CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-12
IRS object ID: 201601339349301395
Schema version: 2014v6.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Attachment

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-12T08:53:00-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510103684	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTIANA CARE HEALTH SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% VICE PRESIDENT'S OFFICE	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3026237201	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2653	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	198050653	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS L CORRIGAN	PersonNm
Person Title	EXEC VP/CFO	PersonTitleTxt
Phone	3026237201	PhoneNum
Signature	2016-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JANICE NEVIN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4755 OGLETOWN-STANTON ROAD	AddressLine1Txt
City	NEWARK	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19718	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,861,946,478	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTIANACARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	11317	TotalEmployeeCnt
Total Volunteers	1210	TotalVolunteersCnt
Total Gross UBI	$4,163,326	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$39,177,754	PYContributionsGrantsAmt
CY Contributions Grants	$42,304,655	CYContributionsGrantsAmt
PY Program Service Revenue	$1,243,256,506	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,303,771,875	CYProgramServiceRevenueAmt
PY Investment Income	$48,216,589	PYInvestmentIncomeAmt
CY Investment Income	$46,189,318	CYInvestmentIncomeAmt
PY Other Revenue	$192,768,083	PYOtherRevenueAmt
CY Other Revenue	$226,704,014	CYOtherRevenueAmt
PY Total Revenue	$1,523,418,932	PYTotalRevenueAmt
CY Total Revenue	$1,618,969,862	CYTotalRevenueAmt
PY Grants And Similar Paid	$678,667	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$516,452	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$901,403,715	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$932,174,729	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$469,200,419	PYOtherExpensesAmt
CY Other Expenses	$500,605,869	CYOtherExpensesAmt
PY Total Expenses	$1,371,282,801	PYTotalExpensesAmt
CY Total Expenses	$1,433,297,050	CYTotalExpensesAmt
PY Revenues Less Expenses	$152,136,131	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$185,672,812	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,523,303,432	TotalAssetsBOYAmt
Total Assets EOY	$2,666,867,463	TotalAssetsEOYAmt
Total Liabilities BOY	$728,024,257	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$743,516,912	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,795,279,175	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,923,350,551	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORTABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. THIS IS OUR PROMISE TO YOU. WE CALL IT THE CHRISTIANA CARE WAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$373,123,213	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$276,571,141	RevenueAmt
Desc	PROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. 3,401 NURSES ARE EMPLOYED WITH 280,115 PATIENT DAYS RECORDED DURING FISCAL 2015. THE HOSPITALS OFFER A FULL SCOPE OF SERVICES WITH THE NEEDS OF THE POPULATION SERVED WITHOUT REGARD TO AGE, RACE OR ECONOMIC CIRCUMSTANCES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$67,593,640	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$137,639,776	RevenueAmt
Desc	LABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2015, 3,288,789 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 275.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$217,918,509	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$343,925,836	RevenueAmt
Desc	OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2015, 38,712 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 301.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$517,858,954	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$516,452	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$770,138,795	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,176,494,316	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	641	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	11317	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	VICE PRESIDENT'S OFFICE	PersonNm
Phone	3026237202	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 HYGEIA DRIVE	AddressLine1Txt
City	NEWARK	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	197132049	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID P NICOLI
MEMBER, UNTIL 11/14	1.0	1.0	Yes (X)	$0	$0	$0
JOHN R COCHRAN III
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
ROBERT LASKOWSKI
PRESIDENT & CEO, RETIRED 12/14	40.0	1.0	Yes (X)	$1,446,569	$0	$51,092	Yes (X)
LOLITA A LOPEZ
MEMBER	1.0	2.0	Yes (X)	$0	$0	$0
FRED C SEARS II
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
WILFRED B SHERK
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
JANICE TILDON BURTON MD
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
EDWARD K WISSING
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
PATRICK D HARKER PHD
MEMBER, UNTIL 11/14	1.0	1.0	Yes (X)	$0	$0	$0
MICHAEL R MILLER
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
LEO W RAISIS MD
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
JANICE NEVIN MD
PRES&CEO EXOFFICIO AS OF 11/14	40.0	1.0	Yes (X)	$720,202	$0	$87,820	Yes (X)
W DONALD JOHNSON
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
THEODORE G PLUSH
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
BETTY J CAFFO PHD
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
ERIC T JOHNSON MD
BOARD VICE CHAIR, EX OFFICIO	3.0	1.0	Yes (X)	$9,500	$0	$589	Yes (X)
ARKADI KUHLMANN
MEMBER, UNTIL 11/14	1.0	1.0	Yes (X)	$0	$0	$0
JOHN M MURRAY II
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
MARK TYKOCINSKI MD
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
GARY M PFEIFFER
CHAIRMAN OF THE BOARD	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
BRIAN E BURGESS MD
EX OFFICIO	3.0	1.0	Yes (X)	$49,900	$0	$490
REBECCA JAFFE MD MPH
MEMBER, UNTIL 11/14	1.0	1.0	Yes (X)	$0	$0	$0
FRANK PENNELLA
EX OFFICIO	1.0	1.0	Yes (X)	$0	$0	$0
TARA D ELLIOTT ESQ
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
NANCY RICH
MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
CARROLL M CARPENTER
MEMBER, EX OFFICIO	1.0	1.0	Yes (X)	$0	$0	$0
THOMAS L CORRIGAN
SR VP FINANCE/CFO, OFF OF BRD	40.0	1.0		$682,474	$0	$95,309	Yes (X)
GARY W FERGUSON
CHIEF OPER OFF, OFF OF BOARD	40.0	1.0		$809,664	$0	$35,457	Yes (X)
WILLIAM J WADE
OFFICER OF BOARD	1.0	1.0		$0	$0	$0	Yes (X)
BRENDA K PIERCE ESQ
CORP COUNSEL, OFFICER OF BOARD	40.0	3.0		$361,708	$0	$62,358	Yes (X)
DIANE TALAREK
SR VP OF PATIENT CARE SERVICES	40.0	0.0		$403,339	$0	$41,099		Yes (X)
RAY SEIGFRIED
SR VP, ADMINISTRATION	40.0	0.0		$291,757	$0	$48,243		Yes (X)
AUDREY VAN LUVEN
SENIOR VP & CHIEF HR OFFICER	40.0	0.0		$477,678	$0	$75,789		Yes (X)
MICHAEL BANBURY MD
CHIEF, CARDIAC SURGERY	40.0	0.0		$1,033,429	$0	$46,912			Yes (X)
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS	40.0	0.0		$810,893	$0	$42,534			Yes (X)
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER	40.0	0.0		$728,787	$0	$49,283			Yes (X)
FREDERIC HARAD MD
VASCULAR SURGEON	40.0	0.0		$707,382	$0	$42,943			Yes (X)
GERARD FULDA MD
CHAIR, DEPARTMENT OF SURGERY	40.0	0.0		$665,612	$0	$70,943			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,198,894	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$750,861	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1267	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SKANSKA
516 EAST TOWNSHIP LINE ROAD	BLUE BELL	PA	19422	CONSTRUCTION SRVCS	$11,365,197
WHITING TURNER
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION SRVCS	$9,221,987
PHILIPS MEDICAL SYSTEMS NA CO
22100 BOTHELL EVERETT HIGHWAY	BOTHELL	WA	98021	MAINTENANCE SRVCS	$7,255,412
ANESTHESIA SERVICES
2 READS WAY SUITE 201	NEW CASTLE	DE	19720	MEDICAL SRVCS	$3,808,479
VARO
301 LACEY STREET	WEST CHESTER	PA	19382	COLLECTION SRVCS	$3,431,088

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	223	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$8,123,379	RelatedOrganizationsAmt
Government Grants	$16,535,702	GovernmentGrantsAmt
All Other Contributions	$17,645,574	AllOtherContributionsAmt
Total Contributions	$42,304,655	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PROGRAM SERVICE REVENUES	622110	$1,286,697,723	$1,286,697,723
OTHER REVENUES	900099	$17,074,152	$2,733,717	$4,163,326	$10,177,109

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,303,771,875	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,061,730	TotalRevenueColumnAmt
Exclusion	$17,061,730	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,473,007	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,961,317	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$511,690	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$511,690	TotalRevenueColumnAmt
Exclusion	$511,690	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$156,711,467	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$127,583,879	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,127,588	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,127,588	TotalRevenueColumnAmt
Exclusion	$29,127,588	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$334,337,070	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$113,431,420	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$220,905,650	TotalRevenueColumnAmt
Related Or Exempt Func Income	$220,905,650	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONDOMINIUM MAINTENANCE FEES	531390	$1,688,651	$1,688,651
MEANINGFUL USE	110000	$3,598,023		$3,598,023

Field	Value	IRS element (for citing)
Other Revenue Total	$5,286,674	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,618,969,862	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,513,935,113	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,163,326	UnrelatedBusinessRevenueAmt
Exclusion	$58,566,768	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$516,452	TotalAmt
Program Services	$516,452	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,608,800	TotalAmt
Program Services	$3,979,933	ProgramServicesAmt
Management And General	$5,628,867	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$701,525,481	TotalAmt
Program Services	$560,059,064	ProgramServicesAmt
Management And General	$141,466,417	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$54,903,869	TotalAmt
Program Services	$43,538,768	ProgramServicesAmt
Management And General	$11,365,101	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$116,329,963	TotalAmt
Program Services	$92,249,661	ProgramServicesAmt
Management And General	$24,080,302	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$49,806,616	TotalAmt
Program Services	$39,496,646	ProgramServicesAmt
Management And General	$10,309,970	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$450,116	TotalAmt
Program Services	$356,942	ProgramServicesAmt
Management And General	$93,174	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$415,502	TotalAmt
Program Services	$329,493	ProgramServicesAmt
Management And General	$86,009	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$180,124	TotalAmt
Program Services	$142,838	ProgramServicesAmt
Management And General	$37,286	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,654,703	TotalAmt
Program Services	$2,898,179	ProgramServicesAmt
Management And General	$756,524	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,772,835	TotalAmt
Program Services	$2,198,858	ProgramServicesAmt
Management And General	$573,977	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$155,555,812	TotalAmt
Program Services	$126,533,224	ProgramServicesAmt
Management And General	$29,022,588	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$35,751,821	TotalAmt
Program Services	$28,351,194	ProgramServicesAmt
Management And General	$7,400,627	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,589,827	TotalAmt
Program Services	$13,155,733	ProgramServicesAmt
Management And General	$3,434,094	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,556,193	TotalAmt
Program Services	$2,027,061	ProgramServicesAmt
Management And General	$529,132	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,304,901	TotalAmt
Program Services	$3,413,786	ProgramServicesAmt
Management And General	$891,115	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,699,737	TotalAmt
Program Services	$2,140,891	ProgramServicesAmt
Management And General	$558,846	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$85,590,760	TotalAmt
Program Services	$67,873,473	ProgramServicesAmt
Management And General	$17,717,287	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,774,966	TotalAmt
Program Services	$10,923,548	ProgramServicesAmt
Management And General	$2,851,418	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	MEDICAL SUPPLIES	Desc
Total	$176,308,572	TotalAmt
Program Services	$176,308,572	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,433,297,050	TotalAmt
Program Services	$1,176,494,316	ProgramServicesAmt
Management And General	$256,802,734	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$82,773,683	BOYAmt
EOY	$66,449,901	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$181,643,342	BOYAmt
EOY	$181,669,821	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$232,678,766	BOYAmt
EOY	$212,627,312	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,053,122	BOYAmt
EOY	$21,171,370	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,780,671,889	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$995,626,271	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$581,101,589	BOYAmt
EOY	$785,045,618	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,000,085,098	BOYAmt
EOY	$1,156,576,574	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$114,970,271	BOYAmt
EOY	$123,018,609	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,015,805	BOYAmt
EOY	$1,015,805	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$311,981,756	BOYAmt
EOY	$119,292,453	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,523,303,432	BOYAmt
EOY	$2,666,867,463	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$195,211,434	BOYAmt
EOY	$207,558,197	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$292,184,684	BOYAmt
EOY	$286,685,053	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$240,628,139	BOYAmt
EOY	$249,273,662	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$728,024,257	BOYAmt
EOY	$743,516,912	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,732,629,972	BOYAmt
EOY	$1,860,853,006	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,701,632	BOYAmt
EOY	$38,685,943	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,947,571	BOYAmt
EOY	$23,811,602	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,795,279,175	BOYAmt
EOY	$1,923,350,551	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,523,303,432	BOYAmt
EOY	$2,666,867,463	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$185,672,812	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$13,141,954	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$44,459,482	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$20,838,066	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$22,816,728	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,189,603	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$39,177,754	CurrentTaxYearMinus1YearAmt
Current Tax Year	$42,304,655	CurrentTaxYearAmt
Total	$152,326,806	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$20,838,066	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$22,816,728	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,189,603	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$39,177,754	CurrentTaxYearMinus1YearAmt
Current Tax Year	$42,304,655	CurrentTaxYearAmt
Total	$152,326,806	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$152,326,806	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$18,242,309	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,285,129	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$16,752,455	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,839,119	CurrentTaxYearMinus1YearAmt
Current Tax Year	$19,534,737	CurrentTaxYearAmt
Total	$88,653,749	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

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

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,714,154	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,702,180	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,677,493	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,658,279	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,286,674	CurrentTaxYearAmt
Total	$12,038,780	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$253,019,335	TotalSupportAmt
Gross Receipts Rltd Activities	$7,207,469,067	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.60204	PublicSupportCY170Pct
Public Support PY170	0.60574	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

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

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$180,124	FilingOrganizationsTotalAmt
Affiliated Group Total	$180,124	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$180,124	FilingOrganizationsTotalAmt
Affiliated Group Total	$180,124	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,433,116,926	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,497,044,091	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,433,297,050	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,497,224,215	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$180,295	CurrentYearMinus3Amt
Current Year Minus2	$171,382	CurrentYearMinus2Amt
Current Year Minus1	$189,841	CurrentYearMinus1Amt
Current Year	$180,124	CurrentYearAmt
Total	$721,642	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,105,589	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,358,205	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$846,654	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$49,617,140	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$44,664,226	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$5,551,546	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,110,183	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$49,105,589	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.69000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.13000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.18000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,328,422	OtherCostOrOtherBasisAmt
Book Value	$38,328,422	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,091,954,253	OtherCostOrOtherBasisAmt
Depreciation	$557,641,534	DepreciationAmt
Book Value	$534,312,719	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$622,810,935	OtherCostOrOtherBasisAmt
Depreciation	$417,340,037	DepreciationAmt
Book Value	$205,470,898	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,578,279	OtherCostOrOtherBasisAmt
Depreciation	$20,644,700	DepreciationAmt
Book Value	$6,933,579	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$785,045,618	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION AND POST RETIREMENT BE	$185,877,211
INSURANCE LIABILITIES	$26,490,002
OTHER LIABILITIES	$36,906,449

Field	Value	IRS element (for citing)
Total Liability	$249,273,662	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,703,948,336	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$13,141,954	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$13,141,954	RevenueNotReportedAmt
Revenue Subtotal	$1,717,090,290	RevenueSubtotalAmt
Investment Expenses Not Incld	$3,564,203	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$101,684,631	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$98,120,428	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,618,969,862	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,536,250,771	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$1,536,250,771	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$3,564,203	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	-$106,517,924	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$102,953,721	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,433,297,050	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

DETAIL OF ENDOWMENT FUNDS

SCHEDULE 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 AND THE VALUE INSTITUTE. 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 $ (93,294,240) RENTAL EXPENSES (1,961,317) SUBSIDIARY ACTIVITY (11,400,714) NET ASSETS RELEASED (3,110,841) CONTRIBUTIONS 8,087,442 RESTRICTED INVESTMENT INCOME (4,961) -------------- TOTAL OTHER CHANGES $(101,3684,631) -------------------- RECONCILIATION OF EXPENSES FORM 990, SCHEDULE D, PART XII, LINE 4B OTHER COGS CONTRACTUAL ALLOWANCES $ (93,294,240) RENTAL EXPENSES (1,961,317) SUBSIDIARY ACTIVITY (12,262,367) ------------- TOTAL OTHER CHANGES $(106,517,924)

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
South Asia	Grantmaking	$516,452
Central America and the Caribbean	Investments	$115,099,383

Field	Value	IRS element (for citing)
Subtotal Spent	$115,615,835	SubtotalSpentAmt
Total Spent	$115,615,835	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	South Asia	RegionTxt
Purpose Of Grant	RESEARCH SUBAWARD-- A GLOBAL NETWORK STUDY TO ESTIMATE GESTATIONAL AGE BY FUNDAL HEIGHT	PurposeOfGrantTxt
Cash Grant	$516,452	CashGrantAmt
Manner Of Cash Disbursement	WIRE TRANSFR	MannerOfCashDisbursementTxt
Description Of Non Cash Asst	N/A	DescriptionOfNonCashAsstTxt
Valuation Method Used	FMV	ValuationMethodUsedDesc

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE F, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,102,961	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,102,961	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$216,658,844	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$188,765,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,892,963	NetCommunityBenefitExpnsAmt
Total Expense	0.01950	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$232,761,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$188,765,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,995,924	NetCommunityBenefitExpnsAmt
Total Expense	0.03070	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	81	ActivitiesOrProgramsCnt
Persons Served	123152	PersonsServedCnt
Total Community Benefit Expns	$11,878,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,541,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,336,914	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	3258	PersonsServedCnt
Total Community Benefit Expns	$41,497,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,553,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,943,850	NetCommunityBenefitExpnsAmt
Total Expense	0.02020	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$22,893,346	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,595,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,298,216	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	4058	PersonsServedCnt
Total Community Benefit Expns	$87,905	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,905	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	93	ActivitiesOrProgramsCnt
Persons Served	130468	PersonsServedCnt
Total Community Benefit Expns	$76,357,263	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,690,378	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,666,885	NetCommunityBenefitExpnsAmt
Total Expense	0.02980	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	93	ActivitiesOrProgramsCnt
Persons Served	130468	PersonsServedCnt
Total Community Benefit Expns	$309,119,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$222,456,259	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,662,809	NetCommunityBenefitExpnsAmt
Total Expense	0.06050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$42,420,808	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,242,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$458,005,618	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$496,756,978	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$38,751,360	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHRISTIANA HOSPITAL
1	4755 OGLETOWN-STATON ROAD	NEWARK	DE	19718	www.christianacare.org	LICENSE# HSPTL-002	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WILMINGTON HOSPITAL
2	501 WEST 14TH STREET	WILMINGTON	DE	19801	www.christianacare.org	LICENSE# HSPTL-001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A-CHRISTIANA AND WILMINGTON HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.christianacare.org/communitybenefit	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B LINES 5&6 (INPUT FROM COMMUNITY/JOINT CHNA)	BEGINNING IN 2011 WITH COMPLETION IN FISCAL 2013, CHRISTIANA CARE HEALTH SYSTEM (CHRISTIANA CARE) UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING COMMUNITY RESIDENTS. TO ACCOMPLISH THIS IMPORTANT EFFORT, CHRISTIANA CARE'S CHNA COMMITTEE WORKED WITH THE FOLLOWING PARTNERS: -HEALTHY COMMUNITIES INSTITUTE TO PROVIDE HEALTH INDICATORS VIA THE ONLINE TOOL, DELAWARE HEALTH TRACKER. -MELIOR GROUP TO CONDUCT COMMUNITY LEADER INTERVIEWS. -HOLLERAN CONSULTING TO SYNTHESIZE FINDINGS, DEVELOP THE FINAL REPORT AND SUPPORT MANAGEMENT IN THE DEVELOPMENT OF THE IMPLEMENTATION PLANS TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS. CHRISTIANA CARE ALSO REGULARLY REACHES OUT TO THE UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY FOR FEEDBACK, AND WE CONDUCT SURVEYS AT COMMUNITY HEALTH FAIRS AND EVENTS TO HELP DETERMINE PROGRAMS AND SERVICES THAT WOULD BE OF MOST VALUE TO OUR PATIENTS AND NEIGHBORS. WE RELY ON THIS FEEDBACK-AS WELL AS INPUT FROM PRIMARY CARE PROVIDERS, SPECIALISTS AND PAYERS-AND ALSO TRACK NATIONAL CARE ISSUES AND DATA TO DETERMINE WHAT SERVICES ARE BEING PROVIDED IN OTHER COMMUNITIES THAT MAY BE EQUALLY BENEFICIAL IN OUR OWN. NOTE THAT SINCE CHRISTIANA CARE CONSISTS OF TWO HOSPITAL FACILITIES, BOTH FACILITIES JOINTLY CONDUCTED THEIR CHNA. --------------------
PART V, SECTION B LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)	Evaluation of Actions Taken Since Last Assessment Navigation and Access to Health Care Market Place Guides: Christiana Care has devoted resources to improve access to insurance coverage, as well as navigation and access to health care services. In conjunction with other non-profit groups in the area, Christiana Care helped to increase the number of Delaware residents with health insurance coverage. During the 2015 federal open enrollment period, Christiana Care marketplace guides consulted about insurance options with 8,729 people at community events and on a one-on-one basis. They directly enrolled 317 individuals in health insurance coverage during the 2015 enrollment period. Health Ambassador Program: Christiana Cares Health Ambassador Program promotes good health before pregnancy and provides information to help prevent premature births, a leading cause of death in newborn babies. The 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 visiting and educational programs. The health ambassadors work with community partners including Henrietta Johnson Medical Center, St. Francis Healthcare, Westside Family Healthcare and the Wilmington Hospital Health Center. Christiana Care leads a city-wide team of health ambassadors in partnership with other local partners. During Fiscal Year 2015, Health Ambassadors referred pregnant women and new parents to the following programs and services: -Medical home: 7,947 -Parenting support: 5,323 -Breastfeeding support: 666 -Food: 378 -Housing: 326 -Safe sleep: 177 -Clothing: 144 Blood Pressure Ambassador Program: The Blood Pressure Ambassador Program increases awareness of hypertension in the African-American community, using a model of peer education and camaraderie. In the last year, 82 ambassadors conducted more than 2,000 free hypertension screenings. Christiana Cares Helen F. Graham Cancer Center & Research Institutes Annual Free Skin Screening: Partnering with the Academy of Dermatology, The Cancer Center offers annual free skin cancer screenings. In May 2015, health care providers screened 132 people for skin cancer. Health Info On The Go: This effort reaches residents by using community health outreach and education staff to provide health education and routine health screenings in cholesterol, glucose and blood pressure with cancer awareness, prevention and early detection at the local farmers market. Since the programs inception in 2009, it has provided education to more than 3,500 shoppers and conducted screenings for more than 1,300 people. Breast Health Programs: Christiana Care Breast Health Programs reached more than 14,000 high-risk women in Fiscal Year 2015. They offer support to the underserved community. The program deploys bilingual navigators to improve access to mammograms, assistance with transportation, reminder notices, escorts for patients, and funding for screenings. They also provide community education to promote breast health, cancer prevention and early detection. Christiana Cares community health and outreach staff work with the Hispanic community to train promotoras, who promote wellness and help connect other members of the Hispanic community with health services, particularly preventive screenings. The Healthy Latin Families Program helps New Castle County residents make their families and homes healthier. This serves those who need screenings and preventive care, those with chronic diseases and children with asthma. An annual Latinas Fuertes Y Saludables program, presented entirely in Spanish, brings health information, screenings and resources to more than 300 members of the Hispanic community. Electronic Health Records & Improved Coordination Christiana Care worked to increase use of electronic health records to improve care coordination and communication among providers and their patients. To do so, Christiana Care established Care Link, an expansive information technology-enabled network. Care Link case managers help patients with chronic illness navigate and coordinate hospital, physician, community and support services. This virtual hub of interdisciplinary professionals contributes to significant reductions in re-hospitalizations. Of 650 surgical patients managed by the Care Link team, fewer than 2 percent returned for observation or emergency department visits. The seven-day readmission rate was lower than for elective surgical patients not managed by Care Link. New Models of Care Christiana Cares integration of mental health therapists into specialty and family medicine practices is opening mental health doors to children, adolescents and adults who might otherwise never seek help. The model follows an established national and international movement to align behavioral health with primary care in an effort to prevent or reduce the impact of mental health issues. Christiana Cares 15 school-based wellness centers provided health services including physical exams, screenings, drug and alcohol abuse counseling and individual, family and group counseling to more than 23,000 adolescents in Fiscal Year 2015. Care Link case managers help patients with chronic illness navigate and coordinate hospital, physician, community and support services. An interdisciplinary team of professionals contributes to significant reductions in re-hospitalizations. Of 650 surgical patients managed by the team, fewer than 2 percent returned for observation or emergency department visits. The seven-day readmission rate was lower than for elective surgical patients not managed by Care Link. The Medical Home Without Walls program, part of Care Link, reaches hospital and emergency department "superusers," a group that includes fewer than 10 percent of all patients but accounts for more than 20 percent of all visits to the hospital (many of them homeless with complex medical problems). A case management team visits patients at their home or shelter, accompanies them to medical appointments and addresses social ills such as hunger, addiction and domestic violence. The program provides coordinated care to people who might otherwise only receive care through frequent visits to the emergency department. Enhanced Mental Health Services Integrated Care Model: A shortage of mental health providers and treatment centers in our community has created significant access problems. To help address this problem, Christiana Care implemented a model of integrating mental health therapists in primary care and specialty practices. It was intended to improve access to mental health services for children, adolescents and adults who might otherwise not seek help. Therapists embedded in our cancer program, heart and vascular services, womens health, primary care and pediatrics practices offer real-time collaboration among the patient, primary-care provider and behavioral health specialist. The approach follows an evidence-based national and international movement to align behavioral health with primary care in an effort to prevent or reduce the impact of mental health issues. Project Engage is a unique addiction recovery program based on a peer model and in collaboration with a non-profit counseling center in New Castle County. Since its inception, Project Engage has connected some 3,000 people with specially trained intervention counselors, known as engagement specialists, onsite at the hospital to work one-on-one with patients addicted to drugs or alcohol. Of 1,123 patients with substance-use disorder offered help through Project Engage, 27 percent accepted substance-abuse treatment. Christiana Cares Center for Womens Emotional Wellness provides specialized clinical care for women experiencing postpartum depression and other mood disorders that impact a mothers bond with her baby and her entire family. The center offers outpatient therapy for individuals and couples, evaluation and management of medications and streamlined access to therapy services for women coping with behavioral health challenges before, during and after pregnancy. In addition, the team provides education to primary care professional to raise awareness about perinatal mood and anxiety disorders. In 2015, the team consulted with 240 new mothers in the hospital immediately following delivery and conducted 2,750 outpatient visits. Christiana Care screens all new mothers for mood and anxiety symptoms after childbirth, before they leave the hospital. --------------------
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 16A	HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE-PROGRAM -------------------- PART V, SECTION B, LINE 16B HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE-PROGRAM -------------------- PART V, SECTION B, LINE 16C HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE-PROGRAM --------------------
PART V, SECTION B, LINE 22D, OTHER (CHARGES FOR FAP-ELIGIBLE INDIVIDUALS)	FAP-ELIGIBLE INDIVIDUALS (THOSE WITH INCOME LESS THAN 200% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES.

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C (DES. OF ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE)	CHRISTIANA CARE HEALTH SERVICES, INC.("CHRISTIANA CARE" OR "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 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: HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT -------------------- 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 25 (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)	BEGINNING IN 2011 WITH COMPLETION IN FISCAL 2013, CHRISTIANA CARE HEALTH SYSTEM (CHRISTIANA CARE) UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING COMMUNITY RESIDENTS. TO ACCOMPLISH THIS IMPORTANT EFFORT, CHRISTIANA CARE'S CHNA COMMITTEE WORKED WITH THE FOLLOWING PARTNERS: -HEALTHY COMMUNITIES INSTITUTE TO PROVIDE HEALTH INDICATORS VIA THE ONLINE TOOL, DELAWARE HEALTH TRACKER. -MELIOR GROUP TO CONDUCT COMMUNITY LEADER INTERVIEWS. -HOLLERAN CONSULTING TO SYNTHESIZE FINDINGS, DEVELOP THE FINAL REPORT AND SUPPORT MANAGEMENT IN THE DEVELOPMENT OF THE IMPLEMENTATION PLANS TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS. CHRISTIANA CARE ALSO REGULARLY REACHES OUT TO THE UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY FOR FEEDBACK, AND WE CONDUCT SURVEYS AT COMMUNITY HEALTH FAIRS AND EVENTS TO HELP DETERMINE PROGRAMS AND SERVICES THAT WOULD BE OF MOST VALUE TO OUR PATIENTS AND NEIGHBORS. WE RELY ON THIS FEEDBACK AS WELL AS INPUT FROM PRIMARY CARE PROVIDERS, SPECIALISTS AND PAYERS AND ALSO TRACK NATIONAL CARE ISSUES AND DATA TO DETERMINE WHAT SERVICES ARE BEING PROVIDED IN OTHER COMMUNITIES THAT MAY BE EQUALLY BENEFICIAL IN OUR OWN. COMMUNITY HEALTH NEEDS NOT ADDRESSED CHRISTIANA CARE PLANS TO ADDRESS FOUR OF THE SEVEN PRIORITIZED HEALTH NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHRISTIANA CARE WILL NOT FOCUS ON THE FOLLOWING IDENTIFIED NEEDS: -ENHANCED NUTRITION PROGRAMS FOR CHILDREN: WHILE CHRISTIANA CARE OFFERS MANY PROGRAMS SUCH AS CAMP FRESH AND COPP, WHICH PROVIDES HEALTH AND NUTRITION EDUCATION FOR CHILDREN AND YOUNG ADULTS, AI DUPONT HOSPITAL FOR CHILDREN WOULD BE THE MAIN SOURCE FOR THIS TYPE OF PROGRAM. -PHARMACIES THAT DELIVER MEDICINE: CHRISTIANA CARE WILL NOT FOCUS ON ADDRESSING THE NEED FOR PHARMACIES TO DELIVER MEDICINE AS WE DON'T HAVE THE INFRASTRUCTURE/EXPERTISE. -TRANSPORTATION: CHRISTIANA CARE WILL NOT FOCUS ON ADDRESSING THIS SPECIFIC NEED AS WE DON'T HAVE THE INFRASTRUCTURE/EXPERTISE, HOWEVER PLEASE SEE NAVIGATING AND ACCESSING THE SYSTEM FOR INFORMATION ON OUR SHUTTLE SERVICE. AS WITH ALL CHRISTIANA CARE PROGRAMS, WE WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY. THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON OUR WEBSITE (HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT). --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGBILITY FOR ASSISTANCE)	CHRISTIANA CARE IS COMMITTED TO SERVING OUR NEIGHBORS AS INNOVATIVE, EXPERT, RESPECTFUL PARTNERS IN THEIR HEALTH, REGARDLESS OF THEIR ABILITY TO PAY. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS PUBLICIZED: -ONLINE: A SUMMARY OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE APPLICATION ARE AVAILABLE ON THE CHRISTIANA CARE WEBSITE AT HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE -BY REQUEST: PATIENTS MAY LEARN ABOUT OUR FINANCIAL ASSISTANCE PROGRAM BY CALLING PATIENT FINANCIAL SERVICES AT 302-623-7000. -BILINGUAL PAMPHLETS: EDUCATIONAL PAMPHLETS IN OUR EMERGENCY DEPARTMENTS, WAITING ROOMS AND COMMON AREAS SUCH AS LOBBIES ARE AVAILABLE IN BOTH ENGLISH AND SPANISH, DIRECT PATIENTS TO CONTACT PATIENT FINANCIAL SERVICES AT 302-623-7000 FOR MORE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. -PATIENT RIGHTS AND RESPONSIBILITIES PAMPHLET: THIS GUIDE EXPLAINS A PATIENT'S RIGHTS TO RECEIVE INFORMATION AND COUNSELING ON THE AVAILABILITY OF FINANCIAL AID FOR HEALTH CARE AND THE ABILITY TO RECEIVE AND REVIEW AN EXPLANATION OF CHARGES RELATED TO ONE'S CARE. COPIES OF THE PAMPHLET IN BOTH ENGLISH AND SPANISH CAN BE FOUND THROUGHOUT OUR FACILITIES AND ON OUR WEBSITE AT HTTP://WWW.CHRISTIANACARE.ORG/PATIENTRIGHTSANDRESPONSIBILITIES. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)	CHRISTIANA CARE'S SERVICE AREA FOR BOTH CHRISTIANA HOSPITAL AND WILMINGTON HOSPITAL HAS BEEN DEFINED AS NEW CASTLE COUNTY, DELAWARE (POPULATION 552,778). THIS AREA INCLUDES THE MAJORITY OF CHRISTIANA CARE'S PATIENT BASE (APPROXIMATELY 80%) AND WILL BE MOST INFLUENCED BY THE SERVICE OFFERINGS PROVIDED BY THE HOSPITAL AND INITIATIVES UNDERTAKEN BY THE HEALTH SYSTEM. GENERAL DEMOGRAPHICS: THE CORE POPULATION OF OUR DEMOGRAPHIC IN DELAWARE IS DIVIDED INTO THREE MAJOR CATEGORIES: WHITE (70.8%), BLACK (22.2%) AND HISPANIC (8.9%). PRIMARY SOCIAL AND HEALTH CARE FACTORS: THE INCOME STATISTICS FOR NEW CASTLE COUNTY ARE ABOVE THE NATIONAL AND STATE MEDIAN VALUES. THE MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $63,537, AND THE NATIONAL AND STATE FIGURES ARE $51,939 AND $58,878 RESPECTIVELY. OVERALL, THE COUNTY HAS A LOWER PERCENTAGE OF POPULATION WHO FALL BELOW THE POVERTY LEVEL THAN THE STATE (10.7% FOR THE COUNTY, 11% FOR THE STATE). THE 18-24 AGE GROUP HAS THE HIGHEST PERCENTAGE OF POPULATION THAT FALLS BELOW THE POVERTY LEVEL IN THE COUNTY. THE COUNTY'S UNEMPLOYMENT RATE WAS 4.4% AS OF MARCH 2015, COMING DOWN FROM A HIGH OF 8.6% IN JANUARY 2010. IN THE COUNTY, 26% OF THE RESIDENTS HAVE SOME COLLEGE OR AN ASSOCIATE DEGREE, 35% HAVE A BACHELOR'S DEGREE OR HIGHER. SOCIAL FACTORS AFFECTING OUR POPULATION ARE ACCESS TO HEALTH CARE, POOR NUTRITION AND THE LACK OF AFFORDABLE HOUSING. ALSO SERVING THE COMMUNITY, WHICH IS HOME TO FEDERALLY DESIGNATED UNDERSERVED AREAS/POPULATIONS, ARE TWO OTHER ACUTE CARE HOSPITALS, ST. FRANCIS HOSPITAL AND NEMOURS/A.I. DUPONT HOSPITAL FOR CHILDREN. --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	GOVERNING BODY: A MAJORITY OF CHRISTIANA CARE'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HEALTH SYSTEM'S PRIMARY SERVICE AREA. THE MAJORITY OF MEMBERS OF THE GOVERNING BODY ARE NOT EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF EMPLOYEES. MEDICAL STAFF PRIVILEGES: CHRISTIANA CARE HEALTH SYSTEM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY IN ALL DEPARTMENTS AND SPECIALTIES. COMMUNITY LEADER IN HEALTH CARE: DELAWARE DOES NOT HAVE A PUBLIC OR SAFETY-NET HOSPITAL. AS THE LARGEST HEALTH CARE PROVIDER IN OUR STATE, CHRISTIANA CARE SERVES A SIGNIFICANT PORTION OF OUR COMMUNITY'S UNINSURED AND UNDERINSURED POPULATION. THE CARE WE PROVIDE GOES WELL BEYOND TREATING THE SICK AND INCLUDES HEALTH-RELATED PROGRAMS AND INITIATIVES THAT SEEK TO IMPROVE THE OVERALL WELFARE OF PATIENTS. THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN ACCESS TO CARE, OUTREACH TO OUR COMMUNITY, IMPROVING PATIENT CARE, PROVIDING MEDICAL EDUCATION AND CONDUCTING RESEARCH WITH: THE ROCCO A. ABESSINIO FAMILY WILMINGTON HOSPITAL HEALTH CENTER, WHICH HAS SERVED THE WILMINGTON COMMUNITY FOR NEARLY 125 YEARS, PROVIDES PRIMARY AND SPECIALTY MEDICAL CARE FOR THOSE IN NEED AND RECORDED MORE THAN 76,000 ANNUAL PATIENT VISITS IN FY15. WE RECENTLY COMPLETED THE WILMINGTON HOSPITAL TRANSFORMATION PROJECT, A $210 MILLION ENDEAVOR HELPED US TO TRANSFORM THE WAY CARE IS DELIVERED ON THE CAMPUS, MAKING IT MORE PATIENT- AND FAMILY-CENTERED, MORE TECHNOLOGICALLY ADVANCED, MORE COORDINATED AND MORE EFFICIENT. CHRISTIANA CARE PROVIDES A FREE SHUTTLE SERVICE BETWEEN OUR WILMINGTON AND STANTON CAMPUSES, ENSURING THAT LOW-INCOME RESIDENTS IN THE CITY OF WILMINGTON HAVE ACCESS TO SPECIALTY SERVICES ON OUR STANTON CAMPUS. OUR NO-CHARGE TRANSPORTATION SYSTEM TRAVELS APPROXIMATELY 188,000 MILES EACH YEAR, ENSURING THAT OUR PATIENTS HAVE ACCESS TO ALL CHRISTIANA CARE SERVICES AND EACH MONTH, AN AVERAGE OF 7,498 RIDERS TAKES ADVANTAGE OF THIS SERVICE. 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. WE ALSO HAVE EXTENSIVE NURSING EDUCATION PROGRAMS IN PARTNERSHIP WITH MANY OF THE LEADING COLLEGES AND UNIVERSITIES IN THE REGION. AS ACADEMIC PARTNERS WITH LOCAL AND REGIONAL TECHNICAL SCHOOLS AND COLLEGES, WE ALSO PROVIDE CLINICAL TRAINING FOR ALLIED HEALTH AND TECHNICAL POSITIONS IN HEALTH CARE. CHRISTIANA CARE HAS A NUMBER OF RESEARCH ACTIVITES IN CONJUNCTION WITH THE NATIONAL INSTITUTES OF HEALTH, THE CENTERS FOR DISEASE CONTROL, CMS AND PRIVATE FOUNDATIONS. CHRISTIANA CARE INCLUDES MORE THAN 150 PATIENT AND FAMILY ADVISERS WHO HAVE A SPECIAL INTEREST IN HELPING SHAPE THE WAY WE DELIVER CARE BASED ON THEIR INDIVIDUAL EXPERIENCES WITH OUR SERVICES. OUR PATIENT AND FAMILY ADVISORY COUNCILS SHARE THEIR PERSPECTIVES AND PROVIDE FEEDBACK AND INPUT ON TASKS AND PROJECTS TO HELP DOCTORS, NURSES AND STAFF CREATE A COLLABORATIVE AND INCLUSIVE PATIENT- AND FAMILY-CENTERED CARE EXPERIENCE FOR THOSE WE SERVE. WE PARTNER WITH COMMUNITY ORGANIZATIONS, LEADERS AND INDIVIDUALS TO SHARE AND GROW OUR KNOWLEDGE, PROMOTE INNOVATIVE HEALTH PRACTICES AND EXPERTLY ADDRESS NEEDS AND CONCERNS. THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN ACCESS TO CARE, OUTREACH TO OUR COMMUNITY, IMPROVING PATIENT CARE, PROVIDING MEDICAL EDUCATION AND CONDUCTING RESEARCH WITH: THE MEDICAL HOME WITHOUT WALLS PROGRAM REACHES HOSPITAL AND EMERGENCY DEPARTMENT "SUPERUSERS," A GROUP THAT INCLUDES FEWER THAN 10 PERCENT OF ALL PATIENTS BUT ACCOUNTS FOR MORE THAN 20 PERCENT OF ALL VISITS TO THE HOSPITAL (MANY OF THEM HOMELESS, WITH COMPLEX MEDICAL PROBLEMS). A CASE MANAGEMENT TEAM CONSISTING OF A SOCIAL WORKER, A NURSE AND A COMMUNITY HEALTH WORKER IS ASSIGNED TO THESE PATIENTS. BY VISITING PATIENTS AT THEIR HOME OR SHELTER, ACCOMPANYING THEM TO MEDICAL APPOINTMENTS AND ADDRESSING SOCIAL ILLS SUCH AS HUNGER, ADDICTION AND DOMESTIC VIOLENCE, THE PROGRAM PROVIDES COORDINATED CARE TO PEOPLE WHO MIGHT OTHERWISE ONLY RECEIVE CARE THROUGH FREQUENT VISITS TO THE EMERGENCY DEPARTMENT. THROUGH MEDICAL HOME WITHOUT WALLS, WE CONNECT PATIENTS WITH RESOURCES IN THE COMMUNITY SUCH AS SHELTERS, FOOD BANKS AND MEDICAL INSURANCE, AND PARTNER WITH OTHER ORGANIZATIONS TO COORDINATE ADDITIONAL HELP. CARE LINK CASE MANAGERS HELP PATIENTS WITH CHRONIC ILLNESS NAVIGATE AND COORDINATE HOSPITAL, PHYSICIAN, COMMUNITY AND SUPPORT SERVICES. A VIRTUAL HUB OF INTERDISCIPLINARY CARE LINK PROFESSIONALS, INCLUDING NURSES, CONTRIBUTES TO SIGNIFICANT REDUCTIONS IN RE-HOSPITALIZATIONS OF 650 SURGICAL PATIENTS MANAGED BY THE CARE LINK TEAM, FEWER THAN 2 PERCENT RETURNED FOR OBSERVATION OR EMERGENCY DEPARTMENT VISITS. THE SEVEN-DAY READMISSION RATE WAS LOWER THAN FOR ELECTIVE SURGICAL PATIENTS NOT MANAGED BY CARE LINK. CHRISTIANA CARE'S COMMUNITY HEALTH AND OUTREACH STAFF WORK WITH THE HISPANIC COMMUNITY THROUGH SEVERAL PROGRAMS AND EVENTS. STAFF TRAIN PROMOTORAS, LATINAS WHO PROMOTE WELLNESS AND HELP CONNECT MEMBERS OF DELAWARE'S RAPIDLY GROWING HISPANIC COMMUNITY WITH HEALTH SERVICES, PARTICULARLY PREVENTIVE SCREENINGS. THE HEALTHY LATIN FAMILIES PROGRAM IS FOR NEW CASTLE COUNTY RESIDENTS INTERESTED IN MAKING THEIR FAMILIES AND HOMES HEALTHIER. THIS FREE PROGRAM HELPS PEOPLE, INCLUDING THOSE WITHOUT INSURANCE, INDIVIDUALS WHO NEED SCREENINGS AND PREVENTIVE CARE, THOSE WITH CHRONIC DISEASES AND CHILDREN WITH ASTHMA. AS PART OF THE PROGRAM A TRAINED PROMOTORA WILL HELP WITH PREVENTION, APPOINTMENTS FOR CHECK-UPS AND CONNECTING FAMILIES TO COMMUNITY AND HEALTH CARE RESOURCES. THE ANNUAL LATINAS FUERTES Y SALUDABLES - LATINAS: STRONG AND HEALTHY -- A LIFE-AFFIRMING PROGRAM PRESENTED ENTIRELY IN SPANISH -- BRINGS HEALTH INFORMATION, SCREENINGS AND RESOURCES FROM OUR COMMUNITY PARTNERS TO MORE THAN 300 MEMBERS OF THE HISPANIC COMMUNITY. ATTENDEES, EMPOWERED WITH EDUCATION ABOUT HEALTHY LIVING, ARE ENCOURAGED TO SHARE THEIR KNOWLEDGE WITH OTHERS. OUR CURRENT BREAST HEALTH PROGRAMS REACHED MORE THAN 14,000 WOMEN IN FY15, AND OFFER SUPPORT TO THE UNDERSERVED COMMUNITY WITH BILINGUAL NAVIGATORS TO IMPROVE ACCESS TO MAMMOGRAMS, ASSISTANCE WITH TRANSPORTATION, REMINDER NOTICES, ESCORTS FOR PATIENTS AND FUNDING. THEY ALSO PROVIDE COMMUNITY EDUCATION TO PROMOTE BREAST HEALTH, CANCER PREVENTION AND EARLY DETECTION. OUTREACH NAVIGATORS FROM THE HELEN F. GRAHAM CANCER CENTER AND RESEARCH INSTITUTE ALSO PARTNERED WITH THE HINDU TEMPLE IN NEW CASTLE TO EDUCATE WOMEN AND ARRANGE FOR FREE MAMMOGRAPHY SCREENINGS AND TRANSPORTATION TO THE GRAHAM CENTER. HEALTH INFO ON THE GO IS AN INNOVATIVE WAY TO REACH THE COMMUNITY AND PROVIDE ACCESS TO CARE. THE COMMUNITY HEALTH OUTREACH AND EDUCATION STAFF OFFER A MODEL COMBINING HEALTH EDUCATION AND ROUTINE HEALTH SCREENINGS IN CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE WITH CANCER AWARENESS, PREVENTION AND EARLY DETECTION AT THE LOCAL FARMERS MARKET. THEIR CULTURALLY DIVERSE AND BILINGUAL TEAM ALLOWS THEM TO ENGAGE WITH MULTICULTURAL SHOPPERS. SINCE THE PROGRAM'S START IN 2009 HEALTH INFO ON THE GO HAS REACHED MORE THAN 3,500 SHOPPERS AND PROVIDED SCREENING TO MORE THAN 1,300 PEOPLE. FOR 30 YEARS, THE FIRST STATE SCHOOL AT WILMINGTON HOSPITAL HAS GIVEN CHILDREN AND ADOLESCENTS WHO WOULD OTHERWISE BE HOMEBOUND WITH SERIOUS ILLNESSES THE CHANCE TO ATTEND SCHOOL WITH THEIR PEERS WHILE THEY GET THE MEDICAL TREATMENT THEY NEED. FIRST STATE SCHOOL OFFERS 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. CHRISTIANA CARE'S HEALTH AMBASSADORS PROVIDE EDUCATION, SUPPORT AND ENCOURAGEMENT ON MATERNAL AND INFANT HEALTH TO YOUNG COUPLES AND PREGNANT WOMEN AT COMMUNITY EVENTS THROUGHOUT NEW CASTLE COUNTY, WITH FUNDING FROM THE DELAWARE DIVISION OF PUBLIC HEALTH AND PARTNERSHIP FROM 20 ORGANIZATIONS. HEALTH AMBASSADORS OFFER INFORMATION ABOUT NUTRITION, SAFETY, MENTAL HEALTH, SAFE SLEEP, BREASTFEEDING AND OTHER WELLNESS TOPICS. CHRISTIANA CARE LEADS A CITY-WIDE TEAM OF HEALTH AMBASSADORS IN PARTNERSHIP WITH BELLEVUE COMMUNITY CENTER, HENRIETTA JOHNSON MEDICAL CENTER AND WESTSIDE FAMILY HEALTHCARE. HEALTH AMBASSADORS CONNECT PREGNANT WOMEN AND NEW PARENTS TO HEALTH CARE SERVICES AND OTHER RESOURCES, INCLUDING HOME VISITORS TO HELP FAMILIES GET A HEALTHY START IN LIFE. THE BLOOD PRESSURE AMBASSADOR PROGRAM INCREASES AWARENESS OF HYPERTENSION IN THE AFRICAN-AMERICAN COMMUNITY, USING A MODEL OF PEER EDUCATION AND CAMARADERIE. BLOOD PRESSURE AMBASSADORS DELIVER KEY MESSAGES ABOUT THE CONSEQUENCES OF UNTREATED HIGH BLOOD PRESSURE TO FRIENDS, FAMILY AND CO-WORKERS DURING DAILY INTERACTIONS. AMBASSADORS ALSO ASK KEY QUESTIONS TO ENCOURAGE INDIVIDUALS TO KNOW THEIR NUMBERS, AND TO ENSURE THEY ARE CONNECTED TO A HEALTH CARE
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	CHRISTIANA CARE HEALTH SERVICES, INC.: CHRISTIANA CARE IS A MAJOR TEACHING SYSTEM WITH TWO CAMPUSES, A 1,618 MEMBER MEDICAL-DENTAL STAFF AND MORE THAN 285 MEDICAL-DENTAL RESIDENTS AND FELLOWS. MAJOR FACILITIES INCLUDE: -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. -WILMINGTON CAMPUS: LOCATED IN THE HEART OF THE CITY OF WILMINGTON, DELAWARE, AND CORPORATE HEADQUARTERS FOR CHRISTIANA CARE HEALTH SYSTEM, THIS CAMPUS FEATURES 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 CARE CENTER, THE FIRST STATE SCHOOL AND THE ROXANA CANNON ARSHT SURGICENTER. THESE TWO HOSPITAL CAMPUSES AND CHRISTIANA CARE'S MANY OUTPATIENT ENTITIES SERVE OUR COMMUNITY ACROSS THE CONTINUUM OF CARE. --------------------
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: HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS L CORRIGAN
SR VP FINANCE/CFO, OFF OF BRD	$504,385	$0	$165,004	$0	$13,085	$0	$74,480	$0	$20,829	$0	$777,783	$0	$0	$0
GARY W FERGUSON
CHIEF OPER OFF, OFF OF BOARD	$535,722	$0	$175,842	$0	$98,100	$0	$28,454	$0	$7,003	$0	$845,121	$0	$0	$0
ROBERT LASKOWSKI
PRESIDENT & CEO, RETIRED 12/14	$905,899	$0	$419,958	$0	$120,712	$0	$28,454	$0	$22,638	$0	$1,497,661	$0	$0	$0
JANICE NEVIN MD
PRES&CEO EXOFFICIO AS OF 11/14	$558,295	$0	$154,179	$0	$7,728	$0	$75,175	$0	$12,645	$0	$808,022	$0	$0	$0
DIANE TALAREK
SR VP OF PATIENT CARE SERVICES	$298,061	$0	$78,162	$0	$27,116	$0	$28,454	$0	$12,645	$0	$444,438	$0	$0	$0
RAY SEIGFRIED
SR VP, ADMINISTRATION	$224,830	$0	$58,959	$0	$7,968	$0	$28,454	$0	$19,789	$0	$340,000	$0	$0	$0
MICHAEL BANBURY MD
CHIEF, CARDIAC SURGERY	$850,720	$0	$133,988	$0	$48,721	$0	$28,454	$0	$18,458	$0	$1,080,341	$0	$0	$0
BRENDA K PIERCE ESQ
CORP COUNSEL, OFFICER OF BOARD	$285,746	$0	$74,933	$0	$1,029	$0	$45,484	$0	$16,874	$0	$424,066	$0	$0	$0
AUDREY VAN LUVEN
SENIOR VP & CHIEF HR OFFICER	$354,142	$0	$114,478	$0	$9,058	$0	$63,144	$0	$12,645	$0	$553,467	$0	$0	$0
TIMOTHY GARDNER MD
MEDICAL DIRECTOR, HVIS	$601,792	$0	$158,768	$0	$50,333	$0	$28,454	$0	$14,080	$0	$853,427	$0	$0	$0
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER	$525,339	$0	$139,664	$0	$63,784	$0	$28,454	$0	$20,829	$0	$778,070	$0	$0	$0
FREDERIC HARAD MD
VASCULAR SURGEON	$367,452	$0	$337,417	$0	$2,513	$0	$23,154	$0	$19,789	$0	$750,325	$0	$0	$0
GERARD FULDA MD
CHAIR, DEPARTMENT OF SURGERY	$463,585	$0	$184,694	$0	$17,333	$0	$50,054	$0	$20,889	$0	$736,555	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A (DETAIL REGARDING BENEFITS PROVIDED)	SOCIAL CLUB DUES CCHS PROVIDES A SOCIAL CLUB MEMBERSHIP TO BE USED BY THE PRESIDENT IN CONNECTION WITH THEIR DUTIES. THE PRESIDENT IS RESPONSIBLE FOR AND TAXED ON ANY PERSONAL USE OF SUCH CLUB MEMBERSHIP. --------------------
FORM 990, SCHEDULE J, PART I, LINE 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- NO DISTRIBUTION GARY W. FERGUSON- $86,156 TIMOTHY GARDNER, MD- $35,866 ROBERT J. LASKOWSKI, MD- $114,362 JANICE NEVIN MD- NO DISTRIBUTION BRENDA K. PIERCE, ESQ.- NO DISTRIBUTION NICHOLAS PETRELLI- $31,551 RAY SEIGFRIED- $5,360 DIANE TALAREK- $17,764 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008
A	510272458	246388NVO	2008-11-20	$80,000,000	REFINANCE SERIES 2004 & MED BLDG	false	false	false
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2009
B	510272458		2009-12-18	$30,000,000	REFINANCE SERIES 1998	false	false	false
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A
C	510272458	246388EQ5	2010-11-04	$74,491,341	CONSTRUCTION OF HOSPITAL	false	false	false
DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010
D	510272458	246388QPO	2010-11-04	$127,195,000	CONSTRUCTION OF HOSPITAL	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$80,000,000	$0	$0	$0	$774,850	$0	$0	$19,062,025	$60,163,125	$0	2006	Yes (true)	false	Yes (true)	Yes (true)
B	$24,595,000	$0	$30,000,000	$0	$0	$0	$0	$0	$0	$0	$30,000,000	$0	2000	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$74,956,804	$0	$0	$0	$879,197	$0	$0	$74,077,607	$0	$0	2014	false	false	Yes (true)	Yes (true)
D	$0	$0	$128,314,967	$0	$0	$0	$684,318	$0	$0	$127,630,649	$0	$0	2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE K, PART II, LINE 3	FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $465,463 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,119,967 IN INVESTMENT EARNINGS. --------------------
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMNS 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	THERESA M BURGESS	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF BRD MBR	RelationshipDescriptionTxt
Transaction	$60,263	TransactionAmt
Transaction	PAYMENT OF COMPENSATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D (DETAIL OF OTHER PROGRAM SERVICES)	CHRISTIANA CARE HEALTH SERVICES ("CCHS"), HEADQUARTERED IN WILMINGTON, DELAWARE, IS ONE OF THE COUNTRY'S LARGEST HEALTH CARE PROVIDERS AND IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 250 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, A HOME HEALTH CARE SERVICE, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. WITH MORE THAN 11,100 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, 2015, CCHS MADE SUB-AWARD PAYMENTS TO 3 RECIPIENTS TOTALING $603,258. --------------------
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 2014 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2015 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2014 FORM 990 VIA ITS BOARD OF DIRECTOR'S PORTAL. ------------------
FORM 990, PART VI, SECTION B, LINE 12C (CONFLICT OF INTEREST POLICY)	OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE SUPERVISORY POLICY MANUAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR MANAGERS WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXISTS. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. --------------------
FORM 990, PART VI, SECTION B, LINE 15 (COMPENSATION REVIEW AND APPROVAL)	THE BOARD OF DIRECTORS ESTABLISHES CHRISTIANA CARE'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. --------------------
FORM 990, PART VI, SECTION C, LINE 19 (GOVERNANCE, MGMT, AND 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 POST RETIREMENT $(44,754,891) BENEFICIAL INTEREST IN SYSTEM 295,409 ------------ TOTAL $(44,459,482) ============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIANA CARE CAMPUS REALTY LLC
501 WEST 14TH STREET	WILMINGTON	DE	19801	510103684	SUPPORT SRVCS	DE	$0	$0	CCHS
CHRISTIANA CARE QUALITY PARTNERS LLC
501 WEST 14TH STREET	WILMINGTON	DE	19801	510103684	SUPPORT SRVCS	DE	-$555,879	$0	CCHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHRISTIANA CARE HEALTH SYSTEM INC
501 WEST 14TH STREET	WILMINGTON	DE	19801	521479538	fundraising	DE	501(c)(3)	7	NA	false
CHRISTIANA CARE HLTH INITIATIVES INC
200 HYGEIA DRIVE SUITE 2300	NEWARK	DE	19713	510295186	OUTPATIENT SV	DE	501(c)(3)	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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GLASGOW MEDICAL CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 GLASGOW AVENUE SUITE 204	AddressLine1Txt
City	NEWARK	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19702	ZIPCd

Field	Value	IRS element (for citing)
EIN	510320926	EIN
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CCHI	BusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
THE DE CTR FOR MAT FETAL MED OF CC INC
200 HYGEIA DRIVE	NEWARK	DE	19713	205891272	HEALTHCARE	DE	CCHS	C CORP	$138,347	$1,964,307	1.00000	Yes (true)
CHRISTIANA CARE HEALTH PLANS
200 HYGEIA DRIVE OFFICE 2524	NEWARK	DE	19713	510352728	INSURANCE	DE	CCHS SYSTEM	C CORP				false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	A,O	TransactionTypeTxt
Involved	$511,748	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt

Affiliated Group Attachment AffiliatedGroupAttachment

Field	Value	IRS element (for citing)
Meduim Explanation	DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ _______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 7,986,640 CHRISTIANA CARE HEALTH SERVICES 180,124 1,433,116,926 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 44,576,673 CHRISTIANA CARE HEALTH INITIATIVES NONE 11,363,852 ------------ -------------- TOTAL $180,124 $1,497,044,091 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2015. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2014.	MeduimExplanationTxt