2017-05-13T08:48:27-05:00 2016-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2015-07-01 510103684 CHRISTIANA CARE HEALTH SERVICES INC % VICE PRESIDENT'S OFFICE CHRI 3026237201 PO BOX 2653 WILMINGTON DE 198050653 THOMAS L CORRIGAN EXECUTIVE BP & CFO 3026237201 2017-05-11 true ANTONIO C RUSSO P00858539 2673303000 2015 2021-01-29 14:40:06Z JANICE NEVIN MD 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 2021083643 false X WWW.CHRISTIANACARE.ORG X 1965 DE OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. 22 19 11046 1379 4053742 42304655 30666972 1303771875 1345427552 46189318 44952105 226704014 282318321 1618969862 1703364950 516452 472446 0 0 932174729 988848685 0 0 0 500605869 525613730 1433297050 1514934861 185672812 188430089 2666867463 2715366054 743516912 754027421 1923350551 1961338633 X OUR 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. false false 381829654 0 298057166 PROVISION 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. 70575035 0 150822992 LABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2016, 3,474,635 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 278. 219573461 0 357499073 OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2016, 39,102 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 312. 560293012 472446 819555521 1232271162 true true false true false false false false true true false false false true false false true false false true true false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 515 0 true 11046 true true true false false false false false false false false false X 22 19 false false false false false true true true true false false true true true true true true true true false PA X VICE PRESIDENT'S OFFICE 3026237202 200 HYGEIA DRIVE NEWARK DE 197132049 X BRIAN E BURGESS MD MEMBER, VICE CHAIR 1.0 1.0 X X 0 0 0 BETTY J CAFFO PHD MEMBER 1.0 1.0 X 0 0 0 CARROLL M CARPENTER MEMBER 1.0 1.0 X 0 0 0 JOHN R COCHRAN III MEMBER 1.0 1.0 X 0 0 0 DONEENE DAMON ESQ MEMBER, CHAIR-ELECT 1.0 1.0 X X 0 0 0 TARA D ELLIOTT ESQ MEMBER 1.0 1.0 X 0 0 0 JAMES HOPKINS MD 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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 DETAIL RECONCILIATION 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 EXPENSES FORM 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) true South Asia Grantmaking 472446 472446 472446 South Asia RESEARCH SUBAWARD - A GLOBAL NETWORK STUDY TO ESTIMATE GESTATIONAL AGE BY FUNDAL HEIGHT 472446 WIRE TRANSFR N/A FMV 1 true false false false false false FORM 990, SCHEDULE F, PART I, LINE 2 PROCEDURES 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. true true X true X false false true false true true 15978886 15978886 0.01050 233149861 207234376 25915485 0.01710 249128747 207234376 41894371 0.02760 49 83742 10111836 6438799 3673037 0.00240 7 2886 40992926 10976445 30016481 0.01980 3 22748155 14192848 8555307 0.00560 2 583498 583498 0.00040 61 86628 74436415 31608092 42828323 0.02820 61 86628 323565162 238842468 84722694 0.05580 true 47771949 4777195 483454905 535195740 -51740835 X true true 2 1 CHRISTIANA HOSPITAL 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 www.christianacare.org LICENSE #HSPTL-002 X X X X X A 2 WILMINGTON HOSPITAL 501 WEST 14TH STREET WILMINGTON DE 19801 www.christianacare.org LICENSE #HSPTL-001 X X X X X A A-CHRISTIANA AND WILMINGTON HOSPITALS 12 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 200. 0. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false 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. -------------------- 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/ X true true X X X X X false true false false false false false true false THOMAS L CORRIGAN CFO 527377 0 183270 0 288548 0 24572 0 21422 0 1045189 0 0 0 GARY W FERGUSON COO, RETIRED 10/15 476480 0 192943 0 1115032 0 25797 0 5348 0 1815600 0 0 0 ROBERT LASKOWSKI FORMER PRESIDENT & CEO 27982 0 226000 0 531860 0 17847 0 450 0 804139 0 0 0 JAMES HOPKINS MD MEMBER 420556 0 75000 0 0 0 23247 0 14788 0 533591 0 0 0 DIANE TALAREK SVP PATIENT CARE, RETIRED 2/16 305924 0 86186 0 17810 0 25797 0 12905 0 448622 0 0 0 MICHAEL BANBURY MD CHIEF, CARDIAC SURGERY 850720 0 123489 0 15529 0 25797 0 21459 0 1036994 0 0 0 BRENDA K PIERCE ESQ SECRETARY OF THE CORP 293287 0 82624 0 973 0 43253 0 14398 0 434535 0 0 0 AUDREY VAN LUVEN SENIOR VP & CHIEF HR OFFICER 356735 0 126103 0 0 0 61319 0 12441 0 556598 0 0 0 JANICE E NEVIN MD PRESIDENT & CEO 882120 0 432390 0 45 0 119757 0 12905 0 1447217 0 0 0 TIMOTHY GARDNER MD MEDICAL DIRECTOR, HVIS 617656 0 174008 0 62255 0 25797 0 14398 0 894114 0 0 0 NICHOLAS PETRELLI MD MEDICAL DIRECTOR, CANCER 544070 0 153073 0 52190 0 25797 0 21422 0 796552 0 0 0 MARK BOROWSKY PHYSICIAN 580007 0 150000 0 23767 0 25797 0 20832 0 800403 0 0 0 PAUL DAVIS PHYSICIAN 706391 0 0 0 0 0 23247 0 21812 0 751450 0 0 0 KENNETH SILVERSTEIN CHIEF CLINICAL OFFICER 465232 0 162933 0 0 0 72212 0 20382 0 720759 0 0 0 RANDALL GABORIAULT CHIEF INFORMATION OFFICER 405392 0 135924 0 4016 0 61777 0 20408 0 627517 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A (DETAIL REGARDING BENEFITS PROVIDED) SOCIAL CLUB DUES CCHS PROVIDES A SOCIAL CLUB MEMBERSHIP TO BE USED BY THE PRESIDENT IN CONNECTION WITH THEIR DUTIES. THE PRESIDENT IS RESPONSIBLE FOR AND TAXED ON ANY PERSONAL USE OF SUCH CLUB MEMBERSHIP. -------------------- FORM 990, SCHEDULE J, PART I, LINE 4B (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. A DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008 510272458 246388nvo 2008-11-20 80000000 REFINANCE SERIES 2004 & MED BLDG false false false B DELAWARE HLTH FACILITIES AUTHORITY SERIES 2009 510272458 2009-12-18 30000000 REFINANCE SERIES 1998 false false false C DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A 510272458 246388EQ5 2010-11-04 74491341 CONSTRUCTION OF HOSPITAL false false false D DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010 510272458 246388QPO 2010-11-04 127195000 CONSTRUCTION OF HOSPITAL false false false A 0 0 80000000 0 0 0 774850 0 0 19062025 60163125 0 2006 true false true true B 30000000 0 30000000 0 0 0 0 0 0 0 30000000 0 2000 true false true true C 17316804 0 74956804 0 0 0 879197 0 0 74077607 0 0 2014 false false true true D 0 0 128314967 0 0 0 684318 0 0 127630649 0 0 2014 false false true true A false false false true true 0 false false false true B 0 C false false false false 0 false false false true D false false false false 0 false false false true A false true true false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true FORM 990, SCHEDULE K, PART II, LINE 3 FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $465,463 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,119,967 IN INVESTMENT EARNINGS. -------------------- FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMNS B, C, AND D AN 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. 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) ============ CHRISTIANA CARE CAMPUS REALTY LLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE 0 0 CCHS CHRISTIANA CARE QUALITY PARTNERS LLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -974658 0 CCHS CHRISTIANA CARE QUALITY PARTNERS ACO LL 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -130398 0 CCHS CHRISTIANA CARE CARE LINK LLC 501 WEST 14TH STREET WILMINGTON DE 19801 510103684 SUPPORT SRVCS DE -1927184 0 CCHS CHRISTIANA CARE HEALTH SYSTEM INC 501 WEST 14TH STREET WILMINGTON DE 19801 521479538 FUNDRAISING DE 501(c)(3) 7 NA false CHRISTIANA CARE HLTH INITIATIVES INC 200 HYGEIA DRIVE SUITE 2300 NEWARK DE 19713 510295186 OUTPATIENT SV DE 501(c)(3) 9 CCHS SYSTEM false CHRISTIANA CARE HOME HEALTH & COM SRVCS 1 READS WAY NEW CASTLE DE 19720 510064334 HOME HLTHCARE DE 501(c)(3) 7 CCHS SYSTEM false GLASGOW MEDICAL CENTER LLC 2600 GLASGOW AVENUE SUITE 204 NEWARK DE 19702 510320926 MEDICAL SERVICES DE CCHI THE DE CTR FOR MAT FETAL MED OF CC INC 200 HYGEIA DRIVE NEWARK DE 19713 205891272 HEALTHCARE DE CCHS C CORP 11901 1829548 1.00000 true CHRISTIANA CARE HEALTH PLANS 200 HYGEIA DRIVE OFFICE 2524 NEWARK DE 19713 510352728 INSURANCE DE CCHS SYSTEM C CORP false true false true false false false false false false true true false true true true true true true THE DE CTR FOR MAT FETAL MED OF CC INC A,O 519304 FMV DIRECT 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.