.0	0.0			$513,605	$0	$42,013	Yes (X)
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS	40.0	0.0			$877,918	$0	$37,916		Yes (X)
VIRGINIA COLLIER
PHYSICIAN	40.0	0.0			$871,925	$0	$26,997		Yes (X)
PAUL DAVIS
PHYSICIAN	40.0	0.0			$819,980	$0	$43,898		Yes (X)
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER	40.0	0.0			$751,825	$0	$39,025		Yes (X)
MARK BOROWSKY
PHYSCIAN	40.0	0.0			$730,592	$0	$44,713		Yes (X)
ROBERT LASKOWSKI
FORMER PRESIDENT & CEO	0.0	0.0			$2,128,925	$0	$7,886			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,335,172	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$851,237	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1350	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	$29,118,880
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	631959156	SOFTWARE SRVCS	$27,363,551
WHITING TURNER CONTRACTING
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION SRVCS	$8,465,725
BANCROFT CONSTRUCTION CO
1300 GRANT AVE SUITE 110	WILMINGTON	DE	19806	CONSTRUCTION SRVCS	$4,370,362
MILESTONE CONSTRUCTION LLC
4 MILL PARK COURT	NEWARK	DE	19713	CONSTRUCTION SRVCS	$4,132,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	269	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$75,271	FundraisingAmt
Related Organizations	$3,786,181	RelatedOrganizationsAmt
Government Grants	$17,024,238	GovernmentGrantsAmt
All Other Contributions	$1,812,756	AllOtherContributionsAmt
Total Contributions	$22,698,446	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	$1,348,513,236	$1,348,513,236
OTHER REVENUES	900099	$22,919,492	$1,997,813	$3,836,153	$17,085,526

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,371,432,728	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,006,000	TotalRevenueColumnAmt
Exclusion	$30,006,000	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,248,956	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,959,223	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$289,733	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$289,733	TotalRevenueColumnAmt
Exclusion	$289,733	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$232,714,055	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$200,310,185	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$32,403,870	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,403,870	TotalRevenueColumnAmt
Exclusion	$32,403,870	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$26,375	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$75,271	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,375	TotalRevenueColumnAmt
Exclusion	$26,375	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$4,600	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,600	TotalRevenueColumnAmt
Exclusion	$4,600	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$535,090,503	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$311,042,062	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$224,048,441	TotalRevenueColumnAmt
Related Or Exempt Func Income	$224,048,441	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MAINTENANCE FEES	531390	$1,686,211	$1,686,211
MEANINGFUL USE	110000	$999,091		$999,091

Field	Value	IRS element (for citing)
Other Revenue Total	$2,685,302	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,683,595,495	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,575,558,581	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,836,153	UnrelatedBusinessRevenueAmt
Exclusion	$81,502,315	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	$10,832,125	TotalAmt
Program Services	$4,204,329	ProgramServicesAmt
Management And General	$6,627,796	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	$836,659,984	TotalAmt
Program Services	$651,750,919	ProgramServicesAmt
Management And General	$184,909,065	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$66,855,873	TotalAmt
Program Services	$51,746,446	ProgramServicesAmt
Management And General	$15,109,427	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$127,288,711	TotalAmt
Program Services	$98,521,462	ProgramServicesAmt
Management And General	$28,767,249	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$59,530,639	TotalAmt
Program Services	$46,076,715	ProgramServicesAmt
Management And General	$13,453,924	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	$907,685	TotalAmt
Program Services	$702,548	ProgramServicesAmt
Management And General	$205,137	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$409,431	TotalAmt
Program Services	$316,900	ProgramServicesAmt
Management And General	$92,531	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$198,652	TotalAmt
Program Services	$153,757	ProgramServicesAmt
Management And General	$44,895	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,205,849	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,205,849	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,066,352	TotalAmt
Program Services	$2,373,356	ProgramServicesAmt
Management And General	$692,996	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,178,792	TotalAmt
Program Services	$3,234,385	ProgramServicesAmt
Management And General	$944,407	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$42,347,823	TotalAmt
Program Services	$32,777,215	ProgramServicesAmt
Management And General	$9,570,608	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,178,919	TotalAmt
Program Services	$14,070,483	ProgramServicesAmt
Management And General	$4,108,436	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,096,950	TotalAmt
Program Services	$2,397,039	ProgramServicesAmt
Management And General	$699,911	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	$5,620,785	TotalAmt
Program Services	$4,350,487	ProgramServicesAmt
Management And General	$1,270,298	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,700,129	TotalAmt
Program Services	$2,863,900	ProgramServicesAmt
Management And General	$836,229	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$96,306,968	TotalAmt
Program Services	$74,541,593	ProgramServicesAmt
Management And General	$21,765,375	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$27,792,124	TotalAmt
Program Services	$21,511,104	ProgramServicesAmt
Management And General	$6,281,020	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$54,643,560	$54,643,560
OTHER SUPPLIES AND SERVICES	$149,939,023	$116,052,804	$33,886,219

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,516,760,374	TotalAmt
Program Services	$1,182,289,002	ProgramServicesAmt
Management And General	$334,471,372	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	$74,992,808	BOYAmt
EOY	$108,699,985	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$182,606,435	BOYAmt
EOY	$184,648,494	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	$239,035,873	BOYAmt
EOY	$284,783,184	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	$23,441,424	BOYAmt
EOY	$27,443,400	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	$1,949,714,809	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,183,800,072	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$776,685,087	BOYAmt
EOY	$765,914,737	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,369,302,395	BOYAmt
EOY	$1,610,796,948	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$141,317,495	BOYAmt
EOY	$46,132,195	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	$138,103,526	BOYAmt
EOY	$201,522,307	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,946,500,848	BOYAmt
EOY	$3,230,957,055	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$235,732,820	BOYAmt
EOY	$260,031,427	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	$256,454,888	BOYAmt
EOY	$248,557,244	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	$123,441,201	BOYAmt
EOY	$144,321,377	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$615,628,909	BOYAmt
EOY	$652,910,048	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,274,639,016	BOYAmt
EOY	$2,519,255,609	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,856,381	BOYAmt
EOY	$29,596,700	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,376,542	BOYAmt
EOY	$29,194,698	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,330,871,939	BOYAmt
EOY	$2,578,047,007	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,946,500,848	BOYAmt
EOY	$3,230,957,055	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$166,835,121	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$88,370,019	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,030,072	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	$39,177,754	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$42,304,655	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$30,666,972	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,304,559	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,698,446	CurrentTaxYearAmt
Total	$170,152,386	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	$39,177,754	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$42,304,655	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$30,666,972	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,304,559	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,698,446	CurrentTaxYearAmt
Total	$170,152,386	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$170,152,386	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$17,839,119	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,534,737	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,364,397	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,315,630	CurrentTaxYearMinus1YearAmt
Current Tax Year	$32,254,956	CurrentTaxYearAmt
Total	$116,308,839	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	$1,658,279	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,286,674	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,728,215	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,412,799	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,685,302	CurrentTaxYearAmt
Total	$16,771,269	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$303,232,494	TotalSupportAmt
Gross Receipts Rltd Activities	$8,616,247,320	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.56113	PublicSupportCY170Pct
Public Support PY170	0.59971	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

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	$198,652	FilingOrganizationsTotalAmt
Affiliated Group Total	$198,652	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$198,652	FilingOrganizationsTotalAmt
Affiliated Group Total	$198,652	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,516,561,722	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,567,394,794	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,516,760,374	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,567,593,446	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	$180,124	CurrentYearMinus3Amt
Current Year Minus2	$237,095	CurrentYearMinus2Amt
Current Year Minus1	$174,335	CurrentYearMinus1Amt
Current Year	$198,652	CurrentYearAmt
Total	$790,206	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,104,570	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$4,079,790	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$565,577	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$57,618,783	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.45470	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.29660	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.24870	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	$1,191,321,509	OtherCostOrOtherBasisAmt
Depreciation	$686,617,433	DepreciationAmt
Book Value	$504,704,076	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$689,376,548	OtherCostOrOtherBasisAmt
Depreciation	$473,597,796	DepreciationAmt
Book Value	$215,778,752	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,474,986	OtherCostOrOtherBasisAmt
Depreciation	$23,584,843	DepreciationAmt
Book Value	$5,890,143	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$765,914,737	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
CONSTRUCTION IN PROGRESS	$136,226,960
DUE FROM AFFILIATES	$7,606,979
OTHER ASSETS	$57,688,368

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$201,522,307	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION AND POST RETIREMENT BE	$77,321,618
INSURANCE LIABILITIES	$33,323,924
OTHER LIABILITIES	$33,675,835

Field	Value	IRS element (for citing)
Total Liability	$144,321,377	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CELEBRATE HOPE	Event1Nm
Gross Receipts Event1	$101,646	GrossReceiptsEvent1Amt
Charitable Contri Event1	$75,271	CharitableContriEvent1Amt
Gross Revenue Event1	$26,375	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$0	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$0	OtherDirectExpensesEvent1Amt
Event2	NONE	Event2Nm
Gross Receipts Event2	$0	GrossReceiptsEvent2Amt
Charitable Contri Event2	$0	CharitableContriEvent2Amt
Gross Revenue Event2	$0	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$0	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$0	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Other Events	$0	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$101,646	GrossReceiptsTotalAmt
Charitable Contributions Tot	$75,271	CharitableContributionsTotAmt
Gross Revenue Total Events	$26,375	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$0	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$0	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$0	DirectExpenseSummaryEventsAmt
Net Income Summary	$26,375	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 CELEBRATION 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	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,771,338	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,771,338	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$257,348,078	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$231,060,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,287,086	NetCommunityBenefitExpnsAmt
Total Expense	0.01730	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$280,119,416	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$231,060,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,058,424	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	58	ActivitiesOrProgramsCnt
Persons Served	68767	PersonsServedCnt
Total Community Benefit Expns	$11,794,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,038,774	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,755,768	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$60,572,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,628,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,943,565	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,359,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,905,490	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,454,136	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$878,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$878,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	69	ActivitiesOrProgramsCnt
Persons Served	68778	PersonsServedCnt
Total Community Benefit Expns	$89,604,811	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,573,169	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,031,642	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	69	ActivitiesOrProgramsCnt
Persons Served	68778	PersonsServedCnt
Total Community Benefit Expns	$369,724,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$261,634,161	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,090,066	NetCommunityBenefitExpnsAmt
Total Expense	0.07130	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$192	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$192	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$200,665	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$44,448	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,448	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$17,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,173	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$262,478	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$262,478	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$50,250,831	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,025,083	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$479,504,541	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$580,057,798	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$100,553,257	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	15	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	15	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
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B LINE 5 (INPUT FROM COMMUNITY)	CHRISTIANA CARE HEALTH SYSTEM (CHRISTIANA CARE) CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FISCAL 2016 TO IMPROVE ITS UNDERSTANDING OF THE NEEDS OF RESIDENTS IN ITS SERVICE AREA IN ORDER TO BETTER SERVE THEM. TO COMPLETE THE CHNA, CHRISTIANA CARE CONTRACTED WITH COMMUNITY HEALTH ADVISORS, LLC (CHA). CHA CONDUCTED RESEARCH, INTERVIEWS, AND A COMMUNITY HEALTH SURVEY TO OBTAIN AND ANALYZE PRIMARY AND SECONDARY DATA. AS WAS DETAILED IN THE CHRISTIANA CARE CHNA, PRIMARY DATA COLLECTION EFFORTS INCLUDED INTERVIEWS WITH KEY STAKEHOLDERS AND COMMUNITY LEADERS, ALONG WITH A BRIEF COMMUNITY HEALTH SURVEY COMPLETED BY AREA RESIDENTS. THIRTY-FOUR STAKEHOLDERS AND COMMUNITY LEADERS WERE INTERVIEWED. SOME OF THOSE INTERVIEWED, SUCH AS DR. KARYL RATTAY, DIRECTOR OF THE DELAWARE DIVISION OF PUBLIC HEALTH, HAD EXPERTISE IN PUBLIC HEALTH, WHILE OTHERS, LIKE MARIA MATOS, PRESIDENT AND CEO OF THE LATIN AMERICAN COMMUNITY CENTER, HAD SPECIAL KNOWLEDGE ABOUT THE COMMUNITIES WE SERVE. THE STAKEHOLDERS AND COMMUNITY LEADERS INTERVIEWED SERVE A DIVERSE CROSS-SECTION OF THE COMMUNITY AND HAVE BROAD UNDERSTANDINGS OF THE DIFFERENT FACTORS THAT PLAY INTO COMMUNITY HEALTH NEEDS. THIS DIVERSITY OF KNOWLEDGE WAS IMPORTANT TO CHRISTIANA CARE AS IT SOUGHT TO ENSURE THE CHNA WOULD BE TRULY REPRESENTATIVE OF THE COMMUNITY IT SERVES. THE STAKEHOLDERS INTERVIEWED WERE THE FOLLOWING: 1. LINDA BRITTINGHAM, CHRISTIANA CARE DIRECTOR OF SOCIAL WORK 2. KATHY CANNATELLI, EUGENE DU PONT PREVENTATIVE MEDICINE & REHABILITATION INSTITUTE & CENTER FOR COMMUNITY HEALTH 3. PAUL CALISTRO, WEST END NEIGHBORHOOD HOUSE 4. DR. CHRIS CANNON, ARSHT CANNON FOUNDATION 5. REVEREND TAMIKA COBB, BEAUTIFUL GATES OUTREACH CENTER 6. VICKY COOKE, DELAWARE BREAST COALITION 7. CHIEF BOBBY CUMMINGS, CITY OF WILMINGTON POLICE 8. PASTOR GERDTS, FIRST AND CENTRAL PRESBYTERIAN CHURCH IN WILMINGTON 9. SUSAN GETMAN, WILMINGTON SENIOR CENTER 10. ALLISON GILL, AMERICAN CANCER SOCIETY 11. JIM GRANT, DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES 12. RICH HEFFRON, DELAWARE STATE CHAMBER OF COMMERCE 13. JUDITH HERRMAN, UNIVERSITY OF DELAWARE SCHOOL OF NURSING 14. JOE HICKEY, ST PATRICKS CENTER 15. PASTOR ANDY JACOB, HANOVER PRESBYTERIAN CHURCH 16. LYNN JONES, CHRISTIANA CARE VISITING NURSE ASSOCIATION 17. TYRONE JONES, UNITED WAY OF DELAWARE 18. NORA KATURAKES, CHRISTIANA CARE CANCER OUTREACH AND EDUCATION 19. OMAR KHAN, M.D., EUGENE DUPONT PREVENTIVE MEDICINE & REHABILITATION INSTITUTE, AND CENTER FOR COMMUNITY HEALTH 20. JIM LAFFERTY, MENTAL HEALTH SOCIETY 21. SECRETARY RITA LANDGRAF, DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES 22. REVEREND TOM LAYMAN, SUNDAY BREAKFAST MISSION 23. LOLITA LOPEZ, WESTSIDE FAMILY HEALTH 24. MARIA MATOS, LATIN AMERICAN COMMUNITY CENTER 25. DR. KARYL RATTAY, DIRECTOR OF THE DELAWARE DIVISION OF PUBLIC HEALTH 26. JILL ROGERS, DELAWARE DIVISION OF DEVELOPMENTAL DISABILITIES 27. COLONEL ELMER SETTING, NEW CASTLE POLICE 28. HANIFA SHABAZZ, WILMINGTON CITY COUNCILWOMAN 29. EILEEN SPARLING, UD CENTER FOR DISABILITIES STUDIES 30. MICHELLE TAYLOR, UNITED WAY OF DELAWARE 31. LAVAIDA WHITE, RETIRED PUBLIC HEALTH NURSE AND ACTIVE COMMUNITY RESIDENT 32. EMILY VERA, MENTAL HEALTH SOCIETY 33. TWO MEMBERS OF THE CHRISTIANA CARE PATIENT ADVISORY COMMITTEES THE KEY STAKEHOLDERS SHARED SIGNIFICANT INFORMATION ABOUT OUR COMMUNITIES AND THE CHALLENGES THEY FACE, BUT CHRISTIANA CARE THOUGHT IT WAS NECESSARY TO ALSO GET COMMUNITY MEMBERS DIRECT INPUT ON THE TOP HEALTH AND HEALTH-RELATED ISSUES IN THEIR COMMUNITIES TO ENSURE COMMUNITY MEMBERS ALSO HAD A VOICE IN THE CHNA. A BRIEF COMMUNITY HEALTH SURVEY WAS CREATED TO RETAIN COMMUNITY MEMBER INPUT, AND FIFTY-FIVE INDIVIDUALS VISITING THE NEW CASTLE FARMERS MARKET COMPLETED THIS SURVEY IDENTIFYING THE TOP HEALTH ISSUES IN THE COMMUNITY SUCH AS DIABETES AND THE TOP HEALTH-RELATED ISSUES IN THE COMMUNITY SUCH AS AFFORDABLE CARE. ALTHOUGH THE 2016 CHNA AND CHIP WERE COMPLETED, CHRISTIANA CARE CONTINUES TO PRIORITIZE COMMUNICATION WITH COMMUNITY MEMBERS AND STAKEHOLDERS TO ENSURE COMMUNITIES NEEDS ARE KNOWN AND ADDRESSED. THE GREATER WILMINGTON COMMUNITY PARTNERSHIP IS AN EXAMPLE OF OUR COMMITMENT TO COMMUNITY COLLABORATION. THIS PARTNERSHIP CAME TOGETHER IN 2012 WHEN CHRISTIANA CARE AND REPRESENTATIVES FROM DIFFERENT SHELTERS MET TO DISCUSS INDIVIDUALS WHO WERE GOING TO THE WILMINGTON EMERGENCY DEPARTMENT FOR NON-MEDICAL NEEDS, WHEN A SHELTER MAY HAVE SERVED THEM BETTER. IT WAS RECOGNIZED THAT THE SHELTERS ALL KEPT THE SAME HOURS, WHILE THE EMERGENCY DEPARTMENT, OPEN SEVEN DAYS A WEEK FOR TWENTY-FOUR HOURS A DAY, WAS ALWAYS ABLE TO PROVIDE SHELTER. AS A RESULT, THE SHELTERS WORKED ON EXPANDING THEIR HOURS IN COORDINATION WITH EACH OTHER SO THE EMERGENCY DEPARTMENT WOULD NOT BE THE ONLY OPTION FOR INDIVIDUALS WHO NEEDED SHELTER. MORE THAN SIXTY ORGANIZATIONS INCLUDING SHELTERS, FOOD AND CLOTHING BANKS, FAITH-BASED AGENCIES, AND CITY AND STATE SERVICE AGENCIES ARE NOW REPRESENTED IN THE PARTNERSHIP. CHRISTIANA CARE HOSTS THESE MONTHLY MEETINGS IN ITS WILMINGTON HOSPITAL, AND THE MEETINGS SERVE TO KEEP CHRISTIANA CARE AND ITS COMMUNITY PARTNERS AWARE OF WHAT IS HAPPENING IN COMMUNITIES AND ENABLES THE SUCCESSFUL COMMUNITY COLLABORATION THAT LED TO ITS DEVELOPMENT TO CONTINUE. CHRISTIANA CARE ALSO CREATED THE COMMUNITY ENGAGEMENT ADVISORY COUNCIL WHICH SEEKS TO ASSIST CHRISTIANA CARE IN IMPROVING THE HEALTH OF COMMUNITY MEMBERS AND COMMUNITIES BY ADVISING CHRISTIANA CARE, SHARING INSIGHTS ON COMMUNITY NEEDS, IDENTIFYING COMMUNITY RESOURCES TO LEVERAGE THAT WILL STRENGTHEN CHRISTIANA CARES WORK WITHIN COMMUNITIES, AND SERVING AS AN OPEN CHANNEL OF COMMUNICATION BETWEEN CHRISTIANA CARE AND THE COMMUNITY. THE COMMUNITY ENGAGEMENT ADVISORY COUNCIL SUPPORTS CHRISTIANA CARE AS IT SEEKS TRANSFORMATIVE RELATIONSHIPS WITH COMMUNITIES THAT WILL ALLOW BOTH THE COMMUNITY AND CHRISTIANA CARE TO BENEFIT FROM WORKING TOGETHER TOWARDS MUTUAL GOALS. THE COMMUNITY ENGAGEMENT ADVISORY COUNCIL INCLUDES APPROXIMATELY TWENTY INDIVIDUALS FROM DIFFERENT COMMUNITY AGENCIES SUCH AS THE CENTRAL BAPTIST COMMUNITY DEVELOPMENT CORPORATION AND URBAN PROMISE WILMINGTON. CHRISTIANA CARE ALSO CONTINUES TO LEARN FROM ITS COMMUNITY MEMBERS BY ROUTINELY PARTICIPATING IN HEALTH FAIRS AND COMMUNITY EVENTS AND INITIATIVES. CHRISTIANA CARE ALSO MONITORS NATIONAL DATA AND TRENDS IN HEALTHCARE TO PREPARE FOR ISSUES THAT MAY HAVE AN IMPACT IN DELAWARE, AND TO DETERMINE IF THERE ARE PROGRAMS IN OTHER STATES OR COMMUNITIES THAT WOULD BE HELPFUL WITHIN THE COMMUNITIES WE SERVE. AN EXAMPLE OF CHRISTIANA CARE LISTENING TO ITS COMMUNITIES AND ADOPTING A NATIONAL PROGRAM WOULD BE ITS SUPPORT OF THE PLAY STREETS WILMINGTON INITIATIVE. THE DELAWARE CENTER FOR HEALTH INNOVATIONS HEALTHY NEIGHBORHOODS CHRONIC DISEASE/HEALTHY LIFESTYLES TASKFORCE RECOMMENDED BRINGING PLAY STREETS TO WILMINGTON NEIGHBORHOODS TO INCREASE COMMUNITY COHESION AND PROVIDE A SAFE SPACE FOR HEALTHY RECREATION FOR FAMILIES. PLAY STREETS HAS BEEN ADOPTED BY COMMUNITIES ACROSS THE COUNTRY, AND CHRISTIANA CARE IS A MAJOR SPONSOR AND ORGANIZING PARTNER OF PLAY STREETS WILMINGTON WHICH SERVED EIGHT NEIGHBORHOODS THROUGHOUT THE SUMMER OF 2018 AND WILL BEGIN AGAIN IN JUNE 2019. -------------------- PART V, SECTION B, LINE 6 (JOINT CHNA) CHRISTIANA CARES TWO HOSPITAL FACILITIES, CHRISTIANA AND WILMINGTON HOSPITALS, JOINTLY CONDUCTED THEIR CHNA. -------------------- PART V, SECTION B, LINE 7-10 (CHNA & IMPLEMENTATION PLAN PUBLIC AVAILABILITY) CHRISTIANA CARES CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/. CHRISTIANA CARES CHNA IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. CHRISTIANA CARE'S COMMUNITY HEALTH IMPLEMENTATION PLAN ("CHIP") WAS ADOPTED ON OR BEFORE THE 15TH DAY OF THE 5TH MONTH AFTER JUNE 30, 2016, AS ALLOWED UNDER THE IRS SECTION 501(R) REGULATIONS. THE TAX YEAR THE HOSPITAL FACILITY LAST ADOPTED AN IMPLEMENTATION STRATEGY WAS 2015. CHRISTIANA CARES 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)	CHRISTIANA CARE CONTINUES TO ADDRESS THE FOUR AREAS OF NEED IDENTIFIED IN THE 2016 CHNA: POVERTY, MENTAL HEALTH AND SUBSTANCE USE DISORDER, VIOLENCE AND PUBLIC SAFETY, AND WOMEN AND CHILDRENS HEALTH. THERE WAS ALSO SIGNIFICANT NEED IDENTIFIED IN THE CHNA IN THE AREAS OF TRANSPORTATION, HOUSING, AND EMPLOYMENT WHICH ARE SOCIAL DETERMINANTS OF HEALTH THAT CHRISTIANA CARE WAS NOT YET ABLE TO ADDRESS THROUGH ITS OWN INITIATIVES GIVEN A LACK OF EXPERTISE AND INFRASTRUCTURE. GENERALLY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS NOT THE TRADITIONAL WORK OF HOSPITALS, BUT CHRISTIANA CARE HAS SOUGHT TO ADDRESS THESE AREAS OF NEED THROUGH COMMUNITY PARTNERSHIPS. CHRISTIANA CARE IS A PARTNER WITH DELAWARE PATHWAYS, A STATE-WIDE INITIATIVE LED BY THE DEPARTMENTS OF LABOR AND EDUCATION WHICH SEEKS TO ENGAGE YOUTH IN CAREER EXPLORATION AND TRAINING THROUGH INDUSTRY-BASED CAREER PATHWAYS, AND WITH JOBS FOR DELAWARE GRADUATES WHICH IS ANOTHER STATE-WIDE INITIATIVE AND NATIONALLY REPLICATED MODEL THAT WORKS TO SIMULTANEOUSLY ADDRESS DELAWARES UNEMPLOYMENT AND DROPOUT RATES. NOT ONLY ARE THESE PARTNERSHIPS IMPORTANT BECAUSE COMMUNITY MEMBERS HAVE IDENTIFIED EMPLOYMENT AS AN AREA OF NEED, BUT ALSO BECAUSE AS THE LARGEST EMPLOYER IN THE STATE OF DELAWARE, CHRISTIANA CARE BELIEVES IT HAS A RESPONSIBILITY TO ACT AS A LEADER AND DEMONSTRATE THE NECESSITY OF TAKING A ROLE IN IMPROVING COMMUNITIES. ANOTHER EXAMPLE OF THE WAY IN WHICH CHRISTIANA CARE SEEKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IS THROUGH ITS PARTNERSHIP WITH THE COMMUNITY LEGAL AID SOCIETY, INC. (CLASI). CHRISTIANA CARE AND CLASI CREATED THE MEDICAL LEGAL PARTNERSHIP TO INTEGRATE LAWYERS INTO HEALTH CARE TEAMS TO HELP ADDRESS LEGAL MATTERS OR NEEDS THAT HAVE AN IMPACT ON CLIENTS HEALTH OR ARE CREATED OR AGGRAVATED BY THE CLIENTS HEALTH ISSUES. CLASI PROVIDES FREE, CIVIL LEGAL SERVICES TO THOSE INDIVIDUALS WHO MEET CERTAIN ELIGIBILITY CRITERIA AND WHO NEED AN ADVOCATE WHEN FACING ISSUES LIKE THE TERMINATION OF PUBLIC BENEFITS SUCH AS MEDICAID OR SOCIAL SECURITY; EVICTIONS; UTILITY SHUT-OFFS; AND OBTAINING REASONABLE ACCOMMODATIONS FROM EMPLOYERS. THE FOLLOWING ARE BRIEF HIGHLIGHTS OF SOME KEY PROGRAMS AND INITIATIVES THAT CHRISTIANA CARE HAS UNDERTAKEN TO ADDRESS THE AREAS OF NEED IDENTIFIED IN THE CHNA. PLEASE SEE THE CHRISTIANA CARE CHIP AT HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/ FOR A COMPLETE DESCRIPTION OF HOW CHRISTIANA CARE IS ADDRESSING THE IDENTIFIED AREAS OF NEED. 1. PREVALENCE OF POVERTY CHRISTIANA CARES INITIATIVES IN THIS AREA OF NEED SEEK TO ADDRESS THE FOLLOWING: POVERTY AND SOCIAL DETERMINANTS OF HEALTH, FOOD INSECURITY, AFFORDABILITY OF CARE, AND HOUSING, EMPLOYMENT, AND JOB SECURITY. PROGRAMS AND INITIATIVES INCLUDE THE FOLLOWING: CAMP FRESH (FRESH RESOURCES EVERYONE SHOULD HAVE): CAMP FRESH SERVES YOUTH WHO ATTEND A NUMBER OF HIGH SCHOOLS ACROSS NEW CASTLE COUNTY. THE MAJORITY OF THE TEENS IN THE PROGRAM ARE LIVING IN FEDERALLY RECOGNIZED HIGH-RISK ZIP CODES, INCLUDING 19801, 19802, 19805 AND 19720. THE CAMP, WHICH WAS CREATED IN JUNE OF 2007, IS A YEAR-ROUND HEALTH EDUCATION AND ADVOCACY PROGRAM, AND IT PROVIDES A VARIETY OF WELLNESS AND LEARNING-DRIVEN OPPORTUNITIES FOR YOUNG PEOPLE WHO ARE ENROLLED IN MEDICAID. CAMP FRESH PROMOTES IMPROVED NUTRITION AND MENTAL HEALTH, INCREASED PHYSICAL ACTIVITY, AWARENESS OF SEXUAL HEALTH RISKS AND IDENTIFYING OPPORTUNITIES FOR PERSONAL, ACADEMIC AND PROFESSIONAL GROWTH. CAMP FRESH ALSO HOLDS EVENTS SUCH AS PARENT RESOURCE NIGHT, STRESS MANAGEMENT, AND THE CAMP FRESH FINALE. DURING THIS REPORTING YEAR, MORE THAN 450 PEOPLE ATTENDED THESE EVENTS AND 42 TEENS, ALL ENROLLED IN MEDICAID, PARTICIPATED IN THE SUMMER CAMP. PRODUCE RX PROGRAM: IN THE SUMMER OF 2017, CHRISTIANA CARE PARTNERED WITH WESTSIDE FAMILY HEALTHCARE AND URBAN ACRES PRODUCE, A COMMUNITY-OWNED FARM STAND, TO ESTABLISH THE FRESH PRODUCE PRESCRIPTION PILOT PROGRAM. THIS PILOT PROGRAM PROVIDED WEEKLY FARMERS MARKETS AT TWO WESTSIDE FAMILY HEALTHCARE LOCATIONS IN WILMINGTON DURING THE SUMMER, AND SOUGHT TO ADDRESS FOOD INSECURITY AMONG A COHORT OF WESTSIDE FAMILY HEALTHCARE PATIENTS WHO WERE PRE-DIABETIC OR PRENATAL WOMEN LIVING WITHIN THE 19801, 19802 AND 19805 ZIP CODES. THIS INITIATIVE ENDED IN OCTOBER 2017, AND CHRISTIANA CARE EXPANDED UPON THOSE EFFORTS IN CONTINUED PARTNERSHIP WITH URBAN ACRES PRODUCE THE FOLLOWING SPRING AND SUMMER. WITH CHRISTIANA CARE SUPPORT, URBAN ACRES PRODUCE WAS ABLE TO OPERATE FARM STANDS IN SIX LOCATIONS THROUGHOUT THE CITY OF WILMINGTON INCLUDING A STAND AT THE WILMINGTON HOSPITAL AND CONTINUING THE TWO STANDS AT WESTSIDE FAMILY HEALTHCARE LOCATIONS THAT WERE ESTABLISHED IN THE PRIOR PILOT. THE STANDS WERE IN OPERATION FROM MAY 1ST TO SEPTEMBER 30TH, 2018. ANYONE WAS WELCOME TO PURCHASE AFFORDABLE PRODUCE FROM THE STANDS, BUT PREGNANT AND POST-PARTUM WOMEN WHO LIVED IN HIGH RISK ZIP CODES AND WERE ENROLLED IN HEALTHY BEGINNINGS, A CHRISTIANA CARE PROGRAM DESIGNED TO REDUCE INFANT MORTALITY, WERE ELIGIBLE TO RECEIVE "PRESCRIPTIONSVOUCHERS FROM THE HEALTHY BEGINNINGS STAFF FOR USE ANY OF THE PRODUCE STANDS. 173 PATIENTS WERE ENROLLED IN THIS PROGRAM. AT EACH PRODUCE STAND, A CHRISTIANA CARE COMMUNITY HEALTH WORKER OR HEALTH GUIDE PROVIDED HELPFUL INFORMATION ABOUT ACCESSING HEALTHCARE, AND A DIETICIAN WAS ALSO PRESENT WITH SAMPLES OF HEALTHY FOODS AND RECIPES TO SHARE WHICH IS IMPORTANT BECAUSE MAKING PRODUCE ACCESSIBLE IS ONLY HELPFUL IF INDIVIDUALS KNOW HOW TO PREPARE IT IN WAYS THEY WANT TO EAT. CHRISTIANA CARE HAS BEEN INTERVIEWING PARTICIPANTS AND ANALYZING EVALUATION RESPONSES TO DETERMINE HOW THE PROGRAM CAN BE IMPROVED WHEN IT BEGINS AGAIN IN THE SPRING OF 2019 TO ENSURE THOSE PROVIDED A PRESCRIPTION TAKE FULL ADVANTAGE OF ITS OFFERINGS AND THAT A POSITIVE IMPACT ON HEALTH OCCURS. CHRISTIANA CARE LOOKS FORWARD TO CONTINUING THIS INITIATIVE WITH URBAN ACRES PRODUCE BECAUSE THIS PARTNERSHIP COMBINES A CLINICAL AND COMMUNITY BASED APPROACH TO HEALTH, AND BECAUSE IT ALSO SUPPORTS COMMUNITY ECONOMIC DEVELOPMENT. URBAN ACRES PRODUCE IS A WILMINGTON BASED FARM STAND WHICH NOT ONLY SEEKS TO PROVIDE ITS COMMUNITY WITH ACCESS TO AFFORDABLE FRESH PRODUCE, BUT ALSO HIGH LEVEL JOBS AND THE ESTABLISHMENT OF A LOCAL-FOCUSED DISTRIBUTION NETWORK. DELAWARE MEDICAL LEGAL PARTNERSHIP: SINCE 2015 CHRISTIANA CARE HAS PARTNERED WITH DELAWARE'S COMMUNITY LEGAL AID SOCEITY, INC. ("CLASI") TO PROVIDE FREE, CIVIL LEGAL SERVICES TO LOW-INCOME PATIENTS, ADULTS AND CHILDREN, WHO ARE FACING LEGAL MATTERS OR NEEDS THAT MAY NEGATIVELY IMPACT THEIR HEALTH OR LEGAL MATTERS OR NEEDS WHICH MAY HAVE BEEN CREATED OR AGGRAVATED BY A PERSONS HEALTH ISSUES. SOME OF THE MATTERS ADDRESSED THROUGH THIS PROGRAM ARE SAFE HOUSING, PREVENTION OF SUBSIDIZED AND PUBLIC HOUSING EVICTIONS, ASSISTANCE OBTAINING OR PRESERVING INCOME MAINTENANCE AND GOVERNMENT BENEFITS, ACCESS TO SOCIAL SERVICES, APPROPRIATE EDUCATIONAL SERVICES, HEALTH INSURANCE AND ACCESS TO HEALTH CARE. CLASI ATTORNEYS ARE LOCATED ON-SITE AT THE WILMINGTON HOSPITAL AND ARE INTEGRATED INTO HEALTH CARE TEAMS. HEALTH GUIDES: HEALTH GUIDES PROVIDE UNINSURED PATIENTS WITH LINKAGES TO QUALITY, AFFORDABLE HEALTHCARE. CHRISTIANA CARE'S HEALTH GUIDES ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE PROCESS AND HELP PATIENTS NAVIGATE THE HEALTHCARE SYSTEM THROUGH PERSONAL INTERACTION, HEALTH RISK ASSESSMENT, AND IDENTIFICATION OF BARRIERS TO CARE. HEALTH GUIDES ALSO HOST EDUCATION SESSIONS TO EDUCATE THE COMMUNITY ON HOW TO USE THEIR INSURANCE. DURING THIS REPORTING YEAR, HEALTH GUIDES ASSISTED 2,160 INDIVIDUALS. COMMUNITY HEALTH WORKERS: A COMMUNITY HEALTH WORKER (CHW) IS A MEMBER OF THE HEALTH CARE TEAM WHO WORKS DIRECTLY WITH INDIVIDUALS AND FAMILIES TO ASSIST THEM IN ADDRESSING THEIR NON-CLINICAL HEALTH AND SOCIAL SERVICE NEEDS IN A CULTURALLY COMPETENT WAY TO ACHIEVE BETTER HEALTH OUTCOMES AND HEALTH EQUITY IN THE COMMUNITIES THEY SERVE. IN JUNE 2017, HEALTH MANAGEMENT ASSOCIATES IN PARTNERSHIP WITH THE DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES AND THE DELAWARE CENTER FOR HEALTH INNOVATION, PRODUCED A REPORT, DEVELOPMENT AND DEPLOYMENT OF COMMUNITY HEALTH WORKERS IN DELAWARE:ESTABLISHING A CERTIFICATION PROGRAM AND REIMBURSEMENT MECHANISM" WHICH ADDRESSED THE WAYS IN WHICH CHWS CAN BE ESTABLISHED AND UTLIZED IN DELAWARE TO IMPROVE POPULATION HEALTH. CHRISTIANA CARE RESPONDED TO THIS REPORT BY DEVELOPING A STANDARDIZED CURRICULUM, TRAINING, AND CERTIFICATION PROGRAM FOR CHWS IN ALIGNMENT WITH THE REPORT RECOMMENDATIONS. IN JANUARY 2018, CHRISTIANA CARES FIRST CHW TRAINING WAS LAUNCHED WITH A SIX WEEK PROGRAM THAT 16 PARTICIPANTS SUCCESSFULLY COMPLETED. CHRISTIANA CARE ALSO DEVELOPED A ROBUST CHW TRAINING EVALUATION, WITH THE ASSISTANCE OF ITS VALUE INSTITUTE, TO SUPPORT CONTINUOUS PROGRAM IMPROVEMENT. QUARTERLY MEETINGS WILL BE HELD FOR THE CHWS TO PROVIDE OPPORTUNITIES FOR NETWORKING, GROUP COHESION, QUALITATIVE DATA COLLECTION AND ADDITIONAL EDUCATION
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/ --------------------
PART V, SECTION B, LINE 22D, OTHER (CHARGES FOR FAP-ELIGIBLE INDIVIDUALS)	FAP-ELIGIBLE INDIVIDUALS (THOSE WITH INCOME LESS THAN 200% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES. --------------------

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.("CHRISTIANA CARE"HEALTH SERVICES") 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) CHRISTIANA CARE HEALTH SYSTEM (CCHS) DID PREPARE A COMMUNITY HEALTH NEEDS ASSESSMENT AND A COMMUNITY HEALTH IMPLEMENTATION PLAN DURING THE FY2016 TAX YEAR. BOTH DOCUMENTS ARE AVAILABLE AT THE FOLLOWING LINK ON THE CCHS WEBSITE: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/ -------------------- PART I, LINE 7 (COSTING METHODOLOGY USED) THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. --------------------
PART III, SECTION A, LINE 2 (BAD DEBT EXPENSE)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE). -------------------- PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE FOOTNOTE) THE TEXT OF THE ORGANIZATION'S BAD DEBT EXPENSE FOOTNOTE CAN BE FOUND ON PAGE 26 (FOOTNOTE #13) OF THE ELECTRONICALLY ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTIANA CARE HEALTH SERVICES, INC. --------------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF CHRISTIANA CARE AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, CHRISTIANA CARE PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY CHRISTIANA CARE TO PROVIDE SUCH SERVICES. AS A RESULT, CHRISTIANA CARE VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION B, LINE 9B (COLLECTION PRACTICES) CHRISTIANA CARE HAS A FINANCIAL ASSISTANCE POLICY THAT IDENTIFIES THE CIRCUMSTANCES FOR WHICH A RESPONSIBLE PARTY WOULD BE EXTENDED A 100% ADJUSTMENT ON ALL MEDICAL BILLS. THE INCOME THRESHOLD FOR THIS CHARITABLE ADJUSTMENT IS 200% OF THE FEDERAL POVERTY LEVEL AND IT IS BASED ON THE NUMBER OF DEPENDENTS IN THE HOUSEHOLD. THE FINANCIAL ASSISTANCE POLICY FURTHER EXPLAINS THAT ANY UNINSURED PATIENT WHO FAILS TO QUALIFY FOR FINANCIAL ASSISTANCE WOULD BE GRANTED A 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. 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)	CHRISTIANA CARE CONDUCTED ITS CHNA IN FISCAL YEAR 2016 IN ACCORDANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AND SECTION 501(R) OF THE INTERNAL REVENUE CODE. THE CHNA INFORMED THE DEVELOPMENT OF CHRISTIANA CARES 2017-2019 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). BOTH THE CHNA AND THE CHIP ARE AVAILABLE ON CHRISTIANA CARES WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/. CHRISTIANA CARE CONTRACTED WITH COMMUNITY HEALTH ADVISORS, LLC (CHA) TO ASSIST WITH CONDUCTING THE RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW AND ANALYSIS, TO DEVELOP THE CHNA. CHRISTIANA CARE ALSO CONSIDERED SEVERAL SECONDARY DATA SOURCES, IDENTIFIED IN THE CHNA, TO ENSURE KEY DEMOGRAPHIC TRENDS AND DATA ON SOCIAL DETERMINANTS OF HEALTH FURTHER INFORMED OUR FINDINGS. CHRISTIANA CARES COMMITMENT TO COMMUNITY ENGAGEMENT IS REFLECTED IN THE CHNA THROUGH ITS COLLECTION AND REVIEW OF PRIMARY DATA. CHRISTIANA CARE CONDUCTED INTERVIEWS WITH THIRTY-FOUR COMMUNITY STAKEHOLDERS AND LEADERS (THE LIST OF THESE INDIVIDUALS IS INCLUDED IN THE CHNA). IN ADDITION TO THOSE INTERVIEWS, CHRISTIANA CARE ALSO CONDUCTED A SURVEY OF FIFTY-FIVE COMMUNITY MEMBERS IN FEBRUARY 2016 AT THE NEW CASTLE COUNTY FARMERS MARKET. THE SURVEY ASKED FOR COMMUNITY MEMBER INPUT ON THE TOP FIVE "HEALTH ISSUES" FACING THE COMMUNITY AND THE TOP FIVE "HEALTH-RELATED ISSUES" FACING THE COMMUNITY. ONCE THE INITIAL DATA COLLECTION, SURVEYS, AND INTERVIEWS WERE COMPLETED, CHRISTIANA CARE ASKED KEY COMMUNITY STAKEHOLDERS AND MEMBERS OF THE CHRISTIANA CARE LEADERSHIP TEAM TO PRIORITIZE THE SIGNIFICANT HEALTH NEEDS BASED ON THE ISSUES IDENTIFIED IN THE COMMUNITY SURVEYS. AS A RESULT, THE FOLLOWING WERE IDENTIFIED IN THE CHNA AS "PRIORITIZED SIGNIFICANT HEALTH NEEDS": 1. PREVALENCE OF POVERTY AND OTHER FACTORS INCLUDING FOOD INSECURITY, HOUSING, AFFORDABILITY OF CARE, AND EMPLOYMENT/JOB SECURITY 2. MENTAL HEALTH AND SUBSTANCE USE DISORDER 3. VIOLENCE AND PUBLIC SAFETY 4. WOMEN AND CHILDRENS HEALTH, ESPECIALLY, PRECONCEPTION HEALTH, PRENATAL CARE, AND INFANT MORTALITY THE CHNA REVIEWED THE EXISTING CHRISTIANA CARE PROGRAMS AND OTHER COMMUNITY RESOURCES THAT ADDRESSED THE FOUR AREAS OF PRIORITY HEALTH NEEDS, AND IT ALSO DISCUSSED THE ACTIONS CHRISTIANA CARE HAD UNDERTAKEN TO ADDRESS THE PREVIOUSLY REPORTED PRIORITY HEALTH NEEDS WHICH INCLUDED NEW MODELS OF CARE AND ENHANCED MENTAL HEALTH SERVICES. THE CHRISTIANA CARE BOARD OF DIRECTORS APPROVED THE CHNA IN ITS MAY 2016 BOARD MEETING. THE CHNA AND THE IDENTIFIED AREAS OF PRIORITY HEALTH NEEDS INFORMED THE DEVELOPMENT OF CHRISTIANA CARES 2017-2019 CHIP. THE FOLLOWING IS A BRIEF SUMMARY OF THE ACTION ITEMS OUTLINED IN THE CHIP, AND AVAILABLE AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-IMPLEMENTATION-PLAN/. PREVALENCE OF POVERTY: CHRISTIANA CARE WILL CONTINUE TO SUPPORT COLLABORATION ACROSS SECTORS AND WITH OTHER HEALTH SYSTEMS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. CHRISTIANA CARE WILL ALSO CONTINUE TO UTILIZE HEALTH GUIDES, HEALTH AMBASSADORS, AND COMMUNITY HEALTH WORKERS TO CONNECT WITH COMMUNITY MEMBERS AND PROVIDE THEM WITH INFORMATION ABOUT ACCESSING HEALTH AND SOCIAL SERVICES RESOURCES. MENTAL HEALTH AND SUBSTANCE USE DISORDER: CHRISTIANA CARE WILL CONTINUE ITS ONGOING BEHAVIORAL HEALTH AND PRIMARY CARE INTEGRATION EFFORTS AND CONTINUE TO SUPPORT IMPROVED ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT AND PREVENTION SERVICES. VIOLENCE AND PUBLIC SAFETY: CHRISTIANA CARE WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT ENTITIES AT ALL LEVELS TO ADDRESS THE VIOLENCE AND PUBLIC SAFETY ISSUES FACING DELAWARE, WITH A PARTICULAR FOCUS ON THE EPIDEMIC OF GUN VIOLENCE IN THE CITY OF WILMINGTON. CHRISTIANA CARE WILL USE ITS OUTREACH PROGRAMS THAT INCORPORATE INNOVATIVE EDUCATIONAL TOOLS TO WORK TO PREVENT VIOLENCE. WOMENS AND CHILDRENS HEALTH: CHRISTIANA CARE WILL INCREASE PRECONCEPTION HEALTH AND PRE-NATAL CARE FOR PREGNANT WOMEN, ATTEMPT TO REDUCE THE UNINTENDED PREGNANCY AND PREMATURE BIRTH RATES, AND SEEK TO REDUCE INFANT MORTALITY. ADDITIONAL PROGRAM INFORMATION IS AVAILABLE IN THE CHNA AND CHIP, AS WELL AS IN PART V OF THIS SCHEDULE H. CHRISTIANA CARE IS COMMITTED TO LISTENING TO THE COMMUNITY IT SERVES AND LEARNING ABOUT THE NEEDS OF COMMUNITY MEMBERS. THE GREATER WILMINGTON COMMUNITY PARTNERSHIP AND THE COMMUNITY ENGAGEMENT ADVISORY COUNCIL, TWO GROUPS CHRISTIANA CARE FORMED TO HAVE DIRECT CONTACT WITH COMMUNITY LEADERS AND STAKEHOLDERS, ARE EXAMPLES OF THIS COMMITMENT. CHRISTIANA CARE PARTICIPATION IN GROUPS LIKE THE DELAWARE HEALTHY MOTHER AND INFANT CONSORTIUM, DESCRIBED PREVIOUSLY IN PART V, AND HEALTHY NEIGHBORHOODS, A DELAWARE CENTER FOR HEALTH INNOVATION INITIATIVE TO ADDRESS POPULATION HEALTH CHALLENGES, ARE OTHER EXAMPLES OF ITS COMMITMENT TO LEARNING ABOUT AND ADDRESSING THE HEALTH NEEDS OF ITS COMMUNITY IN PARTNERSHIP WITH STAKEHOLDERS THROUGHOUT THE STATE. --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)	CHRISTIANA CARE FULFILLS ITS MISSION OF SERVING ITS NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH REGARDLESS OF ABILITY TO PAY. IN KEEPING WITH THAT MISSION, AND AS STATED IN CHRISTIANA CARES CHIP, CHRISTIANA CARE REVISED ITS FINANCIAL ASSISTANCE POLICY TO PROVIDE RELIEF TO INDIVIDUALS IMPACTED BY THE HIGH COST OF HEALTHCARE. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON CHRISTIANA CARES WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL -ASSISTANCE/, AND IN PAMPHLETS THROUGHOUT CHRISTIANA CARE FACILITIES, INCLUDING CHRISTIANA CARES OUTPATIENT PRACTICES. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE IN SPANISH, CANTONESE, AND MANDARIN WHICH ARE THE LANGUAGES MOST SPOKEN IN OUR SERVICE AREA BESIDES ENGLISH. TRANSLATION ASSISTANCE TO COMPLETE THE NECESSARY FORMS IS AVAILABLE FOR ANYONE NOT PROFICIENT IN READING, WRITING, OR SPEAKING ENGLISH. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IS ALSO AVAILABLE ON OUR WEBSITE AT: HTTPS://CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/. CHRISTIANA CARES FINANCIAL ASSISTANCE POLICY APPLIES TO ALL MEDICALLY NECESSARY SERVICES, INCLUDING THE HOSPITAL INPATIENT, OUTPATIENT, AND EMERGENCY DEPARTMENT SERVICES THAT ARE BILLED BY CHRISTIANA CARE, AS WELL AS ALL SERVICES RENDERED BY CHRISTIANA CARE PHYSICIANS INCLUDING DENTAL SERVICES THAT REQUIRE HOSPITALIZATION. MEDICALLY NECESSARY SERVICES ARE PROVIDED AT NO CHARGE TO INDIVIDUALS WHOSE HOUSEHOLD INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL AND WHO MEET OTHER FINANCIAL ASSISTANCE PROGRAM REQUIREMENTS FOR ELIGIBILITY. UNINSURED INDIVIDUALS WITH A HOUSEHOLD INCOME GREATER THAN 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR A STANDARD DISCOUNT OF 15%. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)	CHRISTIANA CARES PRIMARY SERVICE AREA IS IN NEW CASTLE COUNTY, DELAWARE. THE MAJORITY OF CHRISTIANA CARES PATIENTS, APPROXIMATELY 80%, RESIDE IN NEW CASTLE COUNTY. ACCORDING TO THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, DELAWARE WAS ONE OF ONLY TWO STATES TO HAVE A RISE IN ITS POVERTY RATE BETWEEN 2016 AND 2017 WITH THE STATE POVERTY RATE RISING TO 13.6%. THE POVERTY RATE IN NEW CASTLE COUNTY IS 11%, LOWER THAN THE STATE AND NATIONAL AVERAGE, BUT WITHIN NEW CASTLE COUNTY THERE IS GREAT VARIATION IN POVERTY LEVELS. IN THE CITY OF WILMINGTON, 26% OF RESIDENTS ARE LIVING AT OR BELOW THE POVERTY LEVEL. THE RACIAL/ETHNIC COMPOSITION OF NEW CASTLE COUNTY IS PREDOMINATELY WHITE/CAUCASIAN WITH 23.4% OF ITS SERVICE POPULATION AS AFRICAN-AMERICAN NON-HISPANIC, 9.7% AS HISPANIC, 5.1% ASIAN, AND 2.5% AS ALL OTHERS. MORE DETAILED INFORMATION ON THE DEMOGRAPHICS OF CHRISTIANA CARES SERVICE AREA POPULATION CAN BE FOUND WITHIN ITS CHNA AT: HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/. --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	CHRISTIANA CARES MISSION IS TO SERVE OUR NEIGHBORS AS RESPECTFUL, CARING, PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, AFFORDABLE, SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. WE ARE COMMITTED TO FULFILLING OUR MISSION OF SERVICE TO OUR NEIGHBORS, AND AS THE LARGEST HEALTH CARE PROVIDER IN A STATE THAT HAS NO SAFETY NET OR PUBLIC HOSPITAL; WE SERVE A SIGNIFICANT PORTION OF THE COMMUNITYS UNINSURED AND UNDERINSURED POPULATION ALONG WITH A SUBSTANTIAL PORTION OF THE STATES MEDICAID POPULATION. CHRISTIANA CARE IS KEENLY AWARE OF THE IMPORTANCE OF THE COMMITMENT WE HAVE TO THE HEALTH OF OUR COMMUNITIES. EACH YEAR, CHRISTIANA CARES WILMINGTON HOSPITAL HEALTH CENTER ATTRACTS APPROXIMATELY 67,500 PATIENT VISITS. A SIGNIFICANT NUMBER WHEN YOU CONSIDER THE ENTIRE POPULATION OF NEW CASTLE COUNTY WHICH IS APPROXIMATELY 550,000. CHRISTIANA CARE ALSO PROVIDES SERVICES THAT DELAWAREANS CANNOT FIND ELSEWHERE IN THE STATE. CHRISTIANA CARES KIDNEY TRANSPLANT PROGRAM IS DELAWARES ONLY ADULT TRANSPLANT PROGRAM. MORE THAN 300 PATIENTS HAVE BEEN TRANSPLANTED IN THE DECADE THE PROGRAM HAS BEEN IN OPERATION AND EVERY YEAR, MORE THAN 1,000 PATIENTS RELY ON THE KIDNEY TRANSPLANT TEAM FOR KIDNEY FAILURE CARE. IN THIS REPORTING PERIOD, CHRISTIANA CARE ALSO OPENED DELAWARES FIRST EPILEPSY MONITORING UNIT (EMU). THE EMU IS PART OF A LARGER EFFORT TO ESTABLISH AN EPILEPSY CENTER OF EXCELLENCE, UNDER THE GUIDELINES OF THE NATIONAL ASSOCIATION OF EPILEPSY CENTERS, SO ADULTS OF ANY AGE CAN RECEIVE THE HIGHEST QUALITY ROUTINE AND SPECIALTY CARE FOR SEIZURE DISORDERS. PATIENT COMFORT AND SAFETY WAS A PARAMOUNT CONCERN WHEN CREATING THIS EMU AND IT IS ONE OF THE FEW EMUS IN THE COUNTRY THAT USES A PATIENT LIFT TO ALLOW PATIENTS TO MOVE SAFELY AROUND THEIR ROOM AND NOT FEAR FALLS. CHRISTIANA CARES CENTER FOR SPECIAL HEALTH CARE NEEDS, BASED IN THE WILMINGTON HOSPITAL, IS ALSO NEW THIS REPORTING PERIOD, AND 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 STRIVES TO HELP PATIENTS AND THEIR FAMILIES TRANSITION SEAMLESSLY 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. SIGNIFICANT RESEARCH IS ALSO HAPPENING ON THE CHRISTIANA CARE CAMPUS. LAST YEAR, WE REPORTED ON CHRISTIANA CARES GENE EDITING INSTITUTE, WHICH IS A PART OF THE HELEN F. GRAHAM CANCER CENTER AND RESEARCH INSTITUTE, AND ITS DEVELOPMENT OF A POTENTIALLY BREAKTHROUGH CRISPR GENE-EDITING TOOL WHICH COULD ALLOW FOR A MORE TARGETED TREATMENT STRATEGY FOR INDIVIDUAL PATIENTS. THIS YEAR, CHRISTIANA CARE SCIENTISTS IN THE HELEN F. GRAHAM CANCER CENTER AND RESEARCH INSTITUTES CENTER FOR TRANSLATIONAL CANCER RESEARCH DISCOVERED THAT THE OVEREXPRESSION OF HOXA4 AND HOXA9 GENES IN COLON CANCER STEM CELLS PROMOTES CELL REPLICATION AND CONTRIBUTES TO THE OVERPOPULATION OF STEM CELLS THAT DRIVES THE DEVELOPMENT OF COLON CANCER. FINDINGS SUGGEST TREATMENT WITH VITAMIN A DERIVATIVES, CALLED RETINOID DRUGS, COULD PROVIDE A THERAPEUTIC STRATEGY FOR DECREASING THE EXPRESSION OF HOX GENES AND TARGETING HIGHLY RESISTANT CANCER STEM CELLS. CHRISTIANA CARE IS ALSO PARTICIPATING IN THE ASPIRIN TRIAL, THE LARGEST EVER TRIAL LOOKING AT THE ROLE OF ASPIRIN IN PREVENTING PRETERM BIRTH, A LEADING FACTOR IN INFANT MORTALITY. STUDIES HAVE SUGGESTED THAT LOW-DOSE ASPIRIN GIVEN EARLY IN PREGNANCY MAY LOWER THE RISK OF PRETERM BIRTH BY 20% OR MORE. IF THIS STUDY SUPPORTS THAT, ASPIRIN COULD BE AN ACCESSIBLE LOW-COST TREATMENT FOR EXPECTANT WOMEN LIVING IN POVERTY. THESE ARE JUST A FEW EXAMPLES OF THE RESEARCH CHRISTIANA CARE IS UNDERTAKING TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES THAT WILL HAVE IMPLICATIONS FOR THE BROADER POPULATION. CHRISTIANA CARES GOVERNING BODY, ITS BOARD OF DIRECTORS, IS COMPRISED OF PERSONS WHO RESIDE IN ITS PRIMARY SERVICE AREA, AND MOST OF THE BOARD MEMBERS ARE NOT EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF CHRISTIANA CARE. CHRISTIANA CARE HAS ALSO ESTABLISHED THE COMMUNITY ENGAGEMENT ADVISORY COUNCIL TO SUPPORT OPEN DIALOGUE ON THE NEEDS OF THE COMMUNITY. AS DESCRIBED IN THE CHNA AND CHIP, CHRISTIANA CARE FINANCIALLY SUPPORTS IMPROVEMENTS IN ACCESS TO CARE, COMMUNITY OUTREACH, IMPROVING THE CARE AND OVERALL HEALTH OF OUR NEIGHBORS, AND CONTINUING TO SUPPORT MEDICAL EDUCATION AND RESEARCH. ONE OF THE MOST SIGNIFICANT AND INNOVATIVE WAYS CHRISTIANA CARE IS SERVING ITS COMMUNITY IS THROUGH CARELINK CARE NOW, A PATIENT-CENTERED CARE COORDINATION SERVICE. CHRISTIANA CARE PARTNERS WITH APPROXIMATELY 300 PRIMARY CARE PHYSICIANS TO CHANGE THE WAY CARE IS DELIVERED TO 104,000 MEDICARE BENEFICIARIES AND HEALTH PLAN MEMBERS. CARELINK CARE NOW STRIVES TO ACHIEVE BETTER QUALITY AND CARE AT A LOWER COST TO THE PATIENT THROUGH HARNESSING AN INFORMATION TECHNOLOGY PLATFORM THAT INTEGRATES ALL AVAILABLE SOURCES OF A PERSONS HEALTH DATA ADMISSIONS AND EMERGENCY DEPARTMENT VISIT INFORMATION, LAB RESULTS, PHARMACEUTICAL USE DATA AND PHYSICIAN VISITS INTO CARE COORDINATION SOFTWARE THAT SUPPORTS AN INTERDISCIPLINARY TEAM IN PROVIDING COORDINATED CARE SERVICES TO PROVIDERS AND THEIR PATIENTS. CARELINK CARE NOW IS ABLE TO IDENTIFY THE HIGHEST RISK POPULATIONS THROUGH ITS PREDICTIVE ANALYTIC CAPABILITIES AND REACH OUT TO INDIVIDUALS IN REAL TIME TO ENSURE THEY GET THE HEALTH SERVICES THEY NEED. CHRISTIANA CARE IS ALSO A FOUNDING PARTNER IN EBRIGHTHEALTH ACO, AN ACCOUNTABLE CARE ORGANIZATION THAT SERVES 50,000 REGIONAL MEDICARE BENEFICIARIES FROM DELAWARE, PENNSYLVANIA, AND MARYLAND. CARELINK CARE NOW IS ALSO PART OF THIS INITIATIVE. IN ITS FIRST TWO YEARS OF OPERATION, EBRIGHTHEALTH ACO HAS IMPROVED QUALITY OF CARE AND ACHIEVED COST SAVINGS OF NEARLY $2 MILLION. EVERY DAY, CHRISTIANA CARE REACHES OUT TO ITS NEIGHBORS IN THEIR COMMUNITIES THROUGH OUR HEALTH GUIDES, WHO PROVIDE LINKS TO QUALITY AFFORDABLE HEALTHCARE TO UNINSURED PATIENTS; OUR HEALTH AMBASSADORS WHO CONNECT WITH WOMEN IN COMMUNITIES WHERE THERE IS A HIGH RISK FOR INFANT MORTALITY TO ENSURE THEY RECEIVE CARE AND ACCESS TO RESOURCES; OUR PEER ENGAGEMENT SPECIALISTS WHO SEEK A REACHABLE MOMENT WITH THOSE RECOVERING FROM AN OVERDOSE WITHIN THE HOSPITAL TO ENCOURAGE THEM TO TAKE THE FIRST STEPS TOWARDS CONFRONTING THEIR SUBSTANCE USE DISORDER; OUR VIOLENCE PREVENTION COORDINATOR, WHO TALKS WITH TEENS ABOUT THE REAL IMPACT OF VIOLENCE ON THEM AND THEIR FAMILIES; AND OUR COMMUNITY EDUCATORS WHO ENCOURAGE ADOLESCENTS TO MAKE RESPONSIBLE AND SAFE CHOICES WHEN IT COMES TO THEIR SEXUAL HEALTH. THESE ARE BUT A FEW EXAMPLES OF HOW CHRISTIANA SERVES ITS NEIGHBORS. OTHER EXAMPLES OF THE INNOVATIVE WAYS IN WHICH CHRISTIANA CARE WORKS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY ARE DESCRIBED IN MORE DETAIL IN THE CHNA AND CHIP, AS WELL AS IN SECTIONS B AND C OF THIS NARRATIVE. CHRISTIANA CARE ALSO WORKS TO IMPROVE THE HEALTH OF ITS COMMUNITIES BY DIRECTLY ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THROUGH THE CHARLES J. HARRINGTON FUND WHICH WAS MADE POSSIBLE THROUGH A $13 MILLION BEQUEST TO ADVANCE SCHOLARSHIP AND SUPPORT INNOVATIVE PROJECTS THAT HELP REDUCE HEALTH CARE DISPARITIES FOR THE UNDERSERVED AND DISADVANTAGED POPULATIONS THROUGHOUT OUR SERVICE AREA. ONE COMPONENT OF THE FUND, KNOWN AS THE HARRINGTON VALUE INSTITUTE COMMUNITY PARTNERSHIP FUND (HARRINGTON FUND), SUPPORTS NEW OR EXISTING INNOVATIVE COMMUNITY PROGRAMS THAT TARGET ONE OR MORE SOCIAL DETERMINANTS OF HEALTH AND INCLUDE BOTH A COMMUNITY FOCUS AND A CLINICAL OUTCOME. IN JUNE 2017, CHRISTIANA CARE ANNOUNCED HARRINGTON FUND AWARDS TO FOUR PROJECTS. THESE PROJECTS WERE: 1. READING INTERVENTION READING CORPS PROGRAM: A CONTINUING PROJECT, THE WILMINGTON BASED READING ASSIST INSTITUTE PROVIDES EARLY INTERVENTION FOR FIRST THROUGH THIRD GRADE STUDENTS IN LOW-INCOME AND LOW-PERFORMING PUBLIC ELEMENTARY SCHOOLS WHO SUFFER FROM LANGUAGE-BASED LEARNING DISABILITIES, AND WHO ARE READING AT OR BELOW THE 25TH PERCENTILE. WE KNOW THAT NOT BEING ABLE TO READ WILL HAVE A SIGNIFICANTLY NEGATIVE IMPACT ON AN INDIVIDUALS LIFE AND HEALTH. NOT BEING ABLE TO READ A PRESCRIPTION OR CARE INSTRUCTIONS AFTER SURGERY WILL HAVE AN OBVIOUS IMPACT ON HEALTH, BUT ILLITERACY IS ALSO LIKELY TO HINDER A PERSONS EMPLOYABILITY CAN ALSO HAVE A NEGATIVE IMPACT ON HEALTH. 2. HEALTHY LATINA FAMILIES: IMPROVING ACCESS AND CARE: A CONTINUING PROJECT, LAUNCHED IN 2012, THE PROMOTORAS FOR HEALTHY FAMILY PROGRAM STRATEGICALLY EMBEDS SPECIALLY TRAINED HISPANIC, SPANISH-SPEAKING HEALTH ADVOCATES AND RESOURCES KNOWN AS PROMOTORAS THROUGHOUT LATINA COMMUNITIES TO PROVIDE HEALTH OUTREACH AND EDUCATION, ELIMINATE BARRIERS TO CARE, AND
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH A 1,514 MEMBER MEDICAL-DENTAL STAFF AND MORE THAN 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 STATES ONLY HIGH RISK DELIVERY HOSPITAL FEATURING A LEVEL III NEONATAL INTENSIVE CARE UNIT. CHRISTIANA HOSPITAL IS ALSO A LEVEL I TRAUMA CENTER. - WILMINGTON HOSPITAL CAMPUS: LOCATED IN THE HEART OF THE CITY OF WILMINGTON, THIS CAMPUS IS THE CORPORATE HEADQUARTERS FOR THE HEALTH SYSTEM AND INCLUDES THE 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. NEVERTHELESS, CHRISTIANA CARE HAS ESTABLISHED A COMMUNITY BENEFIT DEDICATED SECTION ON ITS WEBSITE WHERE THE CHNA AND CHIP CAN BE FOUND, ALONG WITH ARTICLES ABOUT CHRISTIANA CARES COMMUNITY BENEFIT INITIATIVES AND STORES. THIS GROWING COLLECTION OF STORIES CAN BE ACCESSED AT: HTTPS://NEWS.CHRISTIANACARE.ORG/CATEGORY/IN-THE-COMMUNITY/COMMUNITY- BENEFIT/.

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 (16 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
EXECUTIVE VP AND CFO	$651,536	$0	$235,464	$0	$138,589	$0	$26,786	$0	$17,927	$0	$1,070,302	$0	$0	$0
ROBERT LASKOWSKI
FORMER PRESIDENT & CEO	$0	$0	$0	$0	$2,128,925	$0	$7,886	$0	$0	$0	$2,136,811	$0	$0	$0
JAMES HOPKINS MD
MEMBER	$408,364	$0	$85,000	$0	$37,000	$0	$25,436	$0	$11,180	$0	$566,980	$0	$0	$0
BRENDA K PIERCE ESQ
SECRETARY OF CORP- THRU 6/18	$311,164	$0	$86,428	$0	$20,950	$0	$45,256	$0	$11,180	$0	$474,978	$0	$0	$0
AUDREY VAN LUVEN
SR VP&CHIEF HR OFF. THRU 7/17	$379,995	$0	$132,998	$0	$89,775	$0	$26,736	$0	$3,595	$0	$633,099	$0	$0	$0
JANICE E NEVIN MD
PRESIDENT & CEO	$1,038,734	$0	$502,250	$0	$60,707	$0	$137,436	$0	$11,973	$0	$1,751,100	$0	$0	$0
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS	$655,274	$0	$182,006	$0	$40,638	$0	$26,736	$0	$11,180	$0	$915,834	$0	$0	$0
VIRGINIA COLLIER
PHYSICIAN	$523,432	$0	$73,280	$0	$275,213	$0	$26,736	$0	$261	$0	$898,922	$0	$0	$0
PAUL DAVIS
PHYSICIAN	$716,479	$0	$103,501	$0	$0	$0	$24,086	$0	$19,812	$0	$863,878	$0	$0	$0
KENNETH SILVERSTEIN
CHIEF CLINICAL OFFICER	$609,589	$0	$211,520	$0	$0	$0	$84,520	$0	$17,927	$0	$923,556	$0	$0	$0
RICHARD CUMING
CHIEF NURSING EXECUTIVE	$399,178	$0	$140,002	$0	$0	$0	$64,086	$0	$0	$0	$603,266	$0	$0	$0
MICHAEL EPPEHIMER
CHIEF OP. OFFICER - MED GROUP	$299,550	$0	$84,005	$0	$150,000	$0	$43,437	$0	$17,927	$0	$594,919	$0	$0	$0
SHARON KURFUERST
CHIEF OP. OFFICER - HEALTH SVC	$305,530	$0	$84,005	$0	$157,231	$0	$44,788	$0	$17,927	$0	$609,481	$0	$0	$0
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER	$562,364	$0	$156,200	$0	$33,261	$0	$26,736	$0	$12,289	$0	$790,850	$0	$0	$0
MARK BOROWSKY
PHYSCIAN	$580,592	$0	$150,000	$0	$0	$0	$26,786	$0	$17,927	$0	$775,305	$0	$0	$0
NEIL JASANI
CHIEF PEOPLE OFFICER	$401,776	$0	$111,829	$0	$0	$0	$24,086	$0	$17,927	$0	$555,618	$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 $175,382 DURING THE 2017 CALENDAR YEAR. VIRGINIA COLLIER RECEIVED A SEVERANCE DISTRIBUTION OF $503,300 DURING THE 2017 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- $67,276 TIMOTHY GARDNER, MD- $39,001 NICHOLAS PETRELLI- $33,471 --------------------
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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,725,000	$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	$10,955,000	$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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D	DETAIL OF OTHER PROGRAM SERVICES CHRISTIANA CARE HEALTH SERVICES ("CCHS"), HEADQUARTERED IN WILMINGTON, DELAWARE, IS ONE OF THE COUNTRY'S LARGEST HEALTH CARE PROVIDERS AND IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 260 MEDICAL-DENTAL RESIDENTS AND FELLOWS. CHRISTIANA CARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDIOLOGY, CANCER AND WOMEN'S HEALTH SERVICES. THE SYSTEM FEATURES A LEVEL 3 NEONATAL INTENSIVE CARE UNIT, THE ONLY DELIVERING HOSPITAL IN THE STATE TO OFFER THIS LEVEL OF CARE FOR NEWBORNS. CHRISTIANA CARE HEALTH SERVICES IS ALSO HOME TO DELAWARE'S ONLY LEVEL 1 TRAUMA CENTER, THE ONLY OF ITS KIND BETWEEN PHILADELPHIA AND BALTIMORE. A NOT-FOR-PROFIT, NON-SECTARIAN HEALTH SYSTEM, CHRISTIANA CARE INCLUDES TWO HOSPITALS WITH MORE THAN 1,200 PATIENT BEDS, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. WITH MORE THAN 11,800 EMPLOYEES, CHRISTIANA CARE IS THE LARGEST PRIVATE EMPLOYER IN DELAWARE AND ONE OF THE LARGEST EMPLOYERS IN THE PHILADELPHIA REGION. --------------------
FORM 990, PART IV, LINE 21	DETAIL OF SUBAWARDS IN FURTHERANCE OF ITS MEDICAL RESEARCH ACTIVITIES, CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAKES SUB-AWARDS TO OTHER INSTITUTIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO CCHS. CCHS DOES NOT CATEGORIZE THESE SUB-AWARDS AS GRANTS OR ASSISTANCE FOR FORM 990 REPORTING, SINCE THE RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR CCHS AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF CCHS. DURING THE YEAR ENDED JUNE 30, 2018, CCHS MADE SUB-AWARD PAYMENTS TO 3 RECIPIENTS TOTALING $81,669. --------------------
FORM 990, PART VI, SECTION A, LINE 7A,B	GOVERNING BODY AND MANAGEMENT THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"), AT IT'S ANNUAL MEETING IN NOVEMBER, ELECTS DIRECTORS OF CCHS. THE ANNUAL OPERATING BUDGET OF CCHS IS APPROVED BY THE CCHS BOARD, THE SYSTEM FINANCE COMMITTEE AND THE SYSTEM BOARD. --------------------
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 REVIEW PROCESS INFORMATION RELATED TO CCHS' FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2017 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2018 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2017 FORM 990 VIA ITS BOARD OF DIRECTOR'S PORTAL. ------------------
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE SUPERVISORY POLICY MANUAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR MANAGERS WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXISTS. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. --------------------
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS ESTABLISHES CHRISTIANA CARE'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. --------------------
FORM 990, PART VI, SECTION C, LINE 19	GOVERNANCE, MANAGEMENT, & DISCLOSURE THE FORM 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF CCHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEB THROUGH DIGITAL ASSURANCE CERTIFICATION ("DAC"). --------------------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN PENSION AND POSTRETIREMENT LIABILITIES $ (8,631,474) BENEFICIAL INTEREST IN SYSTEM (8,887) OTHER 610,289 ----------- TOTAL $ (8,030,072) ============

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	-$53,796	$10,695	CCHS
CHRISTIANA CARE QUALITY PARTNERS ACOLLC
501 WEST 14TH STREET	WILMINGTON	DE	19801	510103684	SUPPORT SRVCS	DE	-$1,071,933	$10,698	CCHS
CHRISTIANA CARE CARE LINK LLC
501 WEST 14TH STREET	WILMINGTON	DE	19801	510103684	SUPPORT SRVCS	DE	-$3,001,833	$10,703	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 (2 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
THE DE CTR FOR MAT FETAL MED OF CC INC
200 HYGEIA DRIVE	NEWARK	DE	19713	205891272	HEALTHCARE	DE	CCHS	C CORP	$169,857	$1,876,479	1.00000	Yes (true)
CHRISTIANA CARE HEALTH PLANS
200 HYGEIA DRIVE OFFICE 2524	NEWARK	DE	19713	510352728	INSURANCE	DE	CCHS SYSTEM	C CORP				false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	THE DE CTR FOR MAT FETAL MED OF CC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	A,O	TransactionTypeTxt
Involved	$563,912	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt

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 $ 3,269,336 CHRISTIANA CARE HEALTH SERVICES 198,652 1,516,561,722 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 45,376,090 CHRISTIANA CARE HEALTH INITIATIVES NONE 2,187,646 ------------ -------------- TOTAL $ 198,652 $ 1,567,394,794 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2018. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2017.	MeduimExplanationTxt