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CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-13
IRS object ID
201721339349300717
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-13T08:48:27-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510103684EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIANA CARE HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% VICE PRESIDENT'S OFFICEInCareOfNm
Business Name ControlCHRIBusinessNameControlTxt
Phone3026237201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2653AddressLine1Txt
CityWILMINGTONCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198050653ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS L CORRIGANPersonNm
Person TitleEXECUTIVE BP & CFOPersonTitleTxt
Phone3026237201PhoneNum
Signature2017-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANICE NEVIN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14755 OGLETOWN-STANTON ROADAddressLine1Txt
CityNEWARKCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19718ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,021,083,643GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHRISTIANACARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionOUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee11046TotalEmployeeCnt
Total Volunteers1379TotalVolunteersCnt
Total Gross UBI$4,053,742TotalGrossUBIAmt
PY Contributions Grants$42,304,655PYContributionsGrantsAmt
CY Contributions Grants$30,666,972CYContributionsGrantsAmt
PY Program Service Revenue$1,303,771,875PYProgramServiceRevenueAmt
CY Program Service Revenue$1,345,427,552CYProgramServiceRevenueAmt
PY Investment Income$46,189,318PYInvestmentIncomeAmt
CY Investment Income$44,952,105CYInvestmentIncomeAmt
PY Other Revenue$226,704,014PYOtherRevenueAmt
CY Other Revenue$282,318,321CYOtherRevenueAmt
PY Total Revenue$1,618,969,862PYTotalRevenueAmt
CY Total Revenue$1,703,364,950CYTotalRevenueAmt
PY Grants And Similar Paid$516,452PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$472,446CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$932,174,729PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$988,848,685CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$500,605,869PYOtherExpensesAmt
CY Other Expenses$525,613,730CYOtherExpensesAmt
PY Total Expenses$1,433,297,050PYTotalExpensesAmt
CY Total Expenses$1,514,934,861CYTotalExpensesAmt
PY Revenues Less Expenses$185,672,812PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$188,430,089CYRevenuesLessExpensesAmt
Total Assets BOY$2,666,867,463TotalAssetsBOYAmt
Total Assets EOY$2,715,366,054TotalAssetsEOYAmt
Total Liabilities BOY$743,516,912TotalLiabilitiesBOYAmt
Total Liabilities EOY$754,027,421TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,923,350,551NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,961,338,633NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. THIS IS OUR PROMISE TO YOU. WE CALL IT THE CHRISTIANA CARE WAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$381,829,654ExpenseAmt
Grant$0GrantAmt
Revenue$298,057,166RevenueAmt
DescPROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. 3,479 NURSES ARE EMPLOYED WITH 283,978 PATIENT DAYS RECORDED DURING FISCAL 2016. 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

FieldValueIRS element (for citing)
Expense$70,575,035ExpenseAmt
Grant$0GrantAmt
Revenue$150,822,992RevenueAmt
DescLABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2016, 3,474,635 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 278.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$219,573,461ExpenseAmt
Grant$0GrantAmt
Revenue$357,499,073RevenueAmt
DescOPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2016, 39,102 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 312.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$560,293,012TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$472,446TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$819,555,521TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,232,271,162TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document515IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee11046EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonVICE PRESIDENT'S OFFICEPersonNm
Phone3026237202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HYGEIA DRIVEAddressLine1Txt
CityNEWARKCityNm
State AbbreviationDEStateAbbreviationCd
ZIP197132049ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRIAN E BURGESS MD
MEMBER, VICE CHAIR1.01.0Yes (X)Yes (X)$0$0$0
BETTY J CAFFO PHD
MEMBER1.01.0Yes (X)$0$0$0
CARROLL M CARPENTER
MEMBER1.01.0Yes (X)$0$0$0
JOHN R COCHRAN III
MEMBER1.01.0Yes (X)$0$0$0
DONEENE DAMON ESQ
MEMBER, CHAIR-ELECT1.01.0Yes (X)Yes (X)$0$0$0
TARA D ELLIOTT ESQ
MEMBER1.01.0Yes (X)$0$0$0
JAMES HOPKINS MD
MEMBER1.01.0Yes (X)$495,556$0$38,035
ERIC T JOHNSON MD
MEMBER1.01.0Yes (X)$45,561$0$0
W DONALD JOHNSON
MEMBER1.01.0Yes (X)$0$0$0
PAUL KANIEFSKI
MEMBER1.01.0Yes (X)$0$0$0
LOLITA A LOPEZ
MEMBER- THRU 11/20151.01.0Yes (X)$0$0$0
MICHAEL R MILLER
MEMBER1.01.0Yes (X)$0$0$0
JOHN M MURRAY II
MEMBER1.01.0Yes (X)$0$0$0
JANICE E NEVIN MD
PRESIDENT & CEO40.01.0Yes (X)Yes (X)$1,314,555$0$132,662
SKIP PENNELLA
MEMBER1.01.0Yes (X)$0$0$0
GARY M PFEIFFER
CHAIRMAN OF THE BOARD1.01.0Yes (X)Yes (X)$0$0$0
THEODORE G PLUSH
MEMBER1.01.0Yes (X)$0$0$0
LEO RAISIS MD
MEMBER1.01.0Yes (X)$0$0$0
NANCY RICH
MEMBER1.01.0Yes (X)$0$0$0
FRED C SEARS II
MEMBER1.01.0Yes (X)$0$0$0
WILFRED B SHERK
MEMBER1.01.0Yes (X)$0$0$0
JANICE TILDON-BURTON MD
MEMBER, CHAIR ELECT1.01.0Yes (X)$0$0$0
MARK TYKOCINSKI MD
MEMBER1.01.0Yes (X)$0$0$0
EDWARD K WISSING
MEMBER- THRU 11/20151.02.0Yes (X)$0$0$0
THOMAS L CORRIGAN
CFO40.01.0Yes (X)$999,195$0$45,994
GARY W FERGUSON
COO, RETIRED 10/1540.01.0Yes (X)$1,784,455$0$31,145
WILLIAM J WADE
OFFICER OF BOARD1.01.0Yes (X)$0$0$0
BRENDA K PIERCE ESQ
SECRETARY OF THE CORP40.03.0Yes (X)$376,884$0$57,651
DIANE TALAREK
SVP PATIENT CARE, RETIRED 2/1640.00.0$409,920$0$38,702Yes (X)
AUDREY VAN LUVEN
SENIOR VP & CHIEF HR OFFICER40.00.0$482,838$0$73,760Yes (X)
KENNETH SILVERSTEIN
CHIEF CLINICAL OFFICER40.00.0$628,165$0$92,594Yes (X)
RANDALL GABORIAULT
CHIEF INFORMATION OFFICER40.00.0$545,332$0$82,185Yes (X)
MICHAEL BANBURY MD
CHIEF, CARDIAC SURGERY40.00.0$989,738$0$47,256Yes (X)
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS40.00.0$853,919$0$40,195Yes (X)
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER40.00.0$749,333$0$47,219Yes (X)
MARK BOROWSKY
PHYSICIAN40.00.0$753,774$0$46,629Yes (X)
PAUL DAVIS
PHYSICIAN40.00.0$706,391$0$45,059Yes (X)
ROBERT LASKOWSKI
FORMER PRESIDENT & CEO0.00.0$785,842$0$18,297Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,921,458TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$837,383TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1074IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
PO BOX 959156ST LOUISMO631959156SOFTWARE SRVCS$20,442,373
WHITING TURNER
PO BOX 17596BALTIMOREMD21297CONSTRUCTION SRVCS$6,880,613
EDIS
110 SOUTH POPLAR STREET SUITE 400WILMINGTONDE19801CONSTRUCTION SRVCS$4,785,151
ANESTHESIA SERVICES
2 READS WAY SUITE 201NEW CASTLEDE19720MEDICAL SRVCS$3,592,728
VARO
PO BOX 1310MALVERNPA19355COLLECTION SRVCS$3,547,474
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K236CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$8,469,428RelatedOrganizationsAmt
Government Grants$16,504,862GovernmentGrantsAmt
All Other Contributions$5,692,682AllOtherContributionsAmt
Total Contributions$30,666,972TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PROGRAM SERVICE REVENUES$1,329,757,800$1,329,757,800
OTHER REVENUES$15,669,752$2,338,084$4,053,742$9,277,926
FieldValueIRS element (for citing)
Total Program Service Revenue$1,345,427,552TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,900,806TotalRevenueColumnAmt
Exclusion$17,900,806ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,463,591RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,343,558RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$120,033RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,033TotalRevenueColumnAmt
Exclusion$120,033ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$217,059,767SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$190,008,468SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$27,051,299SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,051,299TotalRevenueColumnAmt
Exclusion$27,051,299ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$403,836,740GrossSalesOfInventoryAmt
Cost Of Goods Sold$125,366,667CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$278,470,073TotalRevenueColumnAmt
Related Or Exempt Func Income$278,470,073RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MAINTENANCE FEES531390$1,691,088$1,691,088
MEANINGFUL USE110000$2,037,127$2,037,127
FieldValueIRS element (for citing)
Other Revenue Total$3,728,215OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,703,364,950TotalRevenueColumnAmt
Related Or Exempt Func Income$1,612,603,084RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,053,742UnrelatedBusinessRevenueAmt
Exclusion$56,041,152ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$472,446TotalAmt
Program Services$472,446ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,524,141TotalAmt
Program Services$9,104,071ProgramServicesAmt
Management And General$2,420,070ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$736,423,395TotalAmt
Program Services$581,104,605ProgramServicesAmt
Management And General$155,318,790ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$53,717,224TotalAmt
Program Services$42,382,890ProgramServicesAmt
Management And General$11,334,334ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$134,470,403TotalAmt
Program Services$106,097,148ProgramServicesAmt
Management And General$28,373,255ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$52,713,522TotalAmt
Program Services$41,590,969ProgramServicesAmt
Management And General$11,122,553ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$694,546TotalAmt
Program Services$547,997ProgramServicesAmt
Management And General$146,549ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$302,903TotalAmt
Program Services$238,990ProgramServicesAmt
Management And General$63,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$237,095TotalAmt
Program Services$187,068ProgramServicesAmt
Management And General$50,027ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,014,213TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,014,213ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,849,358TotalAmt
Program Services$2,248,143ProgramServicesAmt
Management And General$601,215ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$166,491,840TotalAmt
Program Services$133,402,603ProgramServicesAmt
Management And General$33,089,237ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$37,677,828TotalAmt
Program Services$29,727,806ProgramServicesAmt
Management And General$7,950,022ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,300,331TotalAmt
Program Services$11,282,961ProgramServicesAmt
Management And General$3,017,370ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,805,991TotalAmt
Program Services$2,213,927ProgramServicesAmt
Management And General$592,064ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,042,994TotalAmt
Program Services$3,189,922ProgramServicesAmt
Management And General$853,072ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,990,062TotalAmt
Program Services$3,148,159ProgramServicesAmt
Management And General$841,903ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Program Services$39,450ProgramServicesAmt
Management And General$10,550ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$92,794,293TotalAmt
Program Services$73,214,697ProgramServicesAmt
Management And General$19,579,596ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,568,557TotalAmt
Program Services$12,283,591ProgramServicesAmt
Management And General$3,284,966ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEDICAL SUPPLIESDesc
Total$179,793,719TotalAmt
Program Services$179,793,719ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,514,934,861TotalAmt
Program Services$1,232,271,162ProgramServicesAmt
Management And General$282,663,699ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$66,449,901BOYAmt
EOY$109,326,399EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$181,669,821BOYAmt
EOY$181,912,413EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$212,627,312BOYAmt
EOY$233,708,969EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,171,370BOYAmt
EOY$20,446,488EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,870,631,602LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,083,334,690LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$785,045,618BOYAmt
EOY$787,296,912EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,156,576,574BOYAmt
EOY$1,146,131,125EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$123,018,609BOYAmt
EOY$130,714,031EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,015,805BOYAmt
EOY$1,015,805EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$119,292,453BOYAmt
EOY$104,813,912EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,666,867,463BOYAmt
EOY$2,715,366,054EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$207,558,197BOYAmt
EOY$209,755,717EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$286,685,053BOYAmt
EOY$265,763,333EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249,273,662BOYAmt
EOY$278,508,371EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$743,516,912BOYAmt
EOY$754,027,421EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,860,853,006BOYAmt
EOY$1,907,925,853EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,685,943BOYAmt
EOY$27,273,854EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,811,602BOYAmt
EOY$26,138,926EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,923,350,551BOYAmt
EOY$1,961,338,633EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,666,867,463BOYAmt
EOY$2,715,366,054EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$188,430,089ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$50,136,923NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$100,305,084OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,816,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,189,603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,177,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,304,655CurrentTaxYearMinus1YearAmt
Current Tax Year$30,666,972CurrentTaxYearAmt
Total$162,155,712TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,816,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,189,603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,177,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,304,655CurrentTaxYearMinus1YearAmt
Current Tax Year$30,666,972CurrentTaxYearAmt
Total$162,155,712TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$162,155,712PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,285,129CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,752,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,839,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,534,737CurrentTaxYearMinus1YearAmt
Current Tax Year$20,364,397CurrentTaxYearAmt
Total$90,775,837TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,702,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,677,493CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,658,279CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,286,674CurrentTaxYearMinus1YearAmt
Current Tax Year$3,728,215CurrentTaxYearAmt
Total$14,052,841TotalAmt
FieldValueIRS element (for citing)
Total Support$266,984,390TotalSupportAmt
Gross Receipts Rltd Activities$7,639,484,312GrossReceiptsRltdActivitiesAmt
Public Support CY1700.60736PublicSupportCY170Pct
Public Support PY1700.60204PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$237,095FilingOrganizationsTotalAmt
Affiliated Group Total$237,095AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$237,095FilingOrganizationsTotalAmt
Affiliated Group Total$237,095AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,514,697,766FilingOrganizationsTotalAmt
Affiliated Group Total$1,575,675,971AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,514,934,861FilingOrganizationsTotalAmt
Affiliated Group Total$1,575,913,066AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$171,382CurrentYearMinus3Amt
Current Year Minus2$189,841CurrentYearMinus2Amt
Current Year Minus1$180,124CurrentYearMinus1Amt
Current Year$237,095CurrentYearAmt
Total$778,442TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,078,532BeginningYearBalanceAmt
Contributions$15,000,000ContributionsAmt
Investment Earnings Or Losses-$278,006InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$915,908OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$84,884,618EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$49,617,140BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$5,285,298InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$797,868OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$54,104,570EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$49,105,589BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$1,358,205InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$846,654OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$49,617,140EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.75000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.11000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.14000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$38,328,422OtherCostOrOtherBasisAmt
Book Value$38,328,422BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,123,698,274OtherCostOrOtherBasisAmt
Depreciation$601,729,844DepreciationAmt
Book Value$521,968,430BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$680,051,762OtherCostOrOtherBasisAmt
Depreciation$460,019,211DepreciationAmt
Book Value$220,032,551BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$28,553,144OtherCostOrOtherBasisAmt
Depreciation$21,585,635DepreciationAmt
Book Value$6,967,509BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$787,296,912TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PENSION AND POST RETIREMENT BE$206,966,142
INSURANCE LIABILITIES$33,245,107
OTHER LIABILITIES$38,297,122
FieldValueIRS element (for citing)
Total Liability$278,508,371TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,763,821,415TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$50,136,923NetUnrealizedGainsInvstAmt
Revenue Not Reported-$50,136,923RevenueNotReportedAmt
Revenue Subtotal$1,813,958,338RevenueSubtotalAmt
Investment Expenses Not Incld$3,927,764InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$114,521,152OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$110,593,388RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,703,364,950TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,630,664,063TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,630,664,063ExpensesSubtotalAmt
Investment Expenses Not Incld2$3,927,764InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$119,656,966OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$115,729,202ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,514,934,861TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DETAIL OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 3A & 4 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 EIGHT INDIVIDUAL 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. --------------------
FINANCIAL RECONCILIATION DETAILRECONCILIATION OF REVENUES FORM 990, SCHEDULE D, PART XI, LINE 4B OTHER COGS CONTRACTUAL ALLOWANCES $ (105,219,363) RENTAL EXPENSES (2,343,558) SUBSIDIARY ACTIVITY (12,094,045) NET ASSETS RELEASED (2,494,949) CONTRIBUTIONS 8,432,505 RESTRICTED INVESTMENT INCOME (801,742) --------------- TOTAL OTHER CHANGES $ (114,521,152) --------------------
RECONCILIATION OF EXPENSESFORM 990, SCHEDULE D, PART XII, LINE 4B OTHER COGS CONTRACTUAL ALLOWANCES $ (105,219,363) RENTAL EXPENSES (2,343,558) SUBSIDIARY ACTIVITY (12,094,045) -------------- TOTAL OTHER CHARGES $ (119,656,966)

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionSouth AsiaRegionTxt
Type Of Activities ConductedGrantmakingTypeOfActivitiesConductedTxt
Region Total Expenditures$472,446RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$472,446SubtotalSpentAmt
Total Spent$472,446TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSouth AsiaRegionTxt
Purpose Of GrantRESEARCH SUBAWARD - A GLOBAL NETWORK STUDY TO ESTIMATE GESTATIONAL AGE BY FUNDAL HEIGHTPurposeOfGrantTxt
Cash Grant$472,446CashGrantAmt
Manner Of Cash DisbursementWIRE TRANSFRMannerOfCashDisbursementTxt
Description Of Non Cash AsstN/ADescriptionOfNonCashAsstTxt
Valuation Method UsedFMVValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE F, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF GRAND FUNDS OUTSIDE THE U.S. THE GRANT FUNDS TRANSFERRED REPRESENT A RESEARCH SUB-AWARD. PURSUANT TO THE TERMS OF A FEDERAL RESEARCH GRANT RECEIVED, A PORTION OF THE RESEARCH REQUIRES INTERNATIONAL PARTICIPATION. THE CHRISTIANA CARE HEALTH SERVICES, INC. OBGYN DEPARTMENT CHAIR MONITORS ALL ASPECTS OF THIS GRANT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentfalseFreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,978,886TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,978,886NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$233,149,861TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$207,234,376DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,915,485NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$249,128,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$207,234,376DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,894,371NetCommunityBenefitExpnsAmt
Total Expense0.02760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs49ActivitiesOrProgramsCnt
Persons Served83742PersonsServedCnt
Total Community Benefit Expns$10,111,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,438,799DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,673,037NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served2886PersonsServedCnt
Total Community Benefit Expns$40,992,926TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,976,445DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,016,481NetCommunityBenefitExpnsAmt
Total Expense0.01980TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$22,748,155TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,192,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,555,307NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$583,498TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$583,498NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs61ActivitiesOrProgramsCnt
Persons Served86628PersonsServedCnt
Total Community Benefit Expns$74,436,415TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,608,092DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,828,323NetCommunityBenefitExpnsAmt
Total Expense0.02820TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs61ActivitiesOrProgramsCnt
Persons Served86628PersonsServedCnt
Total Community Benefit Expns$323,565,162TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$238,842,468DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,722,694NetCommunityBenefitExpnsAmt
Total Expense0.05580TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$47,771,949BadDebtExpenseAmt
Bad Debt Expense Attributable$4,777,195BadDebtExpenseAttributableAmt
Reimbursed By Medicare$483,454,905ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$535,195,740CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$51,740,835MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
CHRISTIANA HOSPITAL
14755 OGLETOWN-STANTON ROADNEWARKDE19718www.christianacare.orgLICENSE #HSPTL-002Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
WILMINGTON HOSPITAL
2501 WEST 14TH STREETWILMINGTONDE19801www.christianacare.orgLICENSE #HSPTL-001Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1A-CHRISTIANA AND WILMINGTON HOSPITALSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility12FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B LINES 5&6 (INPUT FROM COMMUNITY/JOINT CHNA)CHRISTIANA CARE HEALTH SYSTEM (CHRISTIANA CARE) UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND AND MEET THE NEEDS OF RESIDENTS IN ITS PRIMARY SERVICE AREAS. TO ACCOMPLISH THIS IMPORTANT EFFORT, CHRISTIANA CARE'S CHNA COMMITTEE CONTRACTED WITH COMMUNITY HEALTH ADVISORS, LLC FOR ASSISTANCE WITH ITS CHNA. COMMUNITY HEALTH ADVISORS PROVIDES CUSTOMIZED SERVICE TO HOSPITALS AND OTHER HEALTH CARE PROVIDERS SEEKING TO IMPROVE COMMUNITY HEALTH. INPUT FROM VARIOUS MEMBERS OF THE COMMUNITY WAS OBTAINED, AS IS DETAILED IN OUR CHNA. CHRISTIANA CARE ALSO REGULARLY REACHES OUT TO THE UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY FOR FEEDBACK, AND CONDUCTS SURVEYS AT COMMUNITY HEALTH FAIRS AND EVENTS TO HELP DETERMINE PROGRAMS AND SERVICES THAT WOULD BE OF MOST VALUE TO PATIENTS AND NEIGHBORS. CHRISTIANA CARE RELIES ON THIS FEEDBACK- AS WELL AS INPUT FROM PRIMARY CARE PROVIDERS, SPECIALISTS AND PAYERS- AND ALSO TRACKS NATIONAL CARE ISSUES AND DATA TO DETERMINE WHAT SERVICES ARE BEING PROVIDED IN OTHER COMMUNITIES THAT MAY BE EQUALLY BENEFICIAL IN CHRISTIANA CARE'S SERVICE AREA. NOTE THAT SINCE CHRISTIANA CARE CONSISTS OF TWO HOSPITAL FACILITIES, BOTH FACILITIES JOINTLY CONDUCTED THEIR CHNA. -------------------- PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITY A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: https://christianacare.org/about/whoweare/communitybenefit/COMMUNITY- HEALTH-NEEDS-ASSESSMENT. OUR CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. --------------------
PART V, SECTION B, LINE 9 (IMPLEMENTATION STRATEGY ADOPTION DATE)THE ORGANIZATION'S IMPLEMENTATION PLAN WAS ADOPTED ON OR BEFORE THE 15TH DAY OF THE FIFTH MONTH AFTER JUNE 30, 2016, AS ALLOWED UNDER THE IRC SECTION 501(R) REGULATIONS. -------------------- PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA) AS DISCUSSED IN MORE DETAIL IN CHRISTIANA CARES 2016-2017 COMMUNITY HEALTH IMPLEMENTATION PLAN ("CHIP"), CCH IS ALREADY WORKING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED (2016) CHNA, AND WILL CONTINUE TO SUPPORT THE INITIATIVES DISCUSSED IN THE CHIP AND HIGHLIGHTED BRIEFLY BELOW. THE AREAS THAT ARE NOT BEING SPECIFICALLY ADDRESSED ARE DETAILED IN THE CHIP AND INCLUDE HOUSING AND ECONOMIC OPPORTUNITY, WHICH ARE NOT CORE COMPETENCIES OF THE HEALTH SYSTEM BUT MAY BE ADDRESSED IN COLLABORATION WITH COMMUNITY PARTNERS. THE FOLLOWING BRIEFLY HIGHLIGHTS SOME OF THE KEY PROGRAMS AND INITIATIVES THAT CCHS HAS DEVELOPED, AND/OR IS DEVELOPING, TO ADDRESS THE FOUR CATEGORIES OF HEALTH NEEDS IDENTIFIED IN THE CHNA. PLEASE SEE THE CHIP FOR ADDITIONAL PROGRAM INFORMATION. 1. POVERTY-RELATED ISSUES: CHRISTIANA CARE WILL CONTINUE TO SUPPORT COLLABORATION ACROSS SECTORS AND WITH OTHER HEALTH SYSTEMS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. POPULATION HEALTH INITIATIVE: AS REPORTED IN THE CHIP, CHRISTIANA CARE IS ACTIVELY DEVELOPING A POPULATION HEALTH INITIATIVE IN PARTNERSHIP WITH OTHER ANCHOR INSTITUTIONS THAT WOULD ADDRESS THE LACK OF OPPORTUNITY AND THE LACK OF FINANCIAL RESOURCES FOR VULNERABLE POPULATIONS, IN PARTICULAR THOSE IN THE CITY OF WILMINGTON. INITIALLY, SUCH AN EFFORT WILL FOCUS ON NEIGHBORHOODS WHERE POPULATIONS MOST AT RISK FOR PREMATURE BIRTH AND INFANT MORTALITY RESIDE. THIS INITIATIVE WILL BE COORDINATED WITH THE HEALTHY NEIGHBORHOODS COMMITTEE OF THE DELAWARE CENTER FOR HEALTH INNOVATION, WHICH WAS ESTABLISHED TO IDENTIFY PRESSING HEALTH NEEDS; MAKE ACCESS TO HEALTH CARE EASIER; PROMOTE PHYSICAL AND EMOTIONAL WELL-BEING; AND HELP COMMUNITY LEADERS MAKE DELAWARE NEIGHBORHOODS HEALTH HUBS. AS CURRENTLY CONCEPTUALIZED, CHRISTIANA CARES POPULATION HEALTH INITIATIVE WOULD BRING TOGETHER HEALTH AND SOCIAL SERVICE PARTNERS TO ADDRESS THE MOST SIGNIFICANT HEALTH NEEDS OF THE LOCAL COMMUNITY THROUGH EDUCATION, INCREASED ACCESS TO CARE, PROMOTING HEALTHY LIFESTYLES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH. IT IS EXPECTED THAT THIS APPROACH WOULD REQUIRE LONG-TERM INVESTMENTS TO ADDRESS STRUCTURAL DEFICITS THAT CURRENTLY EXIST. CAMP FRESH (FRESH RESOURCES EVERYONE SHOULD HAVE): A PROGRAM OF CHRISTIANA CARES CENTER FOR COMMUNITY HEALTH, IS DESIGNED TO EMPOWER YOUTH TO BECOME AGENTS OF CHANGE WITHIN THEIR COMMUNITIES AND IS FOCUSED ON IMPROVING HEALTH AND QUALITY OF LIFE BY EXPANDING ACCESS TO QUALITY FOODS. RECENTLY THE CAMP FRESH PROGRAM WAS EXPANDED TO PROVIDE SERVICES YEAR ROUND, AS WELL AS GROWING ITS EDUCATIONAL FOCUS TO ADDRESS MENTAL HEALTH ISSUES AND REPRODUCTIVE HEALTH TOPICS. REACH OUT AND FEED: PARENTS AND CHILDREN VISITING THE PEDIATRIC PRACTICE PROGRAM AT WILMINGTON HOSPITAL ARE ASSISTED WHEN THEY FACE FOOD INSECURITY. THEY ARE OFFERED EMERGENCY STAPLES THROUGH A PARTNERSHIP BETWEEN CHRISTIANA CARE, THE FOOD BANK OF DELAWARE AND KIWANIS CLUB OF WILMINGTON. PARENTS ARE ALSO SCREENED FOR FOOD SECURITY USING A QUESTIONNAIRE DURING PEDIATRIC HEALTH VISITS AND ARE PROVIDED ASSISTANCE IN ACCESSING COMMUNITY RESOURCES. DELAWARE MEDICAL-LEGAL PARTNERSHIP: THE CHRISTIANA CARE HEALTH GUIDES ASSIST WITH THE REFERRAL AND SCREENING PROCESS FOR THE DELAWARE MEDICAL-LEGAL PARTNERSHIP. THROUGH THIS PARTNERSHIP, THE COMMUNITY LEGAL AID SOCIETY, INC. ADVOCATES ON BEHALF OF ECONOMICALLY DISADVANTAGED ADULTS AND CHILDREN BY OFFERING FREE, CIVIL LEGAL SERVICES TO PEOPLE WHO MEET CERTAIN INCOME AND HEALTH CARE UTILIZATION CRITERIA. LAWYERS ARE INTEGRATED INTO HEALTH CARE TEAMS TO HELP ADDRESS SOCIAL DETERMINANTS OF HEALTH. HEALTH GUIDES: CHRISTIANA CARES HEALTH GUIDES PROGRAM ADDRESSES THE BARRIERS TO CARE FOR PATIENTS. THE HEALTH GUIDES COORDINATE HEALTH AND SOCIAL SERVICES AND PROVIDE PATIENTS WITH FINANCIAL SCREENINGS AND CONNECTION TO MEDICAID, REFERRALS TO THE HEALTH INSURANCE MARKETPLACE AND FINANCIAL SERVICES, PRESCRIPTION ASSISTANCE AND INFORMATION ON OTHER COMMUNITY RESOURCES. SCHOOL-BASED WELLNESS CENTERS: CHRISTIANA CARE OPERATES HIGH SCHOOL-BASED WELLNESS CENTERS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY INCLUDING PHYSICAL EXAMINATIONS, PREVENTIVE SCREENINGS, DRUG AND ALCOHOL ABUSE COUNSELING, FAMILY COUNSELING, AND OTHER SERVICES. DURING THE 2015-2016 ACADEMIC YEAR, STUDENTS VISITED THE 15 CCHS WELLNESS CENTERS MORE THAN 23,000 TIMES. DOCTORS, NURSE PRACTITIONERS, SOCIAL WORKERS AND REGISTERED DIETICIANS PROVIDE CARE TO UNINSURED STUDENTS OR STUDENTS WHO ARE UNABLE TO OTHERWISE ACCESS CARE. THE HARRINGTON FUND CHRISTIANA CARE HEALTH SYSTEM HAS RECENTLY DESIGNATED A $13 MILLION BEQUEST FROM THE ESTATE OF A LEGENDARY CHAMPION OF THE HEALTH SYSTEM AND ITS COMMUNITY TO ADVANCE SCHOLARSHIP AND SUPPORT INNOVATIVE PROJECTS THAT HELP REDUCE HEALTH CARE DISPARITIES FOR UNDERSERVED AND DISADVANTAGED POPULATIONS THROUGHOUT OUR AREA. THE GIFT ESTABLISHES THE CHARLES J. HARRINGTON FUND, THROUGH WHICH CCHS WILL SUPPORT PROGRAMS THAT ADVANCE SCHOLARSHIP AND COMMUNITY PARTNERSHIPS THAT WILL BENEFIT THE HEALTH OF OUR NEIGHBORS AND OUR REGION. ONE COMPONENT OF THE FUND, KNOWN AS THE HARRINGTON VALUE INSTITUTE COMMUNITY PARTNERSHIP 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 2016, CCHS ANNOUNCED HARRINGTON FUND AWARDS TO THREE PROJECTS: - DMOST - A PROGRAM THAT HELPS GUIDE END-OF-LIFE PREFERENCE CONVERSATIONS BETWEEN PATIENTS AND THEIR HEALTH CARE PROVIDERS; - READING INTERVENTION READING CORPS - A PROGRAM THAT WORKS IN LOW-INCOME AND LOW-PERFORMING SCHOOLS TO IMPROVE READING DUE TO LANGUAGE-BASED LEARNING DISABILITIES; AND - HEALTHY LATINA FAMILIES: IMPROVING ACCESS AND CARE- A PROGRAM THAT DEDICATES THE SERVICES OF BOTH FULL- AND PART-TIME BI-CULTURAL AND BI-LINGUAL PROMOTORAS IN THE HISPANIC COMMUNITY FOR CULTURALLY APPROPRIATE HEALTH OUTREACH AND EDUCATION. 2. MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES: CHRISTIANA CARE WILL CONTINUE ITS ONGOING BEHAVIORAL HEALTH/PRIMARY CARE INTEGRATION EFFORTS AND CONTINUE TO SUPPORT IMPROVED ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT AND PREVENTION SERVICES. PROGRAMS AND INITIATIVES INCLUDE: PROJECT ENGAGE, AN EARLY INTERVENTION PROGRAM THAT UTILIZES PEER COUNSELORS TO CONNECT PATIENTS WITH COMMUNITY-BASED TREATMENT PROGRAMS. - CCHS WILL ALSO CONTINUE TO DEVELOP AND IMPROVE UPON EXISTING TOOLS TO IDENTIFY AND SCREEN POTENTIAL SUBSTANCE USE DISORDER AND MENTAL HEALTH NEEDS DURING INPATIENT HOSPITAL AND COMMUNITY PRACTICE VISITS. PERINATAL MENTAL HEALTH PROGRAM - THE CENTER FOR WOMENS EMOTIONAL WELLNESS AT CHRISTIANA CARE OFFERS A COMPREHENSIVE PROGRAM TO WOMEN DURING PREGNANCY AND AFTER DELIVERY. A BEHAVIORAL HEALTH SPECIALIST MEETS WITH WOMEN WITH PERINATAL MOOD DISORDER AND/OR PERINATAL ANXIETY TO ASSESS AND ADDRESS EMOTIONAL AND MENTAL HEALTH NEEDS. ADULT BRIDGE PROGRAM - THE CHRISTIANA CARE ADULT BRIDGE PROGRAM PROVIDES ADULTS WITH RAPID ACCESS TO MENTAL HEALTH EVALUATION, CARE PLANNING, COGNITIVE BEHAVIORAL THERAPY AND TRANSITION TO PRIMARY CARE OR COMMUNITY-BASED PROVIDERS AS APPROPRIATE. SERVICES INCLUDE HELP TO ADDRESS COMMON BEHAVIORAL HEALTH ISSUES SUCH AS STRESS, DEPRESSION, ANXIETY, RELATIONSHIP CONFLICTS AND OTHER COMMON ISSUES. HERO HELP - THROUGH THIS DEVELOPING INITIATIVE LED BY THE NEW CASTLE COUNTY POLICE, PEER SPECIALISTS ASSIST WHEN POLICE IDENTIFY INDIVIDUALS WHO ARE ADDICTED AND DISCUSS TREATMENT OPTIONS WITH THEM. OUTPATIENT SUBSTANCE ABUSE PROGRAM - THIS IS A PILOT PROGRAM TO TREAT PATIENTS WHO ARE BEING SEEN IN CHRISTIANA CARE PROVIDERS OUTPATIENT PRACTICES. - STRATEGIES: TO PROVIDE TREATMENT AND SERVICES TO THE SUBSTANCE ABUSE POPULATION THROUGH THE USE OF MEDICATION ASSISTED TREATMENT AS WELL AS PSYCHIATRIC TREATMENT AS NEEDED. THE PATIENTS ARE ALSO PROVIDED WITH SUBSTANCE ABUSE INDIVIDUAL AND GROUP THERAPY WITH SPECIALLY TRAINED ADDICTION THERAPISTS. - RESOURCES: AN ADDICTION PSYCHIATRIST AND INTERNIST ALONG WITH TWO ADDICTION THERAPISTS AND A CASE MANAGER. 3. VIOLENCE AND PUBLIC SAFETY ISSUES: CHRISTIANA CARE WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT OFFICIALS AT THE FEDERAL, STATE AND MUNICIPAL LEVELS TO ADDRESS THE VIOLENCE AND PUBLIC SAFETY ISSUES FACING THE STATE OF DELAWARE, WITH PARTICULAR FOCUS ON THE GUN VIOLENCE EPIDEMIC IN THE CITY OF WILMINGTON. CHRISTIANA CARE WILL CONTINUE VARIOUS OUTREACH PROGRAMS THAT INCORPORATE INNOVATIVE EDUCATION TOOLS, INCLUDING FILMS, TO EDUCATE PATIENTS AND FAMILIES ABOUT VIOLENCE PREVENTION AND IMPACTS ON HEALTH. PROGRAMS AND INITIATIVES INCLUDE: - YOU ONLY LIVE ONCE (YOLO): YOU ONLY LIVE ONCE IS A VIOLENCE PREVENTION PROGRAM DESIGNED TO EDUCATE ADOLESCENTS
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 10% IS APPLIED TO ALL UNINSURED PATIENT ACCOUNTS REGARDLESS OF INCOME. PATIENTS WITH INCOME IN EXCESS OF 200% WILL ONLY RECEIVE A 10% 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 10% 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 30 (FOOTNOTE #13) OF THE 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 10% 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 A MONTHLY PAYMENT ARRANGEMENT. --------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)CHRISTIANA CARE HEALTH SYSTEM ("CHRISTIANA CARE"CCHS") CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR FISCAL YEAR 2016 (JULY 1, 2015-JUNE 30, 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 THE CCHS COMMUNITY HEALTH IMPLEMENTATION PLAN ("CHIP") FOR FY2017-2019 COPIES OF THE CHNA AND CHIP ARE ALSO AVAILABLE AT HTTPS://CHRISTIANACARE.ORG/ABOUT/WHOWEARE/COMMUNITYBENEFIT/. CHRISTIANA CARE CONTRACTED WITH COMMUNITY HEALTH ADVISORS, LLC (HEREINAFTER REFERRED TO JOINTLY AS "CCHS" IN THE DESCRIPTIONS OF THE CHNA PROCESS), TO ASSIST WITH RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW AND ANALYSIS, AND DEVELOPMENT OF THE CHNA. THE CHNA IS ALSO BASED ON CCHSS REVIEW OF SEVERAL SECONDARY DATA SOURCES, EACH LISTED IN THE CHNA, REGARDING KEY DEMOGRAPHIC TRENDS AND DATA ON SOCIAL DETERMINANTS OF HEALTH, INCLUDING POVERTY AND CRIME STATISTICS. PRIMARY DATA COLLECTION AND REVIEW COMMUNITY ENGAGEMENT AND FEEDBACK CONTINUES TO BE AN INTEGRAL PART OF CHRISTIANA CARES CHNA PROCESS. CHRISTIANA CARES FY 2016 CHNA REFLECTS THE COLLECTION AND REVIEW OF PRIMARY DATA, INCLUDING INTERVIEWS WITH THIRTY-FOUR (34) KEY STAKEHOLDERS AND COMMUNITY LEADERS, AS WELL AS MEMBERS OF THE CCHS SENIOR LEADERSHIP TEAM. A LIST OF KEY COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THE SURVEY IS INCLUDED IN THE CHNA. IN ADDITION TO THE KEY STAKEHOLDER AND SENIOR LEADERSHIP TEAM INTERVIEWS, CCHS ALSO CONDUCTED A SURVEY OF COMMUNITY MEMBERS IN FEBRUARY 2016. THE SURVEY ASKED PARTICIPANTS TO IDENTIFY THE TOP FIVE "HEALTH ISSUES" FACING THE COMMUNITY, AND THE TOP FIVE "HEALTH-RELATED ISSUES" FACING THE COMMUNITY. PRIORITY HEALTH NEEDS IDENTIFIED IN 2016 CCHS CHNA AFTER COMPLETING THE INITIAL DATA COLLECTION, SURVEYS AND INTERVIEWS, CCHS ASKED THE 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. THE CHNA IDENTIFIED THE FOLLOWING "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 ABUSE; (3) VIOLENCE AND PUBLIC SAFETY; AND (4) WOMEN AND CHILDREN'S HEALTH-IN PARTICULAR, PRENATAL CARE AND INFANT MORTALITY. THE CHNA REVIEWED THE AVAILABLE CCHS PROGRAMS AND OTHER COMMUNITY RESOURCES THAT EXIST TO ADDRESS THE ABOVE-LISTED PRIORITY NEEDS. THE CHNA ALSO DISCUSSES THE ACTIONS CCHS HAS TAKEN SINCE ITS LAST CHNA TO ADDRESS THE PREVIOUSLY REPORTED PRIORITY HEALTH NEEDS. THE FY 2016 CHNA WAS APPROVED BY THE CCHS BOARD OF DIRECTORS IN MAY 2016. COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) THE FY 2016 CHNA RESULTS INFORMED THE DEVELOPMENT OF CHRISTIANA CARES 2017-2019 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE FOLLOWING IS A BRIEF SUMMARY OF THE ACTION ITEMS OUTLINED IN THE CHIP, AND AVAILABLE AT HTTPS://CHRISTIANACARE.ORG/WHOWEARE/COMMUNITYBENEFIT/. (1) POVERTY-RELATED ISSUES: CHRISTIANA CARE WILL CONTINUE TO SUPPORT COLLABORATION ACROSS SECTORS AND WITH OTHER HEALTH SYSTEMS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. CCHS WILL CONTINUE THE IMPORTANT WORK BEING DONE AS PART OF OUR POPULATION HEALTH INITIATIVE, A PARTNERSHIP WITH THE HEALTHY NEIGHBORHOODS COMMITTEE OF THE DELAWARE CENTER FOR HEALTH INNOVATION. (2) MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES: CHRISTIANA CARE WILL CONTINUE ITS ONGOING BEHAVIORAL HEALTH/PRIMARY CARE INTEGRATION EFFORTS AND CONTINUE TO SUPPORT IMPROVED ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT AND PREVENTION SERVICES. ONE IMPORTANT EXAMPLE IS PROJECT ENGAGE, AN EARLY INTERVENTION PROGRAM THAT UTILIZES PEER COUNSELORS TO CONNECT PATIENTS WITH COMMUNITY-BASED TREATMENT PROGRAMS. CCHS WILL ALSO CONTINUE TO DEVELOP AND IMPROVE UPON EXISTING TOOLS TO IDENTIFY AND SCREEN POTENTIAL SUBSTANCE USE DISORDER AND MENTAL HEALTH NEEDS DURING INPATIENT HOSPITAL AND COMMUNITY PRACTICE VISITS. (3) VIOLENCE AND PUBLIC SAFETY ISSUES: CHRISTIANA CARE WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT OFFICIALS AT THE FEDERAL, STATE AND MUNICIPAL LEVELS TO ADDRESS THE VIOLENCE AND PUBLIC SAFETY ISSUES FACING THE STATE OF DELAWARE, WITH PARTICULAR FOCUS ON THE GUN VIOLENCE EPIDEMIC IN THE CITY OF WILMINGTON. CHRISTIANA CARE WILL CONTINUE VARIOUS OUTREACH PROGRAMS THAT INCORPORATE INNOVATIVE EDUCATION TOOLS, INCLUDING FILMS, TO EDUCATE PATIENTS AND FAMILIES ABOUT VIOLENCE PREVENTION AND IMPACTS ON HEALTH. (4) WOMEN AND CHILDRENS HEALTH: CHRISTIANA CARE WILL CONTINUE TO IMPROVE WOMEN AND CHILDRENS HEALTH BY INCREASING ACCESS TO PRE-CONCEPTION AND PRENATAL CARE SERVICES TO REDUCE UNINTENDED PREGNANCIES. CCHS WILL ALSO CONTINUE TO UTILIZE APPROPRIATE SCREENING TO IDENTIFY AND ADDRESS PRENATAL AND POST-PARTUM SUBSTANCE ABUSE TREATMENT NEEDS. ADDITIONAL PROGRAM INFORMATION IS AVAILABLE IN THE CHNA AND CHIP, AS WELL AS IN THE RESPONSE TO THE "COMMUNITY BENEFIT" QUESTION IN PART V OF THIS SCHEDULE H AND INCLUDED IN THIS NARRATIVE. --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)CHRISTIANA CARE REMAINS COMMITTED TO ITS MISSION OF SERVING OUR NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH, REGARDLESS OF THEIR ABILITY TO PAY. CONSISTENT WITH ITS MISSION, AND AS REPORTED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN, CHRISTIANA CARE REVISED AND UPDATED ITS FINANCIAL ASSISTANCE POLICY ("FAP") IN FY 2016 TO FACILITATE CONTINUED ACCESS TO CARE FOR UNINSURED AND LOW-INCOME INDIVIDUALS. CHRISTIANA CARE PUBLISHED THE REVISED CCHS FAP, AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, ON THE CCHS WEBSITE: HTTP://WWW.CHRISTIANACARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/ FINANCIAL-ASSISTANCE/, AND CIRCULATED HARD COPIES (IN ENGLISH AND SPANISH, WITH ADDITIONAL LANGUAGES AVAILABLE THROUGH THE PATIENT RELATIONS DEPARTMENT) THROUGHOUT CHRISTIANA CARE FACILITIES, INCLUDING OUTPATIENT PRACTICES. SUMMARY - CHRISTIANA CARE FINANCIAL ASSISTANCE POLICY (UPDATED FY 2016): -THE PROGRAM APPLIES TO ALL MEDICALLY NECESSARY HOSPITAL INPATIENT, OUTPATIENT AND EMERGENCY DEPARTMENT SERVICES THAT ARE BILLED BY CHRISTIANA CARE, AS WELL AS ALL MEDICALLY NECESSARY SERVICES PROVIDED BY ANY CHRISTIANA CARE-EMPLOYED DOCTOR - INCLUDING DENTAL SERVICES THAT WOULD REQUIRE HOSPITALIZATION. -MEDICALLY NECESSARY SERVICES ARE PROVIDED AT NO CHARGE TO INDIVIDUALS WHOSE HOUSEHOLD INCOME IS LESS THAN 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) AND WHO MEET OTHER FAP REQUIREMENTS FOR ELIGIBILITY. -UNINSURED INDIVIDUALS WHOSE HOUSEHOLD INCOME IS GREATER THAN 200 PERCENT OF THE FPL ARE ELIGIBLE FOR A STANDARD DISCOUNT OF 10 PERCENT. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)CHRISTIANA CARES PRIMARY SERVICE AREA IS IN NEW CASTLE COUNTY, DELAWARE (POPULATION 549,543). THE MAJORITY (APPROXIMATELY 80%) OF CHRISTIANA CARE PATIENTS RESIDE IN NEW CASTLE COUNTY. WHILE THE PERCENTAGE OF NEW CASTLE COUNTY RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL (11%) IS SLIGHTLY LOWER THAN THE STATES AVERAGE (12%), THE CCHS PRIMARY SERVICE AREA ALSO INCLUDES THE CITY OF WILMINGTON, WHERE THE PERCENTAGE OF RESIDENTS LIVING AT OR BELOW THE POVERTY LEVEL IS CONSIDERABLY HIGHER (26%). MORE INFORMATION ABOUT THE GENERAL DEMOGRAPHICS OF THE PRIMARY SERVICE AREA IS SET FORTH IN THE CHNA. --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)GOVERNING BODY: A MAJORITY OF THE MEMBERSHIP OF CHRISTIANA CARES GOVERNING BODY, THE BOARD OF DIRECTORS, IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA. THE MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE NOT EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF CCHS EMPLOYEES. MEDICAL STAFF PRIVILEGES: CHRISTIANA CARE EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY IN ALL SPECIALTIES. COMMUNITY LEADER IN HEALTH CARE: WITH NO PUBLIC OR SAFETY NET HOSPITAL LOCATED IN THE STATE OF DELAWARE, AND AS THE LARGEST HEALTH CARE PROVIDER IN THE STATE, CHRISTIANA CARE SERVES A SIGNIFICANT PORTION OF THE COMMUNITYS UNINSURED AND UNDERINSURED POPULATION, AS WELL AS A SIGNIFICANT PORTION OF THE STATES MEDICAID POPULATION. THE WILMINGTON HOSPITAL HEALTH CLINIC, WHICH HAS SERVED THE WILMINGTON COMMUNITY FOR NEARLY 125 YEARS, PROVIDES PRIMARY AND SPECIALTY CARE FOR LOW-INCOME RESIDENTS AND HAS RECORDED NEARLY 75,000 PATIENT VISITS IN FY 2016. AS SET FORTH IN MORE DETAIL IN THE CNHA AND CHIP, CCHS APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN ACCESS TO CARE, COMMUNITY OUTREACH, IMPROVING THE CARE AND OVERALL HEALTH STATUS OF OUR NEIGHBORS, AND CONTINUING TO SUPPORT MEDICAL EDUCATION AND RESEARCH. ONE SIGNIFICANT EXAMPLE OF CHRISTIANA CARES WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY IS CHRISTIANA CARES AWARD-WINNING CARE LINK CARE NOW PROGRAM. UNLIKE TRADITIONAL CARE COORDINATION PROGRAMS, CARE LINK CARE NOW HARNESSES AN INFORMATION TECHNOLOGY PLATFORM THAT INTEGRATES ALL AVAILABLE SOURCES OF A PERSONS HEALTH DATA INCLUDING ADMISSION AND EMERGENCY DEPARTMENT VISIT INFORMATION, PHYSICIAN VISITS, LAB RESULTS, RADIOLOGIC REPORTS, PHARMACEUTICAL USE AND CLAIMS DATA. THIS INFORMATION IS INTEGRATED INTO CARE COORDINATION SOFTWARE THAT SUPPORTS AN INTERDISCIPLINARY TEAM IN PROVIDING CARE COORDINATION SERVICES TO PROVIDERS AND THEIR PATIENTS. CARE LINK CARE NOW IDENTIFIES THE PATIENTS WHO ARE AT HIGHEST RISK AND WHO HAVE SIGNIFICANT CARE NEEDS. THIS INCLUDES IDENTIFYING PATIENTS WHO DO NOT REGULARLY ACCESS PRIMARY CARE AND PREVENTIVE SERVICES. UNDERSTANDING WHO IS AT RISK FOR POOR HEALTH ENABLES CLINICIANS TO PROACTIVELY REACH OUT AND CONNECT INDIVIDUALS TO THE HEALTH SERVICES THEY NEED. AS OF FY 2016, CARE LINK CARE NOW SERVED MORE THAN 26,000 MEDICARE ACO PATIENTS, AND IS CONTINUING TO EXPAND CAPACITY TO INCLUDE CHRISTIANA CARE EMPLOYEES AND A PORTION OF STATE OF DELAWARE EMPLOYEES BEGINNING IN JULY 2017. OTHER SIGNIFICANT EXAMPLES OF PROGRAMS IN WHICH CCHS WORKS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY, AND AS DESCRIBED IN MORE DETAIL IN THE CHNA AND CHIP, AS WELL AS IN RESPONSE TO THE "COMMUNITY HEALTH NEEDS ASSESSMENT" QUESTION IN SECTION V OF THIS SCHEDULE H INCLUDED IN THIS NARRATIVE, INCLUDE THE FOLLOWING: -HEALTH AMBASSADOR PROGRAM: CHRISTIANA CARES HEALTH AMBASSADOR PROGRAM PROMOTES GOOD HEALTH BEFORE PREGNANCY AND PROVIDES INFORMATION TO HELP PREVENT PREMATURE BIRTHS. HEALTH AMBASSADORS ALSO PROMOTE KEY MATERNAL AND CHILD HEALTH MESSAGES INCLUDING THE BENEFITS OF BREASTFEEDING AND THE IMPORTANCE OF SAFE SLEEP. THEY WORK IN TARGETED HIGH-RISK ZIP CODES TO CONNECT PREGNANT WOMEN AND YOUNG FAMILIES TO HEALTH CARE, SOCIAL SERVICES, HOME VISITS, AND EDUCATIONAL PROGRAMS. HEALTH AMBASSADORS WORK WITH COMMUNITY PARTNERS INCLUDING THE HENRIETTA JOHNSON MEDICAL CENTER, ST. FRANCIS HEALTHCARE, WESTSIDE FAMILY HEALTHCARE, AND THE WILMINGTON HOSPITAL HEALTH CENTER. IN FY 2016, THE HEALTH AMBASSADORS PARTICIPATED IN 95 COMMUNITY EVENTS AND HEALTH FAIRS, REFERRED 3,800 PEOPLE TO COMMUNITY RESOURCES AND EDUCATED MORE THAN 25,000 COMMUNITY MEMBERS. THE HEALTH AMBASSADORS ALSO REFERRED 184 FAMILIES TO HOME VISITING SERVICES. -BLOOD PRESSURE AMBASSADOR PROGRAM: THE BLOOD PRESSURE AMBASSADOR PROGRAM INCREASES AWARENESS OF HYPERTENSION, PRIMARILY IN THE AFRICAN AMERICAN COMMUNITY, USING A MODEL OF PEER EDUCATION AND SUPPORT. BLOOD PRESSURE AMBASSADORS DELIVER KEY MESSAGES ABOUT HIGH BLOOD PRESSURE AND STROKE PREVENTION. IN FY 2016, NEARLY 100 VOLUNTEERS PROVIDED 3,000 SCREENINGS AND PARTICIPATED IN A NUMBER OF COMMUNITY OUTREACH EVENTS. -CARE LINK COMMUNITY PROGRAM. THE CARE LINK COMMUNITY PROGRAM, FORMERLY MEDICAL HOME WITHOUT WALLS, REACHES HOSPITAL AND EMERGENCY DEPARTMENT "SUPER-USERS," A GROUP THAT INCLUDES FEWER THAN TEN (10) PERCENT OF ALL PATIENTS, BUT ACCOUNTS FOR MORE THAN TWENTY (20) PERCENT OF ALL VISITS TO THE HOSPITAL. A CASE MANAGEMENT TEAM CONSISTING OF A SOCIAL WORKER, A NURSE, AND A COMMUNITY HEALTH WORKER IS ASSIGNED TO THESE PATIENTS. BY VISITING THESE PATIENTS AT THEIR PLACE OF RESIDENCE (SOMETIMES INCLUDING HOMELESS SHELTERS), ACCOMPANYING THEM TO THEIR MEDICAL APPOINTMENTS AND ADDRESSING OTHER CO-DETERMINANTS OF HEALTHCARE STATUS INCLUDING POVERTY, FOOD INSECURITY, SUBSTANCE USE DISORDERS AND DOMESTIC VIOLENCE, THE PROGRAM PROVIDES CARE COORDINATION TO PEOPLE WHO OTHERWISE MAY ONLY HAVE ACCESS TO HEALTHCARE THROUGH EMERGENCY DEPARTMENT USE. -FIRST STATE SCHOOL: THE FIRST STATE SCHOOL AT WILMINGTON HOSPITAL PROVIDES CHILDREN AND ADOLESCENTS WHO WOULD OTHERWISE BE HOMEBOUND WITH SERIOUS ILLNESSES THE CHANCE TO ATTEND SCHOOL WITH THEIR PEERS WHILE THEY RECEIVE NECESSARY MEDICAL TREATMENT. FIRST STATE SCHOOL PROVIDES KINDERGARTEN THROUGH HIGH SCHOOL EDUCATION TO CHILDREN WITH DIABETES, SICKLE CELL ANEMIA, SEVERE ASTHMA, CANCER AND OTHER ILLNESSES THAT PRECLUDE ATTENDANCE AT REGULAR SCHOOL. THE PROGRAM IS A PARTNERSHIP WITH THE DELAWARE DEPARTMENT OF EDUCATION THROUGH THE RED CLAY SCHOOL DISTRICT. -INDEPENDENCE AT HOME AND HOME VISIT PROGRAM: THROUGH THIS PROGRAM, A MULTIDISCIPLINARY TEAM PROVIDES PRIMARY CARE IN THE HOME FOR OVER 540 HOMEBOUND PATIENTS IN NEW CASTLE COUNTY. -REACH OUT AND FEED: PARENTS AND CHILDREN VISITING THE PEDIATRIC PRACTICE PROGRAM AT WILMINGTON HOSPITAL RECEIVE ASSISTANCE IN OVERCOMING FOOD INSECURITY, INCLUDING EMERGENCY FOOD PROVIDED THROUGH A PARTNERSHIP AMONG CHRISTIANA CARE, THE FOOD BANK OF DELAWARE AND THE KIWANIS CLUB OF WILMINGTON. THE PEDIATRIC STAFF SCREEN FOR FOOD INSECURITY AND CONNECT FAMILIES WITH FOOD, PROGRAMS AND RESOURCES TO MEET FUTURE NEEDS. -PRE-KINDERGARTEN READING ENRICHMENT PROGRAM: CHRISTIANA CARE PARTNERS WITH A LOCAL COMMUNITY ORGANIZATION AND THE WILMINGTON POLICE DEPARTMENT TO PROVIDE LITERACY BOXES, BOOKS AND HEALTH INFORMATION TO FAMILIES WITH PRE-SCHOOL CHILDREN IN THE WILMINGTON COMMUNITY ON REGULAR "WALKABOUTS" IN THE CITY. MEDICAL EDUCATION: CHRISTIANA CARE IS A MAJOR TEACHING HOSPITAL, WITH TWO CAMPUSES AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS, MANY OF WHOM WILL REMAIN IN DELAWARE TO ESTABLISH MEDICAL PRACTICES. CCHS ALSO PARTNERS WITH MANY OF THE LEADING COLLEGES AND UNIVERSITIES IN THE REGION TO OFFER A ROBUST NURSING EDUCATION PROGRAM. CCHS ALSO PARTNERS WITH LOCAL TECHNICAL COLLEGES TO PROVIDE CLINICAL TRAINING FOR TECHNICAL HEALTHCARE CAREERS. --------------------
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH A 1,618 MEMBER MEDICAL-DENTAL STAFF AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS. MAJOR FACILITIES INCLUDE: -CHRISTIANA HOSPITAL-STANTON CAMPUS: LOCATED IN NEWARK, DELAWARE, THIS CAMPUS IS HOME TO THE 907 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 241 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)WHILE DELAWARE DOES NOT REQUIRE THE FILING OF A COMMUNITY BENEFIT REPORT, CHRISTIANA CARE HAS ESTABLISHED A DEDICATED SECTION ON OUR WEBSITE THAT CATALOGUES OUR COMMUNITY BENEFIT INITIATIVES AND STORIES. THE GROWING LIBRARY OF STORIES CAN BE FOUND AT: https://christianacare.org/about/whoweare/communitybenefit/

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS L CORRIGAN
CFO$527,377$0$183,270$0$288,548$0$24,572$0$21,422$0$1,045,189$0$0$0
GARY W FERGUSON
COO, RETIRED 10/15$476,480$0$192,943$0$1,115,032$0$25,797$0$5,348$0$1,815,600$0$0$0
ROBERT LASKOWSKI
FORMER PRESIDENT & CEO$27,982$0$226,000$0$531,860$0$17,847$0$450$0$804,139$0$0$0
JAMES HOPKINS MD
MEMBER$420,556$0$75,000$0$0$0$23,247$0$14,788$0$533,591$0$0$0
DIANE TALAREK
SVP PATIENT CARE, RETIRED 2/16$305,924$0$86,186$0$17,810$0$25,797$0$12,905$0$448,622$0$0$0
MICHAEL BANBURY MD
CHIEF, CARDIAC SURGERY$850,720$0$123,489$0$15,529$0$25,797$0$21,459$0$1,036,994$0$0$0
BRENDA K PIERCE ESQ
SECRETARY OF THE CORP$293,287$0$82,624$0$973$0$43,253$0$14,398$0$434,535$0$0$0
AUDREY VAN LUVEN
SENIOR VP & CHIEF HR OFFICER$356,735$0$126,103$0$0$0$61,319$0$12,441$0$556,598$0$0$0
JANICE E NEVIN MD
PRESIDENT & CEO$882,120$0$432,390$0$45$0$119,757$0$12,905$0$1,447,217$0$0$0
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS$617,656$0$174,008$0$62,255$0$25,797$0$14,398$0$894,114$0$0$0
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER$544,070$0$153,073$0$52,190$0$25,797$0$21,422$0$796,552$0$0$0
MARK BOROWSKY
PHYSICIAN$580,007$0$150,000$0$23,767$0$25,797$0$20,832$0$800,403$0$0$0
PAUL DAVIS
PHYSICIAN$706,391$0$0$0$0$0$23,247$0$21,812$0$751,450$0$0$0
KENNETH SILVERSTEIN
CHIEF CLINICAL OFFICER$465,232$0$162,933$0$0$0$72,212$0$20,382$0$720,759$0$0$0
RANDALL GABORIAULT
CHIEF INFORMATION OFFICER$405,392$0$135,924$0$4,016$0$61,777$0$20,408$0$627,517$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A (DETAIL REGARDING BENEFITS PROVIDED)SOCIAL CLUB DUES CCHS PROVIDES A SOCIAL CLUB MEMBERSHIP TO BE USED BY THE PRESIDENT IN CONNECTION WITH THEIR DUTIES. THE PRESIDENT IS RESPONSIBLE FOR AND TAXED ON ANY PERSONAL USE OF SUCH CLUB MEMBERSHIP. --------------------
FORM 990, SCHEDULE J, PART I, LINE 4B (SUPP. NONQUALIFIED PLAN PARTICIP.)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- $270,568 GARY W. FERGUSON- $743,688 TIMOTHY GARDNER, MD- $36,762 ROBERT J. LASKOWSKI, MD- NO DISTRIBUTION JANICE NEVIN MD- NO DISTRIBUTION BRENDA K. PIERCE, ESQ.- NO DISTRIBUTION NICHOLAS PETRELLI- $32,339 DIANE TALAREK- $18,208 AUDREY VAN LUVEN- NO DISTRIBUTION --------------------
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 (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008
A510272458246388nvo2008-11-20$80,000,000REFINANCE SERIES 2004 & MED BLDGfalsefalsefalse
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2009
B5102724582009-12-18$30,000,000REFINANCE SERIES 1998falsefalsefalse
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A
C510272458246388EQ52010-11-04$74,491,341CONSTRUCTION OF HOSPITALfalsefalsefalse
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010
D510272458246388QPO2010-11-04$127,195,000CONSTRUCTION OF HOSPITALfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$80,000,000$0$0$0$774,850$0$0$19,062,025$60,163,125$02006Yes (true)falseYes (true)Yes (true)
B$30,000,000$0$30,000,000$0$0$0$0$0$0$0$30,000,000$02000Yes (true)falseYes (true)Yes (true)
C$17,316,804$0$74,956,804$0$0$0$879,197$0$0$74,077,607$0$02014falsefalseYes (true)Yes (true)
D$0$0$128,314,967$0$0$0$684,318$0$0$127,630,649$0$02014falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalseYes (true)Yes (true)0falsefalsefalseYes (true)
B0
Cfalsefalsefalsefalse0falsefalsefalseYes (true)
Dfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndException To RebateExceptionToRebateInd
0
AfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
Bfalsefalsefalsefalse0falseYes (true)Yes (true)
0
CfalseYes (true)falsefalsefalse0falseYes (true)
0
DfalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE K, PART II, LINE 3FOR 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 B, C, AND DAN ARBITRAGE REBATE AND YIELD RESTRICTION COMPLIANCE ANALYSIS WAS COMPLETED BY THE PFM GROUP FOR THE DELAWARE HEALTH FACILITIES AUTHORITY 2009 BONDS ON OCTOBER 1, 2015 AND THE DELAWARE HEALTH FACILITIES AUTHORITY 2010 BONDS ON NOVEMBER 4, 2015.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 280 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 1,100 PATIENT BEDS, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. WITH MORE THAN 11,000 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 & SCHEDULE I (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, 2016, CCHS MADE SUB-AWARD PAYMENTS TO 3 RECIPIENTS TOTALING $572,810. --------------------
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 2015 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2016 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2015 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 (COMP REVIEW/APPROVAL)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 (GOV, MGMT, & 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 $ (93,540,848) BENEFICIAL INTEREST IN SYSTEM (6,565,445) OTHER (198,791) ----------- TOTAL $ (100,305,084) ============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIANA CARE CAMPUS REALTY LLC
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE$0$0CCHS
CHRISTIANA CARE QUALITY PARTNERS LLC
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE-$974,658$0CCHS
CHRISTIANA CARE QUALITY PARTNERS ACO LL
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE-$130,398$0CCHS
CHRISTIANA CARE CARE LINK LLC
501 WEST 14TH STREETWILMINGTONDE19801510103684SUPPORT SRVCSDE-$1,927,184$0CCHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHRISTIANA CARE HEALTH SYSTEM INC
501 WEST 14TH STREETWILMINGTONDE19801521479538FUNDRAISINGDE501(c)(3)7NAfalse
CHRISTIANA CARE HLTH INITIATIVES INC
200 HYGEIA DRIVE SUITE 2300NEWARKDE19713510295186OUTPATIENT SVDE501(c)(3)9CCHS SYSTEMfalse
CHRISTIANA CARE HOME HEALTH & COM SRVCS
1 READS WAYNEW CASTLEDE19720510064334HOME HLTHCAREDE501(c)(3)7CCHS SYSTEMfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GLASGOW MEDICAL CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 GLASGOW AVENUE SUITE 204AddressLine1Txt
CityNEWARKCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19702ZIPCd
FieldValueIRS element (for citing)
EIN510320926EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CCHIBusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
THE DE CTR FOR MAT FETAL MED OF CC INC
200 HYGEIA DRIVENEWARKDE19713205891272HEALTHCAREDECCHSC CORP$11,901$1,829,5481.00000Yes (true)
CHRISTIANA CARE HEALTH PLANS
200 HYGEIA DRIVE OFFICE 2524NEWARKDE19713510352728INSURANCEDECCHS SYSTEMC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE DE CTR FOR MAT FETAL MED OF CC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeA,OTransactionTypeTxt
Involved$519,304InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Affiliated Group Attachment AffiliatedGroupAttachment

FieldValueIRS element (for citing)
Meduim ExplanationDIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ _______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 2,214,562 CHRISTIANA CARE HEALTH SERVICES 237,095 1,514,697,766 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 51,154,354 CHRISTIANA CARE HEALTH INITIATIVES NONE 7,609,289 ------------- -------------- TOTAL $237,095 $1,575,675,971 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2016. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2015.MeduimExplanationTxt